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Cited by 283

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Health Disadvantage in US Adults Aged 50 to 74 Years: A Comparison of the Health of Rich and Poor Americans With That of Europeans

Open access
Avendano, Mauricio, Glymour, M. Maria, Banks, James, Mackenbach, Johan P.·2009·American Journal of Public Health

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.

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Metadata

Authors
Avendano, M., Glymour, M. M., Banks, J., & Mackenbach, J. P.
Venue
American Journal of Public Health
Published
2009-03
Volume
99
Issue
3
Pages
540-548
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
OpenAlex
W2056967146
Cited by
283
References
3
FWCI
18.17
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Health Disadvantage in US Adults Aged 50 to 74 Years: A Comparison of the Health of Rich and Poor Americans With That of Europeans. https://app.cochat.ai/papers/10.2105/ajph.2008.139469
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Avendano, M., Glymour, M. M., Banks, J., & Mackenbach, J. P. (2009). Health Disadvantage in US Adults Aged 50 to 74 Years: A Comparison of the Health of Rich and Poor Americans With That of Europeans. American Journal of Public Health. https://doi.org/10.2105/ajph.2008.139469

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