Current Awareness in Aging Research (CAAR) Report #114--December 13, 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. Reports and articles:

1. CENSUS BUREAU REPORT: "An Aging World, 2001," by Kevin Kinsella and Victoria A. Velkoff (US Census Bureau International Population Reports P95/01-1, November 2001, .pdf format, 183p.).

News Release: "World's Older Population Growing by Unprecedented 800,000 a Month," (CB01-198, Dec. 13, 2001), that links to full text:

Click on "An Aging World: 2001" for full text.

2. CSSS REPORT: "Draft Final Report of the President's Commission to Strengthen Social Security" (President's Commission to Strengthen Social Security, Dec. 11, 2001, .pdf format, 140p.).

More information on CSSS:

3. CBO REPORT: "Social Security: a Primer" (US Congressional Budget Office, September 2001).

4. AARP REPORT: "The Costs of Long-Term Care: Public Perceptions Versus Reality" (AARP and Roper ASW, December 2001, .pdf format, 127p.).

Click on "Download or view" at the bottom of the page for full text.

5. UK DEPARTMENT OF HEALTH REPORT: "Community Care Statistics: Residential Personal Social Statistics for Adults, England" (UK Department of Health, November 2001, .pdf format, 73p., with Microsoft Excel spreadsheets)."This statistical bulletin provides information on the residential, nursing and private hospitals and clinics provision (predominantly for adults), and on residential and nursing care placements funded by Local Authorities, at 31 March 2001."

Click on "Download the complete Statistical Bulletin" at the bottom of the"Findings" for full text.


A. "Identification and Fracture Outcomes of Undiagnosed Low Bone Mineral Density in Postmenopausal Women: Results From the National Osteoporosis Risk Assessment," by Ethel S. Siris, Paul D. Miller, Elizabeth Barrett-Connor, Kenneth G. Faulkner, Lois E. Wehren, Thomas A. Abbott, Marc L. Berger, Arthur C. Santora, and Louis M. Sherwood (_Journal of the American Medical Association_, Vol. 286, No. 22, Dec. 12, 2001, HTML and .pdf format, p. 2815-2822).

B. "Potentially Inappropriate Medication Use in the Community-Dwelling Elderly: Findings From the 1996 Medical Expenditure Panel Survey," by Chunliu Zhan, Judith Sangl, Arlene S. Bierman, Marlene R. Miller, Bruce Friedman, Steve W. Wickizer, and Gregg S. Meyer (_Journal of the American Medical Association_, Vol. 286, No. 22, Dec. 12, 2001, p. 2823-2829).

C. "Osteoporosis, an Underdiagnosed Disease," by Charles H. Chesnut III (_Journal of the American Medical Association_ editorial, Vol. 286, No. 22, Dec. 12, 2001, HTML and .pdf format, p. 2865-2866).

D. "Improving Drug Use in Elderly Patients: Getting to the Next Level," by Jerry Avorn (_Journal of the American Medical Association_ editorial, Vol. 286, No. 22, Dec. 12, 2001, HTML and .pdf format, p. 2866-2868).

7. _BMJ_ ARTICLE: "Randomised controlled trial of clinical medication review by a pharmacist of elderly patients receiving repeat prescriptions in general practice," by Arnold G. Zermansky, Duncan R. Petty, David K. Raynor, Nick Freemantle, Andy Vail, and Catherine J. Lowe (_British Medical Journal_, Vol. 323, No. 7325, Dec. 8, 2001, HTML and .pdf format, 5p.).

8. _LANCET_ ARTICLE ABSTRACT, COMMENTARY: Note: _Lancet_ requires free registration before providing content.

A. "Cardiopulmonary resuscitation directives on admission to intensive-care unit: an international observational study," by Deborah J. Cook, Gordon Guyatt, Graeme Rocker, Peter Sjokvist, Bruce Weaver, Peter Dodek, John Marshall, David Leasa, Mitchell Levy, Joseph Varon, Malcolm Fisher, and Richard Cook (_Lancet_, Vol. 358, No. 9297, Dec. 8, 2001, p. 1941-1945).

B. "Good, good, good . . . good vibrations: the best option for better bones?" by John A. Eisman (_Lancet_ Commentary, Vol. 358, No. 9297, Dec. 8, 2001, p. 1924-1925).



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

A. "Exercise and Elderly Persons," by Nanette K. Wenger, Stephen Scheidt, and Michael A. Weber (from _The American Journal of Geriatric Cardiology_, Vol. 10, No. 5, September/October 2001, p. 241-242).


B. "Perspective: Long-Term Care: A Public Responsibility," by Judith Feder (from _Health Affairs_, Vol. 20, No. 6, November/December 2001, p. 112-113).


C. Medscape Women's Health Journal Scan - Osteoporosis, Vol. 4, No. 29, updated Dec. 6, 2001).


D. Medscape Conference Summary: "Hormone Replacement Therapy (HRT)," from the 57th Annual Meeting of the American Society for Reproductive Medicine, held Oct. 20-25, 2001 in Orlando, Florida.


A. Selected articles from the January-February 2002 _My Generation_ have been made electronically available by AARP.

B. Selected articles from the January-February 2002 _Modern Maturity_ have been made electronically available by AARP.


II. Working Papers:

11. UNIVERSITY OF MICHIGAN POPULATION STUDIES CENTER: "Parental Bereavement: Heterogeneous Impacts of AIDS in Thailand," by Kenneth Wachter, John Knodel, and Mark VanLandingham (PSC Research Report 01-493, December 2001, .pdf format, 20p.).


Over the coming decades in Thailand, aging parents whose adult children sicken with AIDS will bear burdens of caregiving and loss. Using demographic microsimulation, we show that the new, lower projections of the HIV/AIDS epidemic still imply that 8% of Thais over the age of 50 in 1995 will lose one or more children to AIDS before their own deaths. The proportion of all losses that are multiple losses can vary from 12% to 33% under a range of assumptions about plausible family-to-family heterogeneity in risks of infection.

12. NBER:

A. "Redistribution in the Current U.S. Social Security System," by Jeffrey B. Liebman (National Bureau of Economic Research W8625, December 2001, .pdf format, 53p.).


Because its benefit formula replaces a greater fraction of the lifetime earnings of lower earners than of higher earnings, Social Security is generally thought to be progressive, providing a "better deal" to low earners in a cohort than to high earners. However, much of the intra-cohort redistribution in the U.S. Social Security system is related to factors other than lifetime income. Social Security transfers income from people with low life expectancies to people with high life expectancies, from single workers and from married couples with substantial earnings by the secondary earner to married one-earner couples, and from people who work for more than 35 years to those who concentrate their earnings in 35 or fewer years. This paper studies the redistribution accomplished in the retirement portion of the current U.S. Social Security system using a microsimulation model built around a match of the 1990 and 1991 Surveys of Income and Program Participation to Social Security administrative earnings and benefit records. The model simulates the distribution of internal rates of returns, net transfers, and lifetime net tax rates from Social Security that would have been received by members of the 1925 to 1929 birth cohorts if they had lived under current Social Security rules for their entire lives. The paper finds that annual income-related transfers from Social Security are only 5 to 9 percent of Social Security benefits paid, or $19 to $34 billion, at 2001 aggregate benefits levels, when taxes and benefits are discounted at the cohort rate of return of 1.29 percent. At higher discount rates, Social Security appears to be more redistributive by some measures, and less redistributive by others. Because much of the redistribution that occurs through Social Security is not related to income, the range of transfers received at a given level of lifetime income is quite wide. For example, 19 percent of individuals in the top lifetime income quintile receive net transfers that are greater than the average transfer for people in the lowest lifetime income quintile.

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

B. "Area Differences in Utilization of Medical Care and Mortality Among U.S. Elderly," by Victor R. Fuchs, Mark McClellan, and Jonathan Skinner (National Bureau of Economic Research W8628, December 2001, .pdf format, 60p.).


This paper examines 313 U.S. areas for differences in medical care utilization and mortality of whites ages 65-84 in 1990. The variables included in the analysis are education, real income, cigarette sales, obesity, air pollution, percent black, and dummy variables for seven regions and five population size categories from MSAs over 500,000 to not in MSA. Utilization, especially inpatient care, is strongly positively related to mortality. Mortality is positively related to cigarette sales, obesity, air pollution and percent black. Utilization (especially outpatient) is significantly higher in MSAs with populations greater than 500,000. Mortality does not vary with population size, with or without controls. Florida is an outlier for both utilization (very high) and mortality (by far the lowest of any region). The puzzles of Floridian exceptionalism and the positive relation between white mortality and percent black are discussed but not resolved.

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

13. JOHN F. KENNEDY SCHOOL OF GOVERNMENT [HARVARD UNIVERSITY] FACULTY RESEARCH WORKING PAPER SERIES: "Extended Care Career Ladder Initiative (ECCLI): Baseline Evaluation Report of a Massachusetts Nursing Home Initiative," by Susan C. Eaton, Claudia Green, Randall Wilson and Theresa Osypuk (RWP 01-035, September 2001, .pdf format, 64p.).


The Commonwealth of Massachusetts initiated the Extended Care Career Ladder Initiative (ECCLI) as part of a broader Nursing Home Quality Initiative, adopted by the Legislature in 2000. This legislation is a response to high turnover and vacancies among paraprofessionals in long-term care, creating instability that threatens quality and access to health care. Basic to these initiatives is the equation of good care for consumers with good jobs and opportunities for frontline caregivers. Thus it asks long-term care providers to partner with other organizations (including community based groups, unions, work force development agencies, community colleges, and other long-term care providers) to mount demonstration projects that offer insight into new care-giving and workplace practices that improve the quality of care and the quality of jobs. These projects should also demonstrate how the accomplishment of caregiving and workforce quality goals can be mutually reinforcing. Sponsors hope that such projects will offer clear and replicable models for both the long term care industry, and the workforce development community that supports the industry and its potential and existing labor force.... The attached baseline evaluation report is presented as a working paper for the information of researchers and practitioners in the field of nursing home quality and workforce development. It covers the period from March 2001 to June 2001 when the ECCLI program was getting underway, and was submitted to the Commonwealth Corporation of Massachusetts, the quasi-public agency that is administering the funds from the Nursing Home Quality Initiative. Future reports will analyze data collected by the researchers after this baseline and planning period. Major findings include insight into the process of forming consortia across unfamiliar realms of human services (health care and workforce development and education), and challenges for the participants as they consider and implement organizational change as well as training programs for frontline workers as well as supervisors.$File/rwp01_035_eaton.pdf

14. IZA:

A. "An Econometric Analysis of the Mental-Health Effects of Major Events in the Life of Elderly Individuals," by Maarten Lindeboom, France Portrait, and Gerard J. van den Berg (Institute for the Study of Labor [IZA, Germany] Discussion Paper 398, November 2001, .pdf format, 28p.).


Major events in the life of an elderly individual, such as retirement, a significant decrease in income, death of the spouse, disability, and a move to a nursing home, may affect the mental health status of the individual. For example, the individual may enter a prolonged depression. We investigate this using unique longitudinal panel data that track labor market behavior, health status, and major life events, over time. To deal with endogenous aspects of these events we apply fixed effects estimation methods. We find some strikingly large effects of certain events on the occurrence of depression. We show that the results are of importance for the design of health care and labor market policy towards the elderly.

Click on "Discussion Paper No. 398" for full text.

B. "Did the Elimination of Mandatory Retirement Affect Faculty Retirement Flows?" by Orley Ashenfelter and David Card (Institute for the Study of Labor [IZA, Germany] Discussion Paper 402, November 2001, .pdf format, 56p.).


A special exemption from the 1986 Age Discrimination Act allowed colleges and universities to enforce mandatory retirement of faculty at age 70 until 1994. We compare faculty turnover rates at a large sample of institutions before and after the federal law change, and at a set of institutions that were covered by earlier state laws prohibiting compulsory retirement. Retirement rates at institutions that enforced mandatory retirement exhibited sharp spikes at ages 70 and 71. About 90 percent of professors who were still teaching at age 70 retired within two years. After the elimination of compulsory retirement the retirement rates of 70 and 71-year-olds fell to levels comparable to 69- year-olds, and over one-half of 70-year-olds were still teaching two years later. These findings indicate that U.S. colleges and universities will experience a rise in the number of older faculty over the coming years. The increase is likely to be larger at private research universities, where a higher fraction of faculty has traditionally remained at work until age 70.

Click on "Discussion Paper No. 402" for full text.

More information on IZA:


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

15. 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 Journal of Sociology (Vol. 106, No. 7, 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.

Medical Care Research and Review (Vol. 58, No. 4, and Vol. 58, SUPP/1, 2001). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for availability of this database and these issues.


IV. Books:

16. NBER: _Tax Policy and the Economy, Volume 16_, edited by James M. Poterba, from a conference held Oct. 30, 2001, forthcoming from MIT Press. The chapters: "The Fiscal Impact of Population Aging in the United States: Assessing the Uncertainties," by Ronald Lee and Ryan Edwards (.pdf format, 66p.); and "Potential Paths of Social Security Reform," by Martin Feldstein and Andrew Samwick (.pdf format, 53p.), have been updated.

Scroll to the above listed titles.


V. Funding Opportunities:

17. NIH:

A. Joint NSF/NIH Initiative to Support Collaborative Research in Computational Neuroscience (CRCNS) NSF 02-018 (US National Institutes of Health, National Science Foundation, National Institute on Aging, in collaboration with several other agencies, NOT-MH-01-014, Dec. 6, 2001). For more information see:

B. "Building Interdisciplinary Research Careers in Women's Health" (US National Institutes of Health, National Institute on Aging , in collaboration with several other agencies, RFA-OD-02-001, Dec. 5, 2001). For more information see:

C. "Plasticity of Human Stem Cells in the Nervous System" (US National Institutes of Health, National Institute on Aging, in collaboration with several other agencies, PA-02-025, Dec. 3, 2001). For more information see:

D. "Development of PET and SPECT Ligands for Brain Imaging (SBIR Award)" (US National Institutes of Health, National Institute on Aging, in collaboration with several other agencies, PA-02-028, Dec. 4, 2001). For more information see:

E. "Probes for Microimaging the Nervous System (SBIR Award)" (US National Institutes of Health, National Institute on Aging, in collaboration with several other agencies, PA-02-029, Dec. 5, 2001). For more information see:

18. NSF GRANT PROPOSAL GUIDE REVISION: "The US National Science Foundation has released a new grant proposal guide (NSF 02-2, HTML and .pdf format, 49p.), that takes effect for grants submitted after Jan. 1, 2002.


VI. Conferences:

19. SOCIETY FOR THE PSYCHOLOGICAL STUDY OF SOCIAL ISSUES (DIVISION 9 OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION): "Attending to Psychological Issues Near the End of Life: A SPPI-Sponsored International Conference," to be held in Cleveland, Ohio, Feb. 2-3, 2002. For more information see:

VII. Legislation Information Updates:

20. US SENATE SPECIAL COMMITTEE ON AGING HEARING TESTIMONY: "Straight Shooting on Social Security: The Trade-offs of Reform," a hearing held Dec. 10, 2001).

Hearing testimony:

21. US SENATE SPECIAL COMMITTEE ON AGING HEARING PUBLICATION: "Saving Our Seniors: Preventing Elder Abuse, Neglect, and Exploitation," a hearing held Jun. 14, 2001 (US Senate Serial Publication No. 107-8, 2001, ASCII text and .pdf format, 106p.).

Scroll to or "find in page" "107-105" (without the quotes).


VIII. Websites of Interest:

22. AARP ASK THE EXPERT: AARP provides this site, which contains basic information and interactive discussions about various issues related to aging. The site is aimed at a general audience.

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