Current Awareness in Aging Research (CAAR) Report #98--August 23, 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

=======================================================================

I. Data:

1. NCHS NHIS--The US National Center for Health Statistics has made available a "provisional release of the 1999 National Health Interview Survey Public Use files. "Data are undergoing a final review process at NCHS and changes may occur as a result of this review, particularly data related to the new periodic questions. Users are urged to use caution in the analysis of these variables pending further screening by NCHS." Interested users can keep up to date on updates to this data via the NCHS mailing list:

http://www.cdc.gov/subscribe.html

and also via the HIS99LOG.TXT file, which can be accessed through the"1999 Notices Section" of the NHIS website:

http://www.cdc.gov/nchs/nhis.htm

Scroll to or "find in page" "1999 NHIS Provisional Release (Please Read Notices)" (without the quotes).

Data (.zip compressed ASCII format), documentation (.pdf format), and SAS and SPSS input statements (ASCII text format), can be accessed from:

http://www.cdc.gov/nchs/nhis.htm

click on "Provisional 1999 Data Release".

=======================================================================

II. Reports and articles:

2. NCHS REPORT: "Summary Measures of Population Health: Methods for Calculating Healthy Life Expectancy," by Michael T. Molla, Diane K. Wagener, and Jennifer H. Mandans (National Center for Health Statistics, Healthy People 2010 Statistical Notes No. 21, August, 2001, .pdf format, 11p.).

http://www.cdc.gov/nchs/data/statnt/statnt21.pdf
-----------------------------------------------------------------------

3. GAO REPORT: "Skilled Nursing Facilities: Services Excluded from Medicare's Daily Rate Need to Be Reevaluated," (US General Accounting Office GAO-01-816, August 2001, .pdf format, 21p.).

http://www.gao.gov/new.items/d01816.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.
-----------------------------------------------------------------------

4. DHHS OIG OEI REPORT: "Medical Equipment Suppliers: Compliance With Medicare Standards" (US Department of Health and Human Services, Office of the Inspector General, Office of Evaluations and Inspections OEI-04-99-00670, HTML and .pdf format, 22p.).

Abstract:

Medical equipment suppliers are required to comply with standards set out by CMS to receive a billing number. Our 1997 inspection uncovered compliance problems, particularly with a standard requiring an appropriate physical address. Since that inspection, CMS and its contractor, the National Supplier Clearinghouse, began to require physical site inspections prior to approving an application for a billing number. In this follow-up inspection, we found that the compliance rate is considerably improved. All suppliers complied with delivery, warranty, returns, repairs, complaints and disclosing ownership standards. Less than 1 percent of suppliers failed to comply with the standard requiring an appropriate physical address. Less than 15 percent of suppliers failed to comply with standards requiring appropriate liability insurance, licensure, and inventory on-site or through contract. This report offers several suggestions to CMS to further improve compliance rates.

HTML:

http://www.hhs.gov/oig/oei/reports/oei-04-99-00670.htm

.pdf:

http://www.hhs.gov/oig/oei/reports/a536.pdf
-----------------------------------------------------------------------

5. HEALTH CARE FINANCING ADMINISTRATION INFORMATION:

A. "Information for Medicare Rx Discount Card Applicants" (Rich Text [.rtf] and .pdf format).

http://www.hcfa.gov/Discountdrugs/default.htm

B. "Proposed CY 2002 Hospital Outpatient Prospective Payment System" (.pdf and .zip compressed Microsoft Excel Spreadsheets).

http://www.hcfa.gov/regs/propcy2002.htm
-----------------------------------------------------------------------

6. _MMWR_ ARTICLE: "Outbreak of Pneumococcal Pneumonia Among Unvaccinated Residents of a Nursing Home --- New Jersey, April 2001" (_Morbidity and Mortality Weekly Report_, US Centers for Disease Control, Vol. 50, No. 33, Aug. 24, 2001, HTML and .pdf format, P. 707-710).

HTML:

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5033a3.htm

.pdf:

http://www.cdc.gov/mmwr/PDF/wk/mm5033.pdf
-----------------------------------------------------------------------

7. _SCIENCE_ ARTICLE ABSTRACT: "NIH Wins an Exemption From HHS Peer-Review Overhaul," by Eliot Marshall (_Science_, Vol. 293, No. 5533, p. 1234). Note: Full electronic text (HTML and .pdf format) of this article may be available. Check your organization's library.

http://www.sciencemag.org/cgi/content/full/293/5533/1234a
-----------------------------------------------------------------------

8. _JAMA_ POETRY: "The Alzheimer Sonnets," by Ronald Pies (_Journal of the American Medical Association_, Vol. 286, No. 8, Aug. 22/29, 2001, HTML and .pdf format, p. 892).

http://jama.ama-assn.org/issues/v286n8/ffull/jpm10194-1.html
-----------------------------------------------------------------------

9. _BMJ_ ARTICLES, EDITORIAL:

A. "Phytoestrogen therapy for menopausal symptoms?" by Susan R. Davis (_British Medical Journal_, Vol. 323, No. 7309, Aug. 18, 2001, HTML and .pdf format, p. 354-355). Note: This is a _BMJ_ editorial.

http://bmj.com/cgi/content/full/323/7309/354

B. "Risk of macular degeneration in users of statins: cross sectional study," by Nigel F. Hall, Catharine R. Gale, Holly Syddall, David I.W. Phillips, and Christopher N. Martyn (_British Medical Journal_, Vol. 323, No. 7309, Aug. 18, 2001, HTML and .pdf format, p. 375-376.)

http://bmj.com/cgi/content/full/323/7309/375
-----------------------------------------------------------------------

10. _LANCET_ ARTICLE: "Relation between drug treatment and cancer in hypertensives in the Swedish Trial in Old Patients with Hypertension 2: a 5-year, prospective, randomised, controlled trial," by Lars H. Lindholm, Harald Anderson, Tord Ekbom, Lennart Hansson, Jan Lanke, Bjorn Dahlf, Ulf de Faire, Kent Forsen, Thomas Hedner, Erland Linjer, Bengt Schersten, P-O Wester, and Torgil R Moller, (_Lancet_, Vol. 358, No. 9281, Aug. 18, 2001, HTML and .pdf format, p. 539-544). Note: _Lancet_ requires free registration before providing content.

HTML:

http://www.thelancet.com/journal/vol358/iss9281/full/llan.358.9281.original_research.17310.1

.pdf:

http://pdf.thelancet.com/pdfdownload?uid=llan.358.9281.original_research.17310.1&x=x.pdf
-----------------------------------------------------------------------

11. MEDSCAPE ARTICLES: Note: Medscape requires free registration before providing articles.

A. "Controversies in the Treatment of Hypercholesterolemia in the Elderly: Who Should be Treated and How?" by Dennis S. Miura (_The American Journal of Geriatric Cardiology_ Vol. 10, No. 3, May/June 2001, p. 152-158).

http://www.medscape.com/41653.rhtml?srcmp=ms-081701

or

http://www.medscape.com/LeJacq/AJGC/2001/v10.n03/ajgc1003.01.muir/ajgc1003.01.muir-01.html

B. "Nutritional Status and Well Being. Is There a Relationship Between Body Mass Index and the Well-Being of Older People?" by N.R. Balcombe, P.G. Ferry and W.M. Saweirs (_Current Medical Research and Opinion_, Vol. 17, No. 1, 2001, p. 1-7).

http://www.medscape.com/41691.rhtml?srcmp=ms-081701

or

http://www.medscape.com/librapharm/CMRO/2001/v17.n01/cmr1701.01.balc/cmr1701.01.balc-01.html
-----------------------------------------------------------------------

12. _ECONOMIST_ ARTICLE: "Britain: Private pensions, Save or Else: Workers are not saving enough for retirement" (_Economist_, Aug. 23, 2001).

http://www.economist.com/printedition/displayStory.cfm?Story_ID=741362
-----------------------------------------------------------------------

13. AARP PRIME TIME RADIO: There are two new segments of possible interest from AARP's Prime Time Radio. (AARP, RealAudio format, Aug. 7, and Aug. 14, 2001).

"Getting Insurers to Pay," (Aug. 7, 2001). "For anyone who has ever attempted to get their insurance company or HMO to pay for needed medical care, Rhonda Orin has critical and pointed advice. As an attorney she has spent years battling insurers on behalf of her clients. She shares some war stories and tips in a new book: _Making Them Pay: How To Get The Most>From Health Insurance and Managed Care_." Running time: 30 minutes 9 seconds.

"Social Security - A View From A Commissioner,: (Aug. 14, 2001). "Ken Apfel served as Social Security Commissioner during the Clinton Administration. Now in the private sector, he's speaking out on the dangers of privatization as well as the Bush Administration's approach to the future of Social Security. His conversation with Mike Cuthbert is frank and provocative." Running time: 30 minutes 9 seconds.

http://www.aarp.org/ontheair/ptrtopics.html

Scroll to the story of interest.

=======================================================================

III. Working Papers:

14. RAND CORPORATION LABOR AND POPULATION PROGRAM: "The Impact of Nuclear Family and Individual Migration on the Elderly in Rural Bangladesh: A Qualitative Analysis," by Randall Kuhn (DRU 2577, WP-01-11, 2001, .pdf format, 47p.).

Abstract:

This paper addresses selectivity, substitution and complementarity of elderly support options in Bangladesh, a nation undergoing simultaneous mobility and aging transitions in an environment of limited economic change. Employing detailed qualitative analysis and descriptive quantitative results, the work suggests that while households execute conscious strategies of fertility control and human capital in response to socio-economic change, they must also manage the associated risk through more extensive use of existing social resources for personal support and care. In detailing this process, the paper introduces two interlocking hierarchies of financial and personal support. In these hierarchies, parents exercise two predominant preferences, favoring sons over other children and favoring linkage of sources of primary financial and personal support. When strategies fail or preferred children emphasize financial support over personal care, parents mobilize personal and financial support from sources at lower levels of the hierarchy. While the research finds that support mechanisms are highly adaptable to demographic transition and economic crisis, mechanisms in the current era still depend on higher fertility, lower longevity, and lower mobility that can be anticipated in the next generation. They also may generate unintended economic consequences such as inequality and disinvestment. The results support an agenda to better understand the "fuzzy logic" of family formation under a regime of informality, transition, and constraint.

http://www.rand.org/labor/DRU/DRU2577.pdf
-----------------------------------------------------------------------

15. MAX PLANCK INSTITUTE FOR DEMOGRAPHIC RESEARCH: "Opposite effects of maternal and paternal grandmothers on infant survival in historical Krummhorn," by Eckart Voland and Jan Beise (WP 2001-26, August 2001, .pdf format, 26p.).

Abstract:

On the basis of the church register entries from the Krummhorn (Ostfriesland, Germany, 1720-1874) we investigated whether the existence or non-existence of grandmothers had an impact on the reproductive success of a given family. We found that fertility (measured by intervals between births) was not influenced by the grandmothers. However, maternal grandmothers tended to reduce infant mortality, when the children were between 6 and 12 months of age. During these six months the relative risk to die was approximately 1.8 times as high when the maternal grandmother was not existent in comparison to when she was still alive. On the other hand, the existence of paternal grandmothers approximately doubled the relative risk of infant mortality during the first month of life. We interpret this as the result of a tense relationship between mothers-in-law and daughters-in-law. Accordingly, Krummhorn grandmothers could be helping and lethal at the same time. If this result were able to be generalized beyond the Krummhorn population, the hypothesis, according to which the evolution of the postgenerative lifespan could be explained by the impact of grandmotherly kin-effects, will have to be stated more precisely, because the costs of the social stress in the male descendency would have to be subtracted from the benefits of helping in the female descendency. At any rate, the Krummhorn situation does not offer a good model for the grandmother who provides unconditional assistance, the positive impact of which could explain the evolutionary extension of the human life span.

http://www.demogr.mpg.de/Papers/Working/wp-2001-026.pdf
-----------------------------------------------------------------------

16. POPULATION COUNCIL POLICY RESEARCH DIVISION: "Living arrangements of older adults in the developing world: An analysis of DHS household surveys," by John Bongaarts and Zachary Zimmer (Working Paper No. 148, 2001, .pdf format, 34p.).

Abstract:

Using data from Demographic and Health Surveys, this study examines living arrangements of older adults in 43 developing countries and compares patterns by gender, world regions, and macro-level measures of socioeconomic development. Indicators include household size, headship, relationship to head, and coresidence with spouse, children, and others. Unweighted regional averages and OLS regressions determine whether variations exist. Average household sizes are large, but a substantially higher proportion of elderly adults live alone than do individuals in other age groups. Females are more likely than males to live alone and are less likely to live with a spouse or to head a household. Heading a household and living in a large household and with young children are more prevalent in Africa than elsewhere. Coresidence with adult children is most common in Asia and least common in Africa. Coresidence is more frequently with sons than with daughters in both Asia and Africa, but not in Latin America. Variations in living arrangements within regions are explained in part by associations between national levels of education and household structure. As a country's level of schooling rises, most living arrangement indicators change, with families becoming more unclear. Urbanization and GNP have no significant effects on living arrangements. The associations with education may be attributable to a variety of intermediating factors, such as migration of children and preferences for privacy.

http://www.popcouncil.org/publications/wp/prd/148.html

Click on "Download the full Working Paper in PDF format" at the bottom of the abstract for full text.
-----------------------------------------------------------------------

17. DEPARTMENT OF ECONOMICS, LUND [SWEDEN] UNIVERSITY: "Time to disable DALYs? On the use of DALYs in health policy," by Carl Hampus Lyttkens (Working Paper No. 2001:11, July 2001, .pdf format, 24p.).

Abstract:

Disability-adjusted life years (DALYs) is a concept which has rapidly gained in popularity in health policy and considerable research resources are being allocated to the area. Proponents of DALYs suggest that the measure can be used both as a "GDP of health" and to help in setting priorities in health policy. This study extends the criticism of DALYs and contends that DALYs as the measure is currently understood, cannot be used for either of these two purposes. The DALYs procedure does not produce what it purports to do (a measure of population health), and its use in priority setting is ethically dubious.

http://swopec.hhs.se/lunewp/abs/lunewp2001_011.htm

click on "lunewp2001_011.pdf" at the bottom of the abstract for full text.

=======================================================================

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

18. Age and Ageing (Vol. 30, No. 4, July 2001). Note: Full electronic text (.pdf format) of this journal may be available. Check your organization's library. Abstracts are available.

http://ageing.oupjournals.org/content/vol30/issue4/index.shtml

19. Aging and Mental Health (Vol. 5, No. 3 Supplement, August 2001).

http://rosina.catchword.com/vl=19555529/cl=79/ini=saramail/nw=1/rpsv/catchword/carfax/13646915/v5n3x1/contp1.htm

20. Archives of Gerontology and Geriatrics (Vol. 33, No. 2, September 2001). Note: Abstracts are available.

http://www.elsevier.nl/cdweb/journals/01674943/viewer.htt?iss=2&vol=33&viewtype=issue

21. Journals of Gerontology: Biological Sciences (A) (Vol. 56A, No. 9, September 2001). Note: This journal is available in full electronic 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

22. Journals of Gerontology: Medical Sciences (A) (Vol. 56A, No. 9, September 2001). Note: This journal is available in full electronic 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

23. Journals of Gerontology: Psychological Sciences (B) (Vol. 56B, No. 5, September 2001). Note: This journal is available in full electronic 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

24. Journals of Gerontology: Social Sciences (B) (Vol. 56B, No. 5, September 2001). Note: This journal is available in full electronic 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
-----------------------------------------------------------------------

25. 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 Journal of Public Health (Vol. 91, No. 8, August 2001). Note: This journal is available in full electronic text in the ProQuest Research Library and the EBSCO Academic Search Elite database. Check your library for the availability of these databases and this issue.

Journal of Aging and Identity (Vol. 6, No. 2, 2001).
-----------------------------------------------------------------------

26. 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 Aug. 17, 2001:

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

B. Alzheimer's Disease: Literature for the week of Aug. 17, 2001:

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

C. Parkinson's Disease: Literature for the week of Aug. 17, 2001:

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

AMADEO Literature Guide:

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

=======================================================================

V. Legislation Information Updates:

27. US HOUSE COMMITTEE ON GOVERNMENT REFORM HEARING PUBLICATION: "H.R. 4401, the Health Care Infrastructure Investment Act of 2000," a hearing held July 11, 2000 (House Hearing Publication No. 106-236, ASCII text and .pdf format, 133p.).

http://www.access.gpo.gov/congress/house/house07ch106.html

Scroll to or "find in page" "106-236" (without the quotes).

=======================================================================

VI. Websites of Interest:

28. AOA SENIOR MEDICARE PATROLS: The US Administration on Aging has created this website to "promot[e] consumer awareness, preventing elder victimization, and [work] to implement community partnerships to prevent Medicare and Medicaid fraud, error, and abuse. The site provides information about Senior Medicare Patrol projects, senior volunteer beneficiary educators, and advice for consumers and professionals.

http://www.aoa.dhhs.gov/smp/index.asp
-----------------------------------------------------------------------

29. HEALTHANDAGE: NOVARTIS FOUNDATION FOR GERONTOLOGY: This gerontological meta-site that contains several relevant "health centers," from Alzheimer's Disease to Women's health, which, in turn, contain relevant recent news stories and articles. In addition, there are general health news articles, "disease digests" (fairly comprehensive articles aimed at a lay audience on over 80 disease topics [.pdf format], a primer and syllabus on aging, searchable and browsable drug interaction database, and an "Ask the Doctor" section. Several email newsletters are also available. This is an excellent site for a general audience with an interest in the topic.

http://www.healthandage.com/index.jsp


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