Social stratification and health lifestyles in two systems of health care delivery: A comparison of the United States and West Germany

Academic Article


  • This study compares health lifestyles among a sample of Americans in Illinois and West Germans in Northrhine-Westphalia. There was a general lack of difference between Americans and West Germans, as well as between social strata in the two countries, with respect to participation in health lifestyles that take place outside the health care delivery system. A more paternalistic system of health benefits (West Germany) does not appear to undermine personal incentives to stay physically fit in comparison to persons living in a more individualistic system (United States).
  • Digital Object Identifier (doi)

    Author List

  • Cockerham WC; Kunz G; Lueschen G
  • Start Page

  • 113
  • End Page

  • 126
  • Volume

  • 29
  • Issue

  • 2