and Native Hawaiians are eligible for grant funding to pro- mote elders’ access to nutritious food and address other community-specifc needs, such as transportation. Title VI directors are often short-staffed and work fexibly and cre- atively to accomplish administrative tasks as well as direct care for elders. The National Resource Center on Native American Aging (NRCNAA) developed the “Identify our Needs: A Survey of Elders”, conducted with adults ages 55+ every three years since 1999, to help directors fulfll grant- required requirements to report on community needs assess- ment data about elders’ needed services and health status. Directors administer the survey; responses are then scanned and analyzed by NRCNAA, with a site-specifc summary returned to directors, at no cost to the site. To learn more about how survey data are utilized, NRCNAA staff inter- viewed four Title VI directors from across the US in 2018. In addition to meeting the needs assessment requirement, directors use the data to seek resources and support, build collaborative relationships, and evaluate and build their programs. Conducting the survey has allowed for discus- sions with elders about dimensions of elder health, ad- vanced medical directives, and medical power of attorney. Additionally, specifc interventions have been designed to address needs identifed by the survey, including diabetic foot care, yoga, and falls prevention. Through the survey, the NRCNAA is able to support many dedicated Title VI directors working to improve the health and well-being of Native elders. RACE DIFFERENCES AND DEPRESSIVE SYMPTOMS AMONG COMMUNITY-DWELLING OLDER AMERICANS Ethan Siu Leung Cheung, and Ada Mui, Columbia University, New York, New York, United States Using data from the Wave 3 National Social Life, Health and Aging Project, this study examines cognition, stress and social support factors associated with depres- sive symptomatology among older White (n=2356) and Black/African Americans (n=473) living in the community. Bivariate analyses suggest that Whites were slightly older than Blacks [(M(SD) = 73 .24(8.18) and 72.52(8.69); 71)]; and had higher unmarried status (66.58% vs. 43.76%). In terms of cognitive functioning, Whites scored signifcantly higher than Blacks [Mean (SD) of MoCA Short Form were 10.44(3.06) and 7.75.0(3.33)]. There was race difference in depressive symptoms experienced (CESD Short Form: M(SD) = 20.99(4.01) for Whites; M(SD) = 21.35(4.33) for Blacks). In order to identify predictors of depression, multiple hierarchical regressions were performed. Results showed that race had signifcant independent effect and multiplicative effect with IADL impairment in explaining depression scores. To identify predicators for each racial group, parallel regression analyses were conducted and two models were signifcant. Findings show that unmarried status and IADL impairment were common predictors of depressive symptoms for the two groups, and the impact of both variables were stronger for Blacks (for unmarried status; b =-1.42 vs. -.52; for IADL impairment b = .23 vs. .13). For Whites, other unique predictors of depression were male gender, lower income, more ADL impairment, higher stress, less socialization and poor friendship quality. For Blacks, the only unique predictor of depressive symp- toms was being younger age. The different correlates of depression for White and Black elders provide new insight into the design of race-sensitive interventions. RACIAL AND ETHNIC DIFFERENCES IN PREVENTIVE SERVICES USE AFTER THE AFFORDABLE CARE ACT’S ENHANCEMENT OF MEDICARE BENEFITS Mohammad Usama Toseef, 1 and Wassim Tarraf, 2 1. Wayne State University, Farmington Hills, Michigan, United States, 2. Wayne State University, Detroit, Michigan, United States As a consequence of the Affordable Care Act’s enhance- ments of Medicare benefts, certain recommended clinical preventive services became available to Medicare benef- ciaries without cost-sharing. We study the impact of these mandates on racial/ethnic disparities in the use of preventive services among traditional Medicare benefciaries. We ana- lyze nationally representative data on non-institutionalized Medicare seniors from the 2006-2016 Medical Expenditure Panel Survey (N=27,124). Our preventive services of interest include yearly receipt of cholesterol check, blood pressure test, fu shot, endoscopy, blood stool test, clinical breast examination, mammography and prostate exam. We es- timate propensity score weighted difference-in-difference (DID) models to test for differences in preventive services utilization by race/ethnicity. Among traditional Medicare benefciaries, we do not observe signifcant change in the use of most preventive services for Blacks and Hispanics com- pared to their White counterparts. However, Hispanics have signifcantly increased their use of blood stool tests relative to whites. Overall, we do not fnd major evidence to sup- port a differential effect of reforms on race/ethnic minorities’ uptake of preventive services following the mandates. Our results suggest that despite an overall beneft trough services expansion and cost-sharing elimination race/ethnic group differences persist. As such, disparities might continue and would require additional interventions. Reduction in dis- parities is a stated goal of US policy for many decades and achieving equity might require additional work and more varied and targeted interventions. SYSTEMATIC REVIEW OF INTERVENTIONS FOR LATINX AND AMERICAN INDIAN FAMILY DYADS COPING WITH CHRONIC ILLNESS Michael McCarthy, 1 Angelica Sanchez, 1 Yolanda Evie Garcia, 1 Dorothy Dunn, 1 Heather Williamson, 1 Julie Baldwin, 1 Morgan Lee-Regalado Hustead, 1 and Tamilyn Bakas, 2 1. Northern Arizona University, Flagstaff, Arizona, United States, 2. University of Cincinnati, Cincinnati, United States The United States is experiencing growth in populations from culturally diverse backgrounds. Studies suggest that Latinx and American Indians experience chronic conditions such as cancer, heart disease, and diabetes in greater num- bers than whites. Literature also suggests that Latinx and American Indian families play a signifcant role as informal caregivers for loved ones with chronic illness. However, little information is available about interventions to assist these patient-family caregiver dyads cope. The purpose of this GSA 2020 Annual Scientific Meeting 98 Innovation in Aging, 2020, Vol. 4, No. S1 Downloaded from https://academic.oup.com/innovateage/article/4/Supplement_1/98/6037285 by guest on 31 May 2021