concepts of “place” (where we live, work, play, learn), “time” (effects of history, cohort, age), and invisibility. Global per- spectives of structural racism will help engage gerontologists, policy makers, practitioners, and the public to maximize everyone’s opportunities to live meaningful lives. ENDING AGEISM ISN'T ENOUGH: INFUSING AN INTERSECTIONAL LENS TO ADVANCE PRODUCTIVE AGING RESEARCH AND HEALTH Ernest Gonzales, New York University, New York, New York, United States This presentation integrates anti-racism, anti-ageism, and health equity lenses into the productive aging scholarship. Ageism and racism undermine population health and com- promises choices to work and volunteer. These isms, among others, intersect and disproportionately impact populations of color and older adults; nonetheless, these oppressive sys- tems create a culture of intergenerational confict within the workplace and in general society. I will review key theoretical concepts and values in productive aging scholarship and how intersectionality as a framework has informed the develop- ment of new and important research questions for the feld. This presentation will also analyze a variety of methodo- logical approaches to examine productive aging and health inequities by race, ethnicity, gender, and age. A discussion on the implications for research, policy, and practice will con- clude the presentation. PAIN, PLACE, AND POSITIONALITY: SYSTEMIC APPROACHES TO IMPROVING EQUITABLE HEALTH OUTCOMES FOR OLDER ADULTS Sheria Robinson-Lane, University of Michigan School of Nursing, Ann Arbor, Michigan, United States Racism and other “isms” are systemic problems that op- erate across multiple domains and affect access to care and services, available treatments, and long-term health out- comes for older adults. As such, changing these systems requires diverse methodological approaches that can iden- tify and examine the contextual factors that infuence these outcomes, along with continued strong advocacy that will result in related policy change. This presentation will high- light challenges in care delivery and outcomes for Black older adults in pain management, COVID care, and long term care placement and examine how mixed methodo- logical approaches and implementation of the Culturally and Linguistically Appropriate Services (CLAS) Standards as out- lined by the U.S. Department of Health and Human Services can make a difference. NO SILVER BULLET: ADDRESSING COGNITIVE HEALTH IN RACIALLY AND ETHNICALLY DIVERSE OLDER ADULTS Elizabeth Muñoz, The University of Texas at Austin, Austin, Texas, United States The growing racial and ethnic diversity of the older adult population, along with continued inequities in brain health outcomes highlight the need to examine risk-factors for reduced cognitive health in racial-ethnic minoritized adults. Stress is an important risk factor for reduced cog- nitive health, but the conditions under which stress oper- ates among minoritized older adults is poorly understood. This presentation will discuss how studying sources of stress across multiple levels of analyses, including neighborhoods and interpersonal interactions, and the timing and dur- ation of these experiences is needed. Further, addressing within group heterogeneity and shifting from between group comparison will enrich our understanding of risk-factors. Theoretical and empirical support for these propositions will be discussed, particularly as they relate to how neighborhood contexts and experiences with discrimination are associated with reduced cognitive health across multiple timescales. SESSION 3900 (PAPER) ADVANCING THE IMPLEMENTATION SCIENCE OF HOME MODIFICATION FOR OLDER ADULTS: AN UMBRELLA REVIEW PROGRAMS, POLICIES, AND SERVICES TO FACILITATE AGING IN PLACE Mengzhao Yan, Emily Nabors, and Jon Pynoos, University of Southern California, Los Angeles, California, United States Rooted in the person-environment-ft theory, home modi- fcation has been tested as an intervention to support older adults to age safely at home by improving functioning and re- ducing fall risks. Home modifcation is often a complex pro- cess, involving multiple steps and various stakeholders. As such, proper implementation is important to its effectiveness. However, limited research has focused on how to implement home modifcation from a comprehensive perspective. To ad- vance the implementation science of home modifcation for older adults and achieve a better understanding of promising practices, we conducted a scoping analysis of review articles, referred to as umbrella review, to identify strategies that have been found effective in implementing home modifca- tion. Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P), after per- forming a thorough literature search from six electronic data- bases, including MEDLINE, PubMed, Embase, CINAHL, Web of Science, and Cochrane Review, we identifed 16 highly relevant review articles from 1,310 articles retrieved. From these, we derived a set of practical strategies for ser- vice delivery professionals and developed an implementation matrix with the strategies clustered under two dimensions: (1) types of home modifcation based on demands of effort and level of evidence, including evidence-based practices, best practices, emerging practices; and (2) the critical stages of home modifcation, including preparation, home assess- ment, installation, follow-up visit. Our fndings highlight the importance of maintaining cohesion between different stages of home modifcation and sustaining consensus among ser- vice delivery professionals and residents when implementing home modifcation for older adults. CORRELATES OF SOCIAL COHESION AMONG COMMUNITY-DWELLING OLDER PERSONS IN SOUTH-WESTERN NIGERIA Eniola Cadmus 1 , Lawrence Adebusoye 2 , and Eme Owoaje 3 , 1. College of Medicine/ University of Ibadan, Ibadan, Oyo, Nigeria, 2. Chief Tony Anenih Geriatric Centre, University Innovation in Aging, 2022, Vol. 6, No. S1 279 Downloaded from https://academic.oup.com/innovateage/article/6/Supplement_1/279/6937476 by guest on 23 December 2022