Health disadvantage in US adults aged 50 to 74 years: a comparison of the health of rich and poor Americans with that of Europeans.

TitleHealth disadvantage in US adults aged 50 to 74 years: a comparison of the health of rich and poor Americans with that of Europeans.
Publication TypeJournal Article
Year of Publication2009
AuthorsAvendano, M, M. Glymour, M, Banks, J, Mackenbach, JP
JournalAm J Public Health
Volume99
Issue3
Pagination540-8
Date Published2009 Mar
ISSN Number1541-0048
Call Numbernewpubs20101112_Avendano.pdf
KeywordsAge 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
Abstract

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.

URLhttp://sfx.lib.umich.edu:9003/sfx_local?sid=Entrez 3APubMed;id=pmid 3A19150903
DOI10.2105/AJPH.2008.139469
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/19150903?dopt=Abstract

Endnote Keywords

Chronic Disease/cross-national comparison/socioeconomic Factors/Heart disease/health status disparities/risk factors/SHARE/ELSA_

Endnote ID

23710

Alternate JournalAm J Public Health
Citation Key7409
PubMed ID19150903
PubMed Central IDPMC2661456
Grant ListU01 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