The Importance of Psychosocial Factors in Aging: The Minority Aging Research Study

Psychosocial factors can provide crucial insight into lived experiences that influence healthy aging. Though psychosocial factors are often used to explain health disparities seen between different racial/ethnic groups, within-group investigations can be particularly powerful for identifying culturally specific psychosocial factors that impact heterogeneity in aging among minority populations. The Minority Aging Research Study (MARS) is an ongoing, longitudinal epidemiologic cohort of 797 older African Americans from the Chicago, IL metropolitan area. Participants are on average 73.4 (standard deviation [SD]=6.6) years of age, 78.2% are women, and mean years of education is 14.8 (SD=3.7). At baseline, 75.3% of participants were without cognitive impairment, 20.8% had mild cognitive impairment, and 3.9% had mild dementia. Participants were recruited starting in 2004 and complete annual visits including a clinical evaluation, cognitive and motor testing, and assessment of risk factors related to Alzheimer’s Disease risk, including those hypothesized to be associated with a higher burden of cognitive impairment among older African Americans. This symposium will discuss the longitudinal association between John Henryism and cognitive function and decline (McSorley), participation in social activities and risk of all-cause mortality (Lamar), and the predictive relationship between experiences of everyday discrimination and incident disability (Lange-Maia). Finally, we will examine multilevel correlates—including environmental, sociocultural, behavioral, and biological factors—related to perceived stress (Glover). Mendes de Leon will critically consider what appear to be the most potent psychosocial factors for minority aging and possible implications of integrating these factors into interventions focused on promoting healthy aging among older African Americans.

Cardio-Dance Exercise to Improve Cognition and Mood in Older African Americans: A Propensity-Matched Cohort Study

The current study sought to determine the influence of initial sleep quality and body mass index on the cognitive and mood outcomes of a community-based cardio-dance exercise program. Thirty-two older African Americans who participated in a five-month cardio-dance exercise program were propensity-matched to 32 no-contact controls (ages 60 to 88). Participants completed neuropsychological tests of attention, executive function, and memory and a self-reported depression measure at baseline and post-test. Among exercise participants, we observed significant improvements in depression (ηp2=.12, p=.009) and attention (ηp2=.12, p=.009) relative to controls. Improvements in executive function and attention were most pronounced among exercise participants with poor sleep quality (ηp2=.41, p=.04) and with obesity (ηp2 = .30, p=.001), respectively. This study provides novel evidence that cardio-dance exercise has the potential to improve depression in older African Americans. For those with poor sleep quality or obesity, exercise can also improve some cognitive outcomes.

Marital and Romantic Satisfaction Among Older African Americans

There remains a lack of knowledge on marital satisfaction of African Americans generally, but particularly older African Americans. In addition, only a handful of studies investigate satisfaction among couples who are unmarried. With data from the National Survey of American Life, this study examined the correlates of romantic and marital satisfaction among older African Americans. Findings reveal that married older African Americans were slightly more satisfied with their relationship than individuals who were either remarried or unmarried but in a romantic relationship. Among older African American married adults, older age was associated with higher marital satisfaction, and men had higher levels of marital satisfaction than women. Also, married older African Americans with lower family incomes reported higher marital satisfaction. Given the limited research on older African Americans couples, either married or unmarried, this study offers valuable implications for individuals and professionals engaging these couples in practical settings.

The Effect of Vaccines on Older African Americans Emotional Experiences During the COVID-19 Pandemic

The COVID-19 pandemic is an unprecedented health emergency that has forced a change in the daily life of all individuals across the nation for over a year. As vaccinations have begun in Detroit, we examined their effect on older African Americans’ emotional experiences and intent to get vaccinated during the pandemic to help understand how persons make decisions to accept vaccinations. For this study, 194 community-dwelling older African Americans (mean age = 75, age range = 64-94) were recruited from the Wayne State Institute of Gerontology Healthier Black Elders Center and general Detroit area. A telephone survey was administered to assess pandemic experience including demographics, emotional responses (e.g., gratitude, happiness, anger, fear), everyday stressors (e.g., economic problems, reduced privacy), and vaccination attitude (e.g., concern over safety, intent to vaccinate). Of the 194 participants, 149 completed the survey before the first vaccination occurred in the United States on December 15, 2020, and 45 completed the survey after. Participants had not yet been vaccinated, but 67% said they would as soon as available. Participants in the post-vaccination group, as compared to pre-vaccination group, showed increases in stress-related locus of control (p=.03) and reported being more likely to get vaccinated (p=.02). They showed decreased worry about availability of health and safety supplies (p=.01), reduced perceived stress (p=.02), and a decrease in fears of COVID-19 (p=.05) and vaccination safety (p<.001). The current study highlights the effect of vaccinations on the attitudes and emotions experienced by an older minority population living in an urban area.

Can Working Together Buffer Depression Among Older, Religious African American Couples?

Depression is a growing concern among older African Americans, as many within this group hesitate to seek professional help from psychiatrists or counselors. Instead, existing literature notes that older African Americans frequently utilize informal social support networks (e.g., church leaders) to respond to stress and buffer the negative effects of depression and depressive symptoms. Yet, little is known about the shared coping practices of older African American couples in relation to depression. Given the commonly noted high levels of religiosity among African Americans, this study examined communal coping as a mediator between sanctification and depression for older African American couples. This study utilized the dyadic data of 194 (146 married and 48 cohabiting) African American couples between the ages of 50 and 86 years. Capturing data with the Revised Sanctification of Marriage scale, the Communal Coping scale, and the Major Depression Inventory, bias-corrected bootstrap analysis revealed that men’s relationship sanctification and women’s depression was partially mediated by men’s, as well as the sum of men’s and women’s, communal coping in married couples. Further, men’s relationship sanctification and men’s depression was partially mediated by men’s, as well as the sum of men’s and women’s, communal coping. In addition, women’s sanctification was positively associated with men’s depression, directly. These findings are valuable in understanding the complex buffers, and contributors, to depression among older African American couples who may identify closely with religion but prefer the support of a partner over professional care.