Current Awareness in Aging Research (CAAR) Report #113--December 6, 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. _CPS MARCH 2001 (ANNUAL DEMOGRAPHIC) FILE_ USERNOTE: "The Census Bureau is revising estimates derived from the Current Population Survey March 2001 supplement data file due to the discovery of a weighting error." For more information, including location of the corrected data file and an extract file with the new weights see:

2. MEPS: The US Department of Health and Human Services, Agency for Health Care Research and Quality has released:

A. The "1998 Hospital Inpatient Stays File" (MEPS HC-026D) from the Medical Expenditure Panel Survey. Documentation, codebooks, and SAS programming statements are provided (documentation files come in .pdf and HTML format). Data files are provided in SAS transport and ASCII formats. For information about downloading the documentation and data files click on "viewing and downloading."

B. "Disparities and Gender Gaps in Women's Health, 1996," by Barbara L. Kass-Bartelmes, Barbara M. Altman, and Amy K. Taylor (_Agency for Healthcare Research and Quality_, MEPS Chartbook #8, 2001, .pdf and HTML format, 43p.).


This report focuses on three key aspects of women's health. The first section introduces data on health insurance status for women as compared to men and describes racial/ethnic differences among women. The second section presents information on access to care and use of medical services, including gender differences and racial/ethnic differences among women for usual source of care, use of care, and preventive services. Finally, the third section depicts women's health status, including functional limitations. It compares men and women, as well as women of different racial/ethnic groups, income levels, and educational status.

3. AOA: "2000 National Ombudsman Reporting System Data Tables," (Microsoft Excel and compressed [.zip] Microsoft Excel format):


II. Reports and articles:

4. CENSUS BUREAU: "2000 Service Annual Survey: Health Care and Social Assistance Services," (US Department of Commerce, Bureau of the Census, November 30, 2001, .pdf and ASCII format). "The health care and social assistance sector includes ambulatory health-care services, hospitals, nursing and residential care facilities, and social assistance, such as child and youth services, services for the elderly and persons with disabilities, and child day care services. The tables show separate estimates for taxable and tax-exempt, selected businesses."

To view or download the tables for this report go to:

The press release concerning this report can be found at:


A. "Social Security: Program's Role in Ensuring Income Adequacy," (US General Accounting Office GAO-02-62, November 30, 2001, .pdf format, 93p.).

B. "Medicare+Choice: Recent Payment Increases Had Little Effect on Benefits, Plan Availability in 2001," (US General Accounting Office GAO-02-202, November 21, 2001,.pdf format, 25p.).

Note: These are temporary addresses. GAO reports can always be found at:

Search on title or report number.

6. DHHS OIG OEI REPORT: "Beneficiary Awareness of Medicare Fraud: A Follow-up," (US Dept. of Health and Human Services, Office of Inspector General, Office of Evaluations and Inspections OEI-09-00-00590, November 2001, .pdf format, 23p.).

This report addresses current Medicare beneficiaries' level of awareness of fraud and compares it to previous levels that the OIG reported in 1998. We found that outreach activities which are designed to educated beneficiaries about Medicare fraud are meeting most of their goals. Beneficiaries in 2001 are more knowledgeable about Medicare fraud and are significantly more likely to receive information about fraud than they were 3 years ago. Additionally, beneficiaries are reporting suspected fraud using an approach consistent with the three-step process outlined in the ''Who Pays? You Pay.'' campaign which directs them to first contact their health care provider, then their Medicare insurance company, and finally the OIG hotline.

7. DHHS OIG OAS AUDIT REPORT: "Medicare Inpatient Hospital Prospective Payment System Transfers Incorrectly Reported as Discharges," (US Dept. of Health and Human Services, Office of Inspector General, Office of Audit Services A-06-00-00041, November 2001, .pdf format, 28p.).


This final report points out a continuing significant problem with hospitals incorrectly reporting prospective payment system (PPS) transfers as discharges. Since 1992 the number of incorrectly reported transfers has trended downward, but remains too high. Hospitals incorrectly reported an average of 1,132 PPS transfers per month in 1992 with this average decreasing to about 495 per month in 1999. We identified over 153,000 claims for incorrectly reported transfers during the period January 1992 through June 2000. The potential overpayments related to these transfers totaled nearly $233 million. Causes which have contributed to this ongoing problem include misapplication of the PPS transfer policy by the Centers for Medicare and Medicaid Services (CMS) regional offices and the fiscal intermediaries (FIs), problems with computer systems interfaces at hospitals, and breakdowns in communication between hospitals' medical and billing staffs. We recommended that CMS (1) issue instructions to and work with FIs to initiate the collection of the overpayments identified to date, (2) issue clarifying instructions or bulletins to the FIs and hospitals, and (3) instruct FIs and hospitals to review all internal procedures and processes related to claims submission and payment to assure that PPS transfers are properly reported. The CMS generally concurred with our recommendations.


A. "Retirement age declines again in 1990s," by Murray Gendell (US Bureau of Labor Statistics _Monthly Labor Review_, Vol. 124, No. 10, October 2001, .pdf format, p. 12-21).


The average retirement age resumed its long-run decline in the 1990s after having leveled off during the preceding 10 to 15 years; the resumption of the decline is attributed largely to a rise in the labor force participation rate of older men and women between the mid-1980s and 2000.

B. "Labor force projections to 2010: steady growth and changing composition," by Howard N Fullerton, Jr. and Mitra Toossi (US Bureau of Labor Statistics _Monthly Labor Review_, Vol. 124, No. 11, November 2001, .pdf format, p. 21-38).


The labor force will grow steadily as the population and labor force ages; diversity will continue to increase.

9. ALASKA DEPARTMENT OF LABOR PERIODICAL: _Alaska Economic Trends_ (December 2001, .pdf format, 19p.). Note: The issue is highlighted by an article: "Seniors in Alaska."

10. _PNAS_ ARTICLE ABSTRACT: Note: Electronic full-text of these articles may be available. Check with your organization's library.

A. "T cell infiltration of the prostate induced by androgen withdrawal in patients with prostate cancer," by Maria Mercader, Barbara K. Bodner, Micheal T. Moser, Pamela S. Kwon, Eugene S. Y. Park, Ryan G. Manecke, Thomas M. Ellis, Eva M. Wojcik, Damu Yang, Robert C. Flanigan, W. Bedford Waters, W. Martin Kast, and Eugene D. Kwon (_Proceeding of the National Academy of Sciences_, Vol. 98, No. 25, December 4, 2001, .pdf and HTML format, p. 14565-14570).

B. "Minocycline prevents nigrostriatal dopaminergic neurodegeneration in the MPTP model of Parkinson's disease," by Yansheng Du, Zhizhong Ma, Suizhen Lin, Richard C. Dodel, Feng Gao, Kelly R. Bales, Lazarose C. Triarhou, Eyassu Chernet, Ken W. Perry, David L. G. Nelson, Susan Luecke, Lee A. Phebus, Frank P. Bymaster, and Steven M. Paul (_Proceeding of the National Academy of Sciences_, Vol. 98, No. 25, December 4, 2001, .pdf and HTML format, p. 14669-14674).

C. "Specific spatial learning deficits become severe with age in beta-amyloid precursor protein transgenic mice that harbor diffuse beta-amyloid deposits but do not form plaques," by Milla Koistinaho, Michael Ort, Jose M. Cimadevilla, Roman Vondrous, Barbara Cordell, Jari Koistinaho, Jan Bures, and Linda S. Higgins (_Proceeding of the National Academy of Sciences_, Vol. 98, No. 25, December 4, 2001, .pdf and HTML format, p. 14675-14680).

11. _NATURE_ LETTERS TO NATURE ABSTRACT: Note: Electronic full-text of this article may be available. Check with your organization's library.

"Kinesin-mediated axonal transport of a membrane compartment containing beta -secretase and presenilin-1 requires APP ," by Adeela Kamal, Angels Almenar-Queralt, James F. Leblanc, Elizabeth A. Roberts, and Lawrence S. B. Goldstein (_Nature_, Vol. 414, No. 6864, December 6, 2001, .pdf and HTML format, p.643-648).

12. _NATURE BIOTECHNOLOGY_ NEWS AND ARTICLE ABSTRACTS: Note: Electronic full-text of these articles may be available. Check with your organization's library.

A. "Stem cells with brainpower," by Lorenz Studer (_Nature Biotechnology_, Vol. 19, No. 12, December 2001, .pdf and HTML format, p. 1117-1118).

B. "In vitro differentiation of transplantable neural precursors from human embryonic stem cells," by Su-Chun Zhang, Marius Wernig, Ian D. Duncan, Oliver Brstle and James A. Thomson (_Nature Biotechnology_, Vol. 19, No. 12, December 2001, .pdf and HTML format, p. 1129-1133).

C. "Neural progenitors from human embryonic stem cells," by Benjamin E. Reubinoff, Pavel Itsykson, Tikva Turetsky, Martin F. Pera, Etti Reinhartz, Anna Itzik, and Tamir Ben-Hur (_Nature Biotechnology_, Vol. 19, No. 12, December 2001, .pdf and HTML format, p. 1134-1140).

13. _JAMA_ ARTICLE ABSTRACTS AND LETTER: Note: Electronic full-text of these articles may be available. Check with your organization's library.

A. "Aptiganel Hydrochloride in Acute Ischemic Stroke: A Randomized Controlled Trial," by Gregory W. Albers, Larry B. Goldstein, David Hall, and Lynna M. Lesko for the Aptiganel Acute Stroke Investigators (_Journal of the American Medical Association_, Vol. 286, No. 21, December 5, 2001, .pdf and HTML format, p. 2673-2682).

B. "Survival by Time of Day of Hemodialysis in an Elderly Cohort," by Donald L. Bliwise, Nancy G. Kutner, Rebecca Zhang, and Kathy P. Parker (_Journal of the American Medical Association_, Vol. 286, No. 21, December 5, 2001, .pdf and HTML format, p. 2690-2694).

C. "Brain Injury Resulting From Falls Among Elderly Persons," by Judy A. Stevens, Nelson Adekoya, and Pekka Kannus (_Journal of the American Medical Association_, Letter, Vol. 286, No. 21, December 5, 2001, .pdf and HTML format, p. 2665-2666).

14. _THE LANCET_ ARTICLE ABSTRACT: Note: _Lancet_ requires free registration before providing content.

"Thrombin-specific anticoagulation with bivalirudin versus heparin in patients receiving fibrinolytic therapy for acute myocardial infarction: the HERO-2 randomised trial," by The Hirulog and Early Reperfusion or Occlusion (HERO)-2 Trial Investigators (_The Lancet_, Vol. 358, No. 9296, December 1, 2001, .pdf and HTML format, p. 1855-1863). Note: See the end of the article for a list of the authors.

15. _MEDSCAPE_ ARTICLE: Note: Medscape requires free registration before providing articles.

A. "Rethinking a Drug Discount Program," by Debi Reissman (_Drug Benefit Trends via Medscape_, Vol. 13, No. 10, October 2001, HTML format, p. 23).


B. "Bupropion SR Looks Promising for Major Depression in the Elderly -- but More Research Needed," (_The Brown University Geriatric Psychopharmacology Update via Medscape_, Vol. 5, No. 11, November 2001, p. 3-4).


16. _MEDICAL JOURNAL OF AUSTRALIA_ ARTICLES AND COMMENTARY: The November 19 issue of the Medical Journal of Australia focuses on end of life medical care. MJA has provided electronic full-text for a selection of articles and commentaries that appeared in the issue (_Medical Journal of Australia_, Vol. 175, No. 10, November 19, 2001, HTML format). The table of contents, with links to articles and commentaries, can be found at:

This issue can also be accessed from the MJA archives page at:

17. _URBAN INSTITUTE_ REPORT: "One-Third at Risk: The Special Circumstances of Medicare Beneficiaries with Health Problems," by Marilyn Moon and Matthew Storeygard (_Urban Institute_, December 2001, .pdf format, 26p.)

Executive Summary:

Before contemplating reforms in Medicare, it is crucial to understand the needs of vulnerable groups the program serves so that the important achievement of providing mainstream coverage to these populations is not undermined. While a considerable amount of a given years health care expenses is unpredictable --the result of accidents or illnesses that strike without warning--many Medicare beneficiaries have health conditions that make substantial expenditures predictable. Elderly and disabled people have a disproportionate share of chronic and acute conditions. It is to be expected that members of these groups will make decisions about insurance and health care spending that reflect their knowledge of the expenses such conditions are likely to incur. Consequently, these populations are the least attractive customers for the private insurance sector and the ones at whom Medicare reforms and protections should be targeted.

Note: Click on "Portable Document Format (PDF)" to access the full-text of this report.

18. _AARP_ PRIME TIME RADIO: The following AARP Prime Time Radio interviews are now available (AARP, RealPlayer format, Oct. 9, 16, 23, & 30 and November 6, 2001).

"The Secret Life of the Brain"
"Reflections on the First Years of Widowhood"
"War Letters"
"Negotiating Nicely"
"War in a Time of Peace"
"HUD Secretary Martinez on Housing Older People"
"Herblock - Revisited"
"Jewish Comedians"
"The Teenage Brain - It Really is Different!"
"What's Worth Knowing"

Click on the title of the interview to listen.

19. _AARP BULLETIN_: _AARP Bulletin_, December 2001. Selected articles are available in electronic full text.

Note: This is a temporary address. When the next _Bulletin_ is released, this one will be available for a limited period of time via a link under"previous issues" at the site.

20. _ILCUSA_ : "ILC Report, November 2001," (International Longevity Center, .pdf format, 6p.). Note: The ILC Report is a "monthly compilation of longevity news and trends in the U.S. and abroad."

III. Working Papers:

21. UNIVERSITY OF WISCONSIN CENTER FOR DEMOGRAPHY AND ECOLOGY: "A First Look at Living Arrangements Among Hispanic Elders 1970-2000 with Special Emphasis on Living Alone Among Unmarried Women," by Susan De Vos and Elizabeth Arias (WP 2001-05, 2001, .pdf format, 33p.).

No abstract is available.

22. NBER: "Hospitals, Managed Care, and the Charity Caseload in California," by Janet Currie and John Fahr (National Bureau of Economic Research Working Paper No. W8621, December 2001, .pdf format, 48p.).


Many observers have blamed HMOs for increasing financial pressures on private hospitals and causing them to cut back on the provision of charity care. We examine this issue using data on all hospital discharges in California between 1988 and 1996. We find that public hospitals in counties with higher HMO penetration do take on a larger share of the county's charity caseload. However, these public hospitals also take on larger shares of most other types of patients. At the hospital level, we find little evidence that either for-profit or non-profit private hospitals respond to HMO penetration by turning away uninsured and Medicaid patients. On the contrary, in the for-profit sector higher HMO penetration is linked to reductions in the share of privately insured patients in the caseload, and corresponding increases in the share of Medicare patients and Medicaid births. Since HMO penetration reduces the price paid by privately insured patients they may be less attractive to for-profit hospitals relative to the publicly insured.

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

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

23. Population and Development Review (Vol. 27, No. 3, Sept. 2001).

24. 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.

American Sociological Review (Vol. 66, No. 5, 2001). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for availability of this database and issue.

Demography (Vol. 38, No. 4, 2001). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for availability of this database and issue.

Family and Consumer Sciences Research Journal (Vol. 30, No. 2, 2001). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for availability of this database and issue.

Journal of the American Geriatics Society (Vol. 49, No. 11, 2001).

Journal of Gerontological Social Work (Vol. 35, No. 2, 2001).

Population Studies (Vol. 55, No. 3, November 2001).

25. 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 December 4, 2001:

B. Alzheimer's Disease: Literature for the week of December 4, 2001:

C. Parkinson's Disease: Literature for the week of December 4, 2001:

AMADEO Literature Guide:


V. Funding Opportunities/Jobs:

26. NIH: "Human Embryonic Stem Cell Research Resource Infrastructure Enhancement Award," (US National Institutes of Health, National Institute on Aging, in conjunction with several other agencies, PAR-02-023, November 29, 2001).

27. INTERNATIONAL LONGEVITY CENTER USA JOB ANNOUNCEMENT: The International Longevity Center is seeking a Director of Policy Research. The deadline for applications is January 10, 2002. For more information about the position go to:

VI. Legislation Information Updates:

28. US HOUSE COMMITTEE ON WAYS AND MEANS SUBCOMMITTE ON HEALTH: "Status of the Medicare+Choice Program," a hearing held December 4, 2001 (US House Committee on Ways and Means, Subcommittee on Health, HTML format). To view the statements submitted by witnesses go to:

VII. Websites of Interest:

29. THE HORMONE FOUNDATION: The Hormone Foundation is "the public education affiliate of the Endocrine Society." The purpose of the Hormone Foundation is "improving the quality of life by promoting the prevention, diagnosis, and treatment of human disease in which hormones play a role." The Foundation provides topical pages on conditions like menopause, osteoporosis, and prostate. These pages provide background information on the topic, as well as links to publications and organizations that study the problem. The Foundation also publishes material on hormone related conditions. The Foundation's home page is at:

For more information about the Foundation go to:




Charlie Fiss
Information Manager
Center for Demography and Ecology and
Center for Demography of Health and Aging
Rm. 4470A Social Science Bldg
1180 Observatory Drive
Madison, WI 53706-1393
Phone: (608) 265-9240
Fax: (608) 262-8400