Current Awareness in Aging Research (CAAR) Report #276--February 24, 2005


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. IPUMS UPDATE: The Integrated Public Use Microdata Series site at the University of Minnesota has announced the posting of "new versions of the 2000-2003 American Community Survey samples: a correction was made to the STATEICP variable." For more information see:

Feb. 23, 2005 item.


II. Reports and articles:

2. SSA PERIODICAL: _Social Security Bulletin_, (US Social Security Administration, Vol. 65 No. 3, 2003/04, HTML and .pdf format).

3. GAO REPORT: "Federal Thrift Savings Plan: Practices Adopted by Private Sector Managers Should Be Considered," (US Government Accountability Office, GAO-05-38, January 18, 2005, .pdf format, 31p.).

Note: This is a temporary address. GAO reports are always available at:

4. CBO REPORT: "Letter to the Honorable Joe Barton regarding CBO's current projection of spending for the Medicare Part D benefit," (Congressional Budget Office, February 2005, .pdf format, 3p.).

5. DHHS OIG REPORT: "Nurse Aide Registries: State Compliance and Practices," (US Department of Health and Human Services, Office of Inspector General, OEI-07-03-00380, February 2005, .pdf format, 29p.).

Report Summary:

This report found that 24 of the States reviewed failed to update registry records of nurse aides to reflect substantiated adverse findings timely. Records of one in four nurse aides with such findings had not been updated within the required 10 working days after substantiation. State survey respondents reported failing to remove the records of nurse aides who had not performed nursing or nursing-related services for 24 consecutive months, as required. More than 1,500 nurse aides with substantiated findings had active certifications in at least 1 other State, and more than 300 nurse aides had substantiated findings in more than 1 State. Various State practices could make it more difficult to prevent certain individuals from working as nurse aides. OIG recommended that CMS: (1) ensure States update records of nurse aides with substantiated adverse findings timely and remove registry records of inactive nurse aides as required; (2) reduce the potential for nurse aides with substantiated findings to commit similar acts in another State; and (3) work with States to ensure registry records contain current information on nurse aides. CMS generally concurred with our recommendations, and we note that action has already been taken to address problems with particular State nurse aide registries.

6. CMS METHODOLOGICAL CHANGE NOTICE: "Advance Notice of Methodological Changes for Calendar Year 2006 Medicare Advantage Payment Rates," (US Centers for Medicare and Medicaid Services, February 2005).


A. "NIH Announces New Members of the Aging Institute's Advisory Panel," (US National Institutes of Health, February 17, 2005).

B. "Researchers Uncover Key Step In Manufacture of Memory Protein," (US National Institutes of Health, February 23, 2005).


A. "Federal Government requires greater accountability from aged care providers," (February 17, 2005).

B. "Dementia - an Australian Government health priority," (February 18, 2005).

9. CENTER FOR RETIREMENT RESEARCH [BOSTON COLLEGE] ISSUE BRIEF: "What Makes Retirees Happy?" by Keith A. Bender and Natalia A. Jivan (IB 28, February 2005, .pdf format, 11p.).

From the Introduction:

Economic well-being in retirement has been of increasing interest for economic researchers. The policy implications are large. As the baby boom generation nears retirement, understanding the factors that determine economic well-being enables policymakers to evaluate and possibly reform present retirement institutions, such as public and private pension programs. Of particular interest in this field has been the focus on retirement income adequacy, that is, the financial resources retirees need to be above some minimal level.

While this area of research is important, focusing on just the economic well-being of individuals may miss other factors that influence overall welfare. Indeed, there has been a lack of research on other aspects of well-being for retirees in the economics literature. This brief attempts to fill this void by examining the determinants of the overall well-being of retirees, using the 2000 Health and Retirement Study.

10. EBRI ISSUE BRIEF: "Controlling Health Costs and Improving Health Care Quality for Retirees," by Jim Jaffe and Paul Fronstin (Employee Benefit Research Institute, February 2005 Issue Brief, .pdf format, 18p.).


This _Issue Brief_ reports on presentations and discussions at an EBRI-ERF policy forum that focused on how any changes to Medicare that attempt to control the program's costs or affect the program's health care quality will be likely to affect the entire U.S. health care system. The Issue Brief notes that Medicare faces far larger long-term financial problems than Social Security, will soon account for a greater and rapidly growing share of the nation's gross domestic product, and that those problems will send Medicare into insolvency 23 years before Social Security.

Press release (.pdf format, 3p.).

11. AMERICAN SOCIETY OF CONSULTANT PHARMACISTS REPORT: "The Cost of Being Excluded: Impact of Excluded Medications under Medicare Part D on Dually Eligible Nursing Home Residents," by Richard G. Stefanacci (February 2005, .pdf format, 22p.).

Press Release:

For more information about ASCP:

12. _MMWR_ ARTICLE: "Hypothermia-Related Deaths---United States, 2003--2004," (US Centers for Disease Control, _Morbidity and Mortality Weekly Report_, Vol. 54, No. 7, February 25, 2005, .pdf and HTML format, p. 173-175).



13. _SCIENCE_ ARTICLE ABSTRACT: "Axonopathy and Transport Deficits Early in the Pathogenesis of Alzheimer's Disease," Gorazd B. Stokin, Concepción Lillo, Tomás L. Falzone, Richard G. Brusch, Edward Rockenstein, Stephanie L. Mount, Rema Raman, Peter Davies, Eliezer Masliah, David S. Williams, and Lawrence S. B. Goldstein (_Science_, Vol. 307, No. 5713, February 25, 2005, .pdf and HTML format, p. 1282-1288).


A. "Chronic nicotine administration exacerbates tau pathology in a transgenic model of Alzheimer's disease," by Salvatore Oddo, Antonella Caccamo, Kim N. Green, Kevin Liang, Levina Tran, Yiling Chen, Frances M. Leslie, and Frank M. LaFerla (_Proceedings of the National Academy of Sciences_, Vol. 102, No. 8, February 23, 2005, .pdf and HTML format, p. 3046-3051).

B. "Amyloid-{beta} neurotoxicity is mediated by FISH adapter protein and ADAM12 metalloprotease activity," by Nikolay L. Malinin, Sarah Wright, Peter Seubert, Dale Schenk, and Irene Griswold-Prenner (_Proceedings of the National Academy of Sciences_, Vol. 102, No. 8, February 23, 2005, .pdf and HTML format, p. 3058-3063).

C. "Longer lifespan, altered metabolism, and stress resistance in Drosophila from ablation of cells making insulin-like ligands," by Susan J. Broughton, Matthew D. W. Piper, Tomoatsu Ikeya, Timothy M. Bass, Jake Jacobson, Yasmine Driege, Pedro Martinez, Ernst Hafen, Dominic J. Withers, Sally J. Leevers, and Linda Partridge (_Proceedings of the National Academy of Sciences_, Vol. 102, No. 8, February 23, 2005, .pdf and HTML format, p. 3105-3110).


A. "Effects of Estrogen With and Without Progestin on Urinary Incontinence," by Susan L. Hendrix, Barbara B. Cochrane, Ingrid E. Nygaard, Victoria L. Handa, Vanessa M. Barnabei, Cheryl Iglesia, Aaron Aragaki, Michelle J. Naughton, Robert B. Wallace, and S. Gene McNeeley (_Journal of the American Medical Association_, Vol. 293, No. 8, February 23, 2005, .pdf and HTML format, p. 935-948).

B. "Estrogen Treatment for Urinary Incontinence: Never, Now, or in the Future?" by Catherine E. DuBeau (_Journal of the American Medical Association_, Vol. 293, No. 8, February 23, 2005, .pdf and HTML format, p. 998-1001).

16. _NEJM_ PERSPECTIVE ABSTRACT: "Geriatrics in the United States - Baby Boomers' Boon?" by Leslie S. Libow (_New England Journal of Medicine_, Vol. 352, No. 8, February 24, 2005, .pdf and HTML format, p. 750-752).

17. MEDSCAPE RESOURCE CENTER UPDATE: Note: Medscape requires free registration before providing content: Medscape has recently updated its Geriatric Care Resource Center:

18. AUSTRALIAN GOVERNMENT NEWSLETTER: "Aging Research Online," (February 2005, .pdf format, 5p.).


A. "The Debate over Public Pensions in the US: America Speaks," by Curt Davies (AARP, February 2005).

B. "How Earnings and Financial Risk Affect Private Accounts in Social Security Reform," by Thomas Hungerford (AARP Public Policy Institute, February 2005, .pdf format, 11p.).

Link to full text is at bottom of the page.

C. "Is Financial Risk Adequately Accounted for in Social Security Reform Measures?" by Thomas Hungerford (AARP Public Policy Institute, February 2005, .pdf format, 7p.)

Link to full text is at bottom of the page.

D. "The Medicare Program: A Brief Overview," by Craig Caplan (AARP Public Policy Institute, February 2005, HTML and .pdf format, 4p.).

Link to .pdf full text is at bottom of the page.

20. ILCUSA REPORT: "ILC Policy Report" (International Longevity Center, USA, February 2005, .pdf format, 6p.). The ILC Policy Report is "a monthly compilation of longevity news and trends in the U.S. and abroad."


III. Working Papers:

21. NBER: "Fertility and Social Security," by Michele Boldrin, Mariacristina De Nardi, and Larry E. Jones (National Bureau of Economic Research, w11146, February 2005, .pdf format, 44p.).


The data show that an increase in government provided old-age pensions is strongly correlated with a reduction in fertility. What type of model is consistent with this finding? We explore this question using two models of fertility, the one by Barro and Becker (1989), and the one inspired by Caldwell and developed by Boldrin and Jones (2002). In the Barro and Becker model parents have children because they perceive their children's lives as a continuation of their own. In the Boldrin and Jones' framework parents procreate because the children care about their old parents' utility, and thus provide them with old age transfers. The effect of increases in government provided pensions on fertility in the Barro and Becker model is very small, and inconsistent with the empirical findings. The effect on fertility in the Boldrin and Jones model is sizeable and accounts for between 55 and 65% of the observed Europe-US fertility differences both across countries and across time and over 80% of the observed variation seen in a broad cross-section of countries. Another key factor affecting fertility the Boldrin and Jones model is the access to capital markets, which can account for the other half of the observed change in fertility in developed countries over the last 70 years.

Click on "PDF" or submit your email address for full text.


A. "Nonprofit and For-profit Providers in Japan's At-home Care Industry: Evidence on Quality of Service and Household Choice," by Haruko Noguchi and Satoshi Shimizutani (Discussion Paper No. 73, February 2005, .pdf format, 19p).


In 2000, government deregulation along with the introduction of the long-term insurance scheme for the first time allowed for-profit providers of at-home care for the elderly to compete directly with nonprofit operators. According to the contract failure hypothesis, we would expect consumers to prefer nonprofit providers over their for-profit counterparts as a result of information asymmetry and non-distributional constraints. This study takes advantage of household level data to examine whether households' choice of care provider is biased toward nonprofits. We find that nonprofit providers to command a larger market share, but this is at least partly explained by having operated in the market longer and by continuing restrictions in medical and institutional care that confer various advantages on nonprofit providers. However, we do find that user with better knowledge of providers tend to favor for-profit providers, suggesting that measures to reduce information asymmetries may help to provide a more level playing field.

B. "The Determinants of Exit from Nursing Homes and the Price Elasticity of Nursing Home Care: Evidence from Japanese Micro-level Data," by Haruko Noguchi and Satoshi Shimizutani (Discussion Paper No. 67, January 2005, .pdf format, 19p).


This study examines how the price mechanism affects the length of residents' nursing home stay and their destination after exit. The purpose of this analysis is to evaluate policy options to reduce the number of socially institutionalized elderly nursing home residents in Japan. To address these issues, we take advantage of micro-level data from The Survey on Care Service Providers compiled by the Japanese government. Our duration estimates show that the price elasticity of the hazard of exit from welfare care facilities was 1.7 (95% CI: 0.4-3.0) and 1.8 (95% CI: 0.0-3.8) from health care facilities. The probit estimates show that a 1 percentage point increase in copayments leads to an increase in the probability of returning home by 0.04% for patients of welfare care facilities and 3.7% for those of health care facilities. In contrast, the price elasticity of the probability of being re-hospitalized is -3.3% for patients of health care facilities and -1.9% for those of medical care facilities. An appropriate price policy may work well to shorten patients' length of stay and to reduce the number of the socially institutionalized. Since the effects of the introduction of a price mechanism may differ for different types of facilities, public policies aimed at broadening residents' range of choices need to be designed with care and incorporate an appropriate risk adjustment system to provide a safety net for those elderly highly at risk of being socially institutionalized.


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

23. American Journal of Epidemiology (Vol. 161, No. 5, March 1, 2005).

24. American Journal of Public Health (Vol. 95, No. 3, March 2005). 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 this database and this issue.

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

A. Point your browser to:

B. click on "advanced search"
C. Type in your publication name and click "Exact title" radio button
D. Under "Show", click the "fax/ariel" radio button.
E. View the table of contents for the issue noted.

Social Work (Vol. 50, No. 1, 2005). 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.


26. 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 23, 2005:

B. Alzheimer's Disease: Literature for the week of February 23, 2005:

C. Parkinson's Disease: Literature for the week of February 23, 2005:

D. Prostate Cancer: Literature for the week of February 23, 2005:

E. Stem Cell Research: Literature for the week of February 23, 2005:

F. Ophthalmology: Literature for the week of February 23, 2005:

AMADEO Literature Guide:


V. Funding Opportunities:

27. NIH:

A. "Functional Links between the Immune System, Brain Function and Behavior," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-05-054, February 14, 2005). Note: This is a re-issue of this announcement.

B. "Jointly Sponsored Ruth L. Kirschstein National Research Service Award Institutional Predoctoral Training Program in the Neurosciences," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-05-055, February 18, 2005). Note: This is a re-issue of this announcement.


VI. Conferences/Seminars:

28. BROOKINGS INSTITUTE/PUBLIC POLICY INSTITUTE [GEORGETOWN UNIVERSITY]: "The Retirement Security Project is intended to bolster financial security for America's aging population by raising retirement savings and improving long-term care insurance products. It brings together pension researchers and health care experts to undertake non-partisan research and outreach in areas such as using home equity to purchase long-term care insurance; reforming the existing saver's credit to strengthen its incentives for moderate-income households to save; and removing the disincentive for pension saving implicit in the existing asset tests under various means-tested government programs.

The Retirement Security Project is supported by The Pew Charitable Trusts in partnership with Georgetown University's Public Policy Institute and the Brookings Institution."

The Project will hold a roundtable discussion at the National Press Club on March 1, 2005. For more information about the event:


VII. Websites of Interest:

29. AARP: AARP has created the "Effectiveness and Safety of Prescription Drugs" site to provide information about drugs and drug costs. Data for the site is provided by "the Drug Effectiveness Review Project of Oregon Health and Science University's Center for Evidence-based Policy."




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