Current Awareness in Aging Research (CAAR) Report #101--September 13, 2001

CAAR (Current Awareness in Aging Research) is a weekly email report produced by the Center for Demography of Health and Aging at the University of Wisconsin-Madison that helps researchers keep up to date with the latest developments in the field. For more information, including an archive of back issues and subscription information see:

http://www.ssc.wisc.edu/cdha/caar/caar-index.htm

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I. Data:

1. NCHS:

A. "Health, United States, 2001: With Urban and Rural Health Chartbook," by M.S. Eberhardt, D.D. Ingram, D.M. Makuc, et. al. (National Center for Health Statistics, September 2001, .pdf format, 456p., with chartbook, .pdf format, 183p.).

http://www.cdc.gov/nchs/data/hus/hus01.pdf

B. "Summary Measures of Population Health: Addressing the First Goal of Healthy People 2010, Improving Health Expectancy," by Diane K. Wagener, Michael T. Molla, Eileen M. Crimmins, Elsie Pamuk, and Jennifer H. Madans (National Center for Health Statistics, Healthy People 2010 Statistical Notes No. 22, PHS 2001-1237 September 2001, .pdf format, 13p.).

http://www.cdc.gov/nchs/data/statnt/statnt22.pdf

C. "Trends in Hospital Emergency Department Utilization: United States, 1992-99," (National Center for Health Statistics, Series 13, No. 150, September 2001, .pdf format, 42p.).

http://www.cdc.gov/nchs/products/pubs/pubd/series/sr13/150-141/sr13_150.htm

To view the electronic full-text, go to "View/download PDF."
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2. MEPS: The US Department of Health and Social Services, Agency for Health Care Research and Quality Medical Expenditure Panel Survey has released two data file: "1997 MEPS/1995 & 1996 NHIS Link File" and "1996 MEPS/1995 NHIS Link File." Confidentially forms must be filled out and returned to AHRQ to obtain these data files.

For information about the data files go to:

http://www.meps.ahcpr.gov/Data_Pub/HC_NHISLinkData.htm

For information about obtaining products from AHRQ go to:

http://www.ahrq.gov/faq.htm#products
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3. CENSUS 2000 BRIEF:

A. "Households and Families, 2000," by Tavia Simmons and Grace O'Neill (US Census Bureau, Census Brief C2K/BR/01-8, September 2001, .pdf format, 8p.).

Press release that links to report and an associated table (ASCII, .pdf, and Microsoft Excel format): "Multigenerational Households for the United States, States, and for Puerto Rico: 2000."

http://www.census.gov/Press-Release/www/2001/cb01cn182.html

B. "Gender, 2000," by Denise I. Smith and Renee E. Spraggins (US Census Bureau, Census Brief C2K/BR/01-9, September 2001, .pdf format, 8p.).

Press release that links to report and an associated table (ASCII, .pdf, and Microsoft Excel format): "Male-Female Ratio by Race Alone or in Combination and Hispanic or Latino Origin in the United States: 2000 (PHC-T-11)."

http://www.census.gov/Press-Release/www/2001/cb01cn181.html
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II. Reports and articles:

4. GPO COMPENDIUM: The US Government Printing Office has released a searchable and browsable version of the _2001-2002 US Government Manual_ ( 2001, ASCII text and .pdf format, 693p.). "As the official handbook of the Federal Government, the United States Government Manual provides comprehensive information on the agencies of the legislative, judicial, and executive branches. It also includes information on quasi-official agencies; international organizations in which the United States participates; and boards, commissions, and committees."

http://www.access.gpo.gov/nara/nara001.html

Browsable version is at the bottom of the page.
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5. GAO REPORT:

A. "VA Long-Term Care: Oversight of Community Nursing Homes Needs Strengthening," (US Government Accounting Office, GAO-01-768, July 2001, .pdf format, 36p.)

http://www.gao.gov/new.items/d01768.pdf

Note: This is a temporary address. GAO reports can always be found at:

http://www.access.gpo.gov/su_docs/aces/aces160.shtml

Search on title or report number.

B. "Health Products for Seniors: 'Anti-Aging' Products Pose Potential for Physical and Economic Harm," (US Government Accounting Office, GAO-01-1129, September 2001, .pdf format, 50p.)

http://www.gao.gov/new.items/d011129.pdf

Note: This is a temporary address. GAO reports can always be found at:

http://www.access.gpo.gov/su_docs/aces/aces160.shtml

Search on title or report number.

C. "Medicare: Comments on HHS' Claims Administration Contracting Reform Proposal," (US Government Accounting Office, GAO-01-1046R, September 2001, .pdf format, 12p.).

http://www.gao.gov/new.items/d011046r.pdf

Note: This is a temporary address. GAO reports can always be found at:

http://www.access.gpo.gov/su_docs/aces/aces160.shtml

Search on title or report number.
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6. CIA REPORT: "Long-Term Global Demographic Trends: Reshaping the Geopolitical Landscape" (US Central Intelligence Agency, July 2001, .pdf format, 97p.).

http://www.odci.gov/cia/publications/Demo_Trends_For_Web.pdf
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7. AOA: "Implementing the National Family Caregiver Support Program (NFCSP): Conference Papers and Resource Materials," (US Department of Health and Human Services, Administration on Aging, .pdf and HTML format, conference held in Washington DC, Sept. 6-7, 2001).

http://www.aoa.dhhs.gov/carenetwork/papers09-06-07-01.html

To view the HTML full-text of a paper click on the title, or click on "PDF version", where available.
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8. _LANCET_ RESEARCH ARTICLE ABSTRACT AND COMMENTARY: Note: _Lancet_ requires free registration before providing content

A. "Effect of levodopa in combination with physiotherapy on functional motor recovery after stroke: a prospective, randomised, double-blind study," by Klaus Scheidtmann, Wolfgang Fries, Friedemann Mller, and Eberhard Koenig (_The Lancet_, Research Article, Vol. 358, Number 9284, HTML and .pdf format, September 8, 2001, p. 787-790).

http://www.thelancet.com/journal/vol358/iss9284/abs/llan.358.9284.original_research.17578.1

B. "Risk factors for progression of knee osteoarthritis," by Michael Doherty (_The Lancet_, Commentary, Vol. 358, Number 9284, HTML and .pdf format, September 8, 2001, p. 775).

http://www.thelancet.com/journal/vol358/iss9284/full/llan.358.9284.editorial_and_review.17609.1
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9. _BMJ_ EDUCATION AND DEBATE, PRIMARY CARE:

A. "Regulating nursing homes: Caring for older people in the private sector in England," by Susan H. Kerrison and Allyson M. Pollock (_British Medical Journal_, Vol. 323, No. 7312, .pdf and HTML formats, September 8, 2001, p. 566-569).

http://bmj.com/cgi/content/full/323/7312/566

B. "Screening for diabetes in general practice: cross sectional population study," by James M Lawrence, Paul Bennett, Alan Young, and Anthony M. Robinson (_British Medical Journal_, Vol. 323, No. 7312, .pdf and HTML formats, September 8, 2001, p. 548-551).

http://bmj.com/cgi/content/abstract/323/7312/548
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10. _PNAS_ ARTICLE ABSTRACTS: Note: Full electronic text (HTML and .pdf format) may be available. Check your organization's library.

A. "Genomic profiling of short- and long-term caloric restriction effects in the liver of aging mice," by Shelley X. Cao, Joseph M. Dhahbi, Patricia L. Mote, and Stephen R. Spindler (_Proceedings of the National Academy of Sciences_, Vol. 98, No. 19, .pdf and HTML formats, September 11, 2001, p. 10639-10635).

http://www.pnas.org/cgi/content/abstract/98/19/10630

B. "Prediction of cognitive decline in normal elderly subjects with 2-[18F]fluoro-2-deoxy-D-glucose/positron-emission tomography (FDG/PET)," by M. J. de Leon, A. Convit, O. T. Wolf, C. Y. Tarshish, S. DeSanti, H. Rusinek, W. Tsui, E. Kandil, A. J. Scherer, A. Roche, A. Imossi, E. Thorn, M. Bobinski, C. Caraos, P. Lesbre, D. Schlyer, J. Poirier, B. Reisberg, and J. Fowler (_Proceedings of the National Academy of Sciences_, Vol. 98, No. 19, .pdf and HTML formats, September 11, 2001, p. 10966-10971).

http://www.pnas.org/cgi/content/abstract/98/19/10966
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11. _JAMA_ ARTICLE ABSTRACT, EDITORIAL, AND LETTER: Note: Full electronic text may be available. Check your organization's library.

A. "Basal Muscle Amino Acid Kinetics and Protein Synthesis in Healthy Young and Older Men," by Elena Volpi, Melinda Sheffield-Moore, Blake B. Rasmussen, and Robert R. Wolfe (_Journal of the American Medical Association_, Vol. 286, No. 10, September 12, 2001, .pdf and HTML format, p. 1206-1212).

http://jama.ama-assn.org/issues/current/abs/jci10002.html

B. "Sarcopenia-Understanding the Dynamics of Aging Muscle," by Ronenn Roubenoff and Carmen Castaneda (_Journal of the American Medical Association_, Vol. 286, No. 10, September 12, 2001, .pdf and HTML format, p. 1230-1231).

http://jama.ama-assn.org/issues/current/ffull/jed10054.html

C. "Discussing Cancer Screening With Elderly Patients," by Janet Cunningham; Thomas D. Doerr; Louise C. Walter; Kenneth E. Covinsky (_Journal of the American Medical Association_, Vol. 286, No. 10, September 12, 2001, .pdf and HTML format, p. 1174-1175).

http://jama.ama-assn.org/issues/current/ffull/jlt0912-3.html
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12. MEDSCAPE ARTICLES: Note: Medscape requires free registration before providing articles.

A. "Social HMOs: An Answer for an Aging Population," by Elane Zablocki (_Healthplan via Medscape_, Vol. 42, No. 4, HTML format, July/August 2001, p. 40-42).

http://www.medscape.com/42445.rhtml?srcmp=ms-090701

or

http://www.medscape.com/AAHP/healthplan/2001/v42.n04/hp4204.02.zabl/hp4204.02.zabl-01.html

B. "Medscape Women's Health Journal Scan - Menopause," (_Medscape Women's Health Journal Scan via Medscape, Vol. 19, No. 4, HTML format, updated September 6, 2001).

http://www.medscape.com/42460.rhtml?srcmp=ms-090701

or

http://www.medscape.com/Medscape/features/JournalScan/WomensHealth/2001/js-wh0419.html
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13. PEW INTERNET AND AMERICAN LIFE PROJECT REPORT: "Wired Seniors: A fervent few, inspired by family ties," by Susannah Fox (Pew Internet and American Life Project, September 2001, HTML and .pdf format, 14p.).

http://www.pewinternet.org/reports/toc.asp?Report=40

Click on "download" for .pdf version.

For more information about PIALP:

http://www.pewinternet.org/reports/reports.asp?Report=40&Section=ReportLevel1&Field=Level1ID&ID=180
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14. _AARP BULLETIN_ ARTICLES: The September 2001 AARP Bulletin contains several articles that may be of interest, including: a look at the President's Commission to Strengthen Social Security, an examination of President Bush's plan for prescription drug discounts, an interview with Thorton Parker on the retirement investment of baby boomers, and a look at the efforts made by state's to make driving safer for older individuals. These articles, and more, can be accessed at:

http://www.aarp.org/bulletin/toc.html
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15. HAC REPORT: "Federal Programs and Local Organizations: Meeting the Housing Needs of Rural Seniors," (Housing Assistance Council, 2001).

Introduction Excerpt:

Elderly persons often have special housing needs. The Housing Assistance Council (HAC) conducted case study research that profiles how federal and other funds have been used in rural areas to help meet the housing needs of low-income elderly homeowners and renters in selected counties. The case studies focus on rural counties with high elderly populations or elderly in-migration rates. Each county examined exhibits substantial use of federal programs to assist elderly homeowners and renters. In many of the counties, these efforts to serve elderly clients have been innovative and involved collaboration among local housing and service providers.

http://www.ruralhome.org/pubs/hsganalysis/elderly/index.htm

For more information on HAC:

http://www.ruralhome.org/about.htm
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III. Working Papers:

16. CENTER FOR RETIREMENT RESEARCH AT BOSTON COLLEGE: The Center has made five working papers available:

A. "Elderly Labor Supply: Work or Play?" by Steven Haider and David Loughran (_Center for Retirement Research at Boston College_, WP #2001-04, September 2001, .pdf format, 42p.).

Abstract:
Approximately 15 percent of individuals over the age of 65 are employed. Due to the apparent reversal in the trend toward early retirement and the aging of the U.S. population, these individuals are becoming an increasingly important part of the labor force. However, very little research has examined labor market behavior in this population. In this paper, we examine a series of questions in an attempt to better understand why the elderly continue to work. Our results indicate that labor supply is concentrated among the most educated, wealthiest, and healthiest elderly. Despite this, we find that the wages of the elderly are low both relative to younger populations and relative to the wages they earned when they themselves were young. Among individuals over the age of 70, we find that changes in health status dominate labor market transitions. Overall, our findings suggest that non-pecuniary considerations play an important role in determining elderly labor supply decisions.

http://www.bc.edu/bc_org/avp/csom/executive/crr/papers/wp_2001-04.pdf

B. "Explaining Why So Many Households Do Not Save," by Annamaria Lusardi (_Center for Retirement Research at Boston College_, WP #2001-05, September 2001, .pdf format, 43p.).

Abstract:
There are vast differences in wealth holdings, even among households in similar age groups. In addition, a large percentage of U.S. households arrive close to retirement with little or no wealth. While many explanations can be found to rationalize these facts, approximately thirty percent of households whose head is close to retirement have done little or no planning for retirement.

Planning is shaped by the experience of other individuals: individuals learn to plan for retirement from older siblings. They also learn from the experience of old parents. In particular, unpleasant events, such as financial difficulties and health shocks at the end of life, provide incentives toward planning. In addition, planning affects wealth levels as well as portfolio choice. Individuals who plan are more likely to hold large amounts of wealth and to invest their wealth holdings in high return assets, such as stocks. Thus, planning plays an important role in explaining the saving behavior of many households.

http://www.bc.edu/bc_org/avp/csom/executive/crr/papers/wp_2001-05.pdf

C. "The Supplemental Security Income Program and Incentives to Take up Social Security Early Retirement: Empirical Evidence from the SIPP and Social Security Administrative Data," by Elizabeth T. Powers and David Neumark (_Center for Retirement Research at Boston College_, WP #2001-06, September 2001, .pdf format, 33p.).

Abstract:
Features of the Supplemental Security Income (SSI) program and the Social Security Retirement system, especially Social Security Early Retirement (SSER), may interact in ways that affect the incentives of prospective SSI recipients to take early retirement. The possible incentives for earlier withdrawal from the labor force, and correspondingly the interactions between SSI and SSER, have been little studied. This paper takes a close look at these issues. The potential interactions between the two programs are outlined in a basic theoretical framework. Hypotheses emerging from this framework are tested using public use microdata that have been linked to Social Security Administration records. Our preliminary evidence suggests that the SSI program induces the average prospective SSI recipient to substantially reduce work activity prior to age 65. Our evidence on use of the SSER program is of two types and is mixed, however. While we do not find evidence of a simple but indirect link between SSI rules and SSER take-up in the data, we do find evidence for the more explicit hypothesized direct link between SSER take-up and the impact of SSI rules on the expected total post-retirement government transfer, derived from understanding how SSER and SSI program rules interact.

http://www.bc.edu/bc_org/avp/csom/executive/crr/papers/wp_2001-06.pdf

D. "Retirement Wealth and Its Adequacy: Assessing the Impact of Changes in the Age of Eligibility for Full Social Security Benefits," by Catherine P. Montalto (_Center for Retirement Research at Boston College_, WP #2001-07, September 2001, .pdf format, 31p.).

Abstract:
This paper assesses whether the accumulated retirement wealth of pre-retirees will be adequate to cover needs during retirement, and how variation in age of eligibility for Social Security benefits affects adequacy. Data from the 1998 Survey of Consumer Finances are analyzed to assess the adequacy and composition of retirement wealth of U.S. households, and simulations are used to assess the impact of changes in the Social Security system. Unique contributions of the research include use of household specific information on portfolio allocation and planned retirement age, projection of retirement wealth using asset specific growth rates, and estimation of retirement needs based on household expenditure functions.

The findings reveal that the average U.S. household receives approximately 46% of retirement wealth from Social Security, 39% from personal savings, and 14% from pensions. Approximately 56% of U.S. households are on track to be able to maintain their pre-retirement consumption level in retirement. However, retirement wealth adequacy rates and retirement wealth to needs ratios both increase with planned retirement age of the householder. Based on simulations, the impact of changes in the age of eligibility for full Social Security benefits on retirement wealth adequacy depends on behavioral responses to these changes.

At one extreme, if increases in the full retirement age are not accompanied by changes in planned retirement age, retirement wealth adequacy decreases across all households. These decreases are larger for households that plan to retire at Social Security eligible ages (i.e. between the ages of 62 and 65) than for households that plan to retire before age 62 or after age 65. Under this scenario, the level of retirement wealth from Social Security declines due to larger absolute reductions for early retirement and smaller absolute increases for delayed retirement.

At the other extreme, if increases in full retirement age are accompanied by postponement of retirement to age 67 or later, retirement wealth adequacy increases for households that had previously planned to retire before age 67, but actually declines slightly for households with planned retirement at age 68 or later. Under this scenario, for households that had previously planned to retire before age 67, levels of retirement wealth from savings, Social Security, and pensions all increase. However, the increases are much larger for savings and pensions than for Social Security.

http://www.bc.edu/bc_org/avp/csom/executive/crr/papers/wp_2001-07.pdf

E. "Planning for Retirement: The Accuracy of Expected Retirement Dates and the Role of Health Shocks," by Debra S. Dwyer (_Center for Retirement Research at Boston College_, WP #2001-08, September 2001, .pdf format, 31p.).

Abstract:
This paper explores the relationship between expectations about retirement, realizations of retirement, and the role of health shocks. Using waves 1 through 4 of the Health and Retirement Study we follow people into retirement. We explore the factors that affect changes to plans that were made in wave 1 paying special attention to changes in health status. We find that health shocks since the planning horizon trigger earlier retirement than planned. Existing health problems have little impact on changes to retirement plans. Health insurance availability continues to be a significant predictor of retirement.

http://www.bc.edu/bc_org/avp/csom/executive/crr/papers/wp_2001-08.pdf
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17. OECD: "Fiscal Implications of Aging: Projections of Age-Related Spending," by Thai Than Dang, Pablo Antolin and Howard Oxley (_Organisation for Economic Co-operation and Development_, ECO/WKP(2001)31, September 5, 2001, .pdf and Word format, 57p.).

Abstract:
This paper provides new projections on the fiscal impact of age-related spending for OECD countries over the next half century. These results are based on national models using an agreed upon set of assumptions about macroeconomic and demographic developments for all countries. Recent reforms to pension systems have partly offset the impact on spending of an increasingly elderly population, and there has been a major improvement in the underlying fiscal situation in the 1990s. However, further age-related spending (including old age pensions, health and spending associated with children) is still projected to increase on average around 6 to 7 per cent of GDP over the projection period. This calls for maintaining the reform effort and intensifying it in several countries, if fiscal sustainability is to be maintained.

http://www.olis.oecd.org/olis/2001doc.nsf/linkto/eco-wkp(2001)31

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IV. Journal Tables of Contents (check your library for availability):

18. American Journal of Epidemiology (Vol. 154, No. 6, Sept. 15, 2001).

http://aje.oupjournals.org/content/vol154/issue6/index.shtml
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19. INGENTA Tables of Contents: INGENTA provides fee based document delivery services for selected journals.

A. Point your browser to:

http://www.ingenta.com/

B. click on "Search Options"
C. Type the Journal Name in the "Publication title" search box and click the radio button "Words in Title"
D. View the table of contents for the issue noted.

American Sociological Review (Vol. 66, No. 4, August 2001). Note: Full electronic text (HTML and .pdf format) of this issue is available in the ProQuest Research Library. Check your library for availability of this database.

Demography (Vol. 38, No. 3, August 2001). Note: Full electronic text (HTML and .pdf format) of this issue is available in the ProQuest Research Library. Check your library for availability of this database.

Family and Consumer Sciences Research Journal (Vol. 30, No. 1, Sep. 2001). Note: Full electronic text (HTML and .pdf format) of this issue is available in the ProQuest Research Library. Check your library for availability of this database

Journal of Applied Gerontology (Vol. 20, No. 3, Sep. 2001). Note: Full electronic text (HTML and .pdf format) of this issue is available via ProQuest Research Library and EbscoHost. Check your library for availability of these databases.

Journal of Women and Aging (Vol. 13, No. 2, 2001).

Research on Aging (Vol. 23, No. 5, Sep. 2001). Note: Full electronic text (HTML and .pdf format) of this issue is available via ProQuest Research Library and EbscoHost. Check your library for availability of these databases.
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20. AMEDEO MEDICAL LITERATURE: Note: "AMEDEO has been created to serve the needs of healthcare professionals, including physicians, nurses, pharmacists, administrators, other members of the health professions, and patients and their friends. They can easily access timely, relevant information within their respective fields... All AMEDEO services are free of charge. This policy was made possible thanks to generous unrestricted educational grants provided by AMGEN, Berlex, Eisai, Glaxo Wellcome, Novartis, Pfizer, Roche, and Schering AG."

A. Osteoporosis: Literature for the week of September 11, 2001:

http://www.amedeo.com/medicine/ost.htm

B. Alzheimer's Disease: Literature for the week of September 11, 2001:

http://www.amedeo.com/medicine/ad.htm

C. Parkinson's Disease: Literature for the week of September 11, 2001:

http://www.amedeo.com/medicine/pd.htm

AMADEO Literature Guide:

http://www.amedeo.com/index.htm

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V. Funding Opportunities:

21. NIH: "Exploratory/Developmental Grants in Social Neuroscience," (National Institute of Mental Health, National Institute on Aging, and National Institute of Child Health and Human Development, RFA-MH-02-004, release date September 6, 2001).

http://grants.nih.gov/grants/guide/rfa-files/RFA-MH-02-004.html

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VI. Legislation Information Updates:

22. US SENATE SPECIAL COMMITTEE ON AGING HEARING PUBLICATION:

"Technology and Prescription Drug Safety," a hearing held May 3, 2001 (Senate Hearing #107-79, ASCII text and .pdf format, 77p.).

http://www.access.gpo.gov/congress/senate/senate22sh107.html

Scroll to or "find in page" "107-79" (without the quotes).
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23. US SENATE SPECIAL COMMITTE ON AGING HEARING: "Swindlers, Hucksters and Snake Oil Salesmen: The Hype and Hope of Marketing Anti-Aging Products to Seniors," (_US Senate Special Committee on Aging_, hearing held Sept. 10, 2001, HTML and .pdf format).

http://aging.senate.gov/hr73.htm

To view the comments submitted by witnesses click on their names.
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VII. Websites of Interest:

24. CENSUS BUREAU FACTS FOR FEATURES: "Grandparent's Day 2001: September 9," (US Census Bureau Facts for Features CB01-FF.12, September 2001).

http://www.census.gov/Press-Release/www/2001/cb01fff12.html
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25. AOA: "Provide Input to the Development of the New Regulations for Title III of the Older Americans Act," (US Department of Health and Human Services, Administration on Aging, updated September 7, 2001). Note: AOA is seeking public input into the regulations necessary to implement the most recent re-authorization of the Older Americans Act. Information about the legislation, current regulation implementing the OAA and how to provide input are included.

http://www.aoa.dhhs.gov/Oaa/t3regs/default.htm
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26. SSA: "History Page: Detailed Chronology," (Social Security Administration, HTML format, September 2001).

>From the Introduction:
"The following pages present a detailed historical chronology of the development of social insurance, with particular emphasis on Social Security. Items are included in this compilation on the basis of their significance for Social Security generally, their importance as precedents, their value in reflecting trends or issues, or their significance in SSA's administrative history. The information includes legislative events in Social Security and related programs. Our expectation is that this Chronology can be used as a reference tool and finding aid for important dates and events in Social Security's long history."

http://www.ssa.gov/history/chrono.html


Thanks,

Charlie

***************************************************

Charlie Fiss
Information Manager
Center for Demography and Ecology
Rm. 4470A Social Science Bldg
1180 Observatory Drive
Madison, WI 53706-1393
Phone: (608) 265-9240
Fax: (608) 262-8400
Email: fiss@ssc.wisc.edu


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