Publications
Loretti Dobrescu
Working Papers

A fast upper envelope scan method for discrete-continuous dynamic programming

Loretti I. Dobrescu and Akshay Shanker

Abstract: We introduce a fast upper envelope scan (FUES) method to solve and estimate dynamic programming problems with discrete and continuous choices. FUES builds on the standard endogenous grid method (EGM). EGM applied to problems with continuous and discrete choices, however, does not by itself generate the optimal solution, as the first order conditions used to retrieve the endogenous grid are necessary but not sufficient. FUES sequentially checks the secant lines between EGM candidate solution points and eliminates those not on the upper envelope of the value correspondence by only allowing discontinuities in the policy function at non-concave regions of the value correspondence. Unlike previous methods used to perform EGM in discrete-continuous dynamic models, FUES does not require the monotonicity of the policy functions or analytical information of the value function gradient. It is also computationally efficient, straightforward to implement, and for sufficiently large EGM grid sizes, guaranteed to recover the optimal solution.

Key Words: discrete and continuous choices, non-convex optimization, Euler equation, computational methods, dynamic programming

Research Publications

Estimating Gender Differences in the Association between Cognitive Resilience and MCI Incidence

Leung, Y., Eramudugolla, R., Cherbuin, N., Peters, R., Mortby, M.E., Kiely, K.M., and Anstey, K.J. (2024). Gerontology. 70(7), 776–784

Research Publications

Advance care planning in Australia through the COVID-19 pandemic

Sinclair, C., Reymond, L., and Sansome, X. (2024). In Ng, R., and Martina, D. (Eds.). Advance Care Planning in the Asia-Pacific. World Scientific Publishing Company, Singapore. p267-278

Research Publications

Culture and Advance Care Planning: Perspectives from Australia

Sinclair, C. (2024). In Ng, R., and Martina, D. (Eds.). Advance Care Planning in the Asia-Pacific. World Scientific Publishing Company, Singapore. p.19-23

Research Publications

Advance Care Planning in Australia: Progress in Research and Implementation

Sinclair, C. (2024). In Ng, R., and Martina, D. (Eds.). Advance Care Planning in the Asia-Pacific. World Scientific Publishing Company, Singapore. p.215-225

Research Publications

Sleep Disorders and Cognitive Aging among Cognitively Impaired vs. Unimpaired Older Adults

Lee, S., Nelson, M.E., Hamada, F., Wallace, M.L., Andel, R., Buxton, O.M., Almeida, D.M., Lyketsos, C., and Small, B.J. (2024). The Gerontologist. 64(5), Article gnad152

Research Publications

Health capacity to work among older people in the Kingdom of Thailand

Zhao, J., Law, C-K., Piggott, J., Yiengprugsawan V. (2024). Asian Development Review. 41(1), 169-194

Research Publications

Financial Fragility, Financial Resilience, and Pension Distributions

Clark, R., and Mitchell., O.S. (2024). Journal of Retirement. 11(4), 8-25

Research Publications

Evacuation and Health Care Outcomes Among Assisted Living Residents After Hurricane Irma

Hua, C.L., Patel, S., Thomas, K.S., Jester, D.J., Kosar, C.M., Peterson, L.J., Andel, R., and Dosa, D.M. (2024). JAMA Network Open. 7(4), Article e248572

Research Publications

Regional Variation in Lifetime Probability of Admission to Residential Aged Care in Australia

Cooper-Stanbury, M. (2024). Journal of Aging and Health. 

Research Publications

Health Perceptions, Multimorbidity, and New Fractures and Mortality Among Patients With a Fracture

Alarkawi, D., Tran, T. S., Chen, W., March, L. M., Blyth, F. M., Blank, R. D., Bliuc, D., and Center, J. R. (2024). JAMA Network Open. 7(4), Article e248491

Research Publications

Ageing of the Australian LGBQ Population: Estimates and Projections to Mid-Century

Temple, J., Wilson, T. (2024). Ageing and Society.

Research Publications

Comparison of adjustment to a temporary or permanent ostomy using the OAI-23

Whiteley, I., Randall, S., Fetheny, J., and Stanaway, F. (2024). Colorectal Disease. 26(6), 1231-1238

Research Publications

A Scoping Survey to Inform Design of Digital Dementia Risk Reduction Interventions for Adults Concerned about their Cognitive Health

Amos, J. G., Zheng, L., Eramudugolla, R., Andrews, S. C., & Anstey, K. J. (2024). Journal of Alzheimer's Disease Reports. 8(1), 697-708

Research Publications

The AUstralian multidomain Approach to Reduce dementia Risk by prOtecting brain health With lifestyle intervention study (AU-ARROW): A study protocol for a single-blind, multi-site, randomized controlled trial

Gardener, S.L., Fuller, S.J., Naismith, S.L., Baker, L., Kivipelto, M., Villemagne, V.L., Grieve, S.M., Yates, P., Rainey-Smith, S.R., Chen, J., Thompson, B., Armstrong, N.J., Fernando, M.G., Blagojevic Castro, C., Meghwar, S., Raman, R., Gleason, A., Ireland, C., Clarnette, R., Anstey, K.J., Taddei, K., Garg, M., Sohrabi, H.R., Martins, R.N. (2024). Alzheimers Dement. 10(2), Article e12466

Research Publications

Ageing of the LGBQ Population: Estimates and Projections to Mid-Century

Temple, J., and Wilson, T. (2024). Ageing and Society

rent
Working Papers

Housing and Pensions: Complements or Substitutes in the Portfolio Allocation?

Loretti Dobrescu, Akshay Shanker, Hazel Bateman, Ben R Newell and Susan Thorp

Abstract: We study the relation between retirement savings and housing using a life cycle model of consumption and portfolio choice with risky earnings, lumpy housing with collateralized borrowing, and financial assets inside and outside pension plans. We consistently find complementarity from pensions to housing, and substitutability in reverse. The mechanism behind this asymmetry, and especially how it unfolds across genders, stems from behavioral and housing frictions that jointly drive the timing of savings: incentivizing pension savings boosts homeownership in anticipation of a prosperous retirement, while more attractive housing absorbs pension investments. Decomposing the gender differential in lifetime savings, we show that earnings inequality and preferences drive 64.2% of the wealth gap, behavioral frictions explain another 33.5%, and housing adjustment costs, that affect males and females differently, account for the rest.

Keywords: life cycle savings, portfolio choice, pensions, housing, method of moments.

 

Research Publications

Correlates of SuperAging in Two Population-Based Samples of Hispanic Older Adults

Doyle, C., Andel, R., Saenz, J., and Crowe, M. (2024). The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences. 79(6), Article gbae058

Research Publications

Oxycodone initiation in Australia (2014-2018): Sociodemographic factors and preceding health service use

Gillies, M. B., Camacho, X., Bharat, C., Buizen, L., Blyth, F., Currow, D., Wilson, A., Degenhardt, L., Gisev, N., and Pearson, S. A. (2024). Br J Clin Pharmacol. 90(7), 1656-1666

Research Publications

Health literacy and older adults: Findings from a national population‐based survey

Fry, J.M., Antoniades, J., Temple, J.B., Osborne, R.H., Cheng, C., Hwang, K., and Brijnath, B. (2024). Health Promotion Journal of Australia. 35(2), 487-503

Research Publications

COVID-19 and Excess Mortality: An Actuarial Study

Delbrouck, C., and Alonso-García, J. (2024). Risks. 12(4), Article 61

Research Publications

"It's opened my eyes to a whole new world": Positive Behaviour Support training for staff and family members supporting residents with dementia in aged care settings

Fisher, A., Reschke, K., Shah, N., Cheung, S., O'Connor, C.M.C., and Piguet, O. (2024). American Journal of Alzheimer's Disease & Other Dementias. 39(2), Article 15333175241241168

Students collaborating
Working Papers

Progressive Income-Contingent Student Loans

Yue Hua and George Kudrna

Abstract: Progressive income contingent loans (ICLs) for college students, where repayment rates increase with income, may provide additional insurance against income risks after graduation. We study how the progressiveness of ICLs affects life-cycle behaviors and welfare. We document stylized facts on education in Australia, where recent reforms made ICLs more progressive. We found correlations between reforms and enrolment rates. We estimate income dynamics and found that progressive ICLs provide more insurance in the first repaying years. Lastly, we build a heterogenous-agent life-cycle model and find that progressive ICLs induce higher education attainment and welfare than non-contingent loans or linear ICLs.

KeywordsStudent loans, income-contingent repayment, income dynamics, heterogeneous-agent life-cycle model

 

Research Publications

Causal inference, mediation analysis and racial inequities

Stanaway, F.F., Diaz, A., and Maddox, R. (2024). Int J Epidemiol. 52(2), Article dyae038

Research Publications

Worldwide cohort studies to support healthy ageing research: data availabilities and gaps

Khalatbari-Soltani, S., Si, Y., Dominguez, M., Scott, T., and Blyth, F.M. (2024). Ageing Res Rev. 17(96), Article 102277

Research Publications

Childhood adversity is associated with anxiety and depression in older adults: A cumulative risk and latent class analysis

Lian, J., Kiely, K. M., Callaghan, B. L., & Anstey, K. J. (2024). Journal of affective disorders. 354, 181-190

Young family walking along the beach
Working Papers

Intergenerational Risk Sharing in Pay-As-You-Go Pension Schemes

Hélène Morsomme, Jennifer Alonso-García and Pierre Devolder

Abstract: Population ageing undermines traditional social security pension systems that combine pay-as-you-go (PAYG) and defined benefits (DB). Indeed, demographic risk, if guaranteed benefits remain unaltered, will be borne entirely by workers through increases in the contribution rate. To avoid a substantial increase of the contributions and in order to maintain simultaneously the financial sustainability and the social adequacy of the public pension system, risk sharing and automatic balancing mechanisms need to be put in place. We present a two-step convex family of risk-sharing mechanisms. The first shares the risk between contributors and retirees through adjustments in the contribution rate, used to calculate the global covered wage bill, and the benefit ratio that represents the relationship between average pensions and wages. The second step studies how the retirees’ risk should be shared between the different retirees’ generations through adjustments in the replacement rate and a sustainability factor that affects pension indexation during retirement. We perform a detailed study of the effect of social planner’s targets and solidarity weight between various generations in a deterministic and stochastic environment.

Keywords: risk-sharing, automatic balancing mechanisms, pension design, ageing

Research Publications

Cohort Studies of Memory in an International Consortium (COSMIC). Risk factors and cognitive correlates of white matter hyperintensities in ethnically diverse populations without dementia: The COSMIC consortium

Lin, K., Wen, W., Lipnicki, D.M., Mewton, L., Chen, R., Du, J., Wang, D., Skoog, I., Sterner, T.R., Najar, J., Kim, K.W., Han, J.W., Kim, J.S., Ng, T.P., Ho, R., Chua, D.Q.L., Anstey, K.J., Cherbuin, N., Mortby, M.E., Brodaty, H., Kochan, N., Sachdev, P.S., & Jiang, J. (2024). Alzheimers Dement. 16(1), Article e12567

Research Publications

Food insecurity: Discrepancy within Australian couple households

Fry, J.M., and Temple, J.B. (2024). Australian Journal of Social Issues

Research Publications

Specialised residential aged care for older people subject to homelessness: experiences of residents and staff of a new care home in Australia

Preti, C., Poulos, C.J., Poulos, R.G., Reynolds, N.L., Rowlands, A.C., Flakelar, K., Raguz, A., Valpiani, P., Faux, S.G., and O’Connor, C.M.C. (2024). BMC Geriatrics. 24, Article 249

Research Publications

Pooling functional disability and mortality in long-term care insurance and care annuities: A matrix approach for multi-state pools

Kabuche, D., Sherris, M., Villegas, A.M., and Ziveyi, J. (2024). Insurance: Mathematics and Economics. 116, 165 - 188

Research Publications

Demographic, health, physical activity, and workplace factors are associated with lower healthy working life expectancy and life expectancy at age 50

Lynch, M., Bucknall, M., Jagger, C. et al. (2024). Scientific Reports. 14, Article 5936

Economics
Working Papers

Sustainable and Equitable Pension Reform for Emerging Economies: An Application to Indonesia

George Kudrna, John Piggott and Phitawat Poonpolkul

Abstract: This paper develops a general equilibrium overlapping generation model with heterogenous households to study pension reforms in emerging economies with large informal employment and rapid population ageing. Using Indonesia, a country in which 80% of the labour force works in the informal sector, and which confronts a 5-fold increase in the 65+ share of the population this century, as our exemplar economy, we assess, both separately and in combination, the impact of increasing the pension access age for formal labour and introducing a flat-rate social pension for informal labour. Households are differentiated by skill and employment type, and confront idiosyncratic labour income and survival shocks. The micro/household behaviours are calibrated with Indonesian Family Life Survey (IFLS) data, along with recent World Bank macro and fiscal data to target some macro moments. The benchmark model assumes tax and pension policy settings applicable solely to formal labour. We show that in a model incorporating population ageing, the combined reforms would significantly improve aggregate welfare for both groups: flexibility in late life work in the formal sector benefits those workers, while informal workers benefit from the social pension, set at 6.5% of per capita GDP. The incremental revenue requirement, taking account of both the reduced formal pension outlays and the cost of the social pension, is calculated to be about 1.5% of GDP.

Keywords: Population Ageing, Informal Labour, Retirement Policies, Social Security, Redistribution, Life Cycle, Stochastic General Equilibrium.

Research Publications

What socio-cultural, emotional and relational factors shape older people’s experiences of death and dying in residential aged care?

Van Toorn, G., Kirby, E., Hamilton, M. and MacArtney, J. (2024). Ageing and Society

Research Publications

Validating care and treatment scenarios for measuring decisional conflict regarding future care preferences among older adults

Sinclair, C., Yeoh, L., Karusoo-Musumeci, A., Auret, K.A., Clayton, J.M., Hilgeman, M., Halcomb, E., Sinclair, R., Martini, A., Meller, A., Walton, R., Wei, L., Dao-Tran, H., Kurrle, S., Comans, T. (2024). Health Expectations. 27(2), Article e14010

Research Publications

A Neural Network Approach for the Mortality Analysis of Multiple Populations: A Case Study on Data of the Italian Population

Euthum, M., Scherer, M. & Ungolo, F. (2024). European Actuarial Journal

Research Publications

Levels of frailty and frailty progression in older urban- and regional- living First Nations Australians

Lewis, E., Anstey, K.J., Radford, K., Mealing, N., Cardona, M., Withall, A., Rockwood, K., & Peters, R. (2024). Maturitas. 183, Article 107962

Research Publications

Relationship between Visceral Adipose Tissue and Bone Mineral Density in Older People: Results from AHAP Study

Hosseini, S. A., Cumming, R.G., Bijani, A., Ghadimi, R., Noreddini, H. and Hosseini, S.R. (2023). Journal of Clinical Densitometry. 26(1), 1-9

Research Publications

Multidimensional sleep health problems across middle and older adulthood predict early mortality

Lee, S., Mu, C.X., Wallace, M.L., Andel, R., Almeida, D.M., Buxton, O.M., and Patel, S.R. (2024). The Journals of Gerontology: Series A. 79(3), Article glad258

Research Publications

A Dirichlet Process Mixture Regression Model for the Analysis of Competing Risk Events

Ungolo, F. & van den Heuvel, E. R. (2024). Insurance: Mathematics and Economics. 116, 95-113

Research Publications

A 10-week intergenerational program bringing together community-living older adults and preschool children (INTERACTION): a pilot feasibility non-randomised clinical trial

Lim, M. L., Zammit, C., Lewis, E., Ee, N., Maiden, G., Goldwater, M., Kimonis, E., Kenning, G., Rockwood, K., Fitzgerald, A., Radford, K., Dodge, H., Ward, S.A., Delbaere, K., and Peters, R. (2024). Pilot Feasibility Stud. 10(1), Article 37

CEPAR
Working Papers

Impact of Retirement and Re-employment on the Life Satisfaction of Older Adults in Korea

Do Won Kwak and Jong-Wha Lee

Abstract: An aging workforce has adversely impacted the economy in Korea, amid growing fiscal challenges associated with providing pension and healthcare for older people. The increasing elderly population has raised concerns about the diminishing quality of life among seniors. This study explores the impact of retirement and re-employment on the life satisfaction of older individuals, utilizing longitudinal data from 2008 to 2020. To address endogeneity concerns, we use statutory eligibility ages for retirement pension benefits and the expected monetary value of these benefits as instrumental variables for retirement and re-employment status. Our findings suggest that retirement leads to a significant reduction in overall life satisfaction among older individuals. Conversely, life satisfaction improves significantly when retired individuals are re-employed. This study examines the dynamic effects of retirement on life satisfaction by employing the event study framework and investigating the reversal of retirement through re-employment. The findings emphasize that the life satisfaction of older individuals can be enhanced through policies that enable them to extend their employment or pursue new opportunities after retirement.

Keywords: aging, retirement, re-employment, life satisfaction, longitudinal study, pension

 

Research Publications

10-Year stability of an insomnia sleeper phenotype and its association with chronic conditions

Lee, S., Smith, C.E., Wallace, M.L., Buxton, O.M., Almeida, D.M., Patel, S.R., and Andel, R. (2024). Psychosomatic Medicine

Annamaria Olivieri
Working Papers

Stochastic Assessment of Special-Rate Life Annuities

Annamaria Olivieri and Daniela Tabakova

Abstract: Special-rate life annuities offer customized annuity rates, based on the lifestyle or health status of the individual. Their main purpose is to encourage the annuity demand, which is still underdeveloped in many markets; as better annuity rates are quoted for individuals showing a higher mortality profile, the number of individuals attracted by life annuities could increase. Providers should then gain larger pool sizes; however, this is possibly matched by a greater heterogeneity of the pool, due to several risk classes defined by the annuity design. Heterogeneity emerges not only in terms of different life expectancies, but also in respect of the dispersion of the lifetime distribution; indeed, situations resulting in a lower life expectancy also show greater variability of the lifetime. As it is well-known, pooling effects are reinforced by the pool size, while they are weakened by its heterogeneity, with a possibly unclear impact on the overall longevity risk to which the provider is exposed.

In this paper we investigate the longevity risk profile of an annuity pool consisting of several risk classes. We consider both the idiosyncratic and aggregate components of the risk, by modelling the random number of deaths and assuming a stochastic mortality dynamics. The heterogeneity of risk classes is represented alternatively in a deterministic and stochastic setting.

Our conclusions are in line with similar findings discussed in the literature, but obtained in a deterministic framework. Results suggest that the longevity risk profile of the provider is not significantly undermined by a greater pool heterogeneity, with a prevalence of the aggregate component whatever the pool composition.

Keywords: Underwritten annuities, Standard annuities, Enhanced annuities, Impaired annuities, Preferred risks, Substandard lives, Stochastic mortality, Longevity risk, Heterogeneity.

Research Publications

The Association Between Physical Activity, Obesity, and Cognition in Middle-Aged and Older Adults

Fiscella, A.J., and Andel, R. (2024). Journal of Aging and Physical Activity. 32(3), 397-407

Research Publications

Scenario selection with LASSO regression for the valuation of variable annuity portfolios

Kabuche, D., Sherris, M., Villegas, A.M., and Ziveyi, J. (2024). Insurance: Mathematics and Economics. 116, 27 - 43

Research Publications

The Australian National University Alzheimer's Disease Risk Index (ANU-ADRI) score as a predictor for cognitive decline and potential surrogate outcome in the FINGER lifestyle randomized controlled trial

Hall, A., Barbera, M., Lehtisalo, J., Antikainen, R., Huque, H., Laatikainen, T., Ngandu, T., Soininen, H., Stephen, R., Strandberg, T., Kivipelto, M., Anstey, K.J., & Solomon, A. (2024). Eur J Neurol. 31(5), Article e16238

CEPAR
Reports & Government Submissions

Barriers and Enablers to the Multigenerational Workforce

Catherine Rickwood, Natasha Ginnivan, Meiwei Li, Mitiku Hambisa, Kaarin J. Anstey

A recent CEPAR (2021) report brought to light several opportunities for accessing the ageing population including the need for employers to have better strategies to recruit and retain older workers. The 3i framework of Include, Individualise and Integrate, outlined by CEPAR researchers, Professor Sharon Parker and Senior Research Fellow Dr Daniela Andrei, provides a broad approach for organisations to manage mature workers.

The results and findings presented in this report contribute to the knowledge in this area. The need to understand the enablers and barriers for creating a multigenerational workforce across age groups and seniority is considered critical. For organisations to embrace age diversity it’s essential that senior executives and managers know what’s required for older and younger workers to effectively and harmoniously work together for individual and collective benefit.

Through an extensive qualitative research program that included interviews with senior executives and multiple focus groups with employees aged 25+ with a leading financial institution and national retailer, we’re delighted to contribute to this field of research. Findings reveal that building intergenerational mentorship and training programs for managers and teams; identifying, understanding and addressing communication differences; and introducing recruitment policies and practices that encourage and support age diversity are some of the factors critical to championing a multigenerational workforce.

Research Publications

Real-World Shocks and Retirement System Resiliency

Mitchell, O.S., Sabelhaus, J., and Utkus, S. (Eds.). (2024). Oxford University Press, United Kingdom.

Research Publications

Protocol of a 12-week eHealth programme designed to reduce concerns about falling in community-living older people: Own Your Balance randomised controlled trial

Lim, M.L., Perram, A., Radford, K., Close, J., Draper, B., Lord, S.R., Anstey, K.J., O'Dea, B., Ambrens, M., Hill, T.Y., Brown, A., Miles, L., Ngo, M., Letton, M., van Schooten, K.S., and Delbaere, K. (2024). BMJ Open. 14(2), Article e078486

Research Publications

At a Turning Point: Work, Care and Family Policies in Australia

Baird, M., Hill, E. and Colussi, S. (2024). Sydney University Press, Australia.

Research Publications

Leisure-Time Physical Activity and Falls With and Without Injuries Among Older Adult Women

Kwok, W.S., Khalatbari-Soltani, S., Dolja-Gore, X., Byles, J., Tiedemann, A., Pinheiro, M.B., Oliveira, J.S., and Sherrington, C. (2024). JAMA Netw Open. 7(1), Article e2354036

Research Publications

The Importance of Zero-Deficiency Complaints in Nursing Homes: A Mere Consequence or Serious Concern?

Bhattacharyya, K.K., Peterson, L., Molinari, V., Fauth, E.B., and Andel, R. (2024). Journal of Applied Gerontology. 43(7), 945-955

Research Publications

Differences in Falls and Physical Activity in Older Women From Two Generations

Kwok, W.S., Khalatbari-Soltani, S., Dolja-Gore, X., Byles, J., Oliveira, J.S., Pinheiro, M.B., and Sherrington, C. (2024). J Gerontol A Biol Sci Med Sci. 79(4), Article glae033

Research Publications

Mild behavioral impairment in early Alzheimer’s disease and its association with APOE and BDNF risk genetic polymorphisms

Matuskova, V., Veverova, K., Jester, D.J., Matoska, V., Ismail, Z., Sheardova, K., Horakova, H., Cerman, J., Laczó, J., Andel, R. and, Hort, J. (2024). Alzheimer's Research & Therapy. 16(1), 21

Research Publications

Socio-demographic Determinants of Infertility: A Study in Four Selected Provinces of Iran

Nasrabad, H. B., Hosseini-Chavoshi, M., & Abbasi-Shavazi, M. J. (2024). International Journal of Women’s Health and Reproduction Sciences. 12(2), 94-102

Research Publications

Educational Quality and Disparities in Income and Growth across Countries

Lee, H., & Lee, J.W. (2024). Journal of Economic Growth. 

Research Publications

Patient Self-Assessment of Walking Ability and Fracture Risk in Older Australian Adults

Bliuc, D., Tran, T., Alarkawi, D., Chen, W., Alajlouni, D.A., Blyth, F., March, L., Blank, R.D., and Center, J.R. (2024). JAMA Network Open. 7(1), Article e2352675

Research Publications

Empirically derived dietary patterns are associated with major adverse cardiovascular events, all-cause mortality, and congestive cardiac failure in older men: The Concord Health and Ageing in Men Project

Luong, R., Ribeiro, R.V., Naganathan, V., Blyth, F., Waite, L.M., Handelsman, D.J., Le Couteur, D.G., Seibel, M. and Hirani,V. (2024). The Journal of Nutrition, Health and Aging. 28(2), Article 100020

Research Publications

Cross-sectional and longitudinal associations between empirically derived dietary patterns and frailty among older men: The Concord Health and Ageing in Men Project

Luong, R., Ribeiro, R.V., Naganathan, V., Blyth, F., Waite, L.M., Handelsman, D.J., Le Couteur, D.G., Seibel, M. and Hirani, V. (2024). The Journal of Nutrition, Health and Aging. 28(1), Article 100021

Research Publications

Intra-generational social mobility and mortality among older men in the Concord health and Ageing in Men Project: A cohort study

Tran, M-H., van Zwieten, A., Kiely, K.M., Blyth, F., Naganathan, V., Le Couteur, D.G., Handelsman, D.J., Seibel, M.J., Waite, L.M., Cumming, R.G. and Khalatbari-Soltani, S. (2023). SSM - Population Health. Article 101581

Research Publications

The association of dietary antioxidants and the inflammatory potential of the diet with poor physical function and disability in older Australian men: the Concord Health and Ageing in Men Project

Wizgier, D., Meng, Y., Das, A., Naganathan, V., Blyth, F., Le Couteur, D.G., Handelsman, D.J., Waite, L.M., Ribeiro, R.V., Shivappa, N., Hébert, J.R., and Hirani, V. (2024). British Journal of Nutrition. 131(9), 1528 - 1539

Research Publications

Robust Inference for the Frisch Labor Supply Elasticity

Keane, M., and Neal, T. (In Press). Journal of Labor Economics

Research Publications

Taxation and policyholder behavior: the case of guaranteed minimum accumulation benefits

Alonso-García, J., Sherris, M., Thirurajah, S., and Ziveyi, J. (2024). ASTIN Bulletin. 54(1), 185 - 212

Research Publications

Cost modelling rehabilitation in the home for reconditioning in the Australian context

Poulos, R.G., Cole, A.M.D., Hilvert, D.R., Warner, K.N., Faux, S.G., Nguyen, T.A., Kohler, F., Un, F.C., Alexander, T., Capell, J.T., O’Connor, C.M.C., and Poulos, C.J. (2024). BMC Health Services Research. 24(1), Article 151

Research Publications

Advance Care Planning in Palliative Care

Clayton, J., Luckett, T., Sinclair, C., and Detering, K. (2024). In McLeod, R., and Van Den Block, L. (Eds.). Textbook of Palliative Care (2nd Ed.) Springer, Champaign, IL, USA. p.1-15

Research Publications

Advance care planning in Australia through the COVID-19 pandemic

Sinclair, C., Reymond, L., Sansome, X. (2024). In Ng, R., Martina, D. (Eds). Advance care planning in the Asia Pacific. Singapore: World Scientific Publishing Company.

Research Publications

Exploring perceptions of Advanced Driver Assistance Systems (ADAS) in older drivers with age-related declines

Wood, J.M., Henry, E., Kaye, S., Black, A.A., Glaser, S., Anstey K.J., and Rakotonirainy, A. (2024). Transportation Research Part F: Traffic Psychology and Behaviour. 100, 419-430

Research Publications

Context matters: using an Evidence to Decision (EtD) framework to develop and encourage uptake of opioid deprescribing guideline recommendations at the point-of-care

Langford, A.V., Bero, L., Lin, C.C., Blyth, F.M., Doctor, J.N., Holliday, S., Jeon, Y.H., Moullin, J.C., Murnion, B., Nielsen, S., Penm, J., Reeve, E., Reid, S., Wale, J., Osman, R., Gnjidic, D., and Schneider, C.R. (2024). Journal of Clinical Epidemiology. 165, Article 111204

Research Publications

Influencing the choice of pension distribution at retirement

Clark, R., and Mitchell., O.S. (2024). Journal of Pension Economics and Finance. 23(1), 72-88

Research Publications

Not all Created Equal. The Impacts of Positive, Negative, and Partner Relationships on Cognition in Latelife

Ee, N., Matthews, F., Peters, R., and Anstey, K.J. (2023). Innovation in Aging. 7(Supplement_1), 1156

Research Publications

Overadjustment bias in systematic reviews and meta-analyses of socioeconomic inequalities in health: a meta-research scoping review

van Zwieten, A., Dai, J., Blyth, F., Wong, G. and Khalatbari-Soltani, S. (2023). Accepted for publication in International Journal of Epidemiology. 51(1), Article dyad177

Research Publications

Consideration of overadjustment bias in guidelines and tools for systematic reviews and meta-analyses of observational studies is long overdue

van Zwieten, A., Blyth, F., Wong, G, and Khalatbari-Soltani, S. (2023). International Journal of Epidemiology. 53(1), Article dyad174

cepar award
Working Papers

Impact of Physical Climate Risks on Antimicrobial Resistance

Roshen Fernando

Abstract: Antimicrobial resistance (AMR) and climate change are interrelated complex challenges to humanity. We investigate the role of physical climate risks in the resistance growth of seven pathogens against twelve antimicrobials in 30 countries from 2000 to 2020. Our empirical assessment considers both chronic (gradual changes in temperature, precipitation, and relative humidity) and extreme climate risks (representing extreme precipitation events, droughts, heatwaves, coldwaves, and storms). We observe heterogeneous responses of different antimicrobial drug-pathogen combinations to physical climate risks. We observe that the physical climate risks could affect resistance growth more than antimicrobial consumption growth in some antimicrobial-drug pathogen combinations. We also illustrate stronger effects of extreme climate risks on resistance growth compared to chronic risks in some antimicrobial-drug pathogen combinations. We emphasize the importance of a broader exploration of factors affecting AMR evolution from a one-health approach and enhanced AMR surveillance, among others, to produce effective policy responses to tame AMR.

Keywords: Antimicrobial resistance, Infectious diseases, Climate Change, Econometrics, Machine Learning

 

Migration
Working Papers

Impact of Demographic Trends on Antimicrobial Resistance

Roshen Fernando

Abstract: Medical advancements in the twenty-first century significantly contribute to increased longevity and the current global demographic trends, including population aging. While rising antimicrobial resistance (AMR) threatens the sustainability of longevity prospects, the current demographic trends also contribute to worsening AMR. We investigate the role of four demographic indicators (population growth, population aging, population density, and urbanization) in the resistance growth of seven pathogens against twelve antimicrobials in 30 countries from 2000 to 2020. We observe heterogeneous responses of different antimicrobial drug-pathogen combinations to demographic trends. We observe that the demographic trends could affect resistance growth more than antimicrobial consumption growth in some antimicrobial- drug pathogen combinations. We emphasize the importance of a broader exploration of factors affecting AMR evolution from a one-health approach and enhanced AMR surveillance, among others, to produce effective policy responses to tame AMR.

Keywords: Antimicrobial resistance, Infectious diseases, Demographic Trends, Population Growth, Population Aging, Urbanization, Econometrics, Machine Learning

climate change CEPAR
Working Papers

Global Economic Impacts of Physical Climate Risks

 

Roshen Fernando and Caterina Lepore

Abstract: This paper evaluates the global economic consequences of physical climate risks under two Shared Socioeconomic Pathways (SSP 1-2.6 and SSP 2-4.5) using firm-level evidence. Firstly, we estimate the historical sectoral productivity changes from chronic climate risks (gradual changes in temperature and precipitation) and extreme climate risks (representative of heatwaves, coldwaves, droughts, and floods). Secondly, we produce forward-looking sectoral productivity changes for a global multisectoral sample of firms. For floods, these estimates account for the productivity changes from the damage to firms’ physical capital. Thirdly, we assess the macroeconomic impact of these shocks within the global, multisectoral, intertemporal general equilibrium model: G-Cubed. The results indicate that, in the absence of additional adaptation relative to that already achieved by 2020, all the economies would experience substantial losses under the two climate scenarios, and the losses would increase with global warming. The results can be useful for policymakers and practitioners interested in conducting climate risk analysis.

Keywords: Climate change, Climate risks, Extreme events, Macroeconomic modelling

 

Research Publications

Revisiting taxes on high incomes

İmrohoroğlu, A., Cagri, K., Lian, J. and Nakornthab, A. (2023). Review of Economic Dynamics. 51, 1159-1184

Research Publications

The coverage and challenges of increasing uptake of non-National Immunization Program vaccines in China: A scoping review

Jiang, M., Chen, S., Yan, X., Ying, X. and Tang, S. (2023). Infectious Diseases of Poverty. 12, Article 114

Research Publications

The Role of Work and Retirement in Adult Development and Aging

Hartung, J., Zacher, H., and Hulur, G. (2023). Acta Psychologica. 241, Article 104076

Research Publications

Visualising the impact of COVID-19 on Australian SA3 populations

Grossman, I. (2023). Australian Population Studies. 7(1), 30-33

Research Publications

Individuals’ Responsiveness to Marginal Tax Rates: Evidence from Bunching in the Australian Personal Income Tax

Johnson, S., Breunig, R., Olivo-Villabrille, M, and Zaresani, A. (2023). Labour Economics. 87, Article 102461

Research Publications

The SMART model of work design: A higher order structure to help see the wood from the trees

Parker, S. K., & Knight, C. (2023). Human Resource Management. 63(2), Pages 265-291

health model
Working Papers

Actuarial Modelling of Australian Population Retirement Risks: An Australian Functional Disability and Health State Model

Kyu Park and Michael Sherris

Abstract: With increasing numbers of Australians in or entering retirement, the modelling of functional disability and health status is critical to the insuring and financing of retirement risks for both governments and individuals. The multi-state modelling of these risks underlie projections of the population by functional disability status, the estimation of healthy life expectancy, the sustainable financing of public aged care and innovations in private long-term care insurance. Developing a model for the Australian population is challenging because of the lack of longitudinal health and mortality data for older Australians. We use the cross-sectional data in the Survey of Disability, Ageing and Carers for years 1998, 2003, 2009, 2012, 2015 and 2018, providing prevalence of functional disability and illness across 20 years, to estimate a multi-state transitions model that best explain the observed changes of prevalence in Australia. We develop and estimate for the first time an Australian model for transitions between five states (healthy, disabled but not ill, ill but not disabled, disabled and ill, and dead) using age, sex and trend factors for those aged 60 or greater. Functional disability is defined by autonomy of activities of daily living. Illness is defined by chronic illness conditions including heart problems, diabetes, lung disease, and stroke. Model estimation is done numerically. Using the fitted model, we estimate yearly transition probabilities, life expectancy of retirees and projected population distributions by functional disability and health states. We also provide a comparison of the results with previous studies.

Keywords: functional disability, activities of daily living, multiple state model, cross-sectional data, life expectancy, long-term care insurance

 

Research Publications

Australian general practitioners’ perspectives on integrating specialist diabetes care with primary care: qualitative study

Taylor, R., Acharya, S., Parsons, M., Ranasinghe, U., Fleming, K., Harris, M.L., Kuzulugil, D., Byles, J., Philcox, A., Tavener, M., Attia, J., Kuehn, J. & Hure, A. (2023). BMC Health Serv Res. 23, Article 1264

Research Publications

Good for You, Bad for Me? The Daily Dynamics of Perspective Taking and Well-being in Coworker Dyads

Fasbender, U., Rivkin, W., and Gerpott, F.H. (2023). Journal of Occupational Health Psychology. 29(1), 1-13

Research Publications

How do sex-specific BMI trajectories shape diabetes risk? A longitudinal analysis of Indonesian adults

Liwin, L. K., & Payne, C. F. (2023). BMJ Public Health. 1(1), Article e000020

Research Publications

Clinical Observation, Management and Function of Low Back Pain Relief Therapies (COMFORT): A Cluster Randomised Controlled Trial Protocol

Shaheed, C.A., Ivers, R., Vizza, L., McLachlan, A., Kelly, P.J., Blyth, F., Stanaway, F., Clare, P.J., Thompson, R., Lung, T., Degenhardt, L., Reid, S., Martin, B., Wright, M., Osman, R., French, S., McCaffrey, K., Campbell, G., Jenkins, H., Mathieson, S., Boogs, M., McMaugh, J., Bennett, C. and Maher, C. (2023). BMJ Open. 13(11), Article e075286

Research Publications

MyCOACH (Connected Advice for Cognitive Health): A Digitally Delivered Multidomain Intervention for Cognitive Decline and Risk of Dementia in Adults with Mild Cognitive Impairment or Subjective Cognitive Decline - Study Protocol for a Randomised Controlle

Amos, J.G., Zheng, L, Eramudugolla, R., Parekh, D., Huque, M.H., Delbaere, K., Lautenschlager, N., and Anstey, K. (2023). BMJ Open. 13(10), Article e075015

Research Publications

Association between multimorbidity and informal long-term care use in China: a nationwide cohort study

Chen, S., Si, Y., Hanewald, K., Li, B., Wu, C., Xu, X., and Bateman, H. (2023). BMC Geriatrics. 23, Article 700

Research Publications

Engendering the Right to Work in International Law: Recognising Menstruation and Menopause in Paid Work

Colussi, S., Hill, E. and Baird, M. (2023). University of Oxford Human Rights Hub Journal. 5, 1-40

Ageing data
Working Papers

Hierarchical House Price Model incorporating Geographical and Macroeconomic Factors

Lingfeng Lyu

Abstract: This paper presents a tri-level hierarchical approach to house price modelling at the postcode level, which is considered the most granular geographical scale, incorporating macroeconomic influences from the national level and integrating data from the largest sub-state level (SA4). By employing a Risk Premium - Principal Component Analysis (RP-PCA) for SA4-level risk factors and combining these with national-level risk factors, a vector autoregressive (VAR) model is developed. This geographically conditional multi-factor model with a hierarchical structure offers enhanced short-term prediction accuracy while maintaining long-term forecasting capabilities. The model’s predictive accuracy is further enhanced by introducing an empirical copula to describe the dependence structure of one-step residuals across various suburbs. This methodology grants a dynamic and granular view of housing price trends in Australia. Key determinants like interest rate shifts, GDP growth, and exchange rate variances play a crucial role, particularly in urban areas in metropolitan cities. The analysis of economic and demographic factors on the SA4 level indicates that elements such as home debt increments, wage fluctuations, and population shifts are pivotal in shaping housing prices, underscoring the significance of a granular regional analysis.

Keywords: House price modelling, Hierarchical framework, Macroeconomic variables, Risk Premium - Principal Component Analysis (RP-PCA)

 

Financial growth
Working Papers

Postcode-Level Reverse Mortgages: Longevity Risks, House Price Risks, and Welfare Gain

Lingfeng Lyu

Abstract: This research evaluates the Home Equity Access Scheme (HEAS) versus downsizing for older Australians, factoring in elements such as means tests, health expenditures, taxes, and home maintenance. It builds on a utility approach, considering region-specific house prices and longevity risks. Findings reveal that HEAS enhances healthy aging for healthy and mildly disabled retirees more than downsizing. This scheme benefits cash-poor but asset-rich retirees who have lower bequest motives, derive higher satisfaction from spacious homes, and prioritise long-term gratification. However, spatial disparities in housing prices and life expectancy decrease the uptake of HEAS, offering new perspectives on housing decisions among seniors in Australia.

Keywords: Home Equity Release, Reverse Mortgage, Downsizing, Healthy Ageing, Utility Approach.

 

Research Publications

The global economic impacts of the COVID-19 pandemic

McKibbin, W. and Fernando, R. (2023). Economic Modelling. 129, Article 106551

Research Publications

Are Generations a Useful Concept?

Costanza, D.P., Rudolph, C.W. and Zacher, H. (2023). Acta Psychologica. 241, Article 104059

CEPAR
Reports & Government Submissions

Caught between Obligation and Exclusion: The Plight of Mature Age Jobseekers in Australia’s Employment Services System

Cheryl Sykes and Marylène Gagné

This report presents a detailed qualitative study of mature age individuals navigating Australia's mandatory employment services while on income support. Aimed at exploring the challenges and experiences of these jobseekers, the study utilised open comments from online surveys across five time intervals with a sample of 173 respondents. Participants comments are discussed through three themes:

  • The impact of 'mutual obligations’ requirements and ‘work first’ policy settings.

  • The quality and value of the service received from employment service providers.

  • Interactions with the labour market and employers.

Additional quantitative insights were gained on two other factors of interest: occupational and worker identities and their relationship with future job prospects.

 

Research Publications

Estimation, Comparison and Projection of Multi-factor Age-Cohort Affine Mortality Models

Ungolo, F., Sherris, M. and Zhou, Y. (2023). North American Actuarial Journal

Research Publications

Disability and Morbidity among US Birth Cohorts, 1998–2018: A Multidimensional Test of Dynamic Equilibrium Theory

Shen, T., and Payne, C. F. (2023). SSM - Population Health. Article 101528

Research Publications

Data-driven lifestyle patterns and risk of dementia in older Australian women

Dingle, S.E., Bowe, S.J., Bujtor, M., Milte, C.M., Daly, R.M., Byles, J., Cavenagh, D. and Torres, S.J. (2023). Alzheimer’s and Dementia. 20(2), 798-808

Research Publications

First and final farewells, disrupted family connections and loss: A collective case study exploring the impact of COVID-19 visitor restrictions in critical care

Bloomer, M., Yuen, E., Williams, R., Hutchinson, A. (2023). Intensive and Critical Care Nursing. 80, Article 103534