Current Awareness in Aging Research (CAAR) Report #112--November 29, 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:


I. Data:

1. CENTERS FOR MEDICARE AND MEDICAID SERVICES: "Health Care Indicators: Hospital, Employment, and Price Indicators for the Health Care Industry" (2nd Quarter, 2001, HTML, .pdf, .csv [comma separated values], and .zip compressed .csv format). "Health Care Indicators contains data and analysis of recent trends in health care spending, employment, and prices. The National Health Statistics Group tracks trends in health care related industries and presents this information quarterly. These data are valuable for understanding the relationship between the health care sector and the overall economy. In addition, they allow the National Health Statistics Group to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data."

2. HRS: Data Alert: Two Variables in HRS (Heath and Retirement Survey) 1996. Full details and SAS correction code are available from the site.

3. NLTCS: Duke University's Center for Demographic Studies has recently released Version 2.0 of the 1999 National Long Term Care Survey. Note that a Data Use Agreement must be completed and notarized before the survey can be acquired. For more information about the new release and about the NLTCS in general, see:

II. Reports and articles:

4. DHHS NEWS RELEASE: "HHS to Provide Nursing Home Quality Information to Increase Safety and Quality in Nursing Homes" (US Department of Health and Human Services, Nov. 19, 2001).


A. "CY 2002 Hospital Outpatient Prospective Payment System: Changes to the Hospital Outpatient Prospective Payment System for Calendar Year 2002" (US Centers for Medicare and Medicaid Research, November 2001, Microsoft Word, Excel, .zip compressed Excel, and .rtf format).

B. "Procedures for Coding and Payment Determinations for Clinical Laboratory Tests and for Durable Medical Equipment" (US Centers for Medicare and Medicaid Services, November 2001).


A. "Understanding the Effects of Direct-to-Consumer Prescription Drug Advertising" (Kaiser Family Foundation, November 2001, .pdf format, 24p.)."National spending on prescription drugs is the fastest growing segment of health care spending, accounting for 20% of the estimated increase in such spending between 1999 and 2000. Spending on advertising directly to consumers increased nine-fold from $266 million in 1994 to nearly $2.5 billion in 2000, largely due to growth in television advertising (13% of direct-to-consumer spending in 1994, rising to 64% in 2000). A new survey report finds that nearly one in three adults has talked to a doctor and one in eight has received a prescription in response to a seeing an ad for a prescription drug and provides information on how consumers react to seeing various ads. A separate report outlines trends in prescription drug expenditures and factors driving their growth and prescription drug utilization, including types of drugs used." Also included is a news release, chartpacks, the questionnaire for the survey, and frequencies.

B. _Prescription Drug Trends: A Chartbook Update_," by David H. Kreiling, David A. Mott, Joseph B. Weiderholt, Janet Lundy, and Larry Levitt (Kaiser Family Foundation, November 2001, .pdf format, 59p.). "This November 2001 Chartbook updates data from last year's chartbook, including information about prescription drug coverage, expenditures and prices, utilization, drug promotion, and the pharmaceutical industry." Note that a link to the 2000 _Chartbook_ is available at the site.


A. "U.S. Retirement Magnets" (Population Reference Bureau Ameristat website, November 2001).

B. "Where Do Baby Boomers Live?" (Population Reference Bureau Ameristat website, November 2001).

8. _NATURE_ BRIEF COMMUNICATIONS ABSTRACT: "Longevity: Extending the lifespan of long-lived mice," by Andrej J. Bartke, J. Chris Wright, Julie A. Mattison, Donald K. Ingram, Richard A. Miller, and George S. Roth (_Nature_ Brief Communications, Vol. 414, No. 6862, Nov. 22, 2001, p. 412).

9. _NEJM_ ARTICLE ABSTRACT: "Nonsteroidal Antiinflammatory Drugs and the Risk of Alzheimer's Disease," by Bas A. in 't Veld, Annemieke Ruitenberg, Albert Hofman, Lenore J. Launer, Cornelia M. van Duijn, Theo Stijnen, Monique M.B. Breteler, and Bruno H.C. Stricker (_New England Journal of Medicine_, Vol. 345, No. 21, Nov. 22, 2001, p. 1515-1521).

10. _BMJ_ NEWS EXTRA: "Pretty asks House of Lords for right to assisted suicide," by Clare Dyer (_British Medical Journal_ News Extra, Vol. 323, No. 7323, Nov. 24, 2001, p. 1208).

11. _LANCET_ FEATURE: Note: _Lancet_ requires free registration before providing content. "US government undercuts Oregon's assisted-suicide law," by Faith McLellan (_Lancet_, Vol. 358, No. 9295, Nov. 24, 2001, HTML and .pdf format, p. 1788).



12. MEDSCAPE ARTICLE: Note: Medscape requires free registration before providing articles. "Trend of the Month: Medicare HMO Drug Cost as Part of Operating Expenses Dips Slightly" (_Drug Benefit Trends_, Vol. 13, No. 10, October 2001).


13. AARP PERIODICAL: Selected articles are electronically available from the January/February 2002 issue of AARP's _My Generation_.


III. Working Papers:

14. CENTER FOR RETIREMENT RESEARCH AT BOSTON COLLEGE: ""Why Some Workers Remain in the Labor Force Beyond the Typical Age of Retirement," by John B. Williamson and Tay K. McNamara (Center for Retirement Research at Boston College, WP 2001-09, November 2001, .pdf and HTML format, 33p.).


This study explored the ways in which race, gender, and age moderated the effects of several determinants of labor force participation among people ages 60 to 80. The role of race, gender, and age in moderating the effect of various factors on labor force participation was examined using the 1998 Health and Retirement Study (HRS) data. Binomial logistic regression models were used to evaluate the interaction between race, gender, age and other determinants of labor force participation. The effects of various factors on labor force participation differed by gender, race, and age. The negative effects of low education and poor health, respectively, were stronger for women and blacks. Also, the positive effect of low nonwage income was weaker for older workers, probably due partly to poorer health. Our findings suggest that different types of policies would help to encourage labor force participation among different groups. Because lack of access to employment may deter continued work among subgroups such as blacks and women with low education, job training or job search programs might provide incentives for employment in these groups. Additionally, employer flexibility regarding part-time work and work demands might make continued work attractive for more older workers.


A. "The Effects of Transitions in Filial Caregiving on Mental and Physical Health: A Prospective U.S. National Study," by Nadine F. Marks, James David Lambert, and Hey Jung Joon (Working Paper 2001-16, November 2001, .pdf format, 40p.).


Purpose: This study examined the effects of transitioning into the role of filial caregiver, continuation in filial caregiver role over a period of at least five years, and exiting the role of filial caregiving due to parental death on mental and physical health. Further, it evaluated the moderation of caregiving effects by gender, relationship quality, filial obligation, race-ethnicity, education, income, employment status, marital status, and parental status.

Design and Methods: Data from adults aged 25-65 in 1987-88 and followed up longitudinally in 1992-94 (National Survey of Families and Households) was analyzed (N=1,476). Outcomes included depression, hostility, global happiness, self-esteem, personal mastery, psychological wellness, and self-assessed global health. Multivariate regression models were estimated.

Results: Results suggested that the transition to filial caregiving at a relatively high level of involvement was associated with more depression for men. Continuous care was associated with more hostility, a greater decline in happiness, and a greater decline in self-assessed global health among men. Adult children ending parent care due to death reported mental and physical health similar to noncaregiving adult children. Gender differences suggested men may experience more of mental and physical health risk due to caregiving than women. Relationship quality, filial obligation, social status characteristics, and other role commitments influence the effects of entering into filial caregiving, often in different ways for men and women.

Discussion: Filial care in the U.S. population is not consistently associated with compromised mental and physical health. Gender, relationship quality, filial attitudes, and multiple social context factors moderate the effects of entering into filial care and should be examined further in future research.

B. "Intergenerational Help and the Meaning of Extended Family Residence among Elders in Mexico," by Susan De Vos, Patricio Sols, and Veronica Montes de Oca (Working Paper 2001-18, October 2001, .pdf format, 48p.).


This paper focuses on informal instrumental help received by a nationally-representative sample of elderly Mexican men age 60 and over gathered in 1994. About half the men received in-kind or domestic assistance in the last month, while about two-fifths received financial assistance, and a little more than a quarter received physical assistance. These figures must be interpreted alongside the facts that almost half of the men were still working, over half (57%) had no discernible health limitation and roughly a quarter were still living in simple family households with one or more unmarried children. The common assumption that living arrangements helps indicate assistance seems valid. When receipt of help was regressed on living arrangements and a number of other socioeconomic characteristics, living arrangements stayed an important predictor. Other factors stayed important too, however. This suggests that help is a multidimensional concept that includes, but is not limited to coresidence. Coresidence is neither a sufficient nor even a necessary condition. In fact, many elders who received help, received some of that help from non-coresiding relatives. Remittances were important, but we found that help from non-coresiding relatives or friends included in-kind, domestic and physical assistance as well as financial assistance. Perhaps it is time to dust off notions of a modified extended family, and in turn modify them, to help us understand the situation in Mexico. Questions about geographic distance, in addition to coresidence, could be helpful.

16. NBER: "The Changing Role of America's Veterans," by Hugh Rockoff (National Bureau of Economic Research W8595, November 2001, .pdf format, 39p.).


This essay provides an historical background for understanding the statistics on veterans that will appear in the millennial edition of the _Historical Statistics of the United States_. It describes changes in the number of veterans, and in the benefits provided by governments to veterans, from colonial times to the present. It then discusses in broad terms how political and historical forces shaped the form and amount of benefits provided to veterans, and how the programs created for veterans in turn influenced the evolution of other government programs.

Click on "PDF" or submit your email address at the bottom of the abstract for full text.

17. MCMASTER UNIVERSITY [CANADA] SOCIAL AND ECONOMIC DIMENSIONS OF AN AGING POPULATION (SEDAP): Note: Abstracts for the below listed papers can be found at:

Scroll to the number of the paper (58, 61, etc.) or scroll to or "find in page" the title of the paper.

A. "Measuring Differences in the Effect of Social Resource Factors on the Health of Elderly Canadian Men and Women," by Steven G. Prus and Ellen Gee (SEDAP Research Paper 58, October 2001, .pdf format, 40p.).

B. "APOCALYPSE NO: Population Aging and the Future of Health Care Systems," by R.G. Evans, K.M. McGrail, S.G. Morgan, M.L. Barer, and C. Hertzman (SEDAP Research Paper 59, October 2001, .pdf format, 31p.).

C. "Student Enrollment and Faculty Recruitment in Ontario: The Double Cohort, the Baby Boom Echo, and the Aging of University Faculty," by Byron G. Spencer (SEDAP Research Paper 61, October 2001, .pdf format, 48p.).

D. "The Social and Demographic Contours of Contemporary Grandparenthood: Mapping Patterns in Canada and the United States," by Candace L. Kemp (SEDAP Research Paper 62, October 2001, .pdf format, 54p.).

E. "Changing Income Inequality and the Elderly in Canada 1991-1996: Provincial Metropolitan and Local Dimensions," by Eric G. Moore and Michael A. Pacey (SEDAP Research Paper 63, October 2001, .pdf format, 43p.).

F. "Mid-life Patterns and the Residential Mobility of Older Men," by Lynda M. Hayward (SEDAP Research Paper 64, November 2001, .pdf format, 38p.).


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

18. American Journal of Epidemiology (Vol. 154, No. 11, Dec. 1, 2001). Note: Full electronic text (HTML and .pdf format) may be available at the site. Check your organization's library.

19. American Journal of Public Health (Vol. 91, No. 11, November 2001). Note 1: Full electronic text may be available at the site. Check your organization's library. Note 2: Full electronic text of this journal is available in the ProQuest Research Library and EbscoHost Academic Search Elite databases. Check your library for the availability of these databases and this issue.

20. The Gerontologist (Vol. 41, No. 6, December 2001). Note 1: Full electronic text may be available at the site. Check your organization's library. Note 2: Full electronic text of this journal is available in the ProQuest Research Library. Check your organization's library for the availability of this database and this issue.

21. Journal of Gerontology (A), Biological and Medical Sciences (Vols. 56A, Nos. 12, December 2001). Note 1: Full electronic text may be available at the site. Check your organization's library. Note 2: Full electronic text of this journal is available in the ProQuest Research Library. Check your organization's library for the availability of this database and this issue.

22. INGENTA Tables of Contents: INGENTA provides fee based document delivery services for selected journals.

A. Point your browser to:

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.

Canadian Journal on Aging (Vol. 20, No. 3, 2001).

Clinical Gerontologist (Vol. 23, No 1/2, 2001).

International Journal of Aging and Human Development (Vol. 53, No. 2, 2001).

Journal of Aging and Health (Vol. 13, No. 4, 2001). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your organization's library for the availability of this database and this issue.


V. Funding Opportunities:

23. NIH: "International Collaborative Genetics Research Training Program" (US National Institutes of Health, National Institute on Aging, in conjunction with several other agencies, RFA-TW-02-001, Nov. 19, 2001).

24. NIH ANNOUNCEMENT: "Mail Addressed to the National Institutes of Health (US National Institutes of Health, Nov. 13, 2001).

VI. Conferences:

25. HRS WORKSHOP: "A one-week workshop on the Health and Retirement Study will be offered Jul. 8 through Jul. 12, at the 2002 Summer Institute in Survey Research Techniques at the University of Michigan's Institute for Social Research," in Ann Arbor, Michigan. For more information see:

26. AARP/GEORGETOWN PUBLIC POLICY INSTITUTE/CENTER ON AN AGING SOCIETY SYMPOSIUM: "Beyond 50: Has Retirement Passed Boomers By?" to be held Dec. 11, 2001 in Washington, DC). For more information, including an agenda and registration information see:

VII. Websites of Interest:

27. NUTRITION.GOV SENIORS: NUTRITION.GOV, an inter-governmental web site, contains a section on seniors that contains numerous links to sites and articles dealing with nutrition related issues.

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