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Publications

2013

P.H. Chau, Jean Wook, M.K. Gusmano, and V.G. Rodwin Hong Kong and Other World Cities. In Aging in Hong Kong (pp. 5 - 30). Springer Publishing Company. Download Book Chapter
Abstract

With population aging and increasing urbanization, it is important to examine the quality of life of older people living in cities, in particular world cities. However, few comparative studies of world cities examine their health, long-term care systems, or the characteristics of their older populations. To assess how well world cities are addressing the challenges associated with aging populations, it is helpful to review comparable data on the economic and health status of older persons, as well as the availability and use of health, social, and long-term care services. By extending the work of the “CADENZA: A Jockey Club Initiative for Seniors†Project and the World Cities Project, this chapter compares three world cities—Hong Kong, New York City, and London. The three world cities are similar in the size and proportion of their older populations, but the characteristics of older people and the health and long-term care systems available to them differ in signiï¬cant ways. These comparisons reveal how Hong Kong, New York City, and London are responding to a rapidly aging population. They should be valuable to other cities that face the challenges of population aging.

2010

Gusmano, M.K & Rodwin, V.G. Urban Aging, Social Isolation, and Emergency Preparedness. IFA Global Ageing.

Zimmerman, R., Restrepo, C.E. & Simonoff, J.S. The Age of Infrastructure in a Time of Security and Natural Hazards. Proceedings of the DHS Aging Infrastructures Workshop, forthcoming 2010.

2009

Rodwing, V.G. La Révolution Tranquille du Managed Care aux Etats Unis. (The Silent Revolution of Managed Care in the United States). Ch. 21 in Tabuteau, D. Bras, P.L. and de Pouvourville, G., eds. Traité d’Economie et de Gestion de la Santé. Paris. Presses de Sciences Politiques.

2006

Rodwin, V.G. Growing Older in World Cities: New York, Paris, London and Tokyo. Edited with Michael Gusmano. Nashville Tn: Vanderbuilt University Press, .
Abstract

Population aging often provokes fears of impending social security deficits, uncontrollable medical expenditures, and transformations in living arrangements, but public policy could also stimulate social innovations. These issues are typically studied at the national level; yet they must be resolved where most people live—in diverse neighborhoods in cities. New York, London, Paris, and Tokyo are the four largest cities among the wealthiest, most developed nations of the world. The essays commissioned for this volume compare what it is like to grow older in these cities with respect to health care, quality of life, housing, and long-term care. The contributors look beyond aggregate national data to highlight the importance of how local authorities implement policies.

Rodwin, V.G. & Gusmano, M.K. Growing Older in World Cities: Implications for Healthy Aging. Vol. 27, No. 6, November-December . Download publication
Abstract

Declining birthrates, increasing longevity and growing urbanization have created a new challenge for cities: how to respond to an aging population. The World Cities Project was designed to examine whether the four largest cities among the wealthiest nations of the world - New York, London, Paris and Tokyo - offer a model of what other cities will someday resemble as their populations grow older.

Perhaps the four world cities examined here will always be regarded as special cases; however, they share in common a host of important characteristics. Within them live the largest number of older people in their countries and in some neighborhoods the percent of elders 65 or older far exceeds what the census demographers project for their nations in 2030. Thus, these great cities may serve as laboratories to inquire about the implications of demographic change for health and quality of life, living arrangements and housing, and the provision of long-term care to older adults when they eventually become frail.

 

 

2005

Light, P.C. Facing the Futures: Building Robust Nonprofits in the Pittsburgh Region. The Forbes Funds, . Download publication
Abstract

The Pittsburgh region faces tough questions as it faces the futures ahead. Will it, for example, find a way to stop its young people from leaving or slip further into the profile of a “weak market†city, with all that means for the erosion of jobs and talent? Will it close the gaps between its citizens on education, health, earnings, and poverty, or will it continue to be listed as a city of disadvantage for African Americans? And will it play an aggressive role in helping Pennsylvania rebuild its aging economy or eventually eclipse North Dakota and West Virginia as the state with the slowest growing economy in the nation?

No one knows yet just how these futures will play out. It could be that the Pittsburgh area is on the cusp of a great revival as it continues to make the turn from an industrial-age economy to an “eds and meds†future. It could also be that the area has reached the maximum range of its geographic spread, thereby signaling an end to the hollowing-out of its inner city. It could even be that the area’s young people are starting to see the vibrant opportunities embedded in urban renewal and a low-cost of living, not to mention an expanding arts community, access to some of the nation’s greatest educational institutions, and the chance to revel in the return of the Pittsburgh Steelers and the yellow towel industry that goes with it.

2002

Rodwin, V.G. & Gusmano, M.K. The World Cities Project: Rationale, Organization, and Design for Comparison of Megacity Health Systems. Journal of Urban Health: Bulletin of the New York Academy of Medicine, vol. 79, no. 4, December . View publication
Abstract

This article provides an overview of the World Cities Project (WCP), our rationale for it, our framework for comparative analysis, and an overview of current studies in progress. The WCP uses New York, London, Paris, and Tokyo as a laboratory in which to study urban health, particularly the evolution and current organization of public health infrastructure, as well as the health status and quality of life in these cities. Comparing world cities in wealthier nations is important because of (1) global trends in urbanization, emerging health risks, and population aging; (2) the dominant influence of these cities on “megacities†of developing nations; and (3) the existence of data and scholarship about these world cities, which provides a foundation for comparing their health systems and health. We argue that, in contrast to nation-states, world cities provide opportunities for more refined comparisons and cross-national learning. To provide a framework for WCP, we define an urban core for each city and examine the similarities and differences among them. Our current studies shed light on inequalities in health care use and health status, the importance of neighborhoods in protecting population health, and quality of life in diverse urban communities.

2001

Chan, S. & Stevens, A.H. The Effects of Job Loss on Older Workers. Peter P. Budetti, Richard V. Burkhauser, Janice M. Gregory and H. Allan Hunt (editors), Ensuring Health and Income Security for an Aging Workforce, Kalamazoo: W. E. Upjohn Institute for Employment Research, .
Abstract

This article uses data from the Health and Retirement Study to examine the employment patterns of workers aged 50 and above who have experienced an involuntary job loss. Hazard Models for returning to work and for exiting post displacement employment are estimated and used to examine work patterns for 10 years following a job loss. Our findings show that a job loss results in large and lasting effects on future employment probabilities. Four years after job losses at age 55, the employment rate of displaced workers remains 20 percentage points below the employment rate of similar nondisplaced workers.

2000

Rodwin, V.G. Project Report: Population Aging and Longevity in World Cities. Japan Foundation Center for Global Partnership Newsletter, Vol. 26, fall .
Abstract

Improvements in health care and declining birth rates have combined to create rapidly aging populations throughout the industrialized world. By 2020, for example, nearly seventeen percent of the US population is expected to be over the age of sixty-five. In Japan that mark has already been passed, with more than one-quarter of the population expected to be over sixty-five by 2020. At the same time, the world's population is increasingly concentrated in urban areas: the United Nations estimates that by 2025, sixty-one percent of the world's population will live in cities. As both urbanization and population aging increase, we will need models of how to accommodate this population shift and examples to emulate in dealing with these phenomena.

1998

Blustein, J. & Weiss, L.J. Use of Mammography by Women Aged 75 and Over: Factors Related to Health, Functioning and Age. J American Geriatrics Society. 1998;46:1-6.
Abstract

BACKGROUND AND OBJECTIVES: Mammographic screening for breast cancer is of uncertain clinical benefit for women 75 years of age and older. Some have argued against instituting routine screening in this age group, noting that disability and shorter life expectancy may diminish the desirability and cost-effectiveness of screening. We sought to determine the extent to which health, functioning, and age influence mammography use in this cohort. DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study of a representative sample of women in the US aged 75 and older (n = 2352) who participated in the Medicare Current Beneficiary Survey. MEASURES: Information about general health, level of functioning, medical history, age, and various sociodemographic characteristics elicited in the survey was linked with subjects' Medicare bills for 1991 and 1992 to ascertain patterns of mammography use. RESULTS: Overall, 26.7% of the women had mammograms during the 2-year period. Advanced age was associated with a decreased likelihood of receiving a mammogram. This did not reflect simply the decline in health and functioning that may accompany aging; those aged 85 and older were less likely to receive mammograms than those in the 75 to 79 age group, controlling for general health, medical history, functional status, and sociodemographic factors (adjusted OR = .41; 95% CI = 0.27 to 0.64). ADL limitations were also associated independently with decreased mammography use. For example, controlling for age, women with any limitations in Activities of Daily Living were 0.71 times as likely to have mammograms as women without ADL limitations (95% CI = 0.59 to 0.85). However, several comorbid conditions, including hypertension, diabetes mellitus, and a history of myocardial infarction were not significantly related to mammography use. CONCLUSIONS: Within the cohort of women aged 75 and older, more advanced age and impaired functional status both substantially reduce the likelihood of mammography use. The extent to which this reflects patients' informed decisions, physicians' judgments, or other factors remains to be explored.

1997

Light, P.C. Will Tomorrow's Elderly Be Better Off? in Andrew Scharlach, editor, Controversial Issues in Aging Jossey-Bass. View Book
Abstract

Part of the Controversial Issues series, this text presents a series of clear and lively debates on current issues in gerontology, authored by leading academic authorities in the field. The text presents a broad overview of issues and questions facing the field, including areas of policy/programs, health, social services, professional and family life, and more. The debates are current and very readable; the text is "user-friendly," and was designed to stimulate student discussion, debate, as well as critical thinking. The text is a "must" for students considering careers in the field of gerontology. The non-technical, brief and lively format of the debates makes them accessible to all students. Issues covered include whether or not to legalize suicide; whether to reduce Social Security benefits; whether to institute means-testing for Medicare; whether affirmative action programs should be instituted for older persons; and the potential dismantling of the aging services network.

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Podcasts

September 21, 2010
Baby Boomers, Public Service, and Minority Communities: A Case Study of the Jewish Community in the United States
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Videos

Events

Past EventsDate
XPS Series 2012-2013: Jack S. Lusk, Managing Partner, Harris Rand Lusk04/11/2013
NYU Wagner Day of Service 2013: Transportation Alternatives: Engaging Bike-Friendly Businesses in the Village04/06/2013
test02/14/2013
Roundtable Discussion on Long-Term Liabilities & Healthcare12/12/2011
Engaging the Public: Interactives Designed for Social Impact11/14/2011
test10/06/2011
TESTTEST209/01/2011
test07/19/2011
Encore Careers: Work that Matters in the Second Half of Life10/23/2010
Learning for a Change Workshop: Managing Collaborative Change10/06/2010
Baby Boomers, Public Service, and Minority Communities: A Case Study of the Jewish Community in the United States09/21/2010
High Speed Rail: Leveraging Federal Investment Locally06/16/2010
The 14th Annual Kovner/Behrman Health Forum: Identifying and Managing High-Cost Patients04/07/2010
Conversations in Public Service: Ross Jaffe, M.D., Managing Director, Versant Ventures03/25/2010
Conversations in Public Service: Glen Lewy, Senior Managing Director, Hudson Ventures03/01/2010
Global Health Aging:
Are we Prepared for the Epidemic of the Aging Baby Boomers?		10/23/2009
Leveraging Resources to Promote Justice in Urban Environments10/08/2009
Nurse Leaders Series: Managing Diversity with Thomas G. Ferguson, Senior Vice President, Chief Human Resources Officer03/12/2009
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