Current Awareness in Aging Research (CAAR) Report #240--June 3, 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. CENSUS BUREAU REPORT: "A Profile of Older Workers in California," by Nick Carroll and Cynthia Taeuber (Local Employment Dynamics LED/OW-CA, May 2003, .pdf format, 22p.). The report is linked to from a Census Bureau news release: "As It Ages, California's Work Force Remains on the Job" (CB04-86, Jun. 2, 2004).

Click on "A Profile of Older Workers in California" for link to full text.


A. "Medicare to Pay for Unclassified, FDA-Approved Drugs Administered in Outpatient Departments," (May 28, 2004).

B. "CMS Proposed 2.5 Percent Increase in Medicare Home Health Payment Rates," (May 28, 2004).

C. "Medicare-Approved Prescription Drug Discount Cards show Significant, Sustained Discounts," (May 28, 2004).

D. "Social and Economic Determinants of Health Plan Choice," a call for papers to be published in a special issue of "Health Care Financing Review" (May 2004). The deadline for submissions is October 29, 2004.

Scroll down to or "find in page" "Economic Determinants" (without the quotes).

3. DHHS PRESS RELEASE: "HHS Identifies States for Medicare Demonstration of New, Less Restrictive Homebound Definition," (June 3, 2004).

4. DHHS OIG: "Audit of the Reasonableness of Pension Charges to the Federal Government for the North Carolina Teachers' and State Employees' Retirement System," (US Department of Health and Human Services, Office of Inspector General, A-04-02-00011, May 2004, .pdf format, 30p.).

From the report:

This final report points out that North Carolina claimed Federal reimbursement for unfunded retirement contributions totaling $127.4 million ($7.8 million Federal share). Under Federal cost principles, States are not entitled to seek reimbursement from the Federal Government for pension costs until such costs are funded. In a related matter, we noted that the North Carolina retirement fund's assets exceeded actuarial liabilities by $4.4 billion ($315 million Federal share) as of December 31, 2001. North Carolina had taken steps to address the actuarial surplus, reducing future employer contribution rates, granting cost-of-living increases to retirees, and reducing the assumed return on investment rates. However, the actuarial surplus continues. Therefore, North Carolina should continue its efforts to address the surplus and periodically reassess the contribution rates to ensure actuarial balance. We recommended that North Carolina refund the $7.8 million to the Federal Government.

5. NCHS REPORT: "Deaths, Injuries, 2001," by Robert N. Anderson, Arialdi M. Minino, Lois A. Fingerhut, Margaret Warner, and Melissa A. Heinen (National Vital Statistics Reports Vol. 52, No. 21, June 2004, .pdf format, 88p.).

6. STATISTICS CANADA/NCHS REPORT: "Joint Canada-United States Survey of Health (JCUSH)," by Claudia Sanmartin, Edward Ng, Debra Blackwell, Jane Gentleman, Michael Martinez and Catherine Simile (Statistics Canada/National Center for Health Statistics, June 2004, .pdf format, 32p.).

Press release [CDC]:

To access the documentation and data file go to:

7. NATIONAL CANCER INSTITUTE COMPENDIUM: "SEER Cancer Statistics Review, 1975-2001," (Surveillance, Epidemiology and End Results Program, June 2004, HTML and .pdf format). "The SEER Cancer Statistics Review (CSR), a report of the most recent cancer incidence, mortality, survival, and prevalence statistics, is published annually by the Cancer Statistics Branch of the NCI. The scope and purpose of this work are consistent with a report to the Senate Appropriations Committee (Breslow, 1988) which recommended that a broad profile of cancer be presented to the American public on a routine basis. This edition includes incidence, mortality, survival, and prevalence statistics from 1975 through 2001, the most recent year for which data are available."

National Institutes of Health News Release: "Annual Report to the Nation Finds Cancer Incidence and Death Rates on the Decline: Survival Rates Show Significant Improvement" (Jun. 3, 2004).

8. AUSTRALIAN GOVERNMENT DEPARTMENT OF HEALTH AND AGEING NEWS RELEASE: "6,555 more aged care places for Victoria" (May 28, 2004).

9. _NATURE_ LETTER ABSTRACT: "Drosophila dFOXO controls lifespan and regulates insulin signaling in brain and fat body," by Dae Sung Hwangbo, Boris Gersham, Meng-Ping Tu, Michael Palmer, and Marc Tatar (_Nature_, Vol. 429, No. 6991, June 3, 2004, .pdf and HTML format, p. 562-566).

10. _NATURE CELL BIOLOGY_ LETTER ABSTRACT: "The endogenous ligand Stunted of the GPCR Methuselah extends lifespan in Drosophila," by Svetlana Cvejic1, Zheng Zhu, Sarah J. Felice, Yemiliya Berman and Xin-Yun Huang (_Nature Cell Biology_, Vol. 6, No. 6, June 2004, .pdf and HTML format, p. 540-546).

11. _NATURE MEDICINE_ ARTICLE ABSTRACT: "mTOR inhibition reverses Akt-dependent prostate intraepithelial neoplasia through regulation of apoptotic and HIF-1-dependent pathways," by Pradip K. Majumder, Phillip G Febbo, Rachel Bikoff, Raanan Berger, Qi Xue, Louis M. McMahon, Judith Manola, James Brugarolas, Timothy J. McDonnell, Todd R. Golub, Massimo Loda, Heidi A. Lane, and William R. Sellers (_Nature Medicine_, Vol. 10, No. 6, June 2004, .pdf and HTML format, p. 591-601).


A. "Structure of membrane-bound [alpha]-synuclein studied by site-directed spin labeling," by Christine C. Jao, Ani Der-Sarkissian, Jeannie Chen, and Ralf Langen (_Proceedings of the National Academy of Sciences_, Vol. 101, No. 22, June 1, 2004, .pdf and HTML format, p. 8331-8336).

B. "Evidence for assembly of prions with left-handed {beta}-helices into trimers," by Cedric Govaerts, Holger Wille, Stanley B. Prusiner, and Fred E. Cohen (_Proceedings of the National Academy of Sciences_, Vol. 101, No. 22, June 1, 2004, .pdf and HTML format, p. 8342-8347).


A. "Hospital admissions, age, and death: retrospective cohort study," by Tracy Dixon, Mary Shaw, Stephen Frankel, and Shah Ebrahim (_British Medical Journal_, Vol. 328, No. 7451, May 29, 2004, .pdf and HTML format, p. 1288-1290).

B. "Impact of use of hormone replacement therapy on false positive recall in the NHS breast screening programme: results from the million women study," by Emily Banks, Gillian Reeves, Valerie Beral, Diana Bull, Barbara Crossley, Moya Simmonds, Elizabeth Hilton, Stephen Bailey, Nigel Barrett, Peter Briers, Ruth English, Alan Jackson, Elizabeth Kutt, Janet Lavelle, Linda Rockall, Matthew G Wallis, Mary Wilson, and Julietta Patnick (_British Medical Journal_, Vol. 328, No. 7451, May 29, 2004, .pdf and HTML format, p. 1291-1292).

14. _LANCET_ ARTICLE ABSTRACT: Note: _Lancet_ requires free registration before providing content. "Cyclo-oxygenase-2 inhibitors versus non-selective non-steroidal anti-inflammatory drugs and congestive heart failure outcomes in elderly patients: a population-based cohort study," by Muhammad Mamdani, David N. Juurlink, Douglas S. Lee, Paula A. Rochon, Alex Kopp, Gary Naglie, Peter C. Austin, Andreas Laupacis, and Therese A. Stukel (_Lancet_, Vol. 363, No. 9423, May 29, 2004, .pdf and HTML format, p. 1751-1756).

15. MEDSCAPE RESOURCES: Note: Medscape requires free registration before providing articles. Medscape has updated its Geriatric Resource Center as of June 1, 2004.

16. AARP REPORT: "The Divorce Experience: A Study of Divorce at Midlife and Beyond," by Xenia P. Montenegro (AARP, May 2004, .pdf format, 153p.).

Press release:

17. KAISER FAMILY FOUNDATION REPORT: "Reactions to the New Medicare Law: Findings Based on Focus Groups with Medicare Beneficiaries," (KFF, June 2004, .pdf format, 21p.). Note: "This report, Reactions to the New Medicare Drug Law, produced jointly by a bipartisan team of pollsters from Public Opinion Strategies and Peter D. Hart Research Associates, presents key findings from ten focus groups of people on Medicare in three cities: Pittsburgh, PA; Kansas City, KS, and Washington, DC. The focus groups explored knowledge, perceptions, and early experiences with the new Medicare drug law both the Medicare-approved drug discount card and the drug benefit that will begin in 2006 among seniors and those under-65 with disabilities who are served by Medicare."



18. C.D. HOWE INSTITUTE COMMENTARY: Mandatory Retirement and Older Workers: Encouraging Longer Working Lives," by Jonathan Kesselman (CD Howe Institute, June 2004, .pdf format, 22p.). Note: "Mandatory retirement and other workplace practices combine with public pension and taxation policies to curtail productive working lives. These practices and policies are based on deficient economic arguments and are in urgent need of fundamental reforms."

For more information about the Institute go to:


II. Working Papers:

19. NATIONAL SURVEY OF FAMILIES AND HOUSEHOLDS [UNIVERSITY OF WISCONSIN-MADISON]: "Transitions to caregiving, marital disagreement, and psychological well-being," by Heejeong Choi and Nadine F. Marks (WP 90, 2004, .pdf format, 33p.).


Objectives. This study examined whether the effects of transitioning into a caregiver role (for parent, parent-in-law, spouse, other kin, or nonkin) on psychological well-being might be moderated by marital disagreement.

Methods. Multivariate regression models were estimated for men and women, regressing global happiness, depressive symptoms, and personal mastery on caregiving types, marital disagreement, caregiving types marital disagreement, and demographic control variables. The analytic sample was a nationally representative sample of married persons 35 years and older (N=1899) who participated in two waves of the National Survey of Families and Households (1987-1993).

Results. Moderating effects of marital disagreement were in evidence among primary kin caregivers and parent-in-law caregivers, with men and women caregivers showing somewhat different patterns. Men who began providing care for their parents showed the most consistent results; a higher level of marital disagreement was associated with an increase in depressive symptoms, a decline in global happiness, and lower ratings of personal mastery. Men who transitioned into a parent-in-law care reported decreased depressive symptoms over time when they experienced a lower level of marital disagreement.

Discussion. The psychological consequences of caregiving for a spouse, parent or parent-in-law need to be understood in the context of marital quality.

20. NBER:

A. "The Role of Immigration in Dealing with the Developed World's Demographic Transition," by Hans Fehr, Sabine Jokisch, and Laurence Kotlikoff (w10512, May 2004, .pdf format, 40p.).


This paper and its companion study, Fehr, Jokisch, and Kotlikoff (2004), develop a three-region dynamic general equilibrium life-cycle model to analyze general and skill-specific immigration policy during the demographic transition. The three regions are the U.S., Japan, and the EU. Immigration is often offered as a solution to the remarkable again underway in the developed world. Absent an immediate and dramatic change in immigration, dependency ratios will roughly double over the next three decades placing fiscal institutions, in particular, and economies, in general, under enormous stress. Can immigration alleviate these stresses? The answer is unclear because a number of offsetting factors are at play. First, increased immigration raises the size of the labor force, but also lowers real wages. Hence, the increase in the taxable wage base due to immigration will be less than might otherwise be expected. Second, immigrants arrive with some capital and accumulate more capital as they age. This raises labor productivity and both payroll and income tax bases. Third, immigrants, like natives, require public goods and become eligible for government welfare, health care, and pension benefits. Fiscally speaking, how much one earns' from a new immigrant depends on the immigrant's skill level, which, in turn, determines the immigrant's level of earnings. The reason is that taxes and transfer payments are, in general, collected and distributed on a progressive basis. Consequently, high-skilled immigrants deliver a larger bang for the buck when it comes to paying net taxes (taxes paid net of transfer payments received). Our model confirms this point. Nonetheless, its findings, even with respect to high-skilled immigration, which we investigate in detail in this paper, are not pretty. It shows that a significant expansion of immigration, whether across all skill groups or among particular skill groups, will do remarkably little to alter the major capital shortage, tax hikes, and reductions in real wages that can be expected along the demographic transition.

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

B. "The German Public Pension System: How it Was, How it Will Be," by Axel Boersch-Supan and Christina B. Wilke (w10525, May 2004, .pdf format, 57p.).


Germany still has a very generous public pay-as-you-go pension system. It is characterized by early effective retirement ages and very high effective replacement rates. Most workers receive virtually all of their retirement income from this public retirement insurance. Costs are almost 12 percent of GDP, more than 2.5 times as much as the U.S. Social Security System. The pressures exerted by population aging on this monolithic system, amplified by negative incentive effects, have induced a reform process that began in 1992 and is still ongoing. This process is the topic of this paper. It has two parts. Part A describes the German pension system as it has shaped the labor market until about the year 2000. Part B describes the three staged reform process that will convert the exemplary and monolithic Bismarckian public insurance system after the year 2000 into a complex multipillar system. The paper delivers an assessment in how far these reform steps will solve the pressing problems of a prototypical pay-as-you-go system of old age provision, hopefully with lessons for other countries with similar problems.

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

C. "The Value of Phased Retirement," by Steven G. Allen (w10531, May 2004, .pdf format, 39p.).


This paper examines how phased retirement plans in higher education create value for both the institution and individual faculty, based upon evidence from the Survey of Changes in Faculty Retirement Policies and an in-depth case study of the University of North Carolina system. Faculty benefit by receiving improved opportunities for part-time work and by having the ability to make a smoother transition to retirement. The policy is clearly of great value to the 25 to 35 percent of UNC faculty who opt for phased over full retirement. The biggest payoff to the university is an increase in the odds that low-performing faculty will start the retirement process earlier. Universities also anticipate increased flexibility in managing faculty employment and compensation; phased retirement is most likely to be observed on campuses where a high percentage of faculty has tenure.

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


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

21. Journal of the American Geriatrics Society (Vol. 52, No. 6, June 2004).

22. 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.

Ageing and Society (Vol. 24, No. 3, 2004).

American Sociological Review (Vol. 69, No. 2, April 1, 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.

Health and Social Work (Vol. 29, No. 2, 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.

International Journal of Ageing and Human Development (Vol. 57, No. 4,

Journal of Aging and Social Policy (Vol. 16, No. 2, 2004).

Journal of Cross Cultural Gerontology (Vol. 19, No. 2, 2004).

23. 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 June 2, 2004:

B. Alzheimer's Disease: Literature for the week of June 2, 2004:

C. Parkinson's Disease: Literature for the week of June 2, 2004:

D. Prostate Cancer: Literature for the week of June 2, 2004:

AMADEO Literature Guide:




Charlie Fiss
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