Current Awareness in Aging Research (CAAR) Report #44--August 3, 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:


I. Data:


A. PROVISIONAL DATA RELEASE: "1998 National Health Interview Survey (NHIS): Provisional Public Use Data," (_NCHS_, ASCII format, released July 2000).

Note: The raw data files can be downloaded via FTP. The raw data files come in ASCII format, but SAS and SPSS input statements are available for downloading. Documentation, questionnaires, and other interview materials are available for downloading in .pdf format.

To view the NHIS 1998 data, scroll down to "1998 NHIS."

B. REPORT: "The National Nursing Home Survey: 1997 Summary," (_NCHS_, (PHS) 2000-1718, .pdf format, 131 pp., July 28, 2000).

>From the news release:

This report presents estimates of nursing home facilities, their current residents and discharges in the United States. Data are presented on facility characteristics, demographic characteristics, utilization measures, health and functional status of current residents and discharges. Data in this report are based on data collected from the 1997 National Nursing Home Survey. The survey collects information about providers and recipients of care from nursing home facilities.

To view the full text report, click on "View/Download PDF".


The Inter-University Consortium for Political and Social Research (ICPSR), located at the University of Michigan recently added the following data files to their collection.







To locate information about one of these files, go to the ICPSR recent additions page.

You can also locate information about a file by going to ICPSR's archive page and running a search on the survey number (survey numbers are next to the file name). The URL is:

To acquire one of the data files, you will need to contact your organization's ICPSR representative.


II. Reports and articles:


A. REPORT TO CONGRESS: "A Report to Congress Study of Private Accreditation (Deeming) of Nursing Homes, Regulatory Incentives and Non-Regulatory Incentives, and Effectiveness of the Survey and Certification System," (_HCFA_, August 1, 2000, WordPerfect 6.1 or Word 6.0 format).

This report is in response to the 1996 Appropriations Act in which Congress required HCFA to evaluate three areas:

1. Private accreditation and deemed status;
2. Regulatory and non-regulatory incentives to improve nursing home care; and
3. Effectiveness of the current system of survey and certification of nursing homes.

Scroll down to "Click here" to download the zipped report file.

B. RULE ANNOUNCEMENT: "Prospective Payment System for Hospital Outpatient Services: Revisions to Criteria to Define New or Innovative Medical Devices, Drugs, and Biologicals Eligible for Pass-Through Payments and Corrections to the Criteria for the Grandfather Provision for Certain Federally Qualified Health Centers," (_HCFA_,WordPerfect or .PDF formats, August 1, 2000).

On August 1, 2000, HCFA announced additional rules for the Hospital Outpatient Prospective Payment System. This page is a copy of the announcement appearing in the Federal Register.

To locate the rule, scroll down to "Site Content" and the first bulleted item will be the new rule. Click on "WordPerfect" or "Adobe PDF" to download the rule in the format that you desire.


A. REPORT: "Title III, Older Americans Act: Administration on Aging Funding Method Underfunds High-Elderly-Growth States," (_GAO_, GAO/HEHS-00-107, .pdf format, 28 pp., added July 31, 2000).

B. REPORT: "Food Stamp Program: Data on Assistance for the Elderly," (_GAO_, RCED-00-223R,.pdf format, 4 pp., June 28, 2000).

C. CONGRESSIONAL CORRESPONDENCE: "Medicare: Health Care Fraud and Abuse Control Program Financial Reports for Fiscal Years 1998 and 1999," (_GAO_, GAO/AIMD-00-257R, .pdf format, 21 p., July 31, 2000).

Note: GAO Internet addresses are valid for only a limited period of time. After that time, documents can be found by searching the Government Printing Office:

and searching on title or report number.


5. _BMJ_ LETTERS:"Acute ischaemic stroke," by Michael D. Hill, Philip A Barber, Andrew M. Demchuk, and Alastair M Buchan (_BMJ_, Vol. 321, Issue 7256, HTML format, 299 p., July 29, 2000). Note: This is a letter in response to an earlier paper presented in BMJ.


6. _CURRENT MEDICAL RESEARCH AND OPINION_ ARTICLE:"Using Angiotensin Converting Enzyme Inhibitors in African-American Hypertensives: A New Approach to Treating Hypertension and Preventing Target-Organ Damage," by John M. Flack, George A. Mensah and Carlos M. Ferrario (_Current Medical Research and Opinion_ [via Medscape Health], Vol. 16, No. 2, HTML format, 66-74 p., 2000). Note: Note: Medscape requires free registration before providing articles.



A. ABSTRACT OF RESEARCH LETTER: "Opioid use in last week of life and implications for end-of-life decision-making," by Andrew Thorns and Nigel Sykes (_The Lancet_, Vol. 356, No. 9227, 398-399 p., July 29, 2000). Note: The _Lancet_ requires free registration before providing content.

Full-text of this article requires a subscription to the Lancet. Check with your institution's library to see if you can access the article electronically.

B. ARTICLE ABSTRACT: "Randomised trial of effects of calcium antagonists compared with diuretics and b -blockers on cardiovascular morbidity and mortality in hypertension: the Nordic Diltiazem (NORDIL) study," by Lennart Hansson, et. al. (_The Lancet_, Vol. 356, No. 9227, 359-365 p., July 29, 2000). Note: The _Lancet_ requires free registration before providing content.

Full-text of this article requires a subscription to the Lancet. Check with your institution's library to see if you can access the article electronically.

C. ARTICLE ABSTRACT: "Morbidity and mortality in patients randomised to double-blind treatment with a long-acting calcium-channel blocker or diuretic in the International Nifedipine GITS study: Intervention as a Goal in Hypertension Treatment (INSIGHT)," by Morris J. Brown, et. al. (_The Lancet_, Vol. 356, No. 9227, 366-372 p., July 29, 2000). Note: The _Lancet_ requires free registration before providing content.

Full-text of this article requires a subscription to the Lancet. Check with your institution's library to see if you can access the article electronically.



A. "Down-regulation of p21WAF1/CIP1 or p27Kip1 abrogates antiestrogen-mediated cell cycle arrest in human breast cancer cells," by Sandrine Cariou, Jeffrey C. H. Donovan, W. M. Flanagan, Andrea Milic, Nandita Bhattacharya, and Joyce M. Slingerland (_PNAS_, Vol. 97, No. 16, 9042-9046, HTML format, August 1, 2000). Note: Your organization may have access to full electronic text (HTML and .pdf formats) of this article. Check your organization's library.

B. "The NF-B signal transduction pathway in aortic endothelial cells is primed for activation in regions predisposed to atherosclerotic lesion formation," by Leena Hajra, Andrew I. Evans, Mian Chen, Sharon J. Hyduk, Tucker Collins, and Myron I. Cybulsky (_PNAS_, Vol. 97, No. 16, 9052-9057, HTML format August 1, 2000). Note: Your organization may have access to full electronic text (HTML and .pdf formats) of this article. Check your organization's library.


9. _NEW ENGLAND JOURNAL OF MEDICINE_ ARTICLE ABSTRACT: "Pravastatin Therapy and the Risk of Stroke," by Harvey D. White, et. al. (_NEMJ_, Vol. 343, No. 5, HTML format, August 3, 2000). Note: Your organization may have access to full electronic text (HTML and .pdf formats) of this article. Check your organization's library.


10. _NATURE_ NEWS AND VIEWS: "Alzheimer's disease: Plaque removers and shakers," by Marie-Therese Heemels (_Nature_, Vol. 406, No. 6795, p. 465, HTML and .pdf formats, August 3, 2000).


11. _RAND SUMMER INSTITUTE_ CONFERENCE PAPERS: "How Productive is Health Care? Evidence From the Medicare Program," by Jonathan Skinner, et. al. (_Rand Summer Institute_, .pdf format, 25 p., July 2000).

Note: Scroll down the page to the title (the presentation was on July 14, 2000 at 10:45 am) and click on "Paper" to get the electronic full-text:

You may want to bookmark this page, because additional papers may be added in the future.


12. _CENTER FOR RETIREMENT RESEARCH--BOSTON COLLEGE_ CONFERENCE PAPERS: "Second Annual Joint Conference for the Retirement Research Consortium," (_Center for Retirement Research_, .pdf format, conference held May 17-18, 2000).

The conference was jointly sponsorsed by the Center for Retirement Research at Boston College and the Michigan Retirement Research Center. You can now access summaries of most of the papers presented at the conference (summaries are in .pdf format).

Go to:

To access the summary, click on the title of the paper.


III. Working Papers:

13. _Fundacin de Estudios de Economa Aplicada_:

A. "The Decision of Early Retirement in Spain," by Almudena Blanco (_Fundacin de Estudios de Economa Aplicada_, .pdf format, 50 p., July 2000).


In Spain, as in most OECD countries, population ageing is creating a growing concern with respect to social security arrangements and in particular relative to public pension systems. The most reliable demographic forecasts show that the ageing process will continue at least until 2025. This situation is getting worse in the last decades with the presence of retirement policies that encourage exit out of the labor market before 65 years of age. Policy makers, aware of the consequences of these actions, are stressing the need of establishing measures to provide workers with incentives to extend their working lives and so reverse the dependence rate growth among active and passive people.

The aim of this paper is to analyse the early retirement decision for Spanish older workers, focussing on the characteristics of the early retired and looking at differences among individuals who choose different exits to retirement. This will help us to understand what kind of individuals are more likely to be affected by future laws promoting the delay of retirement, as well as designing suitable policies to ensure a greater labor market attachment for older workers. We work with a sample of individuals older than 49 years that has been taken from the Spanish Household Panel Survey (waves corresponding to 1994 and 1995). The paper focuses on two alternative routes for entering retirement: pure early retirement and disability. The decision of retirement is modelled within a hazard model approach where the decision is treated as a dynamic discrete choice.

Scroll down to "Economa del trabajo y poltica social (ETS)" and click on the title for paper 76.

B. "El Sistema de Pensiones Contributivas en Espaa: Cuestiones bsicas y perspectivas en el medio plazo," by Juan F. Jimeno (_Fundacin de Estudios de Economa Aplicada_, 2000-15, .pdf format, 2000).

Abstract: This paper surveys the main issues in the debate about pensions. The first part of the paper contains some calculations of the future evolution of the pension burden in Spain. The second part of the paper comments on the effects of policy measures that could either control expenditures on pensions or finance it. The main conclusion of the paper is that the Spanish pension system is bound to suffer significant reforms. Different measures entailing both costs and advantages are available. However, there are no simple alternatives like "public system versus private system" or "pay-as-you-go versus capitalisation". First, there are good reasons for maintaining a public pension system offering social insurance. Secondly, most of the advantages associated with privatisation are more apparent than real. In fact, any gains in efficiency which could brought up by reform are more related to the details of how the system is designed rather than with its public or private nature. What is important is to do something, the sooner the better, to eliminate political uncertainty about the pension system. Our discussion of the policy options available leads us to conclude that, most likely, the optimal pensions system is a mixed system, partly capitalised, partly on a pay-as-you-go basis. Both systems have efficiency and equity effects and, therefore, it seems intelligent to combine them in the solution to the pension problem.

Go to "Coleccin Documentos de Trabajo" and click on publication 2000-15:


14. _UNIVERSITY OF TOKYO_ Center for International Research on the Japanese Economy:

"Choice of Pension Discount Rate in Financial Accounting and Stock Prices" by Takashi Obinata (_Center for International Research on the Japanese Economy_, 2000-CF-82, .pdf format, 52 p., July 2000).

Abstract: Under present financial accounting standards, in Japan and in U.S., firms can choose pension discount rates, which they use for earnings measurement, at their discretion. First, this paper investigates, what factors affect their choice of pension discount rates. The sample firms in this paper reduced their discount rates, when market interest rate declined in 1990s, more slowly than the tendency in the market. We analyze the causes of this delay by logit model. Regression results show that, given declining interest rate, the significant factor affecting the firm's choice is not leverage, but profitability (return on equity: ROE). Second, this research investigates empirically how stock prices reflect the size of pension discount rate. Both unamortized pension obligations and pension expenses in the year are positively associated with stock prices. However, the coefficients for the firms, whose discount rates are higher than median, are smaller than those for the firms choosing lower rates. Those coefficients are not significantly different from zero. These results indicate that the firms, which chose lower pension discount rates, are valued higher. This asymmetric result is consistent with the first point in this paper, concerning the firm's motives for pension discount rate choice.

Go to:

Click on "2000-CF-82" to view the full-text .pdf.


15. _FEDERAL RESERVE BANK OF ST. LOUIS_ WORKING PAPER: "Aging, Myopia and the Pay-as-you-go Public Pension Systems of the G7: A Bright Future?" by Rowena A. Pecchenino and Patricia S. Pollard (_Federal Reserve Bank of St. Louis_, 2000-015, .pdf format, 33 p., 2000).


The public pension systems of the G7 countries were established in an era when the number of contributors far outweighed the number of beneficiaries. Now, for each beneficiary there are fewer contributors, and this trend is projected to accelerate. To evaluate the prospects for these economies we develop an overlapping generations model where growth is endogenously fueled by investments in physical and human capital. We analyze individuals behavior when their expectations over their length of life are rational or myopic and examine whether policies exist that can offset the effects of aging, should they be adverse.

Click on "paper" to get the full-text pdf format:


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

16. Age and Aging (Vol. 29, Issue 4, July 1, 2000).

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


17. 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

Population Studies (Vol. 54, No. 1, March 1, 2000).

American Journal of Public Health (Vol. 90, No. 8, August 1, 2000). 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.


V. Legislative Updates:

18. _U.S. HOUSE OF REPRESENTATIVES--COMMITTEE ON GOVERNMENT REFORM--SUBCOMMITTEE ON GOVERNMENT MANAGEMENT, INFORMATION AND TECHNOLOGY_ HEARING: "Defrauding Medicare: How easy is it? What can we do to stop it?" (hearing data: July 25, 2000, HTML format). Note: To view the testimony submitted by a witnesses, click on the individual's name.


19. _U.S. SENATE--SPECIAL COMMITTEE ON AGING_ HEARING: "Nursing Home Residents: Short-changed by Staff Shortages, Part II," (hearing held July 27, 2000, HTML format). Note: To view the testimony submitted by a witnesses, click on the individual's name.


VI. Conference Announcements:

20. _The New York Statewide Resource Center for Geriatric Education, The Office of Continuing Education, SUNY Upstate Medical University, and SUNY Upstate Medical University College of Nursing_:

"Sex and Sexuality: What's Age Got To Do With It?". October 3-4, 2000. Syracuse, New York.

>From the Conference Summary

Sex after 60? Today, many Americans are living long, healthy, and active lives. A recent study by the National Council on Aging (1998) reveals that 60% of both men and women over 60 find sex equal to or more physically satisfying than it was in their 40's. This program is designed to promote an interdisciplinary perspective on sex and sexuality and the aging individual. Its purpose is to assist health care providers, and others who love older adults, to improve their understanding of issues central to sexual health and to acquire the knowledge necessary to promote health, well being, and improved care of our aging population.

For details on the conference schedule and registration go to:


VII. Websites of Interest:


The academy has added a new publication to their "Chronic and Disabling Conditions Data Profiles" page. Report #10 is titled "Workers and Chronic Conditions." The report is in .pdf format. Go to the "Data Profiles" page and click on the title for report 10.

You may want to bookmark this site, because more profiles may be added to this site.





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