Comparing population health in the United States and Canada

David Feeny, Mark S. Kaplan, Nathalie Huguet, Bentson McFarland

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Article number8
JournalPopulation Health Metrics
Volume8
Issue number1
DOIs
StatePublished - Apr 29 2010

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Canada
Life Expectancy
Health
Population
Quality of Life
Health Services Accessibility
Economics
Value of Life
Life Tables
Health Insurance
Health Surveys
Body Mass Index
Joints
Smoking
Organizations
Education

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Comparing population health in the United States and Canada. / Feeny, David; Kaplan, Mark S.; Huguet, Nathalie; McFarland, Bentson.

In: Population Health Metrics, Vol. 8, No. 1, 8, 29.04.2010.

Research output: Contribution to journalArticle

Feeny, David ; Kaplan, Mark S. ; Huguet, Nathalie ; McFarland, Bentson. / Comparing population health in the United States and Canada. In: Population Health Metrics. 2010 ; Vol. 8, No. 1.
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