Current Awareness in Aging Research (CAAR) Report #68--January 25, 2001

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. UK OFFICE FOR NATIONAL STATISTICS--COMPENDIUM: _Social Trends_, edited by Jil Matheson and Carol Summerfield (Vol. 31, 2001, UK Office for National Statistics, London, The Stationery Office, .pdf format, 267p.). "This is the 31st edition of _Social Trends_, one of the flagship publications from the Office for National Statistics. It draws together statistics from a wide range of government departments and other organisations to paint a broad picture of British society today, and how it has been changing."


II. Reports and articles:

2. CSIS REPORTS: The Center for Strategic and International Studies, "a [nonpartisan, nonproprietary] public policy research institution dedicated to analysis and policy impact," has released four reports related to aging.

Press Releases:

"Aging Trend Roils G-7 Countries: Declining Labor, Savings, Escalating Debt, Weak Militaries" (Jan. 23, 2001).

"Global Aging Forces Overhaul of Social Policy: Labor Shortages, Shrinking Populations Offer Novel Challenges" (Jan. 23, 2001).


A. "The Fiscal Challenge of an Aging Industrial World: A White Paper on Demographics and Medical Technology," by Robert Stowe England (Center for Strategic and International Studies, January 2001, .pdf format, 93p.).

B. "Hard Landings: A White Paper on the Financial Markets Impact of Population Aging," by Robert Stowe England (Center for Strategic and International Studies, January 2001, .pdf format, 52p.).

C. "International Security and the Aging Crisis: A White Paper on Defense for the Global Aging Initiative," by Daniel Goure (Center for Strategic and International Studies, January 2001, .pdf format, 42p.).

D. "A New Era of Economic Frailty?: A White Paper on the Macroeconomic Impact of Population Aging," by Robert Stowe England (Center for Strategic and International Studies, January 2001, .pdf format, 93p.).

3. AOA REPORT: "Achieving Cultural Competence: A Guidebook for Providers of Services to Older Americans and Their Families" (US Administration on Aging, January 2001, HTML and .pdf format, with Microsoft PowerPoint slides). Note: .pdf version is not available at the time of this mailing.

Press release which links to full text:


A. "Medicare Payments for Psychiatric Services in Nursing Homes: A Follow-Up" (US Department of Health and Human Services, Office of the Inspector General, Office of Evaluation and Inspections OEI-02-99-00140, January 2001, .pdf format, 19p.).


Thirty-nine percent of psychiatric services in nursing homes are either medically unnecessary, have no mental health documentation, or are questionable. Psychological testing is the most problematic of the services we reviewed in this study. Further, while carrier policies now specifically address psychiatric services in nursing homes, utilization guidelines are inconsistent and unclear. We recommended that HCFA [Health Care Financing Administration] strengthen the billing process for psychiatric services in nursing homes by working with carriers to develop guidelines for the appropriate frequency and duration of such services, identify specific psychological testing instruments, and take advantage of the Minimum Data Set. We believe that implementing these recommendations would result in potential savings of as much as $30 million a year. The HCFA concurred with our recommendations.

B. "Medicare Reimbursement of Prescription Drugs" (US Department of Health and Human Services, Office of the Inspector General, Office of Evaluation and Inspections OEI-03-00-00310, January 2001, .pdf format, 21p.).


The OIG has found that Medicare and its beneficiaries would save $1.6 billion a year if 24 drugs were reimbursed at amounts available to the Department of Veterans Affairs. In addition, Medicare and its beneficiaries would save $761 million a year by paying the actual wholesale prices available to physicians and suppliers for these 24 drugs. This study determined that Medicare would save $425 million a year on these drugs by obtaining rebates equal to those in the Medicaid program. We also found that Medicare carriers are not establishing consistent drug reimbursement amounts for certain drugs. We recommended that HCFA continue to seek administrative and legislative remedies to reduce excessive drug reimbursement amounts. We also recommended that HCFA require all carriers to reimburse a uniform amount for each drug. The HCFA concurred with our recommendations.


5. NCHS STATISTICAL NOTES: "Age Adjustment Using the 2000 Projected U.S.Population," by Richard J. Klein and Charlotte A. Schoenborn (US National Center for Health Statistics Statistical Notes No. 20, January 2001, .pdf format, 9p.).

6. NIH--ONLINE COURSE: "Human Participant Protections Education for Research Teams" (US National Institutes of Health, January 2001, HTML format). "Developed by the National Cancer Institute (NCI) for the National Institutes of Health (NIH), [this] web-based course offers continuing medical education (CME) credit for physicians and contact hours for nurses and other members of research teams. The new program also responds to the mandate requiring education on human subjects protection for all investigators who apply for or receive NIH funds for research involving people." "The program offers up to two hours of category 1 credit of the Physicians Recognition Award of the American Medical Association. Cine-Med., a continuing medical education provider, is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor the credits. Application for nursing contact hours is in progress."

7. GAO REPORT: "Title III, Older Americans Act: Carryover Funds Are Not Creating a Serious Meal Service Problem Nationwide" (US General Accounting Office GAO-01-211, January 2001, .pdf format, 19p.).

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:

Search on report number or title.

8. HCFA REPORT: "Review of Assumptions and Methods of the Medicare Trustees' Financial Projections: Technical Review Panel on the Medicare Trustees Reports" (US Health Care Financing Administration, December 2000, HTML and .pdf format, 70p.). "This report presents the findings and recommendations of the 2000 Technical Review Panel on the Medicare Trustees Reports. It is the culmination of work beginning in June 2000 and concluding in December 2000. The Panel met five times at the headquarter offices of the Health Care Financing Administration (HCFA) in Baltimore, MD."

9. ILCUSA PUBLIC POLICY UPDATE: The International Longevity Center USA, "a not-for-profit, non-partisan research and education organization whose mission is to help societies address longevity and population aging in positive and productive ways, and highlight older people's productivity and contributions to their families and society as a whole," has released its Public Policy Update for January 2001 (.pdf format, 10p.). The update is "a compilation of aging-related news from the federal government, states, foreign nations, research community, and the not-for-profit community."

10. _BMJ_ ARTICLE: "Patterns of physical activity and ultrasound attenuation by heel bone among Norfolk cohort of European Prospective Investigation of Cancer (EPIC Norfolk): population based study," by Rupert W. Jakes, Kay-Tee Khaw, Nicholas E. Day, Sheila Bingham, Ailsa Welch, Suzy Oakes, Robert Luben, Nicola Dalzell, Jonathan Reeve, and Nicholas J. Wareham (_British Medical Journal_, Vol. 322, No. 7279, Jan. 20, 2001, p. 140-144, HTML and .pdf format).

11. _JAMA_ ARTICLE ABSTRACT: "Adverse Events Associated With Prescription Drug Cost-Sharing Among Poor and Elderly Persons," by Robyn Tamblyn, Rejean Laprise, James A. Hanley, Michael Abrahamowicz, Susan Scott, Nancy Mayo, Jerry Hurley, Roland Grad, Eric Latimer, Robert Perreault, Peter McLeod, Allen Huang, Pierre Larochelle, and Louise Mallet (_Journal of the American Medical Association_, Vol. 285, No. 4, Jan. 24/31, 2001, p. 421-429). Note: You may have access to electronic full text of this article (HTML and .pdf format). Check your organization's library.

12. _THE LANCET_ ARTICLE ABSTRACT, SCIENCE AND MEDICINE ARTICLE: Note: _The Lancet_ requires free registration before providing content.

A. "Pathological correlates of late-onset dementia in a multicentre, community-based population in England and Wales," by Neuropathology Group of the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS) (_The Lancet_, Vol. 357, No. 9251, Jan. 20, 2001, p. 169-175). Note: You may have access to electronic full text of this article (HTML and .pdf format). Check your organization's library.

B. "Diabetes and hypertension linked to cognitive decline in mid-life," by Marilynn Larkin (_The Lancet_, Vol. 357, No. 9251, Jan. 20, 2001, p. 203).

13. MEDSCAPE ARTICLES: Note: Medscape requires free registration before providing articles.

A. "Medicare and Managed Care: Update 2000," by David Clark (_Journal of Managed Care Pharmacy_ Vol. 6, No. 6, November/December 2000, p. 466-472, HTML format).


B. "Women's Health Care During the Perimenopause," by Edyta J. Frackiewicz and Neal R. Cutler (_Journal of the American Pharmaceutical Association_, Vol. 40, No. 6, November/December 2000, p. 800-811, HTML format).


14. _US NEWS AND WORLD REPORT_ ARTICLE: "An easier retirement, courtesy of Uncle Sam," by Paul J. Lim (_US News and World Report_, Jan. 29, 2001).

15. AARP PRIME TIME RADIO: Note: This is an audio transcript and listeners will need the RealPlayer plug-in or helper application to hear it. Jan 16, 2001. "Grandma Betty - Online." "In her 60's and suddenly unemployed - Betty Fox sought comfort in a peach pie. Her search for a recipe online incredibly led to a whole new career, life, and wonderful resource for the rest of us. Grandma Betty describes her website ( for older people and tells her cute and inspiring success story." Running time: 23 minutes 56 seconds.

Scroll to 1/16/01 "Grandma Betty - Online".

16. _NEWSWEEK_ ARTICLE: Gays: A Place of Their Own: As the Stonewall generation ages, 'out' baby boomers have started to build retirement communities where they can grow old together," by Debra Rosenberg (_Newsweek_, Jan. 15, 2001).


III. Working Papers:

17. NBER WORKING PAPERS IN AGING: "Annuity Values in Defined Contribution Retirement Systems: The Case of Singapore and Australia," by Suzanne Doyle, Olivia S. Mitchell, and John Piggott (National Bureau of Economic Research W8091, January 2001, .pdf format, 29p.).


In this paper we derive and compare the value of life annuity products in an international context. Our specific goal is to assess the money's worth and adverse selection impact of annuities in two countries, Singapore and Australia, that have mandatory DC-type retirement plans. This similarity in plan type is offset by differences in the two countries' national retirement policies. Our comparison therefore exploits the natural experiment in annuity pricing and purchase behaviour under alternative retirement regimes. The results show that after controlling on administrative loadings, there appear to be important differences in measured adverse selection across countries. Specifically, selection appears to be far stronger in the presence of a generous public benefit scheme that provides a first line of defence against the risk of old-age poverty.

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

18. FEDERAL RESERVE BANK OF KANSAS CITY: "The Effect of Old-Age Insurance on Male Retirement: Evidence from Historical Cross-Country Data," by Richard Johnson (Federal Reserve Bank of Kansas City RWP 00-09, December 2000, .pdf format, 64p.).


I examine the effect of Old-Age Insurance systems on the labour supply of older men. Male retirement ages are crucial to the solvency of OAI systems. Historical data on participation rates and OAI rules in thirteen developed countries show rapid falls in participation among men aged 60-64 after pensions were extended to them. I estimate participation elasticities of -0.06 with respect to replacement rates and 0.19 to the net-of-tax wage. It does not appear that endogenous OAI changes bias the regression coefficients. The growth of OAI explains about 11 percent of the reduction in participation of men aged 60-64 since 1920; greater wealth probably explains most of the remainder.

Click on title for full text.

19. STOCKHOLM [SWEDEN] SCHOOL OF ECONOMICS: "Income Security Programs and Retirement in Sweden," by Marten Palme and Ingemar Svensson (Stockholm School of Economics Working Paper Series in Economics and Finance No. 422, January 2001, .pdf format, 85p.).


We examine the effects of economic incentives inherent in pension schemes and income security programs on retirement behavior in the Swedish labor market. We use social security wealth and three alternative measures of accrual (one-year benefit accrual, peak value and option value). The social security system, occupational pensions as well as insurance on the labor market, i.e., unemployment, sickness and disability insurance are considered. We estimate a model using panel data on about 30,000 men and women born between 1927 and 1940, observed between 1983 and 1997. The model is then used to simulate the effects of two alternative systems: one where eligibility for benefits in the prevailing system is delayed by three years and another where replacement levels are reduced.

Click on "hastef0422.pdf" at the bottom of the abstract for full text.


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

20. American Journal of Epidemiology (Vol. 153, No. 2, Jan. 15, 2001). Click on "Abstract" for abstracts. Note: Your organization may have access to full text of this issue. Check your organization's library.

21. Ethics, Law, and Aging Review (continues Journal of Ethics, Law and Aging) (Vol. 6, 2000). Note: This issue: "Focus on Consumer-Directed Care and the Older Person."

22. Journal of Gerontology (A): Biological Sciences (Vol. 56A, No. 1, 2, Jan., Feb. 2001). Note: This journal is available in electronic full-text in the ProQuest Research Library. Check your library for the availability of this database and these issues.

23. Journal of Gerontology (A): Medical Sciences (Vol 56A, No. 1, 2, Jan., Feb. 2001). Note: This journal is available in electronic full-text in the ProQuest Research Library. Check your library for the availability of this database and these issues.

24. The Gerontologist (Vol. 41, No. 1, February 2001). Note: This journal is available in electronic full-text in the ProQuest Research Library. Check your library for the availability of this database and this issue.

25. 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

Omega: Journal of Death and Dying (Vol. 41, No. 3, 2000).


V. Job/Funding Opportunities:

26. PENN STATE UNIVERSITY POPULATION RESEARCH INSTITUTE POSTDOCTORAL POSITION(S): "Postdoctoral Training Program in the Demography of Aging." The Population Research Institute at Penn State University expects one or two postdoctoral positions to be available beginning Summer Semester 2001. Anticipating funding by a training grant from the National Institute on Aging, these postdoctoral positions are for research training in the demography of aging. Postdoctoral positions are for one year, with re-appointment typically occurring for a second year... Applications will be accepted immediately, or until the positions are filled. To apply, applicants should send (a) a curriculum vitae, (b) a statement of research interests, relevance of prior experiences to a training program in the demography of aging, and career plans, and (c) three letters of reference to: Robert Schoen, Population Research Institute, 601 Oswald Tower, Penn State University, University Park, PA 16802." For more information see:


VI. Conferences:

27. APHA CALL FOR PAPERS: The Gerontological Health Section of the American Public Health Association is calling for abstracts for the 129th Annual Meeting to be held in Atlanta, Georgia Oct. 21-25, 2001. Abstracts can be submitted on the web at the following address:

Scoll to or "find in page" "Gerontological Health".


Jack Solock
Data Librarian--Center for Demography and Ecology and Center for Demography of Health and Aging
4470 Social Science
University of Wisconsin-Madison
Madison, WI 53706