Current Awareness in Aging Research (CAAR) Report #162--November 21, 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. CALIFORNIA OSHPD/DHS MEDI-CAL RESTRICTED DATA: A "new data source on hospital use by California's Medi-Cal Enrollees" has been released. "A project sponsored by The Kaiser Family Foundation has resulted in a new source of data that will enhance research on the Medi-Cal program, including the impact of Medi-Cal managed care. The project linked 2 datasets: the Patient Discharge Dataset containing hospital discharge information maintained by the California Office of Statewide Health Planning and Development (OSHPD), and a Medi-Cal dataset containing eligibility and health plan information maintained by the California Department of Health Services (DHS). Data from these linked datasets are available for all Medi-Cal hospital discharges from 1994 through 2000." Note that both datasets are restricted. Contact information for both datastets is available at:

2. UNICON NLTCS UTILITIES VERSION 2.0: Unicon offers Beta Version 2.0 extraction software for the National Long Term Care Survey (NLTCS), provided by Duke University. A demonstration copy of the software (without the data) is available at:

Click on "NLTCS Page", scroll to "Downloadable demonstration version", and click on "here". Note that in order to get the full version with data, users must complete a Data Use Agreement (DUA) with NLTCS at Duke. Links to information and application for DUA's are available from the NLTCS page at Unicon.


II. Reports and articles:

3. LAST ACTS REPORT: "Means to a Better End: _A Report on Dying in America Today: State Fact Sheets (Last Acts, November 2002, .pdf format, 95p.). Note: The web site that contains full text also contains summary findings, an interview with the authors, and an interactive state report card.

Click on "Download full-text report" for full text.

State by state fact sheets (.pdf format, 3p. per state).

More information on Last Acts:

4. NATIONAL CENTER ON WOMEN AND AGING POLL RESULTS: "2002 National Poll: Women 50+" (Executive Summary only available at this time, November 2002, .pdf format, 8p.). Also included are a copy of the questionnaire (.pdf format, 10p.) and topline results (.pdf and Microsoft PowerPoint formats, 11p.). "With support from the U.S. Administration on Aging, the National Center on Women and Aging (NCWA) has conducted a national poll focused on the evolving issues that confront women as they age. The poll moves beyond enumerating the vulnerabilities that face aging women to share the opinions and advice of this growing population of vibrant, vital, and engaged women. Focused on midlife and older women, the poll is the first of its kind. Participants completed a telephone survey, which examined health status, finances, life satisfaction, and concerns with a specific concentration on the different images, perceptions and attitudes that women have about aging. Among other unique contributions, the poll reports the experiences, attitudes, and opinions of women over age 80, a group that is rarely the focus of national polls."

Click on "2002 National Poll: Women 50+"

More information on the National Center on Women and Aging:

5. A4M RESPONSE TO _JAMA_ ARTICLE: "Official Response Statement, Issued Nov. 12, 2002 By the American Academy of Anti-Aging Medicine (A4M) To Blackman et al, "Growth Hormone and Sex Steroid Administration in Healthy Aged Women and Men," _J Amer Med Assn_, vol, 288 no. 18, Nov. 13, 2002 (Nov. 12, 2002, HTML and .pdf format, 4p.).

More information about A4M:

6. BOSTON COLLEGE CENTER FOR RETIREMENT RESEARCH ISSUES IN BRIEF: "How Will the Rise in 401(k) Plans Affect Bequests?" by Alicia H. Munnell, Annika Sundn, Mauricio Soto, and Catherine Taylor (IB No. 10, November, 2002, .pdf format, 11p.).

Executive Summary Extract:

This brief explores how the shift from defined benefit to defined contribution pension plans might affect bequests and thereby consumption and saving. Bequests can occur under two different types of circumstances: (1) individuals plan to leave an inheritance for their heirs (an intended bequest); or (2) individuals have no specific inheritance plans, but die before consuming all of their assets (an unintended bequest). This brief concludes that both types of bequests will increase as retirees receive more of their pension benefits as lump-sum amounts rather than as annuity payments, which provide a lifetime stream of income.

7. CBO POLICY BRIEF: "The Impact of Social Security and Medicare on the Federal Budget" (US Congressional Budget Office Long-Range Fiscal Policy Brief, November 2002, HTML, .pdf, and WordPerfect format, 4p.).

8. CSIS REPORT: "Preliminary Results from the CSIS Aging Vulnerability Index," by Richard Jackson and Neil Howe (Center for Strategic and International Studies Global Aging Initiative, November 2002, .pdf format, 63p.).

More information on CSIS GAI:

9. CMS NOTICE OF PROPOSED SETTLEMENT AND FAIRNESS HEARING IN _ERRINGER V. THOMPSON_ LITIGATION (US Center for Medicare and Medicaid Services, 2002). For more information on possible eligibility see:

10. AGE CONCERN (UK) PRESS RELEASE: "One in two pensioners on inadequate income says Age Concern," (November 20, 2002). Note: The press release deals with a new Age Concern report titled "Modest but Adequate." The report examines future challenges to the UK state pension system. The report is not available in electronic format, but can be purchased from Age Concern.

More information about Age Concern:


A. "10 Million Boost For Home And Community Care In Western Australia," (Nov. 18, 2002).

B. "18 Million Boost For Home and Community Care In Victoria" (Nov. 18, 2002).

C. "Victoria's Public Hospital Beds Slashed While Aged Care Beds Increase" (Nov. 18, 2002).

12. _JAMA_ ARTICLE ABSTRACT: "Effects of Hormone Replacement Therapy and Antioxidant Vitamin Supplements on Coronary Atherosclerosis in Postmenopausal Women," by David D. Waters, Edwin L. Alderman, Judith Hsia, Barbara V. Howard, Frederick R. Cobb, William J. Rogers, Pamela Ouyang, Paul Thompson, Jean Claude Tardif, Lyall Higginson, Vera Bittner, Michael Steffes, David J. Gordon, Michael Proschan, Naji Younes, and Joel I. Verter (_Journal of the American Medical Association_, Vol. 288, No. 19, Nov. 20, 2002.

Related US National Institutes of Health news release: "Study of Menopausal Women with Heart Disease Finds No Benefit, Potential for Harm from Hormone Therapy and Antioxidant Vitamins" (Nov. 19, 2002).


A. "Specialty of Ambulatory Care Physicians and Mortality among Elderly Patients after Myocardial Infarction," by John Z. Ayanian, Mary Beth Landrum, Edward Guadagnoli, and Peter Gaccione (_New England Journal of Medicine_, Vol. 347, No. 21, Nov. 21, 2002, p. 1678-1686).

B. "Contribution of Major Diseases to Disparities in Mortality," by Mitchell D. Wong, Martin F. Shapiro, W. John Boscardin, and Susan L. Ettner (_New England Journal of Medicine_, Vol. 347, No. 20, Nov. 14, 2002, p. 1585-1592).

14. _BMJ_ ARTICLE: "Multicentre aneurysm screening study (MASS): cost effectiveness analysis of screening for abdominal aortic aneurysms based on four year results from randomised controlled trial," by Multicentre Aneurysm Screening Study Group (_British Medical Journal_, Vol. 323, No. 7373, Nov. 16, 2002, HTML and .pdf format, 7p.).

15. MEDSCAPE CONFERENCE COVERAGE, MEDICAL NEWS, ARTICLE: Note: Medscape requires free registration before providing articles.

A. "Medscape Conference Coverage, based on selected sessions at the: National Conference of Gerontological Nurse Practitioners: Advanced Practice Nursing: Making a Visible Difference," a conference held Sep. 18-21, 2002.

Click on "National Conference...visible difference".

B. "Screening for Abdominal Aortic Aneurysm: A Newsmaker Interview With Prof. Martin Buxton," by Laurie Barclay (Medscape Medical News, Nov. 15, 2002).

C. "Asthma in the Elderly: Cockroach Sensitization and Severity of Airway Obstruction in Elderly Nonsmokers," by Linda Rogers, Cara Cassino, Kenneth I. Berger, Roberta M. Goldring, Robert G. Norman, Thomas Klugh, and Joan Reibman (_Chest_ Vol. 122, No. 5, 2002, p. 1580-1586, via Medscape).


III. Working Papers:

16. MAX PLANCK INSTITUTE FOR DEMOGRAPHIC RESEARCH: "Wealth and cohort size: stock market boom or bust ahead?" by Christian Helmenstein, Alexia Prskawetz, and Yuri Yegorov (WP-2002-051, November 2002, .pdf format, 37p.).


Intersecting the life-cycle pattern of savings accumulation with the wealth distribution, this paper studies the impact of heterogeneity in cohort size on the allocation of assets held by private households. Based on a closed form solution to a theoretical model, the results do not lend support to the hypothesis that stock markets are doomed to suffer from a meltdown as the baby-boom cohort retires. Instead, various demographic and economic factors may contribute to attenuate an expected stock market decline. Depending on the shape of the aggregate wealth distribution, the allegedly negative stock market impact of population ageing may even be offset or reversed. On the other hand, contrary to previous work a decline in stock market prices may set in well before collective retirement.

17. UNIVERSITY OF WISCONSIN CENTER FOR DEMOGRAPHY AND ECOLOGY: "Exploring the Racial/Ethnic Gap in Healthy Life Expectancy," by Abdelhani Guend, Karen C. Swallen and David Kindig (WP 2002-02, 2002, .pdf format, 26p.).


Racial/Ethnic disparities in healthy life are explored using Disability-Free Life Expectancy (1989-1991) estimated for Native, Asian and Pacific Islanders, black, white, and Hispanic Americans. Four types of disability were analyzed: any disability, work-related disability, limitations in activities of daily living, and disability that is work-related and limits activities of daily living and personal care too. We found that Natives and blacks spend a longer time of their shorter Life Expectancies disabled. Although women enjoy longer LE then men, they spent a higher proportion of life disabled. Racial groups score differently based on the type of disability too.


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

18. 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.

The Gerontologist (Vol. 42, Special Issue 3, 2002). Note 1: this is a special issue concerning end of life issues. Note 2: 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. 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. Alzheimer's Disease: Literature for the week of November 19, 2002:

B. Parkinson's Disease: Literature for the week of November 19, 2002:

AMADEO Literature Guide:


V. Legislation Information Updates:

20. US HOUSE WAYS AND MEANS COMMITTEE HEARING PUBLICATION: "Promoting Disease Management in Medicare," a hearing held Apr. 16, 2002 (House Serial Publication No. 107-80, ASCII text and .pdf format, 92p.).

Scroll to or "find in page" "107-80" (without the quotes).

21. US SENATE SPECIAL COMMITTEE ON AGING HEARING PUBLICATION: "Long-Term Care Financing: Blueprints for Reform," a hearing held Jun. 20, 2002 (Senate Hearing No. 107-689, Serial No. 107-27, ASCII text and .pdf format, 130p.).

Scroll to or "find in page" "107-689" (without the quotes).

22. US SENATE HEALTH, EDUCATION, LABOR AND PENSIONS COMMITTEE HEARING PUBLICATION: "Alzheimer's Research and Care: Helping Patients and Families," a hearing held Apr. 2, 2002 (Senate Hearing No. 107-368, ASCII text and .pdf format, 44p.).

Scroll to or "find in page" "107-368" (without the quotes).

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