This is a good point, but misleading. The relevant qualifications are obvious (as to the study co-hort).
On the substance of your point, however, I appreciate the comments. A discussion of the limitations of the study cohort and methodology is certainly a good discussion topic.
I would caution the notion "americans" are superiour at being vegetarian. Other cultures are more natively vegetarian. EG, The Indian Sub-continent and Bhuddists in Nepal, etc. And have genetic and cultural adaptations much longer in gestation as a result.
Also, context switching doesn't solve the key issue: non-vegetarians veg-native cultures also self-selct. Ethnic variation is also a vexing problem in this area because of phenotypic variation (race, lactose tolerance etc) linked with health.
A study of vegetarian-dominant cultures may show something entirely different. Yet also not be applicable to the US population.