Current Awareness in Aging Research (CAAR) Report #42--July 20, 2000

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:

Due to the fact that we did not produce a CAAR Report last week we have added a few more items to this report to cover events that occurred during that week. We hope that you will enjoy the additional materials.


I. Data:


A. The Social Security Administration has provided more statistical tables from the forthcoming _Annual Statistical Supplement 2000_ (discussed in CAAR #30, April 21, 2000 item #4).

Tables are available in HTML and .pdf formats. Interested users should bookmark the site and return periodically. The following tables have been added as of June 27, 2000: 6.B1 Number and percentage distribution of initial awards and number of months of benefits withheld due to earnings, by age and sex, 1999, 6.B2 Average primary insurance amount and average monthly benefit for initial awards, by age, sex, and number of months of benefits withheld, 1999. _Annual Statistical Supplements_ for 1999 and 1998 are also available at the site.



The Social Security Administration developed this ready reference tool to provide easy to access information about income for individual's age 55 and older. The charts focus on the portions of income received from a variety of resources (Social Security, pensions, assests, earnings, etc.). Tables in the Chartbook are in .pdf format.


3. HRS/AHEAD DATA ALERTS: The University of Michigan Institute for Social Research Health and Retirement Study/Asset and Health Dynamics Among the Oldest Old (HRS/AHEAD) website announced an addition to the Codebooks Web page.

_1993 AHEAD CODEBOOK_ A link to the HTML version of the 1993 AHEAD Codebook is now available. Note: To get to the codebook, scroll down to AHEAD 1993 (Wave 1) and click on HTML version. (July 17, 2000)


II. Reports and articles:


"Disease-Specific Estimates of Direct and Indirect Costs of Illness and NIH Support: Fiscal Year 2000 Update," by Ruth Kirschstein, M.D. Please note: The report is available in HTML format only, but the tables accompanying the report are in .pdf format.

>From the Report Preface:

"The report was prepared in response to a congressional request that the NIH combine and update two previously requested reports entitled "Disease-Specific Estimates of Direct and Indirect Costs of Illness and NIH Support" and "HHS and National Costs for 13 Diseases and Conditions".

The NIH submitted the first version of the report in 1995 and updated the figures in 1997 and in early 1998. For the current revision, all of the NIH support figures have been updated to reflect the FY 1999 funding levels. Several of the cost estimates have been revised since the initial report, but not all. In the current update, cost estimates were revised for alcohol abuse, allergic rhinitis, Alzheimer's disease and other dementia, asthma, atherosclerosis, dental, peptic ulcer, heart diseases, coronary heart disease, HIV/AIDS, lead poisoning, end stage renal diseases, mental disorders, neonatal respiratory distress syndrome, acute respiratory distress syndrome, smoking, and urinary incontinence."


5. _THE NEWS HOUR WITH JIM LEHRER_ INTERVIEW: "Alzheimer's Disease," (July 18, 2000). This page contains a transcript of Jim Lehrer's interview with Dr. Steven DeKosky about recent developments in Alzheimer's research. Note: To hear an audio version of the interview go to "Click here to listen to this segment in RealAudio."



"Use of Colonoscopy to Screen Asymptomatic Adults for Colorectal Cancer," by David A. Lieberman, et. al. (_The New England Journal of Medicine_, July 20, 2000, Vol. 343, No. 3).

Note: Your organization may have access to full electronic text (HTML and .pdf formats) of this article. Check your organization's library.

"Going the Distance -- The Case for True Colorectal-Cancer Screening," by Daniel K. Podolsky, M.D. (_The New England Journal of Medicine_, July 20, 2000, Vol. 343, No. 3).


7. _SCIENCE_ ARTICLE ABSTRACT: "Role of the Mouse ank Gene in Control of Tissue Calcification and Arthritis," by Andrew M. Ho, Michelle D. Johnson, and David M. Kingsley (_Science_, Vol. 289, No. 5477, Jul 14 2000: Note: Your organization may have access to full electronic text (HTML and .pdf formats) of this article. Check your organization's library.

To view the abstract for this article go to:


8. _U. S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF INSPECTOR GENERAL_ STATEMENT TO CONGRESS: "Medicare Program: Reducing Improper Payments and Fraud," (statement to the House Budget Committee Health Care Task Force, hearing July 12, 2000).

9. _NPR's TALK OF THE NATION--SCIENCE FRIDAY_ INTERVIEW: During Hour Two of the 7/14/00 program, host Ira Flatow spoke with Dr. Steven DeKosky of the University of Pittsburgh Medical Center about developments at the World Alzheimer's Congress. Note: Hour Two of the program consists of two parts: the first half hour focuses on problems with the nation's power grid and the second half hour is the interview with Dr. DeKosky. Unfortunately, you will need to listen to the first half hour in order to hear Dr. DeKosky's remarks.

To hear the program you will need Real Player. When you have gone to:

scroll to "HOUR TWO: Power Grid/ Alzheimer's," and click on either of the links.

10. _WORLD HEALTH ORGANIZATION (WHO)_ FACT SHEET: "Women, Ageing and Health" (June 2000).

WHO created this fact sheet to highlight the unique health needs of older women. The fact sheet points out three factors that make the health needs of older women unique:

"1. The numbers of ageing women are increasing worldwide; 2. Womens life course beyond age 50 extends for a significant period and is increasing everywhere in the world; and 3. There is a very significant scope for improving the health of ageing women and thus ensuring that they remain a resource for their families and communities."


11. _JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (JAMA)_ SPECIAL COMMUNICATION: "Role of Exercise Stress Testing and Safety Monitoring for Older Persons Starting an Exercise Program," by Thomas M. Gill, MD; Loretta DiPietro, PhD, MPH; Harlan M. Krumholz, MD (_JAMA_, July 19, 2000, Vol. 284, No. 3, 342-348 p.).

To view the full-text of this article go to:

and click on "PDF OF THIS ARTICLE" (Left side of the page).


12. _THE WASHINGTON POST_ WEEKLY HEALTH SECTION: "Senior Health Edition," (_The Washington Post_, July 18,2000).

This weeks Washington Post Tuesday Health Section contains a series of articles on aging related health issues. Articles include: a look at new research into Alzheimer's Disease; a review of a book by Henry Grunwald, former editor of Time Magazine, on the effect that macular degeneration has had on his life; a look at health related Web sites for seniors; and a look at research into the effects that eating meals with others has on older individuals.

To locate the stories in this section go to:

then scroll to "This Week's Print Edition" to find the links to the articles.


13. _MEDSCAPE GENERAL MEDICINE_ BOOK REVIEW: "A Good Enough Daughter, a Memoir: Book Review," by David W. Hodo (July 14, 2000).

Alix Kates Shulman's book "A Good Enough Daughter, a Memoir," focuses on Ms. Shulman's experiences with caring for her aging parents. The book recounts the challenges and the reward that Ms. Shulman found caring for her parents.

For more information about this book go to:


III. Working Papers:

14. THE MAX PLANCK INSTITUTE FOR DEMOGRAPHIC RESEARCH: "Old-Age Mortality in Germany prior to and after Reunification," by Arjan Gjona, Hilke Brockmann, and Heiner Maier (_Demographic Research_ Vol. 3, No. 1, July 12, 2000: .pdf or html format, 29p).

> From the Abstract:

Recent trends in German life expectancy show a considerable increase. Most of this increase has resulted from decreasing mortality at older ages. Patterns of oldest old mortality (ages 80+) differed significantly between men and women as well as between East and West Germany. While West German oldest old mortality decreased since the mid 1970s, comparable decreases in East Germany did not become evident until the late 1980s. Yet, the East German mortality decline accelerated after German reunification in 1990, particularly among East German females, attesting to the plasticity of human life expectancy and the importance of late life events. Medical care, individual economic resources and life-style factors are discussed as potential determinants of the decline in old age mortality in Germany.


15. CENTER FOR DEMOGRAPHY AND ECOLOGY, UNIVERSITY OF WISCONSIN-MADISON: "Socioeconomic Status and Depression among Adult Siblings," by Alair MacLean and Robert M. Hauser (2000-04, 07/00, .pdf format, 62p.)

>From the Introduction:

In this paper, we estimate a series of models of the relationship between socioeconomic status and depression among middle-aged sister and brother pairs in the Wisconsin Longitudinal Study (WLS). The WLS is a long-term study of women and men who graduated from Wisconsin high schools in 1957 and of their randomly selected sisters or brothers. Our findings lend insight into the structure of depression by gender and the nature of sibling psychological resemblance. Our preferred model is based on responses to questions from the Centers for Epidemiologic Studies Depression Scale (CESD), a commonly used measure of current depressive symptoms.

16. INSTITUTE FOR SOCIAL AND ECONOMIC RESEARCH: UNIVERSITY OF ESSEX "Women and Part-Time Employment: Workers' 'Choices' and Wage Penalties in Five Industrialized Countries," by Janet C. Gornick and Elenda Bardasi (_Institute for Social and Economic Research_ 2000-11, .pdf format, 56 p.).

>From the Abstract:

This paper uses cross-nationally comparable data from the Luxembourg Income Study (LIS) to analyse the patterns and consequences of part-time employment among women across five industrialized countries-Canada, Germany, Italy, the United Kingdom, and the United States-as of the middle 1990s. The results reveal the influence of dependent care responsibilities related to the presence of young children and elderly household members. We also find unadjusted part-time wage penalties everywhere, ranging from 8-12% in Canada and Germany, to 15% in the UK, to as high as 22% in the US and Italy, meaning that part-time workers earn that much less than full-time workers. The sources of the observed wage gaps vary markedly across countries; only in Germany do we find evidence of discrimination against part-time workers.



"Bequests as Signals: An Explanation for the Equal Division Puzzle," by B. Douglas Bernheim and Sergei Severinov (National Bureau of Economic Research, W7791, July 2000, .pdf format, 74 p.).

>From the Abstract:

In the United States, more than two-thirds of decedents with multichild families divide their estates exactly equally among their children. In contrast, intra vivos gifts are usually unequal. These findings challenge the validity of existing theories regarding the determination of intergenerational transfers. In this paper, we develop a theory that accounts for this puzzle, based on the notion that the division of bequests provides a signal about a parent's altruistic preferences. The theory can also explain the norm of unigeniture, which prevails in other societies.

Click on "PDF (3289 K)." at the bottom of the abstract for full text.

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

18. Journal of Gerontology: Biological Sciences (Vol. 55A, No. 8 August 2000)


19. Journal of Gerontology: Medical Sciences (Vol. 55A, No. 8, August 2000)


20. The Gerontologist (Vol. 40, No. 4, August 2000)


21. CARL Uncover Journal Tables of Contents. Follow the instructions below to access tables of contents. CARL Uncover provides fee based document delivery services for selected journals.

A. Point your browser to:

B. click on "Search Uncover"
C. click on "Search Uncover Now"
D. Type the Journal Name in the search box and click the radio button "Journal Title Browse"
E. click on the journal name
F. click on "journal issues"
G. click on the issues identified below

The American Economic Review (Vol. 90, No. 3, 06/01/00). This journal is available in electronic full text in the EBSCO Host Academic Search Elite Database and ProQuest Research Library. Check your library for the availability of these databases and this issue.

American Journal of Epidemiology (Vol. 152, No. 1, 07/01/00).

American Journal of Public Health (Vol. 90, No. 7, 07/01/00). This journal is available in electronic full text in the EBSCO Host Academic Search Elite Database and ProQuest Research Library. Check your library for the availability of these databases and this issue.

American Sociological Review (Vol. 65, no. 3, 06/01/00). This journal is available in electronic full-text in ProQuest Research Library. Check your library for the availability of this database and this issue.

Educational Gerontology (Vol. 26, no. 3, 2000 and Vol. 26, no. 4, 2000): This journal is available in electronic full text in the EBSCO Host Academic Search Elite Database. Check your library for the availability of this database and this issue.

Journal of Gerontological Social Work (Vol. 33, no. 1, 2000).

Journal of the American Geriatrics Society. (Vol. 48, no. 7, July 1, 2000)

V. Legislation Information Updates

22. CONGRESSIONAL HEARING--COMMITTEE ON WAYS AND MEANS: SUBCOMMITTEE ON SOCIAL SECURITY Protecting Privacy and Preventing Misuse of the Social Security Number, Delray Beach, Florida (hearing held July 17, 2000).

For a list of witnesses go to (Note: When the witnesses name is highlighted, clicking on the name of the witness will link you to a copy of their testimony):

For background material on the hearing go to:


23. CONGRESSIONAL HEARING--U. S. SENATE SPECIAL COMMITTEE ON AGING The End of Life Care: Improving Care, Easing Pain and Helping Families (hearing held July 17, 2000).

For a list of witnesses go to (Note: By clicking on the name of the witness you will be linked to a copy of their testimony. Testimony is in HTML or PDF format):


24. HOUSE COMMITTEE ON COMMERCE SUBCOMMITTEE ON HEALTH AND ENVIRONMENT: BBA [Balanced Budget Act] '97: A Look at the Current Impact on Providers and Patients, a hearing held Jul. 19, 2000. Note: Hearing testimony is available in HTML or .pdf formats, and as an audio transcript (RealPlayer plug-in or helper application required).

Hearing Testimony:

Scroll to "July 19, 2000, (BAA97...)


VI. Websites of Interest:

25. World Alzheimer Congress, 2000

The World Alzheimer Congress 2000 is being held in Washington, D.C. from July 9th to 18th. The Congress will focus on three topical areas: Pivital Research, Creative Care, Bridging Research and Care. The site provides links to live Webcasts and to an archive of eight Webcasts from the Congress (you will need Windows Media Player or Real Player to access the Webcasts). The site also provides access to the most recent news releases from the Congress.

Charlie Fiss, Center for Demography and Ecology
Information Manager
Rm. 4470A Social Science Bldg
1180 Observatory Drive
Madison, WI 53706-1393
Phone: (608) 265-9240
Fax: (608) 262-8400