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  1. Article ; Online: Variation in Implementing Dementia-Friendly Community Initiatives: Advancing Theory for Social Change.

    Scher, Clara J / Greenfield, Emily A

    Geriatrics (Basel, Switzerland)

    2023  Volume 8, Issue 2

    Abstract: Dementia-friendly communities (DFC) have emerged as a global movement to make communities more supportive and inclusive of people living with dementia (PLWD) and their care partners. This study contributes to a nascent body of research on DFC initiatives ...

    Abstract Dementia-friendly communities (DFC) have emerged as a global movement to make communities more supportive and inclusive of people living with dementia (PLWD) and their care partners. This study contributes to a nascent body of research on DFC initiatives by building theory on their local implementation. Based on an analysis of data from semi-structured interviews with 23 leaders of initiatives in Massachusetts (United States), we aimed to identify key dimensions of variation in the implementation of DFC initiatives. We found that all initiatives engaged in a common set of activities, such as the facilitation of training about dementia and improving services for PLWD. Although initiatives mostly engaged in these activities in ways that targeted the community at large, in some instances, they concentrated their efforts on enhancing the dementia-friendliness of their own organizations. We describe ways in which financial, social, and human capital operate as key factors that influence the initiatives' primary focus (i.e., the community at large or their own organization). Our findings suggest the importance of helping DFC initiative leaders more explicitly specify the focal ecological level of their efforts throughout the trajectory of their work, especially in the context of resource considerations. Results also indicate ways in which DFC initiative efforts at one systems level can support those at other levels over time.
    Language English
    Publishing date 2023-04-21
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2308-3417
    ISSN (online) 2308-3417
    DOI 10.3390/geriatrics8020045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Diminished Returns of Higher Parental Education on Cognition for Black Adults in Middle and Later Life.

    Reynolds, Addam / Greenfield, Emily A

    The journals of gerontology. Series B, Psychological sciences and social sciences

    2023  Volume 79, Issue 3

    Abstract: Objectives: Mounting evidence suggests that the protective effects of one's own higher socioeconomic status (SES) on health are diminished among minoritized racial/ethnic groups in the United States. This study extends this area of research to childhood ...

    Abstract Objectives: Mounting evidence suggests that the protective effects of one's own higher socioeconomic status (SES) on health are diminished among minoritized racial/ethnic groups in the United States. This study extends this area of research to childhood SES and cognition in middle and later life, focusing on the protective effects of higher parental education among non-Hispanic Black and White adults.
    Methods: Harmonizing data from individuals ages 50 and older across the Health and Retirement Study, the Study of Midlife in the United States, and the National Social Life, Health, and Aging Project, we examine whether associations between parental education and two measures of cognition (episodic memory and global cognition) are moderated by racialized identity (non-Hispanic White or Black) using a random-effects individual participant data meta-analysis approach.
    Results: Findings indicated a small, but robust, protective effect of higher parental education on both episodic memory and global cognition among adults identified as White. Among adults identified as Black, there was no association between parental education and either cognitive outcome.
    Discussion: This study provides evidence that the protective effect of higher parental education on cognition is not the same across racialized populations, consistent with the theory of Minority Diminished Returns. As scholars continue calls for life-course-oriented efforts to reduce racialized cognitive disparities, it is important to consider early-life risk and protective factors in the context of racism.
    MeSH term(s) Humans ; United States ; Child ; Socioeconomic Factors ; Social Class ; Cognition ; Aging/psychology ; Parents
    Language English
    Publishing date 2023-12-22
    Publishing country United States
    Document type Meta-Analysis ; Journal Article
    ZDB-ID 1223664-0
    ISSN 1758-5368 ; 1079-5014
    ISSN (online) 1758-5368
    ISSN 1079-5014
    DOI 10.1093/geronb/gbad181
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Disparate benefits of higher childhood socioeconomic status on cognition in young adulthood by intersectional social positions.

    Reynolds, Addam / Greenfield, Emily A / Nepomnyaschy, Lenna

    Advances in life course research

    2024  Volume 60, Page(s) 100608

    Abstract: Objectives: Emerging evidence supports the protective effects of higher childhood socioeconomic status (cSES) on cognition over the life course. However, less understood is if higher cSES confers benefits equally across intersecting social positions. ... ...

    Abstract Objectives: Emerging evidence supports the protective effects of higher childhood socioeconomic status (cSES) on cognition over the life course. However, less understood is if higher cSES confers benefits equally across intersecting social positions. Guided by a situational intersectionality perspective and the theory of Minority Diminished Returns (MDR), this study examined the extent to which associations between cSES and cognition in young adulthood are jointly moderated by racialized identity and region of childhood residence.
    Methods: Using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), we used multilevel modeling to test associations between cSES and delayed recall and working memory 14 years later when participants were ages 25-34. Further, we examined the influence of racialized identity and region of childhood residence on these associations.
    Results: Higher cSES was associated with higher delayed recall and working memory scores across social positions. However, the strength of the association between higher cSES and working memory differed across racialized subgroups and region of childhood residence. We found a statistically significant three-way interaction between cSES, race and region of childhood residence. Of particular important, a small yet statistically robust association was found in all groups, but was especially strong among White Southerners and especially weak among Black participants from the South.
    Conclusions: This study contributes to a growing body of research indicating that the protective effects of higher cSES on cognition are not universal across subgroups of intersecting social positions, consistent with the theory of MDR. These findings provide evidence for the importance of considering the role of systemic racism across geographic contexts as part of initiatives to promote equity in life course cognitive aging and brain health.
    Language English
    Publishing date 2024-03-24
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2474504-2
    ISSN 1879-6974 ; 1569-4909
    ISSN (online) 1879-6974
    ISSN 1569-4909
    DOI 10.1016/j.alcr.2024.100608
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Age-Friendly Cities and Communities: Research to Strengthen Policy and Practice.

    Greenfield, Emily A / Buffel, Tine

    Journal of aging & social policy

    2022  Volume 34, Issue 2, Page(s) 161–174

    Abstract: Since the early 2000s, a global age-friendly movement has emerged with aspirations to make environments and systems within localities more supportive of long and healthy lives. Despite growth in the social movement over the past decade, research on how ... ...

    Abstract Since the early 2000s, a global age-friendly movement has emerged with aspirations to make environments and systems within localities more supportive of long and healthy lives. Despite growth in the social movement over the past decade, research on how to work toward community change, especially in systematic and comprehensive ways across diverse geo-political and sociocultural contexts, has been relatively slower to develop. This special issue of the
    MeSH term(s) Aging ; Cities ; Humans ; Public Policy
    Language English
    Publishing date 2022-03-20
    Publishing country England
    Document type Introductory Journal Article
    ZDB-ID 1046396-3
    ISSN 1545-0821 ; 0895-9420
    ISSN (online) 1545-0821
    ISSN 0895-9420
    DOI 10.1080/08959420.2022.2049573
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  5. Article ; Online: Designing Retrospective Measures on Childhood for Older African American Adults.

    Greenfield, Emily A

    International journal of aging & human development

    2019  Volume 92, Issue 2, Page(s) 158–169

    Abstract: A growing body of research addresses the long-term implications of early-life circumstances for adult health and aging by drawing on retrospective reports on childhood. There has been little scholarly discourse on considerations for the design of such ... ...

    Abstract A growing body of research addresses the long-term implications of early-life circumstances for adult health and aging by drawing on retrospective reports on childhood. There has been little scholarly discourse on considerations for the design of such questions for members of racial/ethnic minority groups specifically. This article aims to encourage greater attention to this area by presenting insights from the process of designing a childhood history questionnaire within an ongoing study of cognition, health, and aging among older African American adults in greater Newark, New Jersey. The article presents on three overarching themes, including the importance of (a) adopting a resilience orientation with attention to protective factors, (b) being sensitive to concerns about questions on adverse childhood experiences, and (c) orienting to ethnoracially embedded cohort influences. The article concludes by describing the particular importance of cultural humility-with attention to intersectional social positions-among researchers who are engaged in studies on childhood with older adults from underrepresented racial/ethnic groups.
    MeSH term(s) Adverse Childhood Experiences/ethnology ; Adverse Childhood Experiences/psychology ; Adverse Childhood Experiences/statistics & numerical data ; African Americans/psychology ; Aged/psychology ; Humans ; Minority Groups/psychology ; New Jersey ; Resilience, Psychological ; Retrospective Studies ; Surveys and Questionnaires
    Language English
    Publishing date 2019-11-25
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 187072-5
    ISSN 1541-3535 ; 0091-4150
    ISSN (online) 1541-3535
    ISSN 0091-4150
    DOI 10.1177/0091415019887683
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Participatory Research Approaches in Alzheimer's Disease and Related Dementias Literature: A Scoping Review.

    Reyes, Laurent / Scher, Clara J / Greenfield, Emily A

    Innovation in aging

    2023  Volume 7, Issue 7, Page(s) igad091

    Abstract: Background and objectives: Given the increase in methodological pluralism in research on brain health, cognitive aging, and neurodegenerative diseases, this scoping review aims to provide a descriptive overview and qualitative content analysis of ... ...

    Abstract Background and objectives: Given the increase in methodological pluralism in research on brain health, cognitive aging, and neurodegenerative diseases, this scoping review aims to provide a descriptive overview and qualitative content analysis of studies stating the use of participatory research approaches within Alzheimer's disease and related dementias (ADRD) literature globally.
    Research design and methods: We conducted a systematic search across four multidisciplinary databases (CINAHL, SCOPUS, PsycInfo, PubMed) for peer-reviewed, English-language studies addressing ADRD that explicitly described their use of a participatory research approach. We employed a systematic process for selecting articles that yielded a final sample of 163 studies. Data from articles were analyzed to chart trends from 1990 to 2022 in terminology, descriptions, application of participatory approaches, and the extent and nature of partnerships with nonacademics.
    Results: Results demonstrated geographic differences in the use of stated approaches between North America-where community-based participatory research predominates-and Europe, where Action Research is most common. We further found that only 73% of papers in this systematic review had identifiable definitions or descriptions of the participatory approach used. Findings also showed that 14% of articles demonstrated no evidence of engaged partnership beyond activities typical of research participants, while 23% of articles identified partnering with people with dementia, and an additional 16% reported partnerships with members from Indigenous, Black, Asian, or Latinx communities.
    Discussion and implications: This scoping review identifies three areas in need of greater attention in ADRD literature using participatory research approaches. First, findings indicate the importance of strengthening the use, transparency, and rigor of participatory methods. Second, results suggest the need for greater inclusion of historically marginalized groups who are most affected by ADRD as research partners. Finally, the findings highlight the need for integrating social justice values of participatory approaches into research project designs.
    Language English
    Publishing date 2023-08-22
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2399-5300
    ISSN (online) 2399-5300
    DOI 10.1093/geroni/igad091
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Early life adversity, race, and childhood socioeconomic status: intersecting drivers of later life cognition.

    Reynolds, Addam / Greenfield, Emily A / Williams-Butler, Abigail

    Aging & mental health

    2023  Volume 28, Issue 3, Page(s) 511–519

    Abstract: Objectives: Research on associations between early life adversity (ELA) and later life cognition has yielded mixed results and generally have not considered how broader societal systems of stratification potentially influence associations. The current ... ...

    Abstract Objectives: Research on associations between early life adversity (ELA) and later life cognition has yielded mixed results and generally have not considered how broader societal systems of stratification potentially influence associations. The current study addresses this gap by exploring if racialized identity and childhood socioeconomic status (cSES) moderate associations between ELA exposure and later life cognition.
    Methods: Using data from the Health and Retirement Study (Waves 2010-2018), we used growth curve modeling to examine if the confluence of ELA, cSES, and racialized identity is associated with cognition.
    Results: Among White participants, greater exposure to ELA was associated with poorer baseline cognitive functioning, and higher cSES buffered against this association. Among Black participants, exposure to ELA was not associated with baseline cognitive functioning, regardless of cSES. We did not find evidence of any associations between main predictors nor their interactions with change in cognition over time.
    Conclusions: This study provides evidence that associations between ELA and later life cognition is contingent upon multiple social positions in the United States. These findings support the importance of integrating insights on intersecting social positions within life-course-oriented efforts to reduce racialized cognitive disparities.
    MeSH term(s) Humans ; United States ; Child ; Adverse Childhood Experiences ; Social Class ; Cognition ; Life Change Events
    Language English
    Publishing date 2023-08-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 1474804-6
    ISSN 1364-6915 ; 1360-7863
    ISSN (online) 1364-6915
    ISSN 1360-7863
    DOI 10.1080/13607863.2023.2242296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Getting Started: An Empirically Derived Logic Model for Age-Friendly Community Initiatives in the Early Planning Phase.

    Greenfield, Emily A

    Journal of gerontological social work

    2018  Volume 61, Issue 3, Page(s) 295–312

    Abstract: Age-friendly community initiatives (AFCIs) foster efforts across stakeholders to make localities more supportive and inclusive of older adults, and potentially better for residents of all ages. This study drew on in-depth interviews with leaders of nine ... ...

    Abstract Age-friendly community initiatives (AFCIs) foster efforts across stakeholders to make localities more supportive and inclusive of older adults, and potentially better for residents of all ages. This study drew on in-depth interviews with leaders of nine newly forming AFCIs in northern New Jersey to develop an empirically based logic model for the initiatives in the early planning phase. The results obtained from a conventional content analysis indicated three main activities in the early planning phase: assessing the community; meeting; and communicating with stakeholders; and facilitating communitywide communications. These activities worked toward two outputs: increased understanding of aging in the community and more engaged stakeholders in aging. Participants described leveraging the contributions of lead staff, consultants, elected officials, organizational partners, volunteers, interns, funders, and other AFCIs to engage in their focal activities. Based on these findings, a logic model for AFCIs in the early planning phase is presented. AFCI leaders can draw on this model to evaluate AFCI processes and outcomes in their formative stages, as well as to strategically plan for the start of an AFCI within a given locality. Findings also suggest important directions for future research on the development of AFCIs and the community changes that they seek to influence.
    MeSH term(s) Age Factors ; Environment Design ; Humans ; Logistic Models ; New Jersey ; Program Evaluation/methods ; Residence Characteristics ; Social Welfare/trends ; Social Work/methods ; Social Work/standards
    Language English
    Publishing date 2018-02-16
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 779365-0
    ISSN 1540-4048 ; 0163-4372
    ISSN (online) 1540-4048
    ISSN 0163-4372
    DOI 10.1080/01634372.2018.1432736
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Age-Friendly Initiatives, Social Inequalities, and Spatial Justice.

    Greenfield, Emily A

    The Hastings Center report

    2018  Volume 48 Suppl 3, Page(s) S41–S45

    Abstract: Discourse on communities and aging traditionally has focused on the availability, accessibility, and quality of local services to support older adults in need of assistance. More recently, however, a growing worldwide "age-friendly" movement has pushed ... ...

    Abstract Discourse on communities and aging traditionally has focused on the availability, accessibility, and quality of local services to support older adults in need of assistance. More recently, however, a growing worldwide "age-friendly" movement has pushed the conceptualization of community supports for an aging society beyond service provision. The term "age friendly" is used in considering how various aspects of a community facilitate or impede the health and well-being of individuals as they experience long lives. Frameworks on age friendliness include attention to health and community services for older adults but also encompass other aspects of communities, such as the physical design of outdoor spaces and buildings, the diversity of mobility options for drivers and nondrivers alike, and the availability of safe, affordable, and various types of housing. Age-friendly frameworks also highlight how the very social fabric of a community can influence older residents' quality of life. Over the past decade, a growing number of cities and communities have launched age-friendly initiatives as organized and comprehensive efforts to make localities better for residents as they age. This essay begins to explore how AFIs can address social inequalities in health and aging. It concludes by describing how embedding a spatial justice lens within age-friendly efforts could help AFIs realize more fully the changes that they seek to create at the local, national, and global levels.
    MeSH term(s) Aging ; Environment Design ; Humans ; Quality of Life ; Social Environment ; Social Justice ; Socioeconomic Factors ; Time Factors
    Language English
    Publishing date 2018-10-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 194940-8
    ISSN 1552-146X ; 0093-0334
    ISSN (online) 1552-146X
    ISSN 0093-0334
    DOI 10.1002/hast.912
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Organizational Characteristics of Senior Centers and Engagement in Dementia-Friendly Communities.

    Scher, Clara J / Somerville, Ceara / Greenfield, Emily A / Coyle, Caitlin

    Innovation in aging

    2023  Volume 7, Issue 5, Page(s) igad050

    Abstract: Background and objectives: Dementia-friendly communities (DFCs) are systematic and collaborative efforts to make local communities more supportive and inclusive of persons living with dementia and their care partners. This study explores how the ... ...

    Abstract Background and objectives: Dementia-friendly communities (DFCs) are systematic and collaborative efforts to make local communities more supportive and inclusive of persons living with dementia and their care partners. This study explores how the organizational characteristics of senior centers influence their engagement in DFCs.
    Research design and methods: We used a partially mixed, concurrent, equal status design, drawing on qualitative interviews with staff from 13 senior centers leading DFC initiatives as part of a statewide dementia-friendly network in Massachusetts, as well as quantitative data from 342 senior centers collected as part of a statewide survey.
    Results: The qualitative results demonstrated ways in which human, social, tangible, and programmatic capital facilitate senior centers' DFC engagement. In particular, the results illuminated the importance of social capital with organizations and groups outside of the senior center, spanning the municipal, regional, and state levels. Findings from multivariate analyses further indicated robust and strong associations between higher levels of social capital, as well as more dementia-focused programming and greater variety of funding sources, with greater likelihood of engagement in DFC work.
    Discussion and implications: Results indicate the importance of policy and practice to foster both organizational capacity and multilevel systems conditions to enable and motivate senior centers' involvement in DFC initiatives.
    Language English
    Publishing date 2023-06-09
    Publishing country England
    Document type Journal Article
    ISSN 2399-5300
    ISSN (online) 2399-5300
    DOI 10.1093/geroni/igad050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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