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This study used secondary analysis of the nationally representative 2017 American Community Survey. The sample included 20,489 GED recipients, 154,892 high school graduates, and 49,912 high school dropouts. Our findings indicate that there is a gradient in health outcomes among older Americans, with the highest prevalence and odds of cognitive impairment, hearing impairment, vision impairment, ADL limitations, and ambulation limitations among high school dropouts, followed by GED recipients, and the lowest among high school graduates. Although GED recipients have better health outcomes than high school dropouts, there is still a significant disparity in health status between GED recipients and high school graduates.<\/jats:p>","DOI":"10.1177\/00914150231208685","type":"journal-article","created":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T02:30:25Z","timestamp":1698201025000},"page":"47-65","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Is the Health of Older Americans With a GED Equivalent to Their Peers With a High School Diploma?"],"prefix":"10.1177","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9705-6216","authenticated-orcid":false,"given":"Esme","family":"Fuller-Thomson","sequence":"first","affiliation":[{"name":"Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada"},{"name":"Department of Family and Community Medicine & Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Grossman","sequence":"additional","affiliation":[{"name":"Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6868-5307","authenticated-orcid":false,"given":"Andie","family":"MacNeil","sequence":"additional","affiliation":[{"name":"Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,10,24]]},"reference":[{"key":"bibr1-00914150231208685","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2017.03.002"},{"key":"bibr2-00914150231208685","unstructured":"American Council on Education. 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