Enhancing Support Systems for Older Adults' Health and Well-Being: A Health Equity Approach

Chair(s)

• 

  Ann Nguyen, PhD, MS, MSW (she/her/hers)

  Associate Professor
  Jack, Joseph and Morton Mandel School of Applied Social Sciences
  Case Western Reserve University
  Cleveland, Ohio, United States

Co-Chair(s)

• KE

  Katrina Ellis, PhD, MPH, MSW

  Associate Professor
  Social Work
  University of Michigan
  Ann Arbor, Michigan, United States

Individual Symposium Abstract First Author(s)

• 

  Karen Lincoln, PhD, MSW, MA, FGSA

  Professor
  Public Health/Environmental and Occupational Health & Center for Environmental Health Disparities Research
  University of California Irvine
  Irvine, California, United States
• 

  Fei Wang, PhD, MSW (she/her/hers)

  Assistant Professor
  College of Social Work
  University of Tennessee Knoxville
  Knoxville, Tennessee, United States
• 

  Yuanjin Zhou, PhD (she/her/hers)

  Assistant Professor
  Steve Hicks School of Social Work
  The University of Texas Austin
  Austin, Texas, United States
• WW

  Wenxing Wei, MSW, LMSW (he/him/his)

  Doctoral Candidate
  Social Work
  Case Western Reserve University
  Cleveland, Ohio, United States

This symposium examines psychosocial factors that shape the health and well-being of older adults using a health equity lens. The first paper examines the interplay between racial discrimination, social relationships and cellular aging among older African Americans. The findings from latent class analysis demonstrate significant heterogeneity in experiences of discrimination, social relationships, and susceptibility to molecular stress among African Americans. The second paper investigates protective factors and adverse outcomes associated with elder abuse among persons living with dementia (PLWD) using a systematic review methodology. The results identify several caregiver-related factors that protected against elder abuse and adverse outcomes related to medical conditions and medication adherence. The third paper reports the findings for the effect of urbanicity of residence on the health of caregivers of PLWD using data from the 2020-2022 Behavioral Risk Factor Surveillance Systems surveys. This analysis indicates that caregivers who lived in rural areas were more likely to self-report poor physical health than caregivers who lived in urban areas. The fourth paper examines barriers for caregivers to engage in fall risk management from the perspective of health professionals who work with PLWD and their caregivers using semi-structured, qualitative interview data. Thematic analysis identifies the several themes related to barriers. Overall, these papers will provide important insights into modifiable psychosocial factors that influence health and well-being. Modifiable psychosocial factors have broad translational importance in promoting health equity. The findings will be discussed with attention to important socio-cultural and contextual factors and highlight implications for gerontological practice and research.

Presentations:

• 8:00 AM – 9:30 AM PST

  Discrimination, Social Relationships, and Accelerated Aging Among Middle-Aged and Older African Americans
  

  Individual Symposium Abstract First Author: Karen D. Lincoln, PhD, MSW, MA, FGSA – University of California Irvine
• 8:00 AM – 9:30 AM PST

  Comparing Physical Health Challenges of Rural and Urban Caregivers of People With Dementia in the United States
  

  Individual Symposium Abstract First Author: Fei Wang, PhD, MSW (she/her/hers) – University of Tennessee Knoxville
• 8:00 AM – 9:30 AM PST

  Engaging Dementia Care Partners in Fall Risk Management: Health Professionals' Perspectives
  

  Individual Symposium Abstract First Author: Yuanjin Zhou, PhD (she/her/hers) – The University of Texas Austin
• 8:00 AM – 9:30 AM PST

  Elder Abuse in Older Adults With Dementia: Protective Factors and Adverse Effects
  

  Individual Symposium Abstract First Author: Wenxing Wei, MSW, LMSW (he/him/his) – Case Western Reserve University