Current Awareness in Aging Research (CAAR) Report #129--April 4, 2002

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. ICPSR: On March 29 the Inter-University Consortium for Social and Political Research at the University of Michigan released 11 new studies. Of possible interest to researchers in aging is:


Note: This is a temporary address. ICPSR studies can always be found at:

Search on title or study number.

2. MEPS:


Technical Appendix (US Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, April 2002, .pdf and HTML format). Note: "This report is the second report containing information on imputation of variables for the Medical Expenditure Panel Survey (MEPS) Insurance Component (IC). The MEPS-IC is a survey of employers, both private industry and public, that collects information on employer sponsored health insurance."

"Update Note for 1999 Private Sector Data by Ownership Type and Age of Firm and State," (US Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, April 2002, HTML format).

"Update Note for 1999 Private Sector Data by Industry Groupings and State," (US Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, April 2002, HTML format).

Scroll down to or "find in page" "data update" (no quotes). Follow the links to each update.

3. NCHS: NCHS recently announced a new release of data in the Data Warehouse on Trends in Health and Aging. The new release includes the following data:

- Living arrangements by age, sex, and race/Hispanic origin: United States, 1980-2000.
- Home Health Care Discharges: Number and percent distribution by type of service, age, sex, race: United States, 1992-98 (selected years) NHHCS.
- Visits to hospital emergency departments: number, percent distribution, and annual rate by age, sex, race, and type of visit: United States, 1992-1999, NHAMCS.
- Self-reported health by age, sex, and race: United States, 1982-99 (NHIS).
- Self-reported health by State, age, sex, and race/Hispanic origin: United States, 1993-2000. BRFSS (brh00cz).

To access these data tables you will need to download and install NCHS's Beyond 20/20 browser. To learn more about the browser go to:

To download the browser go to:

Click on the "Download" icon.

4. SEER DATA: The Surveillance, Epidemiology, and End Results Program of the US National Cancer Institute has released updated county age level populations for the US and for all states for 1969-1999, and for expanded races and Hispanics for 1990-1999. "County level populations for each state in the United States are available in text format as self-extracting DOS executables. Each state file contains county level populations for either 1969-1999 or 1990-1999. The 1969-1999 files contain populations for White, Black, and Non-White. The 1990-1999 files with an "e" in their name contain populations for White, Black, American Indian/Alaska Native, and Asian or Pacific Islander. The 1990-1999 files with an "h" in their name contain populations for White Non-Hispanic, White Hispanic, Non-White Non-Hispanic, and Non-White Hispanic."

II. Reports and articles:

5. SSA -- REPORT: "2002 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Disability Insurance Trust Funds," (Social Security Administration, March 2002, .pdf and HTML format, 216p.). Note: "The Board of Trustees of the Social Security Trust Funds reports each year on the current and projected financial condition of the Social Security program[...] The Board of Trustees of the Social Security Trust Funds reports each year on the current and projected financial condition of the Social Security program."

Click on "PDF" or follow the link to the "Table of Contents" to access the electronic full-text of the report.

6. DHHS OIG OAS -- REPORT: "Review of Medicare Payments Made on Behalf of Deported Beneficiaries," (US Dept. of Health and Human Services, Office of the Inspector General, Office of Audit Services, A-04-01-05004, April 2002, .pdf format, 13 p.).

Report Summary:

This final report, based on a review requested by the Senate Finance Committee, points out that the Medicare program is vulnerable to improper payments for services rendered to deported beneficiaries. We identified 1,072 Medicare beneficiaries who have been deported. Of these, we determined that 49 had improper payments totaling $836,711 made on their behalf during 1998 and 1999. These improper payments occurred because the Centers for Medicare & Medicaid Services (CMS) did not utilize deportation information in its main database of Medicare enrollment data for processing payments to fee-for-service or managed care providers. In addition to financial adjustments, we are recommending that CMS utilize the deportation information already in its possession to preclude such improper payments. Officials of CMS generally concurred with our recommendations.

Follow the link to the "Completed text of Report".

7. DHHS CMMS -- PILOT PROGRAM ANNOUMCEMENT: "Nursing Home Quality Initiative," (US Dept. of Health and Human Service, Centers for Medicare and Medicaid Services, March 2002, .pdf and HTML format). Note: "The Centers for Medicare & Medicaid Services (CMS) will launch the Nursing Home Quality Initiative pilot program with Colorado, Florida, Maryland, Ohio, Rhode Island, and Washington State that will provide consumers with comparative information about nursing home quality measures." For more information about the program go to:

8. DHHS CMMS -- PRESS RELEASE: "Medicare and Medicaid Programs; Requirements for Paid Feeding Assistants in Long Term Care Facilities," (US Dept. of Health and Human Service, Centers for Medicare and Medicaid Services, March 29, 2002). Note: "This proposed rule would provide States the flexibility to allow long term care facilities to use paid feeding assistants to supplement the services of certified nurse aides if their use is consistent with State law. If facilities choose this option, feeding assistants must complete a specified training program. This proposed rule would improve the quality of care in long term care facilities by ensuring that residents are assisted with eating and drinking as needed." The deadline for application is May 28, 2002.

The DHHS press release can be found at:

9. AOA -- PRESS RELEASE AND MEMORANDUM: "Statement of Tom Scully, Administrator Centers for Medicare & Medicaid Services On Therapy Coverage of Alzheimers Disease Patients," (US Dept. of Health and Human Services, Administration on Aging, 2001, .pdf format, 2p.). "In response to advocate concerns that Medicare contractors were increasingly denying services to Medicare beneficiaries based solely because they had been diagnosed with Alzheimer's Disease, CMS issued the memorandum to clarify existing reimbursement policies. The September 2001 instructions direct Medicare contractors not to install system edits that would automatically deny Medicare covered services based solely on claims for dementia."

To view the Memorandum, go to:

10. AOA -- ISSUE BRIEFS: "National Family Caregiver Support Program Development Issue Briefs," (US Dept. of Health and Human Services, Administration on Aging, April 2002, .pdf and HTML format). AOA has recently added new issue briefs to this page. The issue briefs come in both .pdf and HTML format. Some of the new titles include:

Caregiver Systems Development:
"Content and Implementation of a Caregiver Assessment," by David M. Bass, Ph.D.
"Case Management for Caregivers," by Linda S. Noelker, Ph.D.
"Coordinating Systems Serving Carers of Children and Adults with Developmental Disabilities," by Matthew P. Janicki
"Technology and Applications for Caregivers," by Frank P. Worts
"Forging Relationships with Business," by Diane Piktialis

Special Caregiver Populations:
"Grandparents Raising Grandchildren with Developmental Disabilities," by Tamar Heller, Ph.D. and Rahul Ganguly, M.A.
"Elder Caregiving in Rural Communities," by Kathleen C. Buckwalter and Linda Lindsey Davis, RN, Ph.D.
"Working Caregivers: Issues, Challenges, and Opportunities for the Aging Network," by Margaret B. Neal, Ph.D. and Donna L. Wagner, Ph.D.

To access the briefs, go to:

11. CENTER FOR HOME CARE POLICY AND RESEARCH -- POLICY BRIEF: "New York State's Medicaid-only Managed Long-Term Care Program," (Center for Home Care Policy and Research, Winter 2001/2002, .pdf format, 6p.). Note: "This policy brief describes an innovative model of managed long-term care (MLTC) in New York State (NYS) that serves Medicaid eligible adults at a nursing home level of impairment, most of whom are also eligible for Medicare." The Center is an independent research center sponsored by the Visiting Nurse Service of New York.

For more information about the Visiting Nurse Service of New York go to:

12. UK NATIONAL STATISTICS -- REPORT: "Registered nursing homes in Scotland, year ending 31 Mar 2002," (UK Office for National Statistics, April 2002, Excel format). Note: "The private nursing homes described in these tables are registered under the terms of the Private Nursing Homes Registration (Scotland) Act 1938 (as amended), or the Mental Health Act 1960/1984. The figures shown are based on information supplied by nursing homes at the end of each financial year on form ISD(S)34."

Click on the "Excel" icon to access the tables.

13. AUSTRALIAN DEPARTMENT OF HEALTH AND AGEING -- PRESS RELEASE: "Aged Care Beds Revoked," (Australian Dept. of Health and Ageing, April 2, 2002). Note: The press release contains a table detailing the number of outstanding aged care beds in Australia (listed by state).

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

A. "Stimulation of bone formation and prevention of bone loss by prostaglandin E EP4 receptor activation," by Keiji Yoshida, Hiroji Oida, Takuya Kobayashi, Takayuki Maruyama, Masaharu Tanaka, Teruaki Katayama, Kojiro Yamaguchi, Eri Segi, Tadao Tsuboyama, Mutsumi Matsushita, Kosei Ito, Yoshiaki Ito, Yukihiko Sugimoto, Fumitaka Ushikubi, Shuichi Ohuchida, Kigen Kondo, Takashi Nakamura, and Shuh Narumiya (_Proceedings of the National Academy of Sciences_, Vol. 99, No. 7, April 2, 2002, .pdf and HTML format, p. 4580-4585).

B. "Mapping the evolution of regional atrophy in Alzheimer's disease: Unbiased analysis of fluid-registered serial MRI," by Rachael I. Scahill, Jonathan M. Schott, John M. Stevens, Martin N. Rossor, and Nick C. Fox (_Proceedings of the National Academy of Sciences_, Vol. 99, No. 7, April 2, 2002, .pdf and HTML format, p. 4703-4707).

C. "Reversal of motor impairments in parkinsonian rats by continuous intrastriatal delivery of L-dopa using rAAV-mediated gene transfer," by Deniz Kirik, Biljana Georgievska, Corinna Burger, Christian Winkler, Nicholas Muzyczka, Ronald J. Mandel, and Anders Bjrklund (_Proceedings of the National Academy of Sciences_, Vol. 99, No. 7, April 2, 2002, .pdf and HTML format, p. 4708-4713).

15. _JAMA_ ARTICLE ABSTRACTS, RESEARCH LETTER: Note: Electronic full-text of JAMA articles may be available. Check with your organization's library.

A. "Dopamine Transporter Brain Imaging to Assess the Effects of Pramipexole vs Levodopa on Parkinson Disease Progression," by Parkinson Study Group (_Journal of the American Medical Association_, Vol. 287, No. 13, April 3, 2002, .pdf and HTML format, p. 1653-1661).

B. "alpha -Methylacyl Coenzyme A Racemase as a Tissue Biomarker for Prostate Cancer," by Mark A. Rubin, Ming Zhou, Saravana M. Dhanasekaran, Sooryanarayana Varambally, Terrence R. Barrette, Martin G. Sanda, Kenneth J. Pienta, Debashis Ghosh, and Arul M. Chinnaiyan (_Journal of the American Medical Association_, Vol. 287, No. 13, April 3, 2002, .pdf and HTML format, p. 1662-1670).

C. "Poliomyelitis and Parkinson Disease," by Nete Munk Nielsen, Klaus Rostgaard, Henrik Hjalgrim, Peter Aaby, and Dorthe Askgaard (_Journal of the American Medical Association_ Research Letter, Vol. 287, No. 13, April 3, 2002, .pdf and HTML format, p. 1650-1651).

16. _LANCET_ RESEARCH LETTER ABSTRACT: Note: _Lancet_ requires free registration before providing content.

"HMG CoA reductase inhibitor (statin) and aortic valve calcium," by David M. Shavelle, Junichuro Takasu, Matthew J. Budoff, SongShou Mao, Xue-Qiao Zhao, Kevin D. O'Brien (_The Lancet_, Vol. 359, No. 9312, March 30, 2002, p. 1125-1126).

17. _SCIENCE MAGAZINE_ ARTICLE ABSTRACT: Note: Electronic full-text of Science may be available. Check with your organization's library.

A. "Senescence Induced by Altered Telomere State, Not Telomere Loss," by Jan Karlseder, Agata Smogorzewska, and Titia de Lange (_Science_, Vol. 295, No. 5564, March 29, 2002, .pdf and HTML format, p. 2446-2449).

B. "Cortical Neurons Encoding Path and Place: Where You Go Is Where You Are," by Michael T. Froehler and Charles J. Duffy (_Science_, Vol. 295, No. 5564, March 29, 2002, .pdf and HTML format, p. 2462-2465).

18. _NATURE_ ARTICLE ABSTRACT: Note: Electronic full-text of Nature may be available. Check with your organization's library.

"Naturally secreted oligomers of amyloid beta protein potently inhibit hippocampal long-term potentiation in vivo," by Dominic M. Walsh, Igor Klyubin, Julia V. Fadeeva, William K. Cullen, Roger Anwyl, Michael S. Wolfe, Michael J. Rowan, and Dennis J. Selkoe (_Nature_, Vol. 416, No. 6880, April 4, 2002, .pdf and HTML format, p. 535-539).

19. MEDSCAPE ARTICLE: Note Medscape requires free registration before providing articles.

A. "More Support for an Atherosclerotic Cause of Aortic Valve Sclerosis and Stenosis in Elderly Patients," by J. Willis Hurst (_Medscape Cardiology_, Vol. 6, No. 1, 2002, HTML format).

B. "Treating Anxiety in Older Adults -- Venlafaxine ER Looks Promising," (_Brown University Geriatric Psychopharmacology Update via Medscape_, Vol. 6, No. 3, 2002, HTML format).

20. _NEJM_ ARTICLE ABSTRACT: Note: Electronic full-text of _NEJM_ may be available. Check with your organization's library.

"Understanding the Treatment Preferences of Seriously Ill Patients," by Terri R. Fried, Elizabeth H. Bradley, Virginia R. Towle, and Heather Allore (_New England Journal of Medicine_, Vol. 346, No. 14, April 4, 2002, .pdf and HTML format, p. 1061-1066).

21. KAISER FAMILY FOUNDATION--REPORT: "Solvency or Affordability? Ways to Measure Medicare's Financial Health," by Marilyn Moon and Matthew Storeygard (Kaiser Family Foundation, March 2002, .pdf format, 22p.).

Report Summary:

"This report examines different ways of measuring Medicares financial health and considers their implications for the future of the program and the people it serves. Using an alternative measure of Medicare's long-term affordability that focuses on workers' capacity to absorb additional costs over time, the analysis concludes that the nation could afford to pay more for Medicare in the future without imposing an undue burden on working Americans."

22. ILC POLICY REPORT: "ILC Policy Report: Longevity News and Trends in the U.S. and Abroad" (International Longevity Center USA, March 2002, .pdf format, 6p.).

March report is at:

23. ILCUSA NEWSLETTER: "Economics of Aging Interest Group Newsletter, (International Longevity Center USA, Spring 2002, .pdf format, 8p.).

24. FORBES -- ARTICLE: "Dirty Minds," by Robert Langreth (_Forbes Magazine_, April 15, 2002).

25. AARP -- PERIODICAL: Selected articles from the April 2002 _AARP Bulletin_ are available from the _AARP Bulletin_ website.

Note: this is a temporary address. When the next _AARP Bulletin_ becomes available, this one will be available from the "previous issues" link.

26. AARP PRIME TIME RADIO: The following AARP _Prime Time Radio_ interviews (covering Feb. 19 through March 19, 2002, are now available (RealPlayer plug-in or helper application required, interviews run between about 24 and 30 minutes).

March 19, 2002
The Price of Citizenship
Sustainable Travel - Celebrating Eco-Tourism

March 12, 2002
Looking for a Job - and re-coloring Your Parachute!
The English Assassin

March 5, 2002
Nursing Home Scandals
Food Politics

Feb. 26, 2002
When Generations Collide at Work
When Men and Women Collide at Work (More Mars & Venus)

Feb. 19, 2002
Investing SAFELY over 50
Wittgenstein's Poker

Scroll to the stories of your choice.

III. Working Papers:

26. NBER: "Ricardian Equivalence with Incomplete Household Risk Sharing," by Shinichi Nishiyama and Kent Smetters (National Bureau of Economic Research W8851, March 2002, .pdf format, 23p.).


Several important empirical studies (e.g., Altonji, Hayashi, and Kotlikoff, 1992, 1996, 1997) find that households are not altruistically-linked in a way consistent with the standard Ricardian model, as put forward by Barro (1974). We build a two-sided altruistic-linkage model in which private transfers are made in the presence of two types of shocks: an 'observable' shock that is public information (e.g., public redistribution) and an 'unobservable' shock that is private information (e.g., idiosyncratic wages). Parents and children observe each other's total income but not each other's effort level. In the second-best optimum, unobservable shocks are only partially shared whereas, for any utility function satisfying a condition derived herein, observable shocks are fully shared. The model, therefore, can generate the low degree of risk sharing found in the recent studies, but Ricardian equivalence still holds.

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


A. "Do Drug Plans Matter? Effects of Drug Plan Eligibility on Drug Use Among the Elderly, Social Assistance Recipients and the General Population," by Paul V. Grootendorst and Mitchell Levine (SEDAP Working Paper No. 73, March 2002, .pdf format, 86p.)


The 1984 Canada Health Act does not require that the provinces subsidize prescription drugs. Many provinces do, however, provide categorical coverage to the elderly, social assistance recipients and others, although the generosity of coverage is highly variable. A system of parallel private insurance covers the non-elderly ineligible for social assistance. In this study, we assessed the socio- economic, health and demographic determinants of private drug insurance. We also assessed the effect of inter-provincial variations in drug insurance coverage for the elderly and low income on their drug use. In addition, using instrumental variables methods, we considered the effect of prescription drug insurance coverage status on drug use in the non-elderly population ineligible for social assistance. Consistent with the previous literature, we find that for most seniors and non-indigent, drug coverage has only minor effects on drug use. The drug use of social assistance recipients was, however, sensitive to even relatively modest copayments of $0-$6.

B. "Living Alone and Living with Children: The Living Arrangements of Canadian and Chinese-Canadian Seniors," by Michael A. Pacey (SEDAP Working Paper No. 74, March 2002, .pdf format, 64p.)


Living arrangements have the potential to tell us far more than simply who lives with whom. Whether a senior lives alone, with a spouse, or with children will provide potentially distinct social support possibilities. From a policy perspective, the particular mix of these living arrangements also provides clues to the need for formal services. While work has been done on how income, gender and age shape the living arrangements of Canadian seniors, relatively little research has explored how ethnicity, language skill and immigration status further mediate living arrangements. Given the future combination of population aging and continued shifts in the source and type of immigration to Canada, additional research on how ethnicity and factors associated with immigration affect living arrangements is also warranted.

In this paper I explore the relationship between characteristics of Canadian seniors and their living arrangements. Ethnicity and immigration are further explored by focussing on the living arrangements of Chinese-Canadian seniors. Data for Canadians aged 55 and older from the 1996 individual census Public Use Microdata File (PUMF) (n=159,361), General Social Survey Cycle 11 (GSS11) (n=12,756) and National Population Health Survey (NPHS) (n=13,363) were used in this analysis. Logistic regressions using the PUMF and GSS11 data suggest that while personal income and characteristics of immigrants play important roles in encouraging living alone among older Canadians, their effects do not nullify the role of culture among Chinese-Canadian seniors. Importantly, these effects vary substantially by gender and age. These findings underscore the heterogeneity of Canadian seniors, which is often overlooked in the design and delivery of services to this segment of the population.

C. "Student Enrolment and Faculty Recruitment in Ontario: The Double Cohort, the Baby Boom Echo, and the Aging of University Faculty," by Byron G. Spencer (SEDAP Working Paper No. 75, March 2002, .pdf format, 57p.)


The recent restructuring of the Ontario secondary school system means that two graduating classes the so-called "double cohort" will compete for admission to the universities in the fall of 2003. Unless admission standards are raised to restrict enrolment, the sheer numbers involved will place extraordinary demands on the system for half a decade. The demands will be difficult to accommodate, not least because more than half of current faculty are over the age of 50, and most will retire in this decade. Working with the latest available numbers, this paper provides projections to show the impact that the double cohort will have on student numbers, faculty requirements, and the need to recruit new faculty.

28. INTERNATIONAL MONETARY FUND: "Greece: Selected Issue--An Overview of Pension Reform," by Mark Lutz (International Monetary Fund Country Report No. 02/58, March 2002, .pdf format, 30p.). Note: No abstract is available for this paper.

Click on "Full Text in PDF format" to access the report.

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

29. Archives of Gerontology and Geriatrics (Vol. 35, No. 1, Jul. 2002).

30. 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. 67, No. 1, 2002). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for availability of this database and this issue.

Journal of Aging and Identity (Vol. 7, No. 1, 2002).

Omega (Vol. 43, No. 4, 2001).

31. 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 April 2, 2002:

B. Alzheimer's Disease: Literature for the week of April 2, 2002:

C. Parkinson's Disease: Literature for the week of April 2, 2002:

AMADEO Literature Guide:


V. Funding Opportunities:

32. NIH: "Large-Scale Genotyping for the haplotype Map of the Human Genome," (US National Institutes on Health, National Institute on Aging in conjunction with other Institutes, RFA-HG-02-005, March 26, 2002).

VI. Conferences:

33. UN: "Second World Conference on Aging," to be held April 8-12, 2002 in Madrid, Spain. For more information about what is happening at the Assembly (news releases, reports, etc.), go to:

34. MEPS: "Understanding and Using the Medical Expenditure Panel Survey Household Component." MEPS Data Workshop, Hawaii International Conference on Statistics and Related Field, Honolulu, Hawaii, June 5, 2002. For registration information go to:

VII. Websites of Interest:

35. AMERICAN ACADEMY OF ANTI-AGING MEDICINE: "Validating the Facts and Science of Anti-Aging Medicine: A Report on the State of the Clinical Specialty." This page provides links to a series of White Papers produced by the Academy. The Papers focus on describing the research and work being done in the field of anti-aging medicine. Follow the topical links at the bottom of the page to view a specific paper (papers are in HTML format).




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