Aging Fast and Slow: Recent Episodes

Johns Hopkins School of Nursing

About the Show: Join Dr. Sarah Szanton and Dr. Deidra Crews from the Johns Hopkins Center for Innovative Care in Aging as they interview cutting-edge scientists, policy experts, entrepreneurs, and advocates about aging across the lifespan and health inequities with aging.

If you have guest suggestions, reach out to us at agingcenter@jhu.edu or on Twitter @agingcenter.

Learn More: https://nursing.jhu.edu/agingfastandslow

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Structural racism has attracted increasing interest as an explanation for racial disparities in health. But structural racism has often been measured using single-indicator proxies such as housing discrimination. This approach leaves important aspects of structural racism unaccounted for. We kick off season 3 with social epidemiologist and associate professor at the Johns Hopkins Bloomberg School of Public Health, Dr. Lori Dean. Dean is leading the way in exploring new definitions and methods to measure structural racism. Dean discusses her groundbreaking research delving into the influence of individual- and neighborhood-level social and economic factors on health disparities and outcomes for those managing chronic illnesses.

Reference Dean, LT, Thorpe RJ. What Structural Racism Is (or Is Not) and How to Measure It: Clarity for Public Health and Medical Researchers. American Journal of Epidemiology. August 2022

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Wrapping up Season 1, Dr. Lisa Cooper stresses the importance of trust as a key ingredient for the patient-physician relationship, community engagement, and crisis response. Podcast References: * Race, Gender, and Partnership in the Patient-Physician Relationship * Unmasking and Addressing COVID-19’s Toll on Diverse Populations * A Game Plan to Help the Most Vulnerable * COVID-19 and Health Equity – A New Kind of “Herd Immunity” * Twitter: @LisaCooperMD, @JHhealthequity, @JHUrbanHealth

Continue the Conversation: * Twitter: @agingcenter * Email: agingcenter@jhu.edu

Episode 5 Transcript

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Episode 4 of Aging Fast & Slow highlights how business collaborations drive systems change to achieve social impact. Guest Stephen Johnston describes how Aging2.0 accelerates innovation through its global community and collective intelligence platform to improve the lives of older adults. Podcast References: * Aging2.0 * Connect with your local Aging2.0 Chapter * The Collective * Aging2.0’s COVID-19 Request for Critical Topics and Innovations * Twitter: @sdbj, @Aging20, @TheA2Collective

Continue the Conversation: * Twitter: @agingcenter * Email: agingcenter@jhu.edu

Aging Fast & Slow Episode 4 Transcript

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Even amid the COVID-19 outbreak, chronic conditions don't take a break. In honor of National Kidney Month, we talk to Aging Fast & Slow’s own Dr. Deidra Crews, a nephrologist at Johns Hopkins. She tells us how kidney health inequities impact us all and how common they are. Dr. Crews also helps us understand what epidemiology and intervention research are, how they differ, and how she uses both in her work. Podcast References: * 5 Plus Nuts & Beans for Kidneys Study * Johns Hopkins Center for Health Equity * Twitter: @DrDeidraCrews

Continue the Conversation: * Twitter: @agingcenter * Email: agingcenter@jhu.edu

Episode 3 Transcript

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Summary: Dr. Keith Whitfield, an expert in aging among African Americans and the Provost at Wayne State University, joins hosts Dr. Sarah Szanton and Dr. Deidra Crews for the second episode of Aging Fast & Slow. Together they discuss the impact of desegregation on cognition by looking at stress and longevity within and among African American families. Podcast References: * Publications + Education in Time: Cohort Differences in Educational Attainment in African-American Twins + Education Desegregation and Cognitive Change in African American Older Adults * Book recommendations + Handbook of Minority Aging by Keith Whitfield and Tamara Baker

Continue the Conversation: * Twitter:@agingcenter * Email: agingcenter@jhu.edu

Episode 2 Transcript

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Episode Summary:

Hosts Dr. Sarah Szanton and Dr. Deidra Crews kick off Aging Fast & Slow with guest Dr. Elissa Epel, professor of psychiatry at UCSF. Dr. Epel’s research seeks to understand the root of health disparities, and the role of chronic stress within aging. Together they unpack her recent work which reveals how the impact of systemic oppression is transmitted intergenerationally.

Podcast References: * Sign up: UCSF’s Aging, Metabolism, & Emotional Research newsletter * Publications: + Accelerated telomere shortening in response to life stress + Racial discrimination and telomere shortening among African Americans: The Coronary Artery Risk Development in Young Adults (CARDIA) Study + Can Childhood Adversity Affect Telomeres of the Next Generation? Possible Mechanisms, Implications, and Next-Generation Research + More than a feeling: A unified view of stress measurement for population science.

Continue the Conversation: * Twitter: @agingcenter * agingcenter@jhu.edu

AgingFast & Slow Episode 1 Transcript

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Some people age faster than others, but why? Our podcast hosts Dr. Sarah Szanton, a nurse practitioner with a research degree, and Dr. Deidra Crews, a nephrologist, will seek to answer this question. They will talk to scientists, policy experts, and innovators to better understand aging across the life course, and also differences in aging - due to societal structures, community factors, and even our own cells.

Learn More: https://nursing.jhu.edu/agingfastandslow