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Comparison of Health Status Between the United States and England
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To the Editor: In their study comparing the relative health status of older individuals in England and the United States, Dr Banks and colleagues1 provide evidence that US residents are much less healthy than their English counterparts and suggest that very little of this disparity is due to differences in smoking, heavy drinking, and overweight. Although the difference between countries was particularly striking with respect to smoking related illnesses, smoking behavior is very similar in each country.
US residents own more cars and drive farther and more frequently than the British. According to the Federal Highway Administration,2 vehicle miles traveled per capita in the United Kingdom were 70% of that in the United States. Of British households, 28% had more than 1 car in 20013 compared with 55% of US households in 2001.4 Higher automobile use in the United States is likely correlated with less exercise and more exposure to . . . [Full Text of this Article]
Gwen Szwarc Hanson, MD
gwenhanson@rockwoodfamilymd.com
Rockwood Family Medicine
Bellevue, Wash
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