Current Awareness in Aging Research (CAAR) Report #138--June 6, 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. NCHS: "The Second Longitudinal Study of Aging (LSOA II) Wave 2 Survivor Interview, version SF 1.1" (National Center for Health Statistics, 2002). Data and SAS input statements are available in ASCII format. The codebook and survey instruments are available in .pdf format. For more information see:

Links to data and documentation are available at the bottom of the page.

2. MEPS: The US Agency for Health Care Quality Medical Expenditure Panel Survey released several data files from the 1999 survey on May 30, 2002. They are: "MEPS HC-033B 1999 Dental Visits; MEPS HC-033C 1999 Other Medical Expenses; MEPS HC-033H 1999 Home Health File; MEPS HC-035 Panel 2 Longitudinal Weight File; and MEPS HC-036 1996-1998 Pooled Estimation Linkage File. Data (compressed ASCII and SAS Transport format) and documentation (SAS programming statements [ASCII format], and codebooks and questionnaires [.pdf format]) are available.

More information on MEPS:

II. Reports and articles:

3. ILCUSA REPORT: "ILC Policy Report" (Internattional Longevity Center USA, May 2002, .pdf format, 6p.). Note: ILC Policy Report is "a monthly compilation of longevity news and trends in the U.S. and abroad."

More information on ILCUSA:

4. DHHS REPORT: "Women's Health USA 2002" (US Department of Health and Human Services, Maternal and Child Health Bureau, May 2002, HTML and .pdf format, 75p.). "This first annual report on the health status of America's women brings together key facts and figures to profile the health of women throughout the nation and provides easy-to-use statistical information. Includes current and historical data."

5. GAO REPORT: "Medicare: Health Care Fraud and Abuse Control Program for Fiscal Years" (US General Accounting Office GAO-02-731, June 2002, .pdf format, 40p.).

Note: This is a temporary address. GAO reports can also be found at:

Search on title or report number


A. "The National Nursing Home Survey: 1999 Summary," by A. Jones (US National Center for Health Statistics Vital and Health Statistics Series 13, No. 152, June 2002, .pdf format, 125p.). "This report presents estimates of nursing home facilities in the United States, their current residents, and their discharges. Data are presented on facility characteristics, demographic characteristics, utilization measures, and health and functional status of current residents and discharges. Data in this report are based on data collected from the 1999 National Nursing Home Survey."

Click on "View/download PDF" for full text.

B. "National Hospital Ambulatory Medical Care Survey: 2000 Outpatient Department Summary," by Nghi Ly and Linda F. McCaig (US National Center for Health Statistics Advance Data From Vital and Health Statistics No. 327, June 2002, .pdf format, 27p.). "In 2000, an estimated 83.3 million visits (about 30.4 visits per 100 persons) were made to outpatient departments (OPDs) of non-Federal, short-stay or general hospitals in the United States. This report presents data on OPD visits from the 2000 National Hospital Ambulatory Medical Care Survey, a nationally representative survey of hospital OPD utilization. Hospital, patient, and visit characteristics are described."

Click on "View/download PDF" for full text.

C. "National Ambulatory Medical Care Survey: 2000 Summary," by Donald K. Cherry and David A. Woodwell (National Center for Health Statistics Advance Data From Vital and Health Statistics No. 328, June 2002, .pdf format, 32p.). "A Centers for Disease Control and Prevention survey on doctor visits shows that there were 823.5 million office visits during 2000. The number of doctor visits has been increasing over the past decade, due to population growth and a larger senior population which visits the doctor at a higher rate. These population changes also affect the types and volume of drugs provided during the visits."

Click on "View/download PDF" for full text.

7. NPR/KFF/KSG SURVEY FINDINGS: "NPR/Kaiser Family Foundation/Harvard Kennedy School of Government Survey on Health Care" (Kaiser Family Foundation, Jun. 5, 2002, .pdf format). Note: The full report is available from the "View results and listen to stories about the survey on NPR's website" link ("Read the Results", .pdf format, 38p.). "A survey by NPR, the Kaiser Family Foundation, and Harvard's Kennedy School of Government finds that many Americans have real problems when it comes to accessing and paying for health care, and even if they havent yet faced a problem, many worry about getting and paying for care in the future. The survey also shows that, while people think helping seniors with the cost of prescription drugs should be a priority, most seniors would not be willing to pay significantly more than they pay now for drug coverage under Medicare."

8. AUSTRALIA DEPARTMENT OF HEALTH AND AGEING NEWS RELEASE: "We Must Build Bridges With Older Australians, Says Minister" (May 31, 2002).

9. _NATURE BIOTECHNOLOGY_ ARTICLE ABSTRACT: "Telomerase expression extends the proliferative life-span and maintains the osteogenic potential of human bone marrow stromal cells," by Janne L. Simonsen, Cecilia Rosada, Nedime Serakinci, Jeannette Justesen, Karin Stenderup, Suresh I.S. Rattan, Thomas G. Jensen, and Moustapha Kassem (_Nature Biotechnology_, Vol. Vol. 20, No. 6, June 2002, p. 592 - 596).

10. _BMJ_ EDITORIAL: "Quality care at the end of life" (_British Medical Journal_ Editorial, Vol. 324, No. 7349, Jun. 1, 2002, HTML and .pdf format, p. 1291-1292)

11. _LANCET_ ARTICLE: Note: _Lancet_ requires free registration before providing content. "Diagnosis of osteoporosis and assessment of fracture risk," by John A Kanis (_Lancet_, Vol. 359, No. 9321, Jun. 1, 2002, HTML and .pdf format, p. 1929-1936).



12. AARP PRIME TIME RADIO: The following AARP _Prime Time Radio_ interviews (covering Apr. 23 through May 14, 2002, are now available (RealPlayer plug-in or helper application required, interviews run between about 24 and 30 minutes).

May 14, 2002. Finding the Right Words

13. _NEWSWEEK ARTICLE_: "'R' Is for Retirement: The latest golden-years trend: going back to college," by Peg Tyre (_Newsweek_, Jun. 10, 2002).


III. Working Papers:

14. MAX PLANCK INSTITUTE FOR DEMOGRAPHIC RESEARCH: "A multilevel event history analysis of the effects of grandmothers on child mortality in a historical German population (Krummhorn, Ostfriesland, 1720-1874)," by Jan Beise and Eckart Voland (WP 2002-23, May 2002, .pdf format, 30p.).


We analyzed data from the historic population of the Krummhorn (Ostfriesland, Germany, 1720-1874) to determine the effects of grandparents in general and grandmothers in particular on child mortality. Multilevel event-history models were used to test how the survival of grandparents in general influenced the survival of the children. Random effects were included in some models in order to take the potentially influential effect of unobserved heterogeneity into account. It could be shown that while maternal grandmothers indeed improved the child's survival, paternal grandmothers worsened it. Both grandfathers had no effect. These findings are not only in accordance with the assumptions of the grandmother hypothesis but also may be interpreted as hints for differential grandparental investment strategies.


A. "Older Aged Parents: The Final Safety Net for Adult Sons and Daughters with AIDS in Thailand," by John Knodel and Chanpen Saengtienchai (PSC Research Report 02-503, May 2002, .pdf format, 35p.).


The AIDS epidemic in Thailand, as in other countries with significant numbers of persons with HIV/AIDS (PHAs), has created a major need for health care and material and emotional support for those infected and their families. The government and NGOs offer significant but limited health and welfare services to PHAs and their dependents. Compared to many of the poorest African countries where the AIDS epidemic is far worse, formal health and welfare assistance to PHAs and their families are probably far better in Thailand. Yet this formal safety net still leaves the bulk of care and support to be found outside such organized efforts. Under such circumstances, most needed assistance, both before and after death, is provided within the context of the family. Older age parents typically play a central role in caring for and supporting their adult sons and daughters when then become seriously ill with AIDS. In many cases other family members, especially non-infected adult siblings and spouses of the PHA also help. The fact that more than half of PHAs in Thailand eventually end up living with nearby parents at the final stage of their illness and that parents commonly provide care and support to their AIDS afflicted adult sons and daughters testifies to older age parents as the ultimate safety net in the context of the Thai AIDS epidemic.

B. "The Economic Consequences for Parents of Losing an Adult Child to AIDS: Evidence from Thailand," by John Knodel and Wassana Im-em (PSC Research Report 02-504, May 2002, .pdf format, 38p.).

In this paper we examine the economic consequences for parents of losing an adult child to AIDS in Thailand with emphasis on the effects of parental caregiving. The analysis is based on a combination of quantitative and qualitative data derived form several different data collection approaches. Our main findings are as follows. 1) Parents are frequently and substantially involved in the payment of care and treatment costs. But government health insurance and to a less extent welfare helped alleviate the financial burden this created. 2) Parental caregiving often involved disruption of economic activity. But the duration of parental caregiving was not long, thus moderating the extent of opportunity costs. 3) Parents frequently paid for funeral costs. But membership in funeral societies and customary contributions from those attending often substantially reduces the cost to parents. 4) Far fewer parents are involved in supporting AIDS orphans. But orphaned grandchildren often will end up with grandparents. 5) Most deceased children had contributed financially to the parental household before becoming ill. But only a minority had been main providers. However poor parents were far more likely than better off parents to lose a main provider and for this to create severe financial hardship. 6) Poorer parents spend much less than better off parents on expenses. But the burden created by expenses are far greater for poorer than better off parents. One important implication of these findings is that programs are needed that recognize and address the plight of older persons who lose a child to AIDS, but the programs need to take into account considerable range of vulnerability that exists and target those who are particularly susceptible to resulting economic hardship.

16. BLS: "Experimental Poverty Measures Under Alternative Treatments of Medical Out-of-Pocket Expenditures: An Application of the Consumer Expenditure Survey," by Kathleen Short and Thesia I. Garner (US Bureau of Labot Statistics WP-358, May 2002, .pdf format, 28p.).


This paper presents experimental poverty measures that update those presented in Current Population Report, P60-216, "Experimental Poverty Measures: 1999." Estimates for 2000 are presented and compared with the official measure. In this paper we emphasize the difference in two of the measures that use Consumer Expenditure (CE) data to estimate medical out-of-pocket expenses. Poverty rates, poverty gaps, and income-to-poverty-threshold ratios are computed and compared across poverty measures for various subgroups, particularly children and the aged. Results show that alternate methods of measuring medical expenses affect our perception of the relative incidence of poverty, the depth of poverty experienced by these groups, and the number of people who are classified in extreme poverty (those with family income below one-half of the poverty threshold).

Click on "PDF" at the bottom of the abstract for full text.

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

17. Archives of Gerontology and Geriatrics (Vol. 35, No. 2, 2002).

18. The Gerontologist (Vol. 42, No. 3, June 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.

19. Journal of Health Economics (Vol. 21, No. 3, 4; May, July 2002).

Click on "Full Text & Abstracts".

20. 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.

Educational Gerontology (Vol. 28, No. 4, 2002). Note: Full electronic text of this journal is available in the EBSCO Host Academic Search Elite database. Check your library for availability of this database and this issue.

Journal of the American Geriatrics Society (Vol. 50, No. 5, 2002).

Journal of Aging and Identity (Vol. 7, No. 2, 2002).

Omega: Journal of Death and Dying (Vol. 44, No. 1, 2002).

21. 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 Jun. 4, 2002:

B. Alzheimer's Disease: Literature for the week of Jun. 4, 2002:

C. Parkinson's Disease: Literature for the week of Jun. 4, 2002:

AMADEO Literature Guide:


V. Funding Opportunities:


A. "Pre-Application Meeting for the RFA on Centers For Population Health and Health Disparities (US National Institutes of Health, National Institute on Aging in conjunction with several other agencies, NOT-ES-02-010, May 28, 2002).

B. "Genetic Architecture, Biological Variation, and Complex Phenotypes" (US National Institutes of Health, National Institute on Aging in conjunction with several other agencies, PA-02-110, May 29, 2002).

23. AOA: "Pension Information and Counseling Projects" (US Administration on Aging, Jun. 4, 2002). For more information see:


VI. Websites of Interest:

24. ADEAR MAILING LISTS: The Alzheimer's Disease Education and Referral Center, a service of the US National Institute on Aging, has added two new email lists to its current awareness service:

A. Connections Newsletter (3-4 issues/yr.) is "published 3-4 times per year for health care professionals and researchers interested in AD research, treatment, and management. Regular features include highlights of research from NIA-funded AD research centers, reviews of new AD publications and videos, and a calendar of upcoming conferences."

B. New Publications Alert contains information about "new AD resources (annual AD Progress Report, fact sheets, patient education materials, and more) as soon as they are available." Free subscription to both these new services is available at:

25. MAX PLANCK INSTITUTE FOR DEMOGRAPHIC RESEARCH HUMAN MORTALITY DATABASE: This database, provided by Prof. John Wilmoth, in conjunction with Vladimir Shkolnikov, contains some or all of the following data: birth, death, exposure rates, population estimates, census data, and life tables by age and sex for 17 countries, in Europe, North America, and Asia. It expands on the concept of the well known Berkeley Mortality Database ( Note: The MPIDR database requires user registration before providing data.

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