ASI

Merril Silverstein Talks to NPR About China’s Economy Adapting to Serve the Aging Population

In China, companies and services are adapting to serve what demographers call the silver economy—hundreds of millions of people over the age of 60.

For the first time in modern China, 60-plus people comprise more than a fifth of its population, putting it on track to be a super-age society by the next decade, according to the World Bank.

Merril Silverstein, Marjorie Cantor Endowed Professor in Aging, says, “Better health, you know, is a function of greater economic well-being, for one thing.” He is studying how infrastructure development is increasingly geared towards an older society in China and has observed market improvements in China as people’s purchasing power shot up.

“Those in more developed villages have less aging anxiety about whether their needs will be met, whether they’ll be, you know, happy or not as they get older,” says Silverstein.

Listen to the full interview here.

Scott Landes and colleague published in Disability and Health Journal

Three milestone disability health equity related decisions occurred between September 2023 and May 2024. Though each is to be celebrated in its own right, the continued failure to collect and/or limitations with disability data block the path to achieving disability health equity in the US.
Three milestone disability health equity related decisions occurred between September 2023 and May 2024: 1) designation of disabled people as a health disparities population; 2) the halting of plans to switch to questions that would underestimate the disabled population in the American Community Survey; and 3) the announcement of a Final Rule tightening regulations under Section 504 of the Rehabilitation Act of 1973. While each milestone represents progress in the path towards disability health equity and highlights the strength of the US disability community, the lack of comprehensive and equitable disability data collection remains a critical barrier to achieving full disability health equity. In this invited commentary, we summarize these milestones and offer three recommendations essential improving disability data collection in the US. Read more.

ASI at GSA 2024

Gerontological Society of America (GSA) Annual Scientific Meeting – November 13-16, 2024 in Seattle, WA

GSA the premier annual scientific meeting for cutting-edge scholarship, research, and networking relating to the fields of aging and gerontology. This years theme is “The Fortitude Factor.”

ASI faculty and students presented their work at the 2024 Gerontological Society of America Conference.

List of Presentations

  • Catherine Garcia, Maria P. Aranda, and Michael Crowe
    Race, Neighborhood Dynamics, and Mortality Patterns in Older Puerto Ricans
    Wednesday, November 13
    12:00 – 1:00 PM PST
    Location: Room 205
  • Joonsik Yoon
    Transnational Parent-Care and Filial Piety: The Paradox of Idealized Traditional Immigrant Values
    Wednesday, November 13
    6:00 – 7:15 PM PST
    Location: Exhibit Hall 4AB – Poster Board 429
  • Peiyuan Zhang, Sarah Clem, Ting Guan, Todd D. Becker, and Paul Sacco
    Validation of Modified Sense of Control Scale Among Older Cancer Patients
    Wednesday, November 13
    6:00 – 7:15 PM PST
    Location: Exhibit Hall 4AB – Poster Board 164
  • Amanda N. Leggett, Yulya Truskinovsky, Vicki Freedman, Emily Wiemers, Jennifer Corman, and Geoffrey Hoffman
    Changes in Care Trajectories During the COVID-19 Pandemic Among Older Adults with Care Needs
    Wednesday, November 13
    6:00 – 7:15 PM PST
    Location: Exhibit Hall 4AB – Poster Board 227
  • Maria T. Brown and Jane A. McElroy
    Disparities in Health Outcomes Among Middle-Aged and Older Sexual Minority Cancer Survivors
    Wednesday, November 13
    6:00 – 7:15 PM PST
    Location: Exhibit Hall 4AB – Poster Board 5
  • Shu Xu and Haowei Wang
    Visual Difficulty and Valued Activity Among Older Adults: Findings From the National Health and Aging Trends Study
    Wednesday, November 13
    6:00 – 7:15 PM PST
    Location: Exhibit Hall 4AB – Poster Board 48
  • Heather L. Menne, Jason W. Osborne, and Claire Pendergrast
    Geography and Living Arrangement as Loneliness Factors for OAA Nutrition Clients During COVID-19
    Wednesday, November 13
    6:00 – 7:15 PM PST
    Location: Exhibit Hall 4AB – Poster Board 329
  • Marc A. Garcia, Blakelee Kemp, and Wassim Tarraf
    State Policy and Political Landscapes: Implications for Cognitive and Functional Health
    Thursday, November 14
    8:00 – 9:30 AM PST
    Location: Room 603
  • Andrew London (Chair)
    Life-Course Perspectives on Military Service Experiences, Stress Exposure, and Later-and End-of-Life Outcomes
    Thursday, November 14
    12:00 – 1:30 PM PST
    Location: Room 614
  • Ying Xu, Xiaoyu Fu, and Merril Silverstein
    Exploring the Impact of Childhood Trauma, Social Network, and Gender Moderation on Depression Among Older Adults
    Thursday, November 14
    2:00 – 3:15 PM PST
    Location: Exhibit Hall 4AB – Poster Board 463
  • Jeung Hyun Kim and Merril Silverstein
    Cultural Resources and Psychological Well-Being Influences on Cognitive Function in Mexican American Immigrants
    Friday, November 15
    8:00 – 9:30 AM PST
    Location: Room 604
  • Merril Silverstein, Seonhwa Lee, and Martin Lakomy
    Do Stepchildren Provide Dementia Care to Aging Biological Parents Commensurate with their Level of Need?
    Friday, November 15
    10:00 – 11:30 AM PST
    Location: Room 3B
  • Catherine Garcia, Morgan Parella, De’Lisia Adorno, Eniola Z. Festus, and Londi Rowell
    Life Histories and Trajectories of Physiological Functioning Among Older Racialized Groups in the US
    Friday, November 15
    10:00 – 11:30 AM PST
    Location: Room 613
  • Tianqi Zhou, Martin Lakomy, and Merril Silverstein
    Individualistic Values and Support Provided to Grandchildren
    Friday, November 15
    12:00 – 1:30 PM PST
    Location: Room 606
  • Catherine Garcia (Chair)
    Cultivating Resilience Across Diverse Aging Communities
    Saturday, November 16
    8:00 – 9:30 AM PST
    Location: Room 201
  • I-Fen Lin, Judith A. Seltzer, Janecca Chin, Emily Wiemers, Anna Wiersma Strauss, V. J. Hotz
    Time Help From Adult Children: Differences Among Biological and Step-Children in Non-Stepfamilies and Stepfamilies
    Saturday, November 16
    8:00 – 9:30 AM PST
    Location: Room 617
  • Claire Pendergrast
    Socio-Spatial Determinants of Community-Based Long-Term Care Availability in Rural Counties
    Saturday, November 16
    8:00 – 9:30 AM PST
    Location: Room 604
  • Woo Jang, Drew A. Krull, Seonhwa Lee, and Merril Silverstein
    Investigating Healthcare Access Disparities in Minnesota through GIS Analysis
    Saturday, November 16
    8:00 – 9:30 AM PST
    Location: Room 608
  • Xiaoyu Fu, Ying Xu, and Merril Silverstein
    Aging Attitudes: The Effects of Intergenerational Relationships and Village Economic Context in Rural China
    Saturday, November 16
    2:00 – 3:15 PM PST
    Location: Exhibit Hall 4AB
  • Haowei Wang, Shu Xu, and Yalian Pei
    Childhood Speech Impairment and Dementia Risks among US Older Adults
    Saturday, November 16
    2:00 – 3:15 PM PST
    Location: Exhibit Hall 4AB
  • Hyeonji Cho, Meejung Chin, and Catherine Garcia
    Four Types of Financial Support among “Sandwiched” Middle-Aged Adults: Life and Family Relationship Satisfaction
    Saturday, November 16
    2:00 – 3:15 PM PST
    Location: Exhibit Hall 4AB

New Volume edited by Merril Silverstein and Maria Brown – Religious Change and Continuity Across Generations Passing on Faith in Families of Six European and North American Nations

Religious Change and Continuity Across Generations: Passing on Faith in Families of Six European and North American Nations

Edited by Merril Silverstein; Christel Gärtner and Maria T. Brown, Lexington Press

This volume brings together scholars of religious studies, secularism, and family science to examine how religion is passed down the generations in six European and North American nations. Taking a social change perspective within the context of family socialization theory, the authors treat intergenerational change and continuity in religion and spirituality as occurring under specific national and historical conditions.

Janet Wilmoth and colleagues featured in the American Journal of Hypertension – “Estimated Pulse Wave Velocity Is Associated With a Higher Risk of Dementia in the Health and Retirement Study”

In this paper, we use the Health and Retirement Study (HRS) to examine the relationship between an estimated measure of pulse wave velocity (ePWV) and cognitive impairment with no dementia and dementia, respectively.

We modeled the relationship between ePWV and cognitive status in 2006/2008 using data from 8,492 men and women (mean age 68.6 years) controlling for age, blood pressure, sociodemographic, and socioeconomic characteristics (sex, race and ethnicity, education, income, wealth), health behaviors (smoking and physical activity), body mass index (BMI), health status and related medication use (history of cardiovascular disease, diabetes, and stroke), and cerebrovascular disease (CVD)-related biomarkers (C-reactive protein, cystatin-C, hemoglobin A1c, total cholesterol, high-density lipoprotein [HDL] cholesterol). We assess cognitive function with the 27-item Langa-Weir Telephone Interview for Cognitive Status (TICS) scale. ePWV is derived from an equation based on participant age and resting blood pressure.

In a model that controlled for the constituent components of ePWV (age, age squared, systolic and diastolic blood pressure), ePWV is associated with increased odds of having cognitive impairment with no dementia (OR = 2.761) and dementia (OR = 6.344) relative to a group with no cognitive impairment or dementia. After controlling for the constituent components of ePWV, sociodemographic and socioeconomic characteristics, health behaviors, BMI, health status and medication use, and CVD-related biomarkers, ePWV remains significantly associated with dementia (OR = 3.969) but not cognitive impairment with no dementia (OR = 1.782).

These findings suggest that ePWV may be a novel research tool and biomarker of vascular aging that can be used in large, population-representative studies to examine cognitive aging and dementia risk.

Read more here.

Syracuse University, Upstate Collaborate to Bring Memory Screenings to Area Offices for the Aging

Residents over the age of 60 in seven Central New York counties­—Cayuga, Herkimer, Lewis, Madison, Oneida, Oswego and Tompkins—can receive free memory screenings from their local Office for the Aging (OFA) as part of a collaborative project between SUNY Upstate Medical University and Syracuse University to assess the benefits of this type of screening in this setting.

The project is the first step in a plan that could possibly make such screenings available at OFAs across New York.

Early recognition of memory changes that could indicate an early stage dementia is important in order to help older adults gets the medical attention they need to avoid a crisis.

“If we are aware of early signs of memory issues, we are able to connect the individual to health care professionals who can begin appropriate treatment, while taking steps to educate and support families to improve the individual’s quality of life,” says Sharon Brangman, MD, SUNY Distinguished Service Professor and chair of the Geriatrics and director of the Center of Excellence for Alzheimer’s Disease. “The ability to easily screen this segment of the population has the potential to significantly benefit both the individual and their families.”

Changes that might be caused by early dementia can include changes in memory, depression, anxiety, aggression or lack of interest, Brangman says.

Here’s how the program works: OFA case managers in the selected counties have been trained by Upstate staff to administer what is called the “Mini-Cog,” a three-minute screening tool to assess potential memory loss. The screening can be administered in an individual’s home during a routine visit by OFA staff or at the county office. OFA case managers will not make any diagnoses based on the screening results; they will only administer the screening.

If the Mini-Cog shows any sign of memory change, the individual will be referred to Upstate University Geriatricians for a comprehensive geriatric assessment.

To evaluate the merits of this screening approach in community settings, Maria Brown, Ph.D., associate research professor in Syracuse University’s David B. Falk College of Sport and Human Dynamics and Aging Studies Institute, will analyze screening information over the yearlong project to identify the number of clients screened, number of clients with scores indicating memory changes, number of clients who receive follow-up comprehensive assessments and their diagnostic results.

“We are excited about improving the ability of OFAs to identify older adults across the Central New York region who could benefit from geriatric evaluations and connection to services to address their changing needs,” Brown says. Read more here.

Merril Silverstein and colleagues discuss “Older parents’ perceptions of children’s filial piety in rural China: The roles of coresidence, geographic proximity, and intergenerational support”

Filial piety—the belief that children should provide care, support, respect, and obedience to their older parents—is a fundamental normative expectation in East Asian societies. This study investigates the relationship between the geographic proximity of children and the support received from them, and their parents’ perceptions of filial piety in rural China. We used the 2021 wave of the Longitudinal Study of Older Adults in Anhui Province to predict parental assessments of filial piety for each of their children. Random-effects linear probability models using an internal moderator approach were employed to compare coresident children with non-coresident children based on their proximity and support provided. Findings indicate that parents tend to perceive their coresident children as being more filial compared to non-coresident children, particularly when parents are in worse functional health. However, non-coresident children can compensate for their deficiency in being perceived as filial by providing more financial support and maintaining frequent telephone communication with their parents. The study’s results suggest that filial piety norms in rural China have adapted to the diminished emphasis on intergenerational coresidence resulting from the trends of urbanization and significant rural–urban migration in modern China, requiring that children find alternative ways to fulfill their filial obligations.

Zhang, W., Silverstein, M., & Xu, Y. (2024). Older parents’ perceptions of children’s filial piety in rural China: The roles of coresidence, geographic proximity, and intergenerational support. Chinese Journal of Sociology, 0(0). https://doi.org/10.1177/2057150X241269265

Research Insights on Population Health Inspire Policy Change

A University lab investigates the connection between state policies, local conditions, and health and mortality in the United States.

In the Policy, Place, and Population Health (P3H) Lab at Syracuse University’s Maxwell School of Citizenship and Public Affairs, sociology doctoral candidate Yue Sun G’19, G’24 presents research for her dissertation that examines the relationship among states’ environmental policies, counties’ economic conditions and air pollution, and cardiovascular disease mortality. In performing this research, Sun analyzed data from 3,101 counties in the 48 contiguous states to estimate the impact these factors have on people’s risk of dying from cardiovascular disease.

During a lively discussion among faculty mentors and fellow graduate students, several potential issues are raised: the influence of neighboring states’ policies, other forms of pollution, cigarette taxes, Canadian wildfire smoke and whether personal income plays a role. “I hope the questions were helpful,” says Jennifer Karas Montez, University Professor of sociology, Gerald B. Cramer Faculty Scholar in Aging Studies and director of the Center for Aging and Policy Studies. “This dissertation is going to be super interesting when it’s done.” Read the full article, here.

Maria Brown awarded a NYHealth Foundation Grant

In New York State, more than 410,000 older New Yorkers have been diagnosed with Alzheimer’s disease and other forms of dementia, and 50,000 more older adults are projected to develop the condition by 2025.

While there is no cure for Alzheimer’s disease, early detection allows for treatment to manage symptoms and disease progression; enables older adults to make their own care decisions before cognitive decline; and promotes planning to maximize independence and quality of life. But there are many gaps in identifying older New Yorkers at risk, and too many do not receive proper support until they are in crisis. These negative effects are particularly acute for people with low income, people of color, and rural New Yorkers. New York State’s Office for the Aging sites are well-positioned to be part of the solution. Syracuse University’s Aging Studies Institute, in partnership with SUNY Upstate’s Department of Geriatrics and with support from the Health Foundation of Western and Central New York, launched a successful pilot in 2019 to train case managers from the Onondaga County Office for Aging to administer an evidence-based tool to screen for early signs of cognitive impairment. In 2024, NYHealth awarded the Research Foundation for the State University of New York (RFSUNY) and SUNY Upstate a grant to expand and embed this comprehensive screening and referral model for early cognitive impairment into New York State’s Office for the Aging sites throughout Central New York. Syracuse University will lead the project’s evaluation.

Under this grant, SUNY Upstate and Syracuse University will build on the success of the pilot and partner with the Office for the Aging to embed the screening and referral protocols into case managers’ workflows at sites in seven additional counties in Central New York. It will train case managers and site staff to screen clients using an evidence-based tool to assess for early signs of cognitive impairment and dementia. Each office will formalize a referral system with SUNY Upstate’s Center of Excellence for Alzheimer’s Disease (CEAD) to refer older adults who screen positive for cognitive impairment for a comprehensive evaluation. Using evaluation findings and feedback from participating sites, SUNY Upstate will create a publicly available training manual and video and share results with policymakers, area agencies on aging, and others to support the replication of the program.

Research Foundation for the State University of New York