|Title||Health disadvantage in US adults aged 50 to 74 years: a comparison of the health of rich and poor Americans with that of Europeans.|
|Publication Type||Journal Article|
|Year of Publication||2009|
|Authors||Avendano, M, M. Glymour, M, Banks, J, Mackenbach, JP|
|Journal||Am J Public Health|
|Date Published||2009 Mar|
|Keywords||Age Factors, Aged, Chronic disease, Confidence Intervals, Disabled Persons, Europe, Female, Health Status Disparities, Heart Diseases, Humans, Male, Middle Aged, Odds Ratio, Poverty, Prevalence, Risk Factors, Socioeconomic factors, United States|
OBJECTIVES: We compared the health of older US, English, and other European adults, stratified by wealth.
METHODS: Representative samples of adults aged 50 to 74 years were interviewed in 2004 in 10 European countries (n = 17,481), England (n = 6527), and the United States (n = 9940). We calculated prevalence rates of 6 chronic diseases and functional limitations.
RESULTS: American adults reported worse health than did English or European adults. Eighteen percent of Americans reported heart disease, compared with 12% of English and 11% of Europeans. At all wealth levels, Americans were less healthy than were Europeans, but differences were more marked among the poor. Health disparities by wealth were significantly smaller in Europe than in the United States and England. Odds ratios of heart disease in a comparison of the top and bottom wealth tertiles were 1.94 (95% confidence interval [CI] = 1.69, 2.24) in the United States, 2.13 (95% CI = 1.73, 2.62) in England, and 1.38 (95% CI = 1.23, 1.56) in Europe. Smoking, obesity, physical activity levels, and alcohol consumption explained a fraction of health variations.
CONCLUSIONS: American adults are less healthy than Europeans at all wealth levels. The poorest Americans experience the greatest disadvantage relative to Europeans.
|User Guide Notes|
|Endnote Keywords|| |
Chronic Disease/cross-national comparison/socioeconomic Factors/Heart disease/health status disparities/risk factors/SHARE/ELSA_
|Endnote ID|| |
|Alternate Journal||Am J Public Health|
|PubMed Central ID||PMC2661456|
|Grant List||U01 AG009740 / AG / NIA NIH HHS / United States |
P30 AG012815 / AG / NIA NIH HHS / United States
P01 AG008291 / AG / NIA NIH HHS / United States
R01 AG017644 / AG / NIA NIH HHS / United States
P01 AG005842 / AG / NIA NIH HHS / United States