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Health
See other Health Articles

Title: Why are British men healthier than American ones?
Source: slate.com
URL Source: http://www.slate.com/id/2141648/
Published: Oct 31, 2009
Author: Sydney Spiesel
Post Date: 2009-10-31 12:27:17 by Destro
Keywords: UK
Views: 130
Comments: 7

Why are British men healthier than American ones?

By Sydney Spiesel

Posted Monday, May 15, 2006, at 12:03 PM ET

Earlier this month, a study in the Journal of the American Medical Association compared the health of a group of men in the United States with that of a very similar group of men in England. The researchers found a striking difference in the quality of health of the two populations—the Americans were sicker and died younger than their British counterparts. The results are anxiety-provoking because they can't easily be accounted for—and because one of the study's authors, Dr. Michael Marmot of University College, London, is a giant in the field.

Marmot's new study compared two populations, one in England and one in the United States, totaling about 8,000 in all, with many similar characteristics. All were male, non-Latino whites between the ages of 55 and 64. The researchers curbed diversity in this way in order to weed out extraneous factors. But in each group, the men ranged widely in terms of income and educational attainment. Thus, though the study primarily compared the health consequences of living in the United States or living in England, the researchers also looked at the degree to which socioeconomic status contributed to the health differences they found.

Marmot and his co-authors—James Banks, Zoe Oldfield, and James P. Smith—asked the research subjects to self-report rates of diabetes, high blood pressure, heart disease, lung disease, stroke, and cancer. The researchers found that American men were far sicker with these chronic diseases than British men similar in age, ethnicity, and socioeconomic status. When these two groups were compared, the American men were worse off with respect to every disease the study included. Often, the differences were striking: 12.5 percent of the American men reported that they were diabetic, compared to 6.1 percent of the British men; the men in the United States were 1.25 times as likely to report high blood pressure, more than 1.5 times as likely to report heart disease, and 1.7 times as likely to report cancer.

Could the difference have been one of interpretation—do American and British men respectively exaggerate or underplay illness? To rule out this possible weakness of self-reporting, Marmot's team considered studies that examined lab test results, so they could objectively corroborate the reports of the patients in their own study. The team found that, in general, for both groups the level of self-reported illness and the laboratory findings closely matched. (For instance, in England, self-reporting of diabetes was 8 percent higher than diabetes confirmed by laboratory testing, while in the United States, the self-reported rate was 11 percent higher.) So, both self-reporting and lab results suggest the same thing: British men appear to be significantly less likely to suffer from chronic disease than similar Americans.

There are many ways in which these results are not at all what one would expect. For instance, the United States spends a great deal more on health care than England does—2.4 times as much per capita. And other differences like the terrible state of British dentistry also ought to weigh in Americans' favor. It's long been suspected that dental and oral infections play a role in promoting heart disease and possibly stroke. Tooth loss can lead to poor nutrition and social isolation among the elderly, which increase the risk for illness and early death.

So, how do we account for the apparent better health of Englishmen? This study shows that the answer doesn't relate to race or ethnicity. The researchers also showed that neither smoking (Brits and Americans smoke in about equal numbers) nor overeating (Americans do this more than Brits) nor heavy drinking (here the Brits have the edge) could account for the difference.

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#1. To: Destro (#0)

Its the quality of the grand elixir and the proximity to the Emerald Isle.

“Gold is the money of kings; silver is the money of gentlemen; barter is the money of peasants; but debt is the money of slaves.”

buckeroo  posted on  2009-10-31   12:57:39 ET  (1 image) Reply   Trace   Private Reply  


#2. To: Destro (#0)

Diet, US men are snack food junkies. Just go into any grocery store and watch. They are the majority on the processed food aisles.

mininggold  posted on  2009-10-31   13:04:02 ET  Reply   Trace   Private Reply  


#3. To: Destro, All (#0)

Here's my response to you on another thread regarding the flaws of the Marmot study, which the pediatrician (?), Dr.Spiesel, praises in Slate shortly after the study was pub'd in JAMA in May, 2006.

freedom4um.com/cgi-bin/re...ArtNum=109467&Disp=24#C24

You are a dolt of the highest order. You still have not bothered to go to the study itself.

Btw, only one of the authors is an M.D., 2 are employed by a UK institute for "Fiscal Studies", and a 3rd is employed by the Rand Corp. Just sayin'....

www.sourcewatch.org/index.php?title=RAND_Corporation

Here's what is stated in the MAIN OUTCOME MEASURE and CONCLUSION of the May 03/2006 study done by James Banks, PhD; Michael Marmot, M.D.; Zoe Oldfield, MSc; James P. Smith, PhD

Main Outcome Measure: Self-reported prevalence rates of several chronic diseases related to diabetes and heart disease, adjusted for age and health behavior risk factors, were compared between the 2 countries and across education and income classes within each country.

Conclusion Based on self-reported illnesses and biological markers of disease, US residents are much less healthy than their English counterparts and these differences exist at all points of the SES distribution.

Postscript: there are a number of studies that dispute the validity of using "self-reported" health - do the PubMed search or Google thingie - I'm weary of playing games with a socialist groupie like yourself.

scrapper2  posted on  2009-10-31   13:34:00 ET  Reply   Trace   Private Reply  


#4. To: mininggold (#2)

Diet, US men are snack food junkies. Just go into any grocery store and watch. They are the majority on the processed food aisles.

Not according to the study:

The researchers also showed that neither smoking (Brits and Americans smoke in about equal numbers) nor overeating (Americans do this more than Brits) nor heavy drinking (here the Brits have the edge) could account for the difference.<.i>

"We have oil. We have Putin - all that Russians think they need." - Vladimir Dubin, senior researcher at the Moscow-based Levada Centre.

Destro  posted on  2009-10-31   16:32:23 ET  Reply   Trace   Private Reply  


#5. To: scrapper2 (#3)

Conclusion Based on self-reported illnesses and biological markers of disease, US residents are much less healthy than their English counterparts and these differences exist at all points of the SES distribution.

You keep repeating that lie over when clearly the report states:

So, both self-reporting and lab results suggest the same thing: British men appear to be significantly less likely to suffer from chronic disease than similar Americans.

You have no response other than to denegrate the source - something the failed American right wing bots fall back to as a response.

"We have oil. We have Putin - all that Russians think they need." - Vladimir Dubin, senior researcher at the Moscow-based Levada Centre.

Destro  posted on  2009-10-31   16:35:08 ET  Reply   Trace   Private Reply  


#6. To: scrapper2 (#3)

Wow, your post is thoroughly detailed as to why study is invalid. Good job.

PaulCJ  posted on  2009-10-31   16:37:52 ET  Reply   Trace   Private Reply  


#7. To: PaulCJ (#6) (Edited)

the delusional right wing keeps deluding itself and avoids reading facts when they contradict themselves.

One more time for the slow:

Could the difference have been one of interpretation—do American and British men respectively exaggerate or underplay illness? To rule out this possible weakness of self-reporting, Marmot's team considered studies that examined lab test results, so they could objectively corroborate the reports of the patients in their own study. The team found that, in general, for both groups the level of self-reported illness and the laboratory findings closely matched. (For instance, in England, self- reporting of diabetes was 8 percent higher than diabetes confirmed by laboratory testing, while in the United States, the self-reported rate was 11 percent higher.) So, both self-reporting and lab results suggest the same thing: British men appear to be significantly less likely to suffer from chronic disease than similar Americans.

"We have oil. We have Putin - all that Russians think they need." - Vladimir Dubin, senior researcher at the Moscow-based Levada Centre.

Destro  posted on  2009-10-31   20:31:46 ET  Reply   Trace   Private Reply  


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