Current Awareness in Aging Report (CAAR) #5, October 14, 1999

I. Data:

1. ICPSR: The Inter-University Consortium for Political and Social Research has updated Study # 2592, NATIONAL SURVEY OF SELF-CARE AND AGING: FOLLOW-UP, 1994. "Part 4, Combined Baseline and Follow-Up Data, has been added, and the codebook and SAS and SPSS data definition statements have been revised accordingly." For more information about the survey:

http://www.icpsr.umich.edu/cgi-bin/ab.prl?file=2592

The survey and its documentation are freely available to the public.

http://www.icpsr.umich.edu/archive1.html 

and enter 2592 in the "Study #" search box.

This study is a followup to Study # 6718 NATIONAL SURVEY OF SELF-CARE AND AGING: BASELINE, 1990-1991, which is also freely available to the public.

http://www.icpsr.umich.edu/archive1.html

and enter 6718 in the "Study #" search box.

Note to Univ of Wisconsin CDAH members: Both of these studies are available in the CDE data library. (CDECAT and codebook # 1455.00 and 1456.00).

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II. Reports and articles

2. NCHS--REPORT: The National Center for Health Statistics has released _Health, United States, 1999_. (.pdf format, 323p.). Also available are 146 Lotus or Excel spreadsheet tables. Highlight of this year's release is a 180p. Health and Aging Chartbook that can be downloaded as part of the main publication or separately.

http://www.cdc.gov/nchswww/products/pubs/pubd/hus/hus.htm
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3. _MORBIDITY AND MORTALITY WEEKLY REPORT_--ARTICLE: Reasons Reported by Medicare Beneficiaries for Not Receiving Influenza and Pneumococcal Vaccinations -- United States, 1996 (October 08, 1999 / 48(39);886-890)

http://www.cdc.gov/epo/mmwr/preview/mmwrhtml/mm4839a4.htm
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4. MEDSCAPE GENERAL MEDICINE--ARTICLE: "How Fast Can the Racial Gap in Life Expectancy Between Whites and Blacks Be Eliminated?" by Hong Wang, Patrick L. Remington, and David A. Kindig (September 23, 1999, HTML format).

>From the Abstract:

The racial gap in life expectancy between whites and blacks fluctuated from 7.6 to 5.7 years from 1970-1996, but the causes of this gap and the years required to eliminate it remain unclear. This paper analyzes the leading causes of death and how they contribute to the racial gap in life expectancy, and estimates the number of years required to eliminate this gap.

http://www.medscape.com/Medscape/GeneralMedicine/journal/1999/v01.n09/mgm0923.wang/mgm0923.wang-01.html
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5. MEDSCAPE GENERAL MEDICINE--ARTICLE: "Lessons Learned From the Terminally, Critically Ill Patient Who Demands to Live as Long as Possible," by Ware G. Kuschner (October 12, 1999, HTML format).

>From the Abstract:

A 67-year-old man with metastatic pancreatic cancer was admitted to the hospital for terminal care. The patient requested intensive medical support in order "to live as long as possible." Management goals included preserving end-of-life autonomy; therefore, life-extending treatments were delivered as he had adamantly requested. Simultaneously, there was agreement among physicians that futile treatments were unwarranted. Discussions with the power of attorney did not alter medical management. Elements of a "Fair Process Approach to Futility," published in March 1999 by the American Medical Association (AMA) Council on Ethical and Judicial Affairs, were utilized in an attempt to achieve conflict resolution. Medical subspecialist and ethics committee consultations had contributory roles in resolving conflict between the patient and patient surrogate and the patient's physicians.

http://www.medscape.com/Medscape/GeneralMedicine/journal/1999/v01.n10/mgm1012.kusc/mgm1012.kusc-01.html
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6. NEW ENGLAND JOURNAL OF MEDICINE--ARTICLE (abstract only available electronically): "Racial Differences in the Treatment of Early-Stage Lung
Cancer," by Peter B. Bach, Laura D. Cramer, Joan L. Warren, Colin B. Begg. (October 14, 1999, Vol. 341, No. 16)

>From the Abstract:

We studied all black patients and white patients 65 years of age or older who were given a diagnosis of resectable non-small-cell lung cancer (stage I or II) between 1985 and 1993 and who resided in 1 of the 10 study areas of the Surveillance, Epidemiology, and End Results (SEER) program (10,984 patients). Data on the diagnosis, stage of disease, treatment, and demographic characteristics of the patients were obtained from the SEER data base. Information on coexisting illnesses, type of Medicare coverage, and survival was obtained from linked Medicare inpatient-discharge records.

http://www.nejm.org/content/1999/0341/0016/1198.asp

See also a _NEJM_ editorial related to the article (available electronically in full text):

"Racial Disparity in Rates of Surgery for Lung Cancer"

http://www.nejm.org/content/1999/0341/0016/1231.asp

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III. Working Papers

7.  INTERNATIONAL INSTITUTE FOR APPLIED SYSTEMS ANALYSIS:

A. "Health and Welfare Services Expenditure in an Aging World," by L.D. Mayhew (IR-99-035, September 1999, .pdf or .ps format, 40p.).

>From the Abstract:

The world's population is aging, albeit at different rates in different countries. IIASA is building an economic-demographic model for exploring the consequences on the global macroeconomy and has so far concentrated on impacts mediated through public and private pension systems. It now wishes to extend the model to cover other sectors whose provision is also highly age-sensitive, including health and welfare services. This paper explores the consequences of population aging for these vital services and considers the basic mechanisms fueling their growth. These mechanisms fall into essentially two categories: the first is related to the biomedical processes of aging which can lead to chronic illness and disability in old age. The second concerns the costs of treatment and long-term care which, in turn, are a function of medical technology and institutional factors, how services are delivered, and who bear the costs. Using simple but explicit projection methodologies, we project health care and disability-related expenditure [for] two major world regions, corresponding to more- and less developed countries (MDCs and LDCs). The key policy-related conclusions are: 1)  Aging will overtake population growth as the main demographic driver of health expenditure growth, but its effect will be less than technological and institutional factors. 2) Health expenditure will expand rapidly in LDCs (relative to GDP) to the same sorts of levels currently observed in MDCs. 3) The number of disabled will grow substantially, but will level out in MDCs by 2050 (earlier for all but the oldest age groups), while the number of disabled in all age groups will continue to grow in LDCs.  Assuming that most care of the disabled continues to be provided by the family and community, projected increases in disability-related expenditure are modest.

http://www.iiasa.ac.at/cgi-bin/pubsrch?IR99035

B. "Globalization, Social Security, and International Transfers," by F.L. MacKellar, T.Y. Ermolieva and H. Reisen (IR-99-056, October 1999, PostScript format).

>From the Abstract:

In this paper, we quantify the impact of globalization (i.e., integration of global capital markets) on intergenerational transfers mediated through Pay As You Go (PAYG) public pension systems in more developed countries (MDCs), as well as impacts on the intergenerational distribution of income and wealth. Our basic finding is that, while globalization is likely to erode the pension income of older persons, it will enhance their wealth, leaving their overall spending power little changed. The working age population, which earns lower wages, is an unambiguous loser from the globalization process, at least to the extent that we limit ourselves to a neoclassical analysis of the phenomenon.

http://www.iiasa.ac.at/cgi-bin/pubsrch?IR99056

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

8. _Experimental Aging Research_ (Vol. 25, No. 4, September 1999)
http://www.catchword.co.uk/titles/tandf/0361073X/contp1-1.htm
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9. _Journal of Gerontology: Social Sciences (B)_ (Volume 54B, No. 5,
September 1999)
http://www.geron.org/journals/soccontents.html
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10. CARL Uncover Journal Tables of Contents. Follow the instructions below to access tables of contents. Sorry for any inconvenience, but licensing restrictions do not allow me to pass the tables of contents to you, and database driven URLs are dynamic and will not work from one machine to the next.

A. Point your browser to:

http://uncweb.carl.org:80/

B. click on "Search Uncover"
C. click on "Search Uncover Now"
D. Type the Journal Name in the search box and click the radio button
"Journal Title Browse"
E. click on the journal name
F. click on "journal issues"
G. click on the issues identified below

_The American Journal of Sociology_ (Vol. 105, No. 2, September 1999)
_Journal of Gerontological Social Work_ (Vol. 31, No. 3/4 1999)

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V. Funding Opportunities:

11. NIH: Aging Women and Breast Cancer. Release Date: October 5, 1999.

The National Institute on Aging (NIA), the National Cancer Institute (NCI), and the National Institute of Nursing Research (NINR) invite research applications to focus on the unique problems of older women with breast cancer.  Breast cancer affecting elderly women is a major health problem.  The purpose of this broad-based program announcement is to expand the knowledge base on breast cancer in older women through studies in the fields of biology, clinical medicine, epidemiology, and the behavioral and social sciences.

http://grants.nih.gov/grants/guide/pa-files/PA-00-001.html

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VI. Legislation Information Updates

12. STATEMENT OF AARP BEFORE SENATE HEALTH, EDUCATION, LABOR AND PENSIONS COMMITTEE: On September 21, 1999 AARP gave a statement at a hearing "on the issue of cash balance pension conversions and the impact on older workers of this growing trend."

http://www.aarp.org/wwstand/testimony/1999/s092199.html
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13. AOA CHART: The Administration on Aging has release a draft version of a "Side-by-Side Comparison Chart: Proposals for Reauthorization of the Older Americans Act-1999," in both HTML and .pdf formats. It compares the current law, H.R. 1637 (Martinez) & S.1203 (Mikulski) (Administration Proposal); H.R. 782 as reported out on 9/15/99; and S.1536 (DeWine).

HTML version:
http://www.aoa.dhhs.gov/Oaa/1999/sidebyside.html

.pdf version (14p.):
http://www.aoa.dhhs.gov/Oaa/1999/sidebyside.pdf

More information on each of the proposals can be found at:

http://www.aoa.dhhs.gov/Oaa/status/default.htm

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VII. Websites of Interest

14. SEER CANQUES: The National Cancer Institute's Surveillance, Epidemiology, and End Results site provides this interactive summary data extractor (users need to have Netscape Navigator 4.06 or Microsoft Internet Explorer 4.x or better java enabled browsers to use it). It "allows the user to access over 10 million pre-calculated cancer statistics. CANQUES performs no calculations and contains statistics that were created by the SEER Program for their routine reporting and the _SEER Cancer Statistics Review, 1973-1996_." Users can select from topic areas of SEER incidence rates or trends or US mortality rates or trends. Among available variables to create tables from are statistic type, site, year, race, sex, age, and SEER registry. Output options are available.

http://www-seer.ims.nci.nih.gov/ScientificSystems/Canques1973_1996/
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Jack

Jack Solock
Data Librarian--Center for Demography and Ecology
4470 Social Science
University of Wisconsin-Madison
Madison, WI 53706
608-262-9827
jsolock@ssc.wisc.edu