Current Awareness in Aging Research (CAAR) Report #225--February 19, 2004


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. NCHS: "United States Life Tables, 2001," by Elizabeth Arias (US National Center for Health Statistics, National Vital Statistics Reports Vol. 52, No. 14, February 2004, .pdf format, 40p.).

2. DHHS OIG ALERT: "Hospital Discounts Offered To Patients Who Cannot Afford To Pay Their Hospital Bills," (US Department of Health and Human Services, Office of the Inspector General, February 2004).

3. AUSTRALIAN INSTITUTE OF HEALTH AND WELFARE REPORT: "Extended Aged Care at Home Census 2002," (AIHW Aged Care Statistics Series No. 15, February 2004, .pdf format, 70p.). Note: "This report presents the results of a comprehensive national data collection of Extended Aged Care at Home providers and care recipients. This program, established in 2001, enables frail aged people to remain in their homes through the support of coordinated packages of high level care. The data collected provide an insight into the needs and circumstances of those accessing this care and provide information on current service delivery patterns."

Media release:


A. "Incipient Alzheimer's disease: Microarray correlation analyses reveal major transcriptional and tumor suppressor responses," by Eric M. Blalock, James W. Geddes, Kuey Chu Chen, Nada M. Porter, William R. Markesbery, and Philip W. Landfield (_Proceedings of the National Academy of Sciences_, Vol. 101, No. 7, February 17, 2004, .pdf and HTML format, p. 2173-2178).

B. "Involvement of oxidative stress-induced abnormalities in ceramide and cholesterol metabolism in brain aging and Alzheimer's disease," by Roy G. Cutler, Jeremiah Kelly, Kristin Storie, Ward A. Pedersen, Anita Tammara, Kimmo Hatanpaa, Juan C. Troncoso, and Mark P. Mattson (_Proceedings of the National Academy of Sciences_, Vol. 101, No. 7, February 17, 2004, .pdf and HTML format, p. 2070-2075).

C. "Identification of a prostate cancer susceptibility locus on chromosome 7q1121 in Jewish families," by Danielle M. Friedrichsen, Janet L. Stanford, Sarah D. Isaacs, Marta Janer, Bao-li Chang, Kerry Deutsch, Elizabeth Gillanders, Suzanne Kolb, Katherine E. Wiley, Michael D. Badzioch, S. Lilly Zheng, Patrick C. Walsh, Gail P. Jarvik, Leroy Hood, Jeffrey M. Trent, William B. Isaacs, Elaine A. Ostrander, and Jianfeng Xu (_Proceedings of the National Academy of Sciences_, Vol. 101, No. 7, February 17, 2004, .pdf and HTML format, p. 1939-1944).

5. _JAMA_ ARTICLE ABSTRACT: "Predictors of New-Onset Kidney Disease in a Community-Based Population," by Caroline S. Fox, Martin G. Larson, Eric P. Leip, Bruce Culleton, Peter W. F. Wilson, and Daniel Levy (_Journal of the American Medical Association_, Vol. 291, No. 7, February 18, 2004, .pdf and HTML format, p. 844-850).

6. _NEJM_ POLICY HEALTH REPORT: "The New Medicare Prescription-Drug Benefit A Pure Power Play," by John K. Iglehart (_New England Journal of Medicine_, Vol. 350, No. 8, February 19, 2004, .pdf and HTML format, p. 826-833).

7. _LANCET_ ARTICLE ABSTRACT, BOOK REVIEW: Note: _Lancet_ requires free registration before providing content.

A. "Telomere length and possible link to X chromosome," by Tim S. Nawrot, Jan A Staessen, Jeffrey P. Gardner, and Abraham Aviv (_Lancet_, Vol. 363, No. 9408, February 14, 2004, .pdf and HTML format, p. 507-510).

B. "End-of-life care in the elderly," by Mary Bliss (_Lancet_, Vol. 363, No. 9408, February 14, 2004, .pdf and HTML format, p. 579). Note: This article is a book review of "Geriatric Palliative Care," edited by R. Sean Morrison and Diane E Meier (New York: Oxford University Press, 2003: ISBN 0 195 14191 1).


A. "Benefits and harms associated with hormone replacement therapy: clinical decision analysis," by Cosetta Minelli, Keith R. Abrams, Alex J. Sutton, and Nicola J. Cooper (_British Medical Journal_, Vol. 328, No. 7436, February 14, 2004, .pdf and HTML format, p. 371-374).

B. "Patients' preferences for the management of non-metastatic prostate cancer: discrete choice experiment," by Mark Sculpher, Stirling Bryan, Pat Fry, Patricia de Winter, Heather Payne, and Mark Emberton (_British Medical Journal_, Vol. 328, NO. 7436, February 14, 2004, .pdf and HTML format, p. 382-384).

C. "Where are we now with hormone replacement therapy?" by Klim McPherson (_British Medical Journal_, Vol. 328, NO. 7436, February 14, 2004, .pdf and HTML format, p. 357-358).

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

A. "Religion, Spirituality, and Health Status in Geriatric Outpatients," by Timothy P. Daaleman, Subashan Perera, and Stephanie A. Studenski (_Annals of Family Medicine_, Vol. 2, No. 1, 2004, p. 49-53, via Medscape).

B. "Studies of Comprehensive Geriatric Assessment in Patients With Cancer," by Martine Extermann (_Cancer Control_, Vol. 10, No. 6, 2003, p. 463-468, via Medscape).

C. "Nonhormonal Alternatives for the Treatment of Hot Flashes," by Brigitte L. Sicat and Deborah K. Brokaw (_Pharmacotherapy_, Vol. 24, No. 1, 2004, p. 79-93, via Medscape).

10. URBAN INSTITUTE REPORT: "Economic Status in Later Life among Women Who Raised Children Outside of Marriage," by Richard W. Johnson and Melissa Favreault (_Urban Institute_, February 2004, .pdf format, 25p.).

From the Introduction:

The economic hardships that confront single mothers are well known. Female-headed households with children receive less income and accumulate fewer assets than households with children headed by married couples (McLanahan and Sandefur 1994; Ribar 1999; Waite and Gallagher 2000). But little is known about how single mothers fare in later life, when their children are grown. This paper addresses this issue by examining the economic status of older women who raised children outside of marriage earlier in life.

The number of single mothers has increased sharply over the past generation. In 2002, 26 percent of families with children under 18 consisted of a single mother and an absent father, up from 12 percent in 1970 (U.S. Census Bureau 2003a). Single motherhood grew rapidly during the 1970s, when the number of families with children headed by single mothers increased 83 percent. The growth rate slowed to 35 percent in the 1980s and to 15 percent in the 1990s. Once the women who raised children outside of marriage in the 1970s begin to reach old age in coming years, the number of elderly women who spent time as single mothers earlier in their lives will soar.

The principal factor behind the rise in single motherhood is the surge in nonmarital births, which increased as a share of total births from 11 percent in 1970 to 33 percent in 2001 (Martin, Park, and Sutton 2002; Ventura and Bachrach 2000). In 2002, 10 percent of all children lived in single-parent households with their never-married mothers, up from 0.8 percent in 1970 (U.S. Census Bureau 2003a). In addition, between 1970 and 2002 the number of children under 18 living with divorced or separated mothers increased by 56 percent, although the divorce rate declined in the late 1980s and has been relatively stable since then (Clarke 1995).

Rates of single motherhood, especially for never-married women, are quite high among African Americans. In 2002, 54 percent of African-American families with children under 18 were headed by single mothers, and 31 percent of African-American children under 18 lived in single-parents homes with their never-married mothers (U.S. Census Bureau 2003b). More than two-thirds (69 percent) of births to non-Hispanic black women were nonmarital in 2000, compared with 43 percent of births for Hispanic women and 22 percent of births for non- Hispanic white women (Martin et al. 2002).

11. AAA FOUNDATION FOR TRAFFIC SAFETY REPORT: "Older Driver Involvement in Injury Crashes in Texas," by Lindsay I. Griffin, III (AAA Foundation for Traffic Safety, February 2004, .pdf format, 80p.). Note: "This study looks at the likelihood of death resulting from crashes involving drivers in the 65 to 85+ age groups. Other factors including pre-crash physical ailments and perceptual lapses are addressed."

Press Release:

12. AARP PRIME TIME RADIO: The following AARP _Prime Time Radio_ shows, for Jan 27. - Feb. 10, 2004, are now available (RealPlayer plug-in or helper application required, audio transcripts run between 24 and 30 minutes).

Feb. 10, 2004: Home Depot: The Hiring and Training of Older Workers


II. Working Papers:

13. NBER: "Personal Accounts and Family Retirement," by Alan L. Gustman and Thomas L. Steinmeier (NBER Working Paper No. w10305, February 2004, .pdf format, 48p.).


This paper constructs a model of retirement and saving by two earner couples. The model includes three dimensions of behavior: the joint determination of retirement and saving; heterogeneity in time preference; and the interdependence of retirement decisions of husbands and wives. Estimation is based on panel data from the Health and Retirement Study covering the period 1992 to 2000. When husbands postpone their retirement so they can retire together with their typically younger wives, the spike in retirement at age 62 is smeared to later ages. Thus retirements differ between one and two earner families. We find both an asymmetry in which husbands prefer their wife to be retired before they retire, and a clear distaste of many husbands to retiring when their wives are in poor health, while the wives are willing to stay at home with sickly husbands. We simulate a system of personal Social Security accounts based on a 10.6 percent contribution rate over the lifetime. One version allows individuals to make lump sum withdrawals at retirement instead of annuitizing. This program would increase the retirement rates of husbands at age 62 by about 15 percentage points compared to the current system. Adding a lump sum option, by itself, would increase retirements at 62 by about 6 percentage points.

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

14. CENTER FOR RETIREMENT RESEARCH AT BOSTON COLLEGE: "It's All Relative: Understanding the Retirement Prospects of Baby-Boomers," by Barbara A. Butrica, Howard M. Iams, and Karen E. Smith (CRR WP 2003-21, November 2003, .pdf format, 66p.).


The aim of this paper is to compare baby boomer retirees with previous generations on their overall level, distribution, and composition of family income and on the adequacy of this income in maintaining their economic well- being in retirement. To do this we use projections of retirement income from the Social Security Administrations Modeling of Income in the Near Term (MINT) data system.

In absolute terms, measured by real per capita income and poverty rates, we find that baby boomers will be better off than current retirees. In relative terms, however, many baby boomers will be worse off than current retirees. First, MINT predicts changes over time in the relative ranking of important subgroups within specific cohorts, with some subgroups experiencing substantial gains in real per capita income and other subgroups experiencing little gain over time. Second, while both pre- and post-retirement incomes are rising, post-retirement incomes don't rise as much as pre-retirement incomes. Consequently, baby boomers are less likely than current retirees to have enough post-retirement income to maintain their pre-retirement living standards. These findings hold up to various definitions of family income and replacement rates.

15. NATIONAL CENTRE FOR SOCIAL AND ECONOMIC MODELING (NATSEM) UNIVERSITY OF CANBERRA: "Self Provision In Retirement? Forecasting Future Household Wealth," by Simon Kelly (CP2003_016, December 2003, .pdf format, 16p.).


The costs associated with an ageing population in Australia are putting increasing pressure on the fiscal resources of the government. This pressure will intensify as the proportion of elderly doubles over the next few decades. Under this increasing fiscal pressure, the government will be increasingly looking to individuals to provide for themselves.

This paper considers what capacity older Australians have to provide financially for themselves. It finds that if the traditional measure of well-being is used, incomes, then they have very little capacity to contribute to the cost of their retirement. Almost all of those currently aged 65 and over rely almost entirely on the government-funded Age Pension. Despite the modest level of the pension (indexed at one-quarter of average weekly earnings), only 17% of current retirees have private income that matches or exceeds the pension.

Taking a broader economic view including wealth provides a very different perspective. Those aged 65 and over currently have an estimated 22 per cent share of total household wealth and this proportion is likely to increase to 47 per cent by 2031. By including this wealth in the evaluation of capacity to contribute to the costs of retirement, it appears there is considerable scope for self-provision.


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

16. INGENTA Tables of Contents: INGENTA provides fee based document delivery services for selected journals.

A. Point your browser to:

B. click on "browse by publication"
C. Click the "fax/ariel" radio button, type the Journal Name in the "by words in the title" search box and click "search".
D. View the table of contents for the issue noted.

American Sociological Review (Vol. 68, No. 6, December 2003). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for the availability of this database and this issue.

Journal of Applied Gerontology (Vol. 23, No. 1, March 2004). Note: Note: Full electronic text of this journal is available in the ProQuest Research Library and the EBSCO Host Academic Search Elite Database. Check your library for the availability of these databases and this issue.

Medical Care Research and Review (Vol. 61, No. 1, March 2004). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for the availability of this database and this issue.


17. 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 February 17, 2004:

B. Alzheimer's Disease: Literature for the week of February 17, 2004:

C. Parkinson's Disease: Literature for the week of February, 2004:

D. Prostate Cancer: Literature for the week of February 17, 2004:

AMADEO Literature Guide:


IV. Conferences:

18. RAND SUMMER INSTITUTE: "RAND is pleased to announce the 11th annual RAND Summer Institute (RSI) on the Demography, Economics, and Epidemiology of Aging. The Workshop on Aging will be held July 9-10, 2004 at the RAND Corporation headquarters in Santa Monica, California. The conference serves as a vehicle to provide additional training to researchers new to the field of aging. The conference is sponsored by the National Institute on Aging and the NIH-wide Office of Behavioral and Social Sciences Research." The deadline for application is April 9, 2004.


V. Legislation Information Updates:

19. UK HOUSE OF COMMONS BILL: "Pensions Bill," (February 10, 2004, .pdf and HTML format, 235p.).

Follow links to "HTML" or "PDF".

For more information about the "Pension Protection Fund" go to:

Press Release:




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