Current Awareness in Aging Research (CAAR) Report #11--December 2, 1999

CAAR (Current Awareness in Aging Report) 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:


I. Data:

1. WLS UPDATES: The Wisconsin Longitudinal Survey has updated its announcement page with two announcements (#1 and #2), describing variable errors in the 11/99 releases of waves 2 and 3 (announced in CAAR #9) and a minor edition to the wave 3 file that requires the new WLSGV program for those who use it.


II. Reports and articles

2. NIH DRAFT GUIDELINES FOR STEM CELL RESEARCH: "Draft National Institutes of Health Guidelines for Research Involving Human Pluripotent Stem Cells (December 1999)."

>From the Summary:

The National Institutes of Health (NIH) is requesting public comment on a document entitled "Draft National Institutes of Health Guidelines for Research Involving Human Pluripotent Stem Cells (December 1999)." The purpose of these draft guidelines is to recommend procedures to help ensure that NIH-funded research in this area is conducted in an ethical and legal manner. The NIH will not fund research using human pluripotent stem cells until final guidelines are published in the Federal Register and an oversight process is in place. Written comments should be received by NIH on or before January 31, 2000.


Federal Register (text or .pdf format): (67576-67579 [FR Doc. 99-31339]):

and search "pluripotent stem cells"


A. "Drug Therapy: Treatment of Alzheimer's Disease," by Richard Mayeux and Mary Sano (_NEJM_ November 25, 1999 -- Vol. 341, No. 22.) Note: Full text
of this article is available only to subscribers.

B. Clinical Implications of Basic Research: "Immunologic Treatment of Alzheimer's Disease," (_NEJM November 25, 1999 -- Vol. 341, No. 22). Full text available.

4. NATIONAL CENTER ON WOMEN AND AGING AND NATIONAL ALLIANCE FOR CAREGIVERS REPORT: "The MetLife Juggling Act Study: Balancing Care Giving With Work and the Costs Involved" (November 1999, .pdf format, 16p.).

>From the Press Release:

Americans who provide care for elderly relatives pay a huge price both financially and professionally for their devotion, according to a study from the Brandeis University-based National Center on Women & Aging (NCWA). MetLife's Mature Market Institute funded the research, conducted in conjunction with the National Alliance for Caregiving.

Press Release:


5. SSA REPORT: The Social Security Administration has released _Social Security: Accountability Report for Fiscal Year 1999_ (November 1999, .pdf format, 204p.).

"SSA's FY 1999 Accountability Report includes SSA's first Government Performance and Results Act Annual Performance Report. It also contains messages from SSA's Commissioner and Inspector General, a Ten-Year Summary of Financial Highlights and Management's Discussion and Analysis (MD&A). The MD&A consists of five sections: SSA's Mission and Organization Structure which includes a description of SSA's programs; Major Issues Facing SSA; Performance Goals and Results; Highlights of SSA's Financial Position; and Systems and Controls. The report also includes SSA's audited principal financial statements and notes, supplemental financial schedules; actuarial information and supplemental management information; and program and financial performance categorized by SSA's business processes and service delivery interfaces as well as the Office of Inspector General's (OIG) report on the Audit of SSA's FY 1999 Financial Statements and the OIG Semiannual Report to Congress." Note that 1997 and 1998 FY reports are available at the site. The 1999 report can be downloaded as a single file or by individual chapters.

6. OECD POLICY BRIEF: "Pension Reform: Lessons from Latin America," by Monika Queisser (OECD Policy Brief No. 15, 1999, .pdf format, 35p.).


III. Working Papers


A. Grandparent Care and Welfare: Assessing the Impact of Public Policy on Split and Three Generation Families," by Amy G. Cox and Anne R. Pebley, (WP 99-08 DRU-2166-NICHD/NIA, September 1999, .pdf format, 38p.).

>From the Abstract:

Grandparent caregiving has received increased attention in recent years, and grandparent-grandchild families have generated several public policy concerns, including whether grandparent-led families face barriers to obtaining public assistance. We address this question by comparing the welfare eligibility and use of grandparent-grandchild families with that of other families. After investigating the relative need for and use of AFDC, food stamps, and Medicaid, we analyze the determinants of program use among children in different family types. Using data from the 1992 Survey of Income and Program Participation, we find that grandparent-led families, particularly split generation families, are actually more likely than other family types to receive government assistance. We conclude by considering the potential consequences of welfare reform for grandparent-grandchild families in light of our findings.

B. "Insurance Coverage for Prescription Drugs: Effects on Use and Expenditures in the Medicare Population, by Lee A. Lillard, Jeannette Rogowski, and Raynard Kington (WP-99-09, DRU-2073-NIA, September 1999, .pdf format, 19p.).

>From the Abstract:

Background. Although most of the elderly are covered by Medicare, they potentially face large out-of-pocket costs for their health care because of excluded services. Aside from nursing home care, one of the most significant exclusions is for prescription drugs. Several prior policy initiatives have proposed adding prescription drug coverage to the Medicare program. To determine the effects of such an expansion, one must account for the potential increase in the demand for prescription drugs from providing insurance coverage.

Methods. The study uses a new data source, the RAND Elderly Health Supplement to the 1990 Panel Study of Income Dynamics (PSID). The endogeneity of insurance coverage is tested using instruments that exploit the longitudinal nature of the data. Equations are estimated on 910 persons age 66 and older using a two-part model.

Results. Insurance coverage for prescription drugs significantly increases the probability of use but not total expenditures among those who use such coverage. However, insurance coverage significantly lowers out-of-pocket expenditures, thereby decreasing the financial burden on elderly households associated with prescription drug use. Medicaid coverage has effects that are smaller than those for private insurance, but the magnitude is less precisely estimated. These findings imply that if prescription drug coverage were added to Medicare, expected expenditures on drugs would rise by on average $83 for each elderly Medicare
beneficiary (in 1990 dollars), although this increase is significant only at the 90 percent level. If the benefit were included under Medicare, expected spending on prescription drugs by the elderly would rise by approximately 20%, or $2.6 billion in 1990 dollars.

8. UNIVERSITY OF MICHIGAN POPULATION STUDIES CENTER: "Work and Retirement among the Elderly in Vietnam," by Jed Friedman, Daniel Goodkind, Bui The Cuong, and Truong Si Anh (PSC Research Report No. 99-442, December 1999, .pdf format, 26p.).

>From the Abstract:

This paper examines patterns of work and retirement in Vietnam based on two recent surveys of the elderly (aged 60+) in the northern and southern sub-regions. Because of its recent history, Vietnam provides a unique context for addressing elderly labor force participation in general as well as elderly work patterns amidst the transition to a market economy. As expected, elderly persons are less likely to be working to the extent that they were older or sick, although there is little significant variation by socioeconomic status. There are, however, distinct patterns of work stoppage across macro-regions and work sectors (agricultural, state, and non-state), the latter due in part to the nature of work in these sectors. The survey data also permit measurements across time, including switches from one work sector to another, or to retirement. Most notably, the data demonstrate the strong outflow of elderly employees since 1989 from the state sector. We discuss explanations for these findings, paying particular attention to Vietnam's recent history and social policies designed to facilitate the transition towards a market-based economy. Datasets used: 1996 Survey of Elderly in the Red River Delta (Institute of Sociology, Hanoi); 1997 Survey of Elderly in Ho Chi Minh City and Environs (Institute of Economic Research, Ho Chi Minh City).

9. UNIVERSITY OF WESTERN ONTARIO: "Information and Dynamic Adjustment in Life Insurance Markets," by Mattias K. Polborn, Mike Hoy, and Asha
Sadanand (Working Paper #9911, October 1999, .pdf or .ps format, 35p.).

>From the Abstract:

Genetic tests can be expected to produce a large amount of economically important information in the future. What are the effects on a life insurance market if more information becomes available over time, for individuals and possibly also for insurers? Should people buy insurance before or after becoming informed? How do earlier trades influence the market equilibrium in later periods? We also analyze the scope for a Pareto improving regulation of the insurance market.


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

10. CARL Uncover Journal Tables of Contents. Follow the instructions below to access tables of contents.

A. Point your browser to:

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

_Family and Consumer Sciences Research Journal_ (Vol. 28, No. 2, December 1999). Note: This journal is available in full text in the ProQuest Research Library. Check your library for the availability of ProQuest and of this issue.


V. Employment Opportunities


The Policy Research Division of the Population Council is planning to expand its agenda by initiating a new program on population aging, with an emphasis on developing countries. This position will be the first full-time position in this program. For more information see:


VI. Legislation Information Updates

12. AOA OLDER AMERICANS APPROPRIATION ACT INFORMATION UPDATE: On 11/29/99, President Clinton signed the Omnibus Consolidated Appropriation Act, 2000. Last week's (CAAR #10) Conference Committee dollar figures table has been updated to show "enacted" dollar figures.

Conference Committee Dollar Figures with "Enacted" Dollar Figures:


VII. Websites of Interest

13. HCFA PUBLIC USE FILES: The Health Care Finance Administration provides access to selected public use files from this site. Files have brief abstracts that explain their contents. Most files are DOS/Windows compressed and record layouts are in various formats.

Jack Solock
Data Librarian--Center for Demography and Ecology
4470 Social Science
University of Wisconsin-Madison
Madison, WI 53706