United States Survey Research Articles

Fitting of Orthokeratology in the United States: A Survey of the Current State of Orthokeratology.

The Fitting of Orthokeratology in the United States (FOKUS) survey provides information about the US orthokeratology market. This independent survey is the first to attain detailed assessment of the orthokeratology market. This study aimed to develop and administer a survey to eye care providers in the United States who are managing orthokeratology patients and those who are not, to determine a profile of prescribers, patients, and overall market. The FOKUS survey was administered and distributed online. Outcome measures of the FOKUS survey involved general categories of (1) practice and practitioner profiles, (2) clinical prescribing patterns, (3) patient profile, (4) products and marketing, (5) fees, and (6) market size and growth. The number of eye care providers who are actively fitting and managing orthokeratology patients in the United States is approximately 3000. A total of 545 responded to the survey; 283 reported that they were actively fitting orthokeratology. Furthermore, 68% of respondents prescribed orthokeratology with the intent of managing myopia, 53% monitor axial length, and 61% start orthokeratology patients at 13 years or younger. The mean number of years a patient wears orthokeratology is 7.8 years. A commonly reported complication with orthokeratology is corneal staining. Microbial keratitis is rarely or never seen by 86% of respondents. Of those currently fitting, 56% anticipate growth of orthokeratology fitting over the next 12 months. Of those not currently fitting orthokeratology, 46% plan to start within 2 years. Orthokeratology represents a small but growing segment of the US contact lens market. The number of practitioners actively prescribing and fitting orthokeratology in the United States is approximately 3000 with high potential for growth within the next 2 years. Results of the FOKUS survey are relevant to practitioners currently fitting or considering orthokeratology, manufacturers, educators, and researchers as baseline for future orthokeratology market assessment.

Higher Self-perceived Stress Reactivity Is Associated with Increased Odds for the Development of Chronic Pain

Experiencing stress can contribute to unfavorable pain experiences, but outcomes vary across individuals. Evidence suggests that a person's specific reactivity to stressful events may influence pain responses, independent of the type of event. Previous studies measuring physiological markers of stress reactivity such as salivary cortisol and heart rate have found associations with pain both clinically (e.g. recurrent abdominal pain in adolescents, and increased odds of future musculoskeletal pain frequency and severity in young adults) and in the laboratory (i.e. decreased conditioned pain modulation). However, the time and cost required for testing physiological stress reactivity may limit clinical application and reduce external validity. Alternatively, self-reported perception of one's own stress reactivity has been shown to correlate with physiological stress reactivity in relation to health outcomes, and as such may be a valuable tool in predicting pain outcomes. Using data from the Midlife in the United States survey, we selected participants who did not have chronic pain at baseline (n=1512) and who had data at follow-up nine years later. Stress reactivity was assessed using a subscale of the Multidimensional Personality Questionnaire. We conducted a binary logistic regression to determine the odds of developing chronic pain, controlling for demographics and other health related variables (i.e. self-rated physical/mental health, depression, anxiety, BMI, other chronic conditions). Results indicate that higher reported stress reactivity at baseline increased the odds of developing chronic pain at follow-up, OR=1.085, 95% CI [1.021, 1.153], p=0.008, with the only other predictor being number of chronic conditions, OR=1.118, 95% CI [1.045, 1.197], p=.001. Findings provide evidence for the predictive criterion validity of self-reported stress reactivity in the context of chronic pain risk. More generally, with increased need for virtual assessment and care, self-reported stress reactivity may be a useful, time and cost-efficient tool for predicting pain outcomes in research and clinical contexts.

Critical Care Nurse Burnout, Moral Distress, and Mental Health During the COVID-19 Pandemic: A United States Survey

BackgroundThe COVID-19 pandemic has and will continue to have a tremendous influence on intensive care unit (ICU) nurses’ mental health. ObjectivesThe purpose of this study was to describe the impact of COVID-19 on nurse moral distress, burnout, and mental health. MethodsBetween October 2020 and January 2021 this descriptive study recruited a national sample of nurses who worked in the ICU during the COVID-19 pandemic through American Association of Critical Care Nurses newsletters and social media. ResultsA total of 488 survey responses were received from critical care nurses working in the U.S. during the COVID pandemic. Over two thirds of respondents experienced a shortage of personal protective equipment (PPE). Nurse respondents reported moderate/high levels of moral distress and burnout. Symptoms of moderate to severe depression and anxiety were reported by 44.6% and 31.1% of respondents, respectively. Forty-seven percent of respondents were at risk for having posttraumatic stress disorder (PTSD). Lack of perceived support from administration and shortage of PPE were associated with higher levels of burnout, moral distress, and PTSD symptoms. ConclusionsRespondents had higher anxiety and depression than the general population and higher risk for having PTSD than recent veterans or patients after traumatic injury. High levels of reported burnout and moral distress increase the risk of nurses leaving ICU practice or the profession. This study offers important insights about the mental health of nurses during a global pandemic that can guide the development of customized interventions for ICU nurses related to this health care crisis.

Disparities in human papillomavirus vaccination coverage in the United States, National Health and Nutrition Examination Survey, January 2017–March 2020

BackgroundWe assessed disparities in HPV vaccination coverage by sociodemographic characteristics in the United States. MethodsUsing 2017-March 2020 National Health and Nutrition Examination Survey data, we estimated vaccination coverage of ≥ 1 dose of HPV vaccine by race/ethnicity and poverty, insurance, and nativity status for females and males aged 9–14, 15–19, and 20–29 years. ResultsAmong those aged 9–14 years, coverage among non-Hispanic Black (NHB), Hispanic, and non-Hispanic Asian (NHA) females (40.0%, 33.6%, 34.0%) and males (27.1%, 35.3%, 30.9%) was higher than non-Hispanic White (NHW) females (26.5%) and males (25.2%). Among those aged 15–19 and 20–29 years, coverage varied among NHB, Hispanic, and NHA compared to NHW females and was lower among NHB, Hispanic, and NHA than NHW males. Coverage was lower among uninsured than insured in most comparisons. ConclusionsHPV vaccination coverage varied by race/ethnicity and other characteristics. Efforts are needed to increase HPV vaccination coverage in all populations.

CHANGE AND VARIATION IN U.S. COUPLES' EARNINGS EQUALITY FOLLOWING PARENTHOOD.

In the context of broad increases in gender equality and growing socioeconomic disparities along multiple dimensions of family life, we examine changes in within-family earnings equality following parenthood and the extent to which they have played out differently by education. Our analysis relies on links between rich surveys and administrative tax records that provide high quality earnings data for husbands and wives spanning two years before and up to 10 years following first births from the 1980s to the 2000s in the United States (Survey of Income and Program Participation Synthetic Beta files; N=21,300 couples and 194,100 couple-years). Accounting for time-invariant couple characteristics and year and age fixed effects, we find that wives' share of total couple earnings declines substantially after parenthood and remains lower over the observation window. Cohort changes in within-family earnings equality are modest and concentrated among the earliest cohort of parents, and data provide little evidence of differential change by education. Wives' financial dependence on their husbands increases substantially after parenthood, irrespective of education and cohort. These findings have implications for women's vulnerability, particularly in the U.S. where divorce remains common and public support for families is weak.

Trends in asthma among adults in the United States, National Health and Nutrition Examination Survey 2005 to 2018

BackgroundAsthma is a common chronic disease in American adults. The prevalence of asthma has varied over time, but there are few studies on the long-term trend of asthma in American adults. ObjectiveTo describe the prevalence and trend of asthma in American adults from 2005 to 2018 and analyze the risk factors for asthma. MethodsData collection was performed from National Health and Nutrition Examination Survey 2005 to 2018. The unweighted number and weighted percentages of normal participants and patients with asthma and the trends of asthma were calculated. Weighted univariate logistic regression was used to analyze the risk factors for asthma. ResultsA total of 39,601 adults were included in this study. From 2005 to 2018, the overall prevalence of asthma in American adults was 8.41%, whereas that in young, middle-aged, and elderly adults was 8.30%, 8.70%, and 7.92%, respectively. The estimated prevalence of asthma in the overall adults and young adults increased with time (P for trend = .03, difference = 0.023 and P for trend = .007, difference = 0.060, respectively), and the estimated prevalence of middle-aged and elderly adults remained stable with time (P for trend = .33, difference = 0.015 and P for trend = .80, difference = −0.024, respectively). ConclusionAsthma in American adults was on the rise. Female sex, non-Hispanic Blacks, individuals with low annual household income, active smokers, obese patients, patients with hypertension, patients with diabetes, and individuals with positive asthma family history were associated with a higher risk for developing asthma.

The decision to sew: making face masks during the COVID-19 pandemic

ABSTRACT The COVID-19 pandemic provides an opportunity to understand the motivations of individuals who sew face masks. This study uses an expanded Theory of Planned Behavior (TPB) model with data (n = 144) from a nationwide (United States) survey in late 2020. Data were analyzed with exploratory and confirmatory factor analysis, structural equation modelling, and multi-group comparison. Results indicated intention to sew face masks was predicted by subjective norm, perceived behaviour control, health consciousness, and fashion innovativeness. Making intention positively influenced individuals’ actual mask sewing behaviour. The relationship between making intention and actual behaviour is moderated by employment status and age.

Assessing the educational needs of physicians in the management of patients with Tourette syndrome: results of a United States survey on practicing clinicians and caregivers.

To better understand current practices of U.S.-based physicians in the management of Tourette syndrome (TS) and identify gaps that may be addressed by future education. Two survey instruments were developed to gather data on management of TS and perceptions from physicians and caregivers of children with TS. The clinician survey was developed in consultation with a TS physician expert and utilized clinical vignettes to assess and quantify practice patterns. The caregiver survey was adapted from the clinician survey and other published studies and gathered details on diagnosis, treatment, and perceptions regarding management. Data included responses from 138 neurologists (including 57 pediatric neurologists), 162 psychiatrists (including 42 pediatric psychiatrists), and 67 caregivers. Most (65%) pediatric neurologists rely solely on clinical findings to make a diagnosis, whereas the majority of other specialists utilize additional testing (eg, neuroimaging, lab testing, and genetics). Most psychiatrists (96%) utilize standardized criteria to make a diagnosis, whereas 22% of neurologists do not. Many physicians (44% of psychiatrists and 20% of neurologists) use pharmacotherapy to treat a patient with "slightly bothersome" tics and no functional impairment, whereas caregivers favored behavioral therapy. Most (76%) caregivers preferred to make the final treatment decision, whereas 80% of physicians preferred equal or physician-directed decision-making. This study provides insight into practice patterns and perceptions of U.S.-based neurologists and psychiatrists in managing TS. Results highlight the potential value of physician education, including diagnostic approach, tic management and monitoring, involvement of caregivers in decision-making, and updates on TS management.

The Acupuncture and Telehealth Survey: A Cross-Sectional Survey Exploring Early COVID-19 Impacts on the Acupuncture Profession.

Introduction: As the COVID-19 pandemic continues to impact workforces in the United States, the Acupuncture and Telehealth Survey was released to assess the acupuncture profession's use of telehealth and workforce response to a changing regulatory landscape. Methods: An online cross-sectional survey of licensed acupuncturists in the United States was conducted in May 2020 for 4 weeks. Novel online recruitment strategies were successfully implemented including social media pages, digital media marketing, and webinar presentations. Statistical analyses were used to ascertain varying impacts on acupuncturists with telehealth training, and the use of online health care platforms, stratified by age, and history of licensure. Results: One thousand forty-five respondents from 46 states completed the survey. The majority of respondents noted a significant reduction in working hours regardless of telehealth training history (mean -18.7 h/week, p < 0.001, 95% confidence interval [-19.5 to -18.0]); however, acupuncturists managing patients online reported a lesser magnitude of impact (mean -17.3, p = 0.004). Respondents noted stress, immune support, and pain as the most common conditions managed through telehealth. Acupuncturists using telehealth primarily educated patients on nutrition- or herbal-based therapies and acupressure techniques, similar to acupuncturists managing suspected or confirmed COVID-19 cases. Although only 21% of acupuncturists reported receiving telehealth training, 38% were providing telehealth, and 13% were considering it in the future with concerns for quality patient care. Discussion: Acupuncturists' working hours were significantly reduced during the COVID-19 pandemic although many pivoted to a variety of online health care techniques and profession-specific modalities for continued patient care. This effect could be minimized by the use of telehealth platforms, necessitating adequate training on telehealth in the acupuncture profession.

Abstract PO-079: Interactions with neighbors and depressive symptom severity influence associations between exercise and inflammation in African Americans

Abstract Background: African Americans (AAs) are disproportionately affected by chronic disease and some cancers. Adequate amounts of moderate and vigorous exercise are essential to maintaining good health. The impacts of exercise on health occur through inflammatory mechanisms, which are implicated in most chronic diseases. More exercise is each related to lower levels of pro-inflammatory biomarkers, C-reactive protein (CRP) and interleukin-6 (IL-6). Recent research has identified that perceptions of neighborhood quality, such as frequency of social interactions with neighbors impact health behavior and cardiometabolic health among AAs. This may occur through stress and allostatic load, as higher levels of CRP and IL-6 are indicative of chronic stress. We seek to extend this research by investigating whether social aspects of neighborhood quality moderate associations between exercise and inflammation. Furthermore, depression has been shown to increase inflammation, worsen health outcomes, and may further moderate these associations. Methods: Data from the Midlife in the United States survey collected during the Refresher phase (2011-2016) were used. 155 AA adults, aged between 25 and 73 (mean age= 47), completed psychosocial surveys, daily diaries of exercise, measures of neighborhood quality, and objectively measured WC, CRP and IL-6. Results: The sample had a mean WC of 102.35 cm, was highly educated (68.4% at least some college), and 69% female. There was an interactive association between frequency of social interaction with neighbors and exercise and IL-6 (B=.23, p=.04) and CRP (B=.35, p=.045). Having social interactions with neighbors several times a week and more exercise was associated with higher levels of IL-6 and CRP. Those with little social interactions with neighbors showed typical negative associations between exercise and inflammation. Depression symptom severity moderated the interaction between exercise and frequency of social interactions on CRP (B=.046, p=.04), such that those with clinical severity may benefit differently from some regular interaction with neighbors. Conclusion: Frequent social interactions with neighbors may not always be positive, even in the presence of high levels of exercise. Conversations about illness, loss, crime, insufficient resources, or discrimination are factors that can affect inflammation over time. However, this is likely to differ by neighborhood and mental health status of the participant. Further analyses in larger and more diverse AA samples may show a complexity of the stress response in AAs that must be further explored. Citation Format: Olga M. Herren, Keri Kirk, Tanya Agurs-Collins. Interactions with neighbors and depressive symptom severity influence associations between exercise and inflammation in African Americans [abstract]. In: Proceedings of the AACR Virtual Conference: 14th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2021 Oct 6-8. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr PO-079.

Post-crisis developments in young adults’ housing wealth

How has housing wealth inequality changed for young-adult households in the post-financial crisis period, and what is driving such change? We chart a path for subsequent studies by analysing the previously unexamined post-crisis housing wealth profile of young adults via different angles and using multiple inequality measures. Using household micro-data for 11 European countries ( Household Finance and Consumption Survey, 2010–2017) and the United States ( Survey of Consumer Finances, 2010–2016), we find that the accumulation of housing assets for 22–44 year olds is unevenly concentrated among high-income homeowners, over and above what would be expected given the well-known decline in homeownership. We describe and assess several potential drivers for these wealth profile changes, finding that the current explanations offered in the literature do not adequately account for the unequal wealth profile of young people. We conclude that a mix of dynamics, including housing market volatility, housing market configurations leading to uneven capital gains and losses, and the increased social selectivity of homeownership intersect to shape the ways that young adults navigate the housing market in post-crisis times.

Social network typology and health among parents of children with developmental disabilities: Results from a national study of midlife adults

ObjectiveThere is increasing interest in the role of contextual factors in promoting well-being among parents of children with developmental disabilities. This study aimed to examine whether social network types moderate the impacts of having a child with a developmental disability on parents' health. MethodsUsing cross-sectional data from the Midlife in the United States survey (MIDUS 2 and Refresher cohorts), we analyzed a sample of 363 parents of children with developmental disabilities and 4,919 parents of children without developmental disabilities. K-means cluster analysis was implemented to identify a social network typology. Modified Poisson and negative binomial regression models estimated the effect of having a child with a developmental disability and the typology on parents' physical health (self-rated health, number of chronic conditions) and mental health (self-rated mental health, major depression). ResultsThe cluster analysis revealed two social network types. Parents of children with developmental disabilities were more likely to have “restricted/unsupported” networks, whereas parents in the comparison group were more likely to have “diverse/supported” networks. Social support was more important for differentiating the network types of parents of children with developmental disabilities, while social integration was more salient for the comparison group. Parents of children with developmental disabilities fared worse on all outcomes relative to parents of children without disabilities. However, the typology had a compensatory psychological effect; the diverse/supported network type conferred greater mental health benefits to parents of children with developmental disabilities than to those in the comparison group. The diverse/supported network type was also associated with better physical health, but the associations did not differ between the two parent groups. ConclusionsThe results of this study emphasize the importance of social determinants of well-being for those with exceptional parenting responsibilities. Strengthening social networks may have a particularly positive impact on such parents' mental health.

Racial/ethnic disparities in intent to obtain a COVID-19 vaccine: A nationally representative United States survey

Black, Latino, Pacific Islander, and American Indian/Alaska Native adults are more likely than White adults to experience SARS-CoV-2-related infections, hospitalizations, and mortality. We assessed intent to be vaccinated and concerns among 7 U.S. racial/ethnic groups (1,000 Black/African American, 500 American Indian/Alaska Native, 1,000 Asian, 1,000 Latino (500 English- and 500 Spanish-speaking), 500 Pacific Islander, 500 multiracial, and 1,000 White adults) in a cross-sectional online survey conducted December 2020-February 2021, weighted to be nationally representative within groups. Intent to be vaccinated was ascertained with: “If a COVID-19 vaccine becomes available, how likely are you to get vaccinated?” (not at all/slightly/moderately/very/extremely likely). Respondents identified which concerns would keep them from being vaccinated: cost, not knowing where, safety, effectiveness, side-effects, and other. Multinomial logistic regression models assessed associations of race/ethnicity with odds of being extremely/very/moderately, slightly likely to be vaccinated (ref = not at all), controlling for demographics and health. Overall, 30% were extremely likely, 22% not at all likely, and 48% unsure. Compared to White respondents, American Indian/Alaska Native (Adjusted Odds Ratio (AOR) = 0.66, 95% CI, 0.47–0.92) and Black/African American (AOR = 0.54, 95% CI, 0.41–0.72) respondents were less likely, and Asian (AOR = 2.21, 95% CI, 1.61–3.02) and Spanish-speaking Latino respondents (AOR = 3.74, 95% CI, 2.51–5.55) were more likely to report being extremely likely to be vaccinated. Side-effects (52%) and safety (45%) were overriding concerns. Intent and vaccination rates are changing rapidly; these results constitute a comprehensive baseline for ongoing vaccination efforts among U.S. racial and ethnic groups.

Excess Mortality in Young Patients with Myeloproliferative Neoplasms

▪Introduction: Myeloproliferative neoplasms (MPNs) - essential thrombocythemia (ET), polycythemia vera (PV), and primary myelofibrosis (PMF) - are associated with significant morbidity and shortened survival, irrespective of age (Srour et al. Br J Hematol. 2016). Despite shortened survival, young MPN patients (pts) are often classified as “low-risk” and managed with aspirin alone, phlebotomy-only (PHL), or observation instead of potentially life-prolonging cytoreductive and/or disease-modifying treatment. Age-biased risk assessment and treatment practices deprive young pts from early intervention and access to clinical trials. Our goal is to highlight the unmet need for identifying and implementing life-prolonging treatment in young MPN pts. Here, we determine and compare the excess mortality from MPNs in young (<60 years) to older pts (≥60 years) in the United States (US).Methods: In this population-based study, demographic (age, sex, race), survival, and cause-of-death data were collected for MPN pts from the US Survey, Epidemiology, and End Results (SEER) registry between 2001-2017; and for the general US population from the Centers for Disease Control and Prevention Wide-ranging OnLine Data for Epidemiologic Research (CDC WONDER) database. SEER reports cancers classified by International Classification of Diseases for Oncology, version 3 (ICD-O-3), which evolved with the WHO classification of myeloid neoplasms in 2001 for ET, PV and PMF. Cause-of-death is reported by ICD-10 codes, which we categorized into cardiovascular (CVE), second cancers (CA), acute leukemia (AL), and others. Excess, or relative mortality was determined by the ratio of observed mortality in MPN pts (Kaplan-Meier estimate) over the expected mortality of the US population matched by age, sex, race, and birth-year (actuarial estimate). A one-sided log-rank test was used. Excess mortality of young compared to older pts was determined from a random-effects model using restricted maximum-likelihood estimator method. All analyses were performed using RStudio software v 1.4.1106.Results: The SEER query identified 40,333 MPN pts (ET: 17,420 (43%), PV: 18,027 (45%), PMF: 4,886 (12%)) diagnosed at a median age of 66 years (ET: 67, PV: 65, PMF: 69) of whom 20,470 (51%) were females (ET: 10,709 (61%), PV: 7,768 (43%), PMF: 1,993 (41%)). The 10-year mortality for ET, PV, and PMF pts <60 was 13%, 18%, and 49% respectively (versus 6% for controls); and ≥60 was 59%, 59%, and 87% respectively (versus 35% for controls) (Figure 1A). Excess all-cause mortality was higher in pts <60 compared to ≥60 with ET (2.75 versus 1.82, p<0.001), PV (3.16 versus 1.92, p<0.001), and PMF (10.6 versus 5.73, p<0.001) (Figure 1B). Excess CVE mortality was higher in PV<60 compared to PV≥60 (3.36 versus 2.55, p=0.036) but not in ET or PMF. Excess CA mortality was higher in PV<60 than PV≥60 (2.36 versus 1.53, p=0.002) but not in ET or PMF. Excess AL mortality was high for all pts, particularly PMF, and was not significantly different in pts <60 compared to ≥60Discussion: Excess or relative mortality emphasizes the burden of MPN-related death with current treatment. In this population-based study, we found excess mortality in young MPN pts (<60), greater than in older pts (≥60). This difference may result from age-biased risk assessment and treatment recommendations that recommend lower intensity therapy for young pts. It may be time to revisit these recommendations since accruing evidence demonstrates long-term safety, efficacy and potential survival benefit of available cytoreductive agents. Certain treatments such as interferon-alpha (IFN) may improve survival in PV (Abu-Zeinah et al. Leukemia. 2021), and a recent randomized clinical trial established superiority of IFN over standard of care PHL in young PV pts (Barbui et al. Lancet Hematol. 2021). These data advocate for early intervention with potentially disease-modifying treatment for all pts regardless of age. These data also call into question age-biased exclusions of many young pts from participation in clinical trials of established or promising drugs.Conclusion: Excess mortality of young MPN pts (<60) is unacceptably high and greater than that of older pts (≥60). Clinical trials testing early intervention with potentially life-prolonging treatments are required. [Display omitted] DisclosuresSilver: Abbvie: Consultancy; PharamEssentia: Consultancy, Speakers Bureau. Scandura: Abbvie: Consultancy, Honoraria, Membership on an entity's Board of Directors or advisory committees, Research Funding; Constellation: Research Funding; MPN-RF (Foundation): Research Funding; CR&T (Foudation): Research Funding; European Leukemia net: Honoraria, Other: travel fees . Abu-Zeinah: PharmaEssentia: Consultancy.

Age differences in allostatic load among veterans: The importance of combat exposure.

The current study examinedage differences in allostatic load among nonveterans, noncombat veterans, and combat veterans. Participants included 280 individuals from the Midlife Development in the United States (MIDUS) survey, including 164 veterans (n=48 combat veterans; n=116 noncombat veterans) and 116 nonveterans. Age differences in allostatic load were similar among nonveterans and noncombat veterans, B=0.002, SE=.011, p=.878, with older adults showing higher levels of allostatic load than their comparatively younger counterparts. Among combat veterans, however, a different pattern emerged. In this group, levels of allostatic load were similar across age, seemingly due to higher levels of allostatic load among younger combat veterans, B=-0.029, SE=.014, p=.031, ƞp 2 = .022. Results reveal the importance of considering combat exposure when examining health outcomes of military veterans, particularly in the context of age.

Science festivals and the cultivation of science capital: a retrospective study of science capital

ABSTRACT This article presents findings from a secondary study of science capital within the context of U.S. science festivals. Drawing on attendee survey data from eleven science festivals across the United States (n = 1,645) and evaluation surveys from a statewide school-based festival program (n = 2,320), we explore the concept of science capital (i.e. science-related cultural capital, science-related social capital, and science-related behavior and practices) within science festival programs. Using linear regression, we utilize attendee demographics and event characteristics to predict shifts in science capital. Our results indicate that members of STEM minority groups (i.e. girls and women; Black/African Americans, Latino/Hispanic/Latinx, Native Americans, Native Hawaiians and Other Pacific Islanders) report greater shifts in science capital scores. Time at event and scientist interactions at the event are also associated with greater shifts in scientific cultural capital. We interpret these findings in light of Philip and Azevedo's work (2017) on out-of-school science learning and equity. As a concept, science capital offers a useful lens through which to view informal science learning, science communication, and how public science events (e.g. science festivals) play an important role in contributing to the local STEM learning ecosystem.

Subjective age and multiple cognitive domains in two longitudinal samples

ObjectiveSubjective age is consistently related to memory performance and global cognitive function among older adults. The present study examines whether subjective age is prospectively related to specific domains of cognitive function. MethodParticipants were drawn from the Health and Retirement Study (HRS, N = 2549, Mean Age = 69.66, SD = 7.36) and the Midlife in the United States Survey (MIDUS, N = 2499, Mean Age = 46.24, SD = 11.25). In both samples, subjective age, depressive symptoms, chronic conditions, and demographic factors were assessed at baseline. Four domains of cognition were assessed 8 years later in the HRS and almost 20 years later in the MIDUS: episodic memory, speed-attention-executive, verbal fluency, and numeric reasoning. HRS also assessed visuospatial ability. ResultsRegression analysis revealed that an older subjective age was related to worse performance in the domains of episodic memory and speed-attention-executive in both samples. The effect size for the difference between a younger and an older subjective age was d = 0.14 (MIDUS) and d = 0.24 (HRS) for episodic memory and d = 0.25 (MIDUS) and d = 0.33 (HRS) for speed-attention-executive. Feeling older was related to lower verbal fluency in HRS (d = 0.30) but not in MIDUS, whereas no association was found with numeric reasoning in either sample. An older subjective age was related to lower visuospatial ability in HRS (d = 0.25). ConclusionSubjective age is prospectively related to performance in different cognitive domains. The associations between subjective age and both episodic memory and speed-attention-executive functions were replicable and robust over up to 20 years of follow-up.

Work Time Matters for Mental Health: A Gender Analysis of Paid and Unpaid Labor in the United States

Based on Midlife in the United States (MIDUS) survey data for 2013–14, this paper examines the association between work time (inclusive of both paid and unpaid work time) and the mental health outcomes of men and women in the United States, controlling for economic and social buffers, education, and demographic factors. In the United States, even though women constitute close to half of the paid labor force, they still perform the lion’s share of unpaid work. The findings indicate that total work time is positively related with emotional distress for women, while there is no statistically significant relationship for men. For women, the relationship between work time and mental health is primarily driven by unpaid work rather than paid work. Evaluating the relationship between mental health and both productive and reproductive work is critical to develop effective public policies toward gender equity and social well-being. JEL classification: I14, J16, J01

Family Caregivers' Psychosocial Well-being in the Context of the Great Recession.

The economic instability of the Great Recession contributed to a rise in multigenerational households as more individuals took on unanticipated care responsibilities for older family members while navigating financial uncertainties. Guided by the life course perspective, this study compared the psychological and social well-being of family caregivers and examined the moderating influences of financial challenges experienced during the Great Recession. Filial and sandwiched caregivers (N = 138; Mage = 52.80; SDage = 11.25) from the Refresher Cohort of the Midlife in the United States (MIDUS) survey provided information on demographics, caregiving, financial challenges, and well-being. Findings from regression analyses showed that sandwiched caregivers exhibited lower environmental mastery and positive relations with others than filial caregivers (p = .07). Moderation analyses showed that sandwiched caregivers with fewer than average financial challenges exhibited lower social actualization than the other family caregivers (p = .01). Study findings underscore the need to support family caregivers' psychosocial well-being as they navigate caregiving responsibilities and financial disruptions.

Emotional Job Demands, Learning Goal Orientation, and 10-Year Changes in Sympathy

Many contemporary jobs require emotional effort from employees to perform their job effectively. A large body of research on emotional labor has investigated the consequences of these emotional job demands (EJDs) on employees’ own emotions and well-being with mixed findings with regards to whether they are beneficial or harmful. Few studies, however, investigated the longitudinal effects of EJDs. Moreover, we lack a clear understanding whether EJDs facilitate or inhibit the development of employees’ emotional functioning such as the degree of sympathy they show toward others and which factors enhance or buffer this relationship. This study tests the effect of EJDs on changes in employees’ sympathy over a ten-year time period. Moreover, we investigate whether a learning goal orientation (LGO), the motivation for task mastery and self-improvement, buffers the potentially detrimental effects of EJDs on sympathy changes. We test these hypotheses using data from N = 831 working adults from the second and third wave of the Midlife in the United States survey (MIDUS) in combination with data from the Occupational Information Network (O*NET). Results from latent change score models show that whereas sympathy on average increases over the 10-year span, EJDs have a negative effect on these changes and a LGO moderates this effect so that EJDs have a negative effect on sympathy changes only for employees low in LGO. We discuss implications for theory and practice.