Current Awareness in Aging Research (CAAR) Report #65--January 4, 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. HRS: The Institute for Social Research at the University of Michigan Health and Retirement Study (HRS) and Asset and Health Dynamics Among the Oldest Old (AHEAD) website announced the availability of the "HRS 1996 [Wave 3] Public Release (Version 2)" on Dec. 21, 2000.

http://www.umich.edu/~hrswww/news/news111.html

HRS/AHEAD:

http://www.umich.edu/~hrswww/

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II. Reports and articles:

2. AOA REPORTS:

A. "America's Families Care: A Report on the Needs of America's Family Caregivers," (US Administration on Aging, Fall 2000, HTML and .pdf format, 13p.).

HTML:

http://www.aoa.dhhs.gov/carenetwork/report.html

.pdf link can be found at the bottom of the report.

B. "Long-Term Care Ombudsman Report - FY 1998 With Comparisons of National Data for FY 1996-98" (US Administration on Aging, December 2000, HTML format, accompanied by .zip compressed and uncompressed Microsoft Excel spreadsheets--see appendices at the bottom of the report).

Press Release with link to Report:

http://www.aoa.dhhs.gov/pr/Pr2000/ltcombudsman.html
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3. _FR_ RULE: "Physicians referrals to health care entities with which they have financial relationships," (US _Federal Register_, Vol. 66, No. 3, Jan. 4, 2001, p. 855-965, HTML and .pdf format).

http://www.access.gpo.gov/su_docs/fedreg/a010104c.html

Scroll to or "find in page" "medicare". It is listed under Health Care Financing Administration.
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4. SSA OP REPORT:

"Simplifying the Supplemental Security Income Program: Challenges and Opportunities," (_Social Security Administration Office of Policy_, .pdf format, December 2000, 80p.).

http://www.ssa.gov/policy/programs/SSI/simplification/simplification.pdf
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5. GAO CORRESPONDENCE: "Medicare: Post-Hearing Questions Related to Financial and Information Technology Management" (US General Accounting Office Correspondence GAO-01-275R, December 2000, .pdf format, 16p.).

http://www.gao.gov/cgi-bin/getrpt?rptno=gao-01-275R

Note: GAO Internet addresses are valid for only a limited period of time. After that time, this correspondence may be available at:

http://www.gao.gov/new.items/newtitle.htm
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6. URBAN INSTITUTE REPORT: "Growth in Medicare and Out-Of-Pocket Spending: Impact on Vulnerable Beneficiaries," by Stephanie Maxwell, Marilyn Moon, and Misha Segal (December 2000, HTML and .pdf format, 34p.).

Executive Summary Extract:

Medicare, the nation,s largest public health insurance program, faces formidable challenges in the years ahead. To ensure its stability, the program will have to come to grips with the combined impact of escalating health care spending, insufficient revenues, and a burgeoning elderly population. Proposals for changes in the program itself and its financing have been put on the table. As policymakers debate the merits of these various options, they must consider the effect on Medicare beneficiaries and protect vulnerable elderly and disabled people from overwhelming out-of-pocket costs.

http://www.urban.org/health/growth-in-medicare.html

Click on "Portable Document Format (PDF)" for .pdf version.
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7. _SCIENCE_ ARTICLE ABSTRACTS: Note: Full electronic text of these articles (HTML and .pdf format) may be available. Check your organization's library for availability.

A. "Evidence for Genetic Linkage of Alzheimer's Disease to Chromosome 10q," by Lars Bertram, Deborah Blacker, Kristina Mullin, Devon Keeney, Jennifer Jones, Sanjay Basu, Stephen Yhu, Melvin G. McInnis, Rodney C. P. Go, Konstantinos Vekrellis, Dennis J. Selkoe, Aleister J. Saunders, and Rudolph E. Tanzi (_Science_, Vol. 290, No. 5500, Dec. 22, 2000, p. 2302-2303).

http://www.sciencemag.org/cgi/content/abstract/290/5500/2302

B. Linkage of Plasma A beta 42 to a Quantitative Locus on Chromosome 10 in Late-Onset Alzheimer's Disease Pedigrees," by Nilufer Ertekin-Taner, Neill Graff-Radford, Linda H. Younkin, Christopher Eckman, Matthew Baker, Jennifer Adamson, James Ronald, John Blangero, Michael Hutton, and Steven G. Younkin (_Science_, Vol. 290, No. 5500, Dec. 22, 2000, p. 2303-2304).

http://www.sciencemag.org/cgi/content/abstract/290/5500/2303

C. "Susceptibility Locus for Alzheimer's Disease on Chromosome 10," by Amanda Myers, Peter Holmans, Helen Marshall, Jennifer Kwon, David Meyer, Dzanan Ramic, Shantia Shears, Jeremy Booth, Fabienne Wavrant DeVrieze, Richard Crook, Marian Hamshere, Richard Abraham, Nigel Tunstall, Francis Rice, Stephanie Carty, Sara Lillystone, Pat Kehoe, Varuni Rudrasingham, Lesley Jones, Simon Lovestone, Jordi Perez-Tur, Julie Williams, Michael J. Owen, John Hardy, and Alison M. Goate (_Science_, Vol. 290, No. 5500, Dec. 22, 2000, p. 2304-2305).

http://www.sciencemag.org/cgi/content/abstract/290/5500/2304
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8. _NEJM_ ARTICLE ABSTRACT:

"Outcome of Myocardial Infarction in Veterans Health Administration Patients as Compared with Medicare Patients," by Laura A. Petersen, Sharon-Lise T. Normand, Jennifer Daley, Barbara J. McNeil (_New England Journal of Medicine_, Vol. 343, No. 26, December 28, 2000).

http://www.nejm.org/content/2000/0343/0026/1934.asp
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9. _BMJ_ ARTICLES:

A. "Music to be born to, music to die to" (_British Medical Journal_, Vol. 321, No. 7276, Dec. 23, 2000, HTML and .pdf format, p. 1577-1579).

http://bmj.com/cgi/content/full/321/7276/1577

B. "How to live forever: lessons of history," by Steven Shapin and Christopher Martyn (_British Medical Journal_, Vol. 321, No. 7276, Dec. 23, 2000, HTML and .pdf format, p. 1580-1582).

http://bmj.com/cgi/content/full/321/7276/1580
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10. _CANCER CONTROL: JOURNAL OF THE MOFFITT CANCER CENTER_ VIA MEDSCAPE ARTICLE: Note: Medscape requires free registration before providing articles. "Brain Tumors in the Older Person," by Alexandra Flowers (_Cancer Control: Journal of the Moffitt Cancer Center_, Vol. 7, No. 6, November/December 2000, HTML format).

http://www.medscape.com/31864.rhtml?srcmp=ms-122900

or

http://www.medscape.com/moffitt/CancerControl/2000/v07.n06/cc0706.02.flow/cc0706.02.flow-01.html
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11. MEDSCAPE GENERAL MEDICINE ARTICLE: "Medicare Physician Payment for Practice Expense: Is It Refined? Part 1. Office Visit Reevaluations," by Thomas A. Marciniak and Chi Ho Om (_Medscape General Medicine_, January 2001, HTML format). Note: Medscape requires free registration before providing articles.

http://www.medscape.com/Medscape/GeneralMedicine/journal/2001/v03.n01/mgm0102.marc/mgm0102.marc-01.html
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12. MEDSCAPE HEALTH ARTICLES:

A. "States Take the Lead in Providing Rx Benefits for Seniors," by Robert McCarthy (_Drug Benefit Trends_, Vol. 12, No. 10, HTML format, 2000). Note: Medscape requires free registration before providing articles.

http://www.medscape.com/SCP/DBT/2000/v12.n10/d1210.02.mcca/d1210.02.mcca-01.html

B. "Testosterone Treatment of Elderly Men," by Peter J. Snyder (_Harrison's Online_, HTML format, 2000). Note: Medscape requires free registration before providing articles.

http://www.medscape.com/HOL/articles/2000/12/hol70/hol70-01.html

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III. Working Papers:

13. NBER WORKING PAPERS IN AGING: "Longevity-Insured Retirement Distributions from Pension Plans: Market and Regulatory Issues," by Jeffrey R. Brown and Mark J. Warshawsky (National Bureau of Economic Research W8064, January 2001, .pdf format, 55p.).

Abstract:

This paper explores the extent to which retirees can and do insure themselves against longevity risk in private pension plans. We first review the theoretical and empirical results on the value of annuities, and discuss reasons why households may choose not to further insure themselves against longevity risk. We then analyze current trends in the private pension market, and find that the shift from defined benefit plans to defined contribution plans is likely to reduce annuitization rates among future retirees. This is driven primarily by the fact that the majority of DC plans, such as 401(k) plans, do not even offer participants a life annuity option at retirement. Thus, individuals who wish to annuitize generally must do so in the individual market where payouts are lower due to a healthier mortality pool. Hence, we can forecast that in the coming decades, absent institutional and regulatory changes, overall annuitization rates may fall and households may be increasingly exposed to the risk of outliving their financial resources, while the currently small private individual annuity market may witness significant growth. Finally, we discuss several policy options designed to increase annuitization of retirement resources.

http://papers.nber.org/papers/W8064

Click on "PDF" at the bottom of the abstract, or submit your e-mail address, for electronic full text.
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14. UNIVERSITY OF MICHIGAN POPULATION STUDIES CENTER: "Knowledge and Attitudes of Older People about HIV/AIDS in Thailand: A Comparison with Young Adults," by Wassana Im-em, Mark VanLandingham, John Knodel, and Chanpen Saengtienchai (PSC Research Report 00-464, January 2001, .pdf format, 45p.).

Abstract:

Levels of AIDS related knowledge are widely assumed to be high in Thailand, a country with the probably the most effective response to the HIV/AIDS pandemic to date in the developing world. But efforts to verify these levels are sparse in recent years, and very little attention has ever been paid to AIDS knowledge and attitudes among the Thai older population. Since many Thai older persons (age 50 and over) remain sexually active late in life, and since many more will be involved in interactions with and care taking of young adult persons suffering from AIDS, we explore AIDS knowledge and attitudinal data we collected during 1999 from a sample of 773 older Thais from four provinces and Bangkok. The sample provinces were chosen in part to represent different levels of HIV/AIDS prevalence by Thai standards, ranging from high to low. We compare the results with data from a sample of 398 young adults using the same questionnaire, collected at the same sites, at the same time (total N = 1170). We find, as previous studies have indicated, an overall high level of awareness about AIDS, but identify important deficiencies among both the young adults and especially among the older Thais. Implications of the findings are discussed.

http://www.psc.isr.umich.edu/pubs/papers/rr00-464.pdf

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

15. Journal of Gerontology: Biological Sciences (A) (Vol. 56A, No. 1, January 2001) Note: This journal is available in electronic full-text in the ProQuest Research Library. Check your library for the availability of this database and this issue.

http://www.geron.org/journals/biocontents.html

16. Journal of Gerontology: Medical Sciences (A) (Vol. 56A, No. 1, January 2001) Note: This journal is available in electronic full-text in the ProQuest Research Library. Check your library for the availability of this database and this issue.

http://www.geron.org/journals/medcontents.html

17. Journal of Gerontology: Psychological Sciences (B)(Vol. 56B, No. 1, January 2001). Note: This journal is available in electronic full-text in the ProQuest Research Library. Check your library for the availability of this database and this issue.

http://www.geron.org/journals/psycontents.html

18. Journal of Geronotology: Social Sciences (B) (Vol. 56B, No. 1, January 2001). Note: This journal is available in electronic full-text in the ProQuest Research Library. Check your library for the availability of this database and this issue.

http://www.geron.org/journals/soccontents.html
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19. CARL Uncover Journal Tables of Contents. Follow the instructions below to access tables of contents. CARL Uncover provides fee based document delivery services for selected journals.

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

American Journal of Epidemiology (Vol. 152, No. 12, Dec. 15, 2000). Note: Electronic full text of this journal (HTML and .pdf format) may be available from Oxford University Press. Check your organization's library for availability.

http://www.aje.oupjournals.org/contents-by-date.2000.shtml

Journal of Gerontological Social Work (Vol. 33, No. 4, 2000).

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V. Legislation Information Updates:

20. AOA NEWS RELEASE: "AoA Budget Approved by Congress; Includes $125 million for Family Caregivers" (US Administration on Aging, Dec. 19, 2000).

http://www.aoa.dhhs.gov/pr/Pr2000/enacted-2001-budget.html
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21. HCFA MEMORANDUM: "Enactment of Legislation Affecting all M+C Organizations," by Gary A. Bailey (US Health Care Financing Administration, December 22, 2000).

http://www.hcfa.gov/medicare/mcoltr2.htm

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VI. Websites of Interest:

22. INTERNET INFORMATION NOTES ADDITION: The US Administration on Aging National Aging Information Center has added a new section on "Income of the Elderly and Safety Net Programs" to its Internet Information Notes metasite (discussed in CAAR #1, Sep. 16, 1999

http://www.ssc.wisc.edu/cdha/caar/caar1-september-16-1999.htm

item #16).

Income of the Elderly and Safety Net Programs:

http://www.aoa.dhhs.gov/NAIC/Notes/incomeelderlypgms.html

Internet Information Notes:

http://www.aoa.gov/NAIC/Notes/

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