Aging

Columbia University, MSPH
Dept. of Health Policy & Mgmt.
600 West 168th Street, 6th Fl.
New York, NY 10032

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Professor, Department of Health Policy and Management, Joseph Mailman School of Public Health, Columbia University
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Dr. John Rowe is the Julius B. Richmond Professor of Health Policy and Aging at the Columbia University Mailman School of Public Health.  Previously, from 2000 until his retirement in late 2006, Dr. Rowe served as Chairman and CEO of Aetna, Inc., one of the nation's leading health care and related benefits organizations.  Before his tenure at Aetna, from 1998 to 2000, Dr. Rowe served as President and Chief Executive Officer of Mount Sinai NYU Health, one of the nation’s largest academic health care organizations. From 1988 to 1998, prior to the Mount Sinai-NYU Health merger, Dr. Rowe was President of the Mount Sinai Hospital and the Mount Sinai School of Medicine in New York City.

Before joining Mount Sinai, Dr. Rowe was a Professor of Medicine and the founding Director of the Division on Aging at the Harvard Medical School, as well as Chief of Gerontology at Boston’s Beth Israel Hospital.  He was Director of the MacArthur Foundation Research Network on Successful Aging and is co-author, with Robert Kahn, Ph.D., of Successful Aging (Pantheon, 1998). Currently, Dr. Rowe leads the MacArthur Foundation’s Network on An Aging Society .

Dr. Rowe was elected a Fellow of the American Academy of Arts and Sciences and a member of the Institute of Medicine of the National Academy of Sciences. He  serves on the Board of Trustees of the Rockefeller Foundation and is Chairman of the Board of Trustees at the Marine Biological Laboratory in Woods Hole, Massachusetts and the Board of Overseers of Columbia University’s Mailman School of Public Health. He is Chair of the Advisory Council of Stanford University’s Center on Longevity, and  was a founding Commissioner of the Medicare Payment Advisory Commission ( Medpac) and Chair of the board of Trustees of the University of Connecticut. 

Adjunct Affiliate at the Center for Health Policy and the Department of Health Policy
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Winter Quarter Japan Seminar Series

The prevalence of single-mother families in Japan has increased markedly as a result of rising divorce rates. Unlike in the U.S, where the well-being of single mothers and their children is a central research and policy focus, we know very little about single-mother families in Japan. The most widely-discussed characteristic of these families is their economic deprivation. Over half of Japanese single mothers live in poverty despite the fact that nearly all are employed. In the context of limited public income transfers and low earnings, intergenerational coresidence is a potentially important source of support that may buffer the impact of single-parenthood for the nearly one-in-three single mothers who live with their parents.

In this talk, Professor Raymo will present results from the first two studies to examine the role of living arrangements in moderating relationships between single parenthood and well-being in Japan. In the first study, he uses data from a survey of single mothers to examine differences in the self-rated health and subjective economic well-being of those living with parents and those living alone. In the second study, he uses data from two rounds of a nationally-representative survey to compare time spent with children in single-mother families and two-parent families, paying attention to the ways in which the presence of coresident grandparents may moderate relationships between family structure and parent-child interactions. In both studies, I find that single mothers living alone are characterized by relatively poor outcomes, net of theoretically relevant controls. In the second study, he also finds that single mothers living with parents are no different than their married counterparts in terms of the time spent playing with, instructing, and eating dinner with children. He discusses the potential implications of these findings for inequality and the reproduction of disadvantage in Japan.

Jim Raymo is Professor of Sociology at the University of Wisconsin-Madison where he is also an affiliate of the Center for Demography and Ecology, the Center for Demography of Health and Aging, and the Center for East Asian Studies. Raymo's research focuses primarily on evaluating patterns and potential consequences of demographic changes associated with rapid population aging in Japan. He has published widely on key features of recent family change in Japan, including delayed marriage, extended coresidence with parents, and increases in premarital cohabitation, shotgun marriages, and divorce. In two other lines of research, he has examined relationships between work, family characteristics, and health outcomes at older ages in Japan and patterns of retirement and well-being at older ages in the U.S. He is currently involved in the early stages of a project that will examine family change and inequality in Japan in cross-national comparative perspective. His research has been published in top U.S. journals such as American Sociological Review, Demography, and Journal of Gerontology: Social Sciences as well as in Japanese journals.

Raymo teaches classes on Family and Household Demography, Demographic Techniques, and Research Methods. He is currently the Associate Director of Training at the Center for Demography and Ecology and the faculty director of the Sociology Department's Concentration in Analysis and Research. He also serves on the editorial boards of Demography and Journal of Marriage and Family. Raymo received his Ph.D. in Sociology from the University of Michigan after completing his M.A. in Economics at Osaka City University in Japan.

Department of Sociology
Main Quad, Building 120
Mendenhall, Room 101

James Raymo Professor of Sociology Speaker University of Wisconsin, Madison
Seminars
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Abstract

OBJECTIVE:

The aim of the Longitudinal Assessment of Manic Symptoms (LAMS) study is to examine differences in psychiatric symptomatology, diagnoses, demographics, functioning, and psychotropic medication exposure in children with elevated symptoms of mania (ESM) compared to youth without ESM. This article describes the initial demographic information, diagnostic and symptom prevalence, and medication exposure for the LAMS cohort that will be followed longitudinally.

METHOD:

Guardians of consecutively ascertained new outpatients 6 to 12 years of age presenting for treatment at one of 10 university-affiliated mental health centers were asked to complete the Parent General Behavior Inventory-10-Item Mania Scale (PGBI-10M). Patients with scores ≥ 12 on the PGBI-10M (ESM+) and a matched sample of patients who screened negative (ESM-) were invited to participate. Patients were enrolled from December 13, 2005, to December 18, 2008.

RESULTS:

707 children (621 ESM+, 86 ESM-; mean [SD] age = 9.4 [2.0] years) were evaluated. The ESM+ group, compared to the ESM- group, more frequently met DSM-IV criteria for a mood disorder (P < .001), bipolar spectrum disorders (BPSD; P < .001), and disruptive behavior disorders (P < .01). Furthermore, they showed poorer overall functioning and more severe manic, depressive, attention-deficit/hyperactivity, disruptive behavioral, and anxiety symptoms. Nevertheless, rates of BPSD were relatively low in the ESM+ group (25%), with almost half of these BPSD patients (12.1% of ESM+ patients) meeting DSM-IV criteria for bipolar disorder not otherwise specified. ESM+ children with BPSD had significantly more of the following: current prescriptions for antipsychotics, mood stabilizers, and anticonvulsants (P < .001 for each); psychiatric hospitalizations (P < .001); and biological parents with elevated mood (P = .001 for mothers, P < .013 for fathers). ESM+ children with BPSD were also lower functioning compared to ESM+ children without BPSD.

CONCLUSIONS:

Although ESM+ was associated with higher rates of BPSD than ESM-, 75% of ESM+ children did not meet criteria for BPSD. Results suggest that longitudinal assessment is needed to examine which factors are associated with diagnostic evolution to BPSD in children with elevated symptoms of mania.

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Publication Type
Journal Articles
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Journal Publisher
Journal of Clinical Psychiatry
Authors
Findling, R. L.
Youngstrom, E. A.
Fristad, M. A.
Birmaher, B
Kowatch, R. A
Arnold, L. E
Frazier TW
Axelson D
Ryan N
Demeter CA
Gill MK
Fields B
Depew J
Kennedy SM
Marsh L
Rowles BM,
Sarah (Sally) Horwitz
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Abstract

As human life expectancy continues to rise, financial decisions of aging investors may have an increasing impact on the global economy. In this study, we examined age differences in financial decisions across the adult life span by combining functional neuroimaging with a dynamic financial investment task. During the task, older adults made more suboptimal choices than younger adults when choosing risky assets. This age-related effect was mediated by a neural measure of temporal variability in nucleus accumbens activity. These findings reveal a novel neural mechanism by which aging may disrupt rational financial choice.

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Journal Articles
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J Neurosci
Authors
Samanez-Larkin GR
Kuhnen CM
Yoo DJ
Knutson B
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AgingAsia

In the past fifty years, two factors have led to global population aging: a decline in fertility to levels close to—or even below—replacement and a decline in mortality that has increased world average life expectancy by nearly 67 percent. As the population skews toward fewer young people and more elderly who live longer postretirement lives, demographic changes—labor force participation, savings, economic growth, living arrangements, marriage markets, and social policy—are transforming society in fundamental, irreversible ways.

Nowhere are these effects of aging and demographic change more acute—nor their long-term effects more potentially significant—than in the Asia-Pacific region. How will these developments impact the economies and social protection systems of Japan, South Korea, China, and, by extension, the United States?

To assess this question, Aging Asia showcases cutting-edge, policy-relevant research. The first section focuses on demographic trends and their economic implications; the second section approaches select topics from a global comparative perspective, including social insurance financing, medical costs, and long-term care.

Desk, examination, or review copies can be requested through Stanford University Press.

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Books
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Subtitle

 The Economic and Social Implications of Rapid Demographic Change in China, Japan, and South Korea

Authors
Karen Eggleston
Karen Eggleston
Shripad Tuljapurkar
Book Publisher
Shorenstein APARC, distributed by Stanford University Press
Number
978-1-931368-20-9
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Comparative effectiveness research (CER) has the potential to slow health care spending growth by focusing resources on health interventions that provide the most value. In this article, we discuss issues surrounding CER and its implementation and apply these methods to a salient clinical example: treatment of prostate cancer. Physicians have several options for treating patients recently diagnosed with localized disease, including removal of the prostate (radical prostatectomy), treatment with radioactive seeds (brachytherapy), radiation therapy (IMRT), or-if none of these are pursued- active surveillance. Using a commercial health insurance claims database and after adjustment for comorbid conditions, we estimate that the additional cost of treatment with radical prostatectomy is $7,300, while other alternatives are more expensive-$19,000 for brachytherapy and $46,900 for IMRT. However, a review of the clinical literature uncovers no evidence that justifi es the use of these more expensive approaches. These results imply that if patient management strategies were shifted to those supported by CER-based criteria, an estimated $1.7 to $3.0 billion (2009 present value) could be saved each year.

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Demography
Authors
Daniella Perlroth
Goldman DP
Alan Garber
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Elias Muhanna is a PhD candidate in Near Eastern Languages & Civilizations at Harvard University and the author of QifaNabki.com, a blog devoted to Lebanese political affairs. He has written extensively on contemporary cultural and political affairs in the Middle East for several general-interest publications, including The Nation, Foreign Policy, The Guardian, The National, Mideast Monitor, World Politics Review, Bidoun, and Transition, and is regularly quoted in media outlets such as The New York Times, The Washington Post, The Financial Times, The Los Angeles Times, National Public Radio, The Christian Science Monitor, Slate, and Al-Jazeera International.

Encina Ground Floor Conference Room

Elias Muhanna Author of Lebanese political blog qifanabki.com Speaker
Seminars
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The 21st century has been branded the century of the worldwide return of ethnonationalisms. Conflicts based on cultural differences are boiling up in many regions, leading to civil wars and to the breakup of states. Many of these conflicts are direct and indirect consequences of modernization and transnationalization; and they are usually as complex as they are enduring and difficult to settle, because rooted in the "deep“ dimensions of culture and religion. The result is in many cases a conflict pattern where political solutions are often only of temporary value, because the far deeper rooted ethnic and cultural dimensions sooner or later undermine them and spiral the conflict up again. As a consequence, there is a new debate today about the advantages of partition and separation, and an increasing number of scholars and politicians seems to believe that the still most humane lasting solution for ethno-cultural conflicts is to institutionally divide ethnic groups once and for all, accepting to a certain extent (non-recurring) ethnic cleansing and new flows of refugees. Answering such approaches (like the one of Jerry Z. Muller propagated paradigmatically in Foreign Affairs, March/April 2008), Roland Benedikter presents a functioning and long-term proven model from Central Europe, where different ethnic groups have managed it to find a unique institutional arrangement that permits them to live together without territorial and political partition. In presenting core features of the model of autonomy of the Autonomous Province of South Tyrol, a border region between Northern Italy and Austria where three ethnic groups coexist and have made the area formerly ridden by civil wars (until 1972) now one of the wealthiest regions of Europe, Roland Benedikter shows how cornerstones of this model may be successfully applied also to other ethnic conflict regions.

Roland Benedikter, Dott. Dr. Dr. Dr., is European Foundation Fellow 2009-2013, in residence at the Orfalea Center for Global and International Studies of the University of California at Santa Barbara, with duties as the European Foundations Research Professor of Political Sociology. His main field of interest is the multidimensional analysis of what he calls the current "Global Systemic Shift", which he tries to understand by bringing together the six typological discourses (and systemic order patterns) of Politics, Economy, Culture, Religion, Technology and Demography. Roland is currently working on two major book projects: One about the "Global Systemic Shift", and one about the "Contemporary Cultural Psychology of the West", the latter comparing culturo-political trends in the European and American hemispheres. With both projects he is also involved in European Policy Advice.

Reuben W. Hills Conference Room

Roland Benedikter Speaker
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