Comparing population health in the United States and Canada
Comparing population health in the United States and Canada
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DOI：
10.1186/1478-7954-8-8
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发表时间：
2010-01-01
影响因子：
3.3
通讯作者：
McFarland, Bentson H.
中科院分区：
文献类型：
--
作者：
Feeny, David;Kaplan, Mark S.;McFarland, Bentson H.
背景：本文的目的是比较美国和加拿大的人口健康状况。虽然这两个国家是非常相似的，在许多方面，有潜在的重要差异的社会和经济不平等的水平和组织和融资，并获得卫生保健在这两个countries.Methods：数据来自联合加拿大/美国健康调查2002/03。健康效用指数Mark 3（HUI 3）用于测量总体健康相关生活质量（HRQL）。比较平均HUI 3评分，调整健康的主要决定因素，包括体重指数，吸烟，教育，性别，种族和收入。此外，还比较了预期寿命的估计数。最后，平均HUI 3得分的年龄和性别和加拿大和美国的生命表被用来估计健康调整的预期寿命（黑尔）。对于那些< 40岁的人，美国和加拿大之间的HRQL没有差异。对于40岁以上的群体，HRQL似乎在加拿大更高。比较两个国家的白人人口的结果非常相似。对于一个19岁的人，黑尔是52.0年，在加拿大和49.3在US.Conclusions：加拿大的人口似乎比美国人口的预期寿命，HRQL，和黑尔大大健康。造成这一差异的因素可能包括在整个生命周期内获得医疗保健（全民医疗保险）以及社会和经济不平等程度较低，特别是在老年人中。
Background: The objective of the paper is to compare population health in the United States (US) and Canada. Although the two countries are very similar in many ways, there are potentially important differences in the levels of social and economic inequality and the organization and financing of and access to health care in the two countries.Methods: Data are from the Joint Canada/United States Survey of Health 2002/03. The Health Utilities Index Mark 3 (HUI3) was used to measure overall health-related quality of life (HRQL). Mean HUI3 scores were compared, adjusting for major determinants of health, including body mass index, smoking, education, gender, race, and income. In addition, estimates of life expectancy were compared. Finally, mean HUI3 scores by age and gender and Canadian and US life tables were used to estimate health-adjusted life expectancy (HALE).Results: Life expectancy in Canada is higher than in the US. For those < 40 years, there were no differences in HRQL between the US and Canada. For the 40+ group, HRQL appears to be higher in Canada. The results comparing the white-only population in both countries were very similar. For a 19-year-old, HALE was 52.0 years in Canada and 49.3 in the US.Conclusions: The population of Canada appears to be substantially healthier than the US population with respect to life expectancy, HRQL, and HALE. Factors that account for the difference may include access to health care over the full life span (universal health insurance) and lower levels of social and economic inequality, especially among the elderly.