ArticleAmerican journal of public health2009
Health disadvantage in US adults aged 50 to 74 years: a comparison of the health of rich and poor Americans with that of Europeans.
Article in American journal of public health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 1 of them a synthesis that pooled it.
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Who cites it
105 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
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- Cerebellar Purkinje cell firing reduction contributes to aging-related declining motor coordination in mice.Proceedings of the National Academy of Sciences of the United States of America · 2026Article
- Childhood adversity and disadvantage in relation to incident disability and multimorbidity: prospective analyses of ELSA and two SHARE inception samples.Frontiers in public health · 2026Article
- Article
- Life Expectancy and Health Expectancy in the Twenty-first Century: The Unthinkable, the Inconceivable, and the Unknowable.Demography · 2025Article
- The prevalence of functional limitations in the US workforce.Proceedings of the National Academy of Sciences of the United States of America · 2025Article
- Impact of Physical Activity Level on Whole-Body and Muscle-Cell Function in Older Adults.Annals of geriatric medicine and research · 2025Article
- Influence of physical function and frailty on unplanned readmission in middle-aged and older patients discharged from a hospital: a follow-up study.Scientific reports · 2025Article
- Do institutions matter for citizens' health status? Empirical evidence from Italy.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- Wealth-related inequalities in self-reported health status in the United States and 14 high-income countries.Health services research · 2024Article
- Socioeconomic Inequalities in Frailty Distribution: A Cross-National Comparison of the United States and England.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Inequalities in Mortality in the Asia-Pacific: A Cross-National Comparison of Socioeconomic Gradients.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Socioeconomic inequalities in cardiovascular disease: a causal perspective.Nature reviews. Cardiology · 2024Review
- Impact of pain and adverse health outcomes on long-term US testicular cancer survivors.Journal of the National Cancer Institute · 2024Article
- Vision and Hearing Difficulties and Life Expectancy Without ADL/IADL Limitations: Evidence From the English Longitudinal Study of Ageing and the Health and Retirement Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Evaluating the predictive performance of the elderly patient calculator TIPS score in a North American cohort.Hepatology communications · 2024Article
- Educational disparities in disability-free life expectancy across Europe: A focus on the East-West gaps from a gender perspective.SSM - population health · 2023Article
45 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
Abstract
objectivesWe compared the health of older US, English, and other European adults, stratified by wealth.
methodsRepresentative 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.
resultsAmerican 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.
conclusionsAmerican adults are less healthy than Europeans at all wealth levels. The poorest Americans experience the greatest disadvantage relative to Europeans.
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