ArticleSSM - population health2018
Socioeconomic variables explain rural disparities in US mortality rates: Implications for rural health research and policy.
Article in SSM - population health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 76 papers, 3 of them syntheses that pooled it.
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Who cites it
76 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Characterization and efficacy of lifestyle behavior change interventions among adult rural cancer survivors: a systematic review.Journal of cancer survivorship : research and practice · 2025Pooled it
- Rural-Urban Disparities in Colorectal Cancer Screening, Diagnosis, Treatment, and Survivorship Care: A Systematic Review and Meta-Analysis.The oncologist · 2024Pooled it
- A systematic literature review of health disparities among rural people with epilepsy (RPWE) in the United States and Canada.Epilepsy & behavior : E&B · 2021Pooled it
- Incidence Rates of COVID-19-Associated Hospitalization and Risk Factors for Severe Disease Among American Indian and Alaska Native Persons in the Southwest USA and Alaska.Journal of racial and ethnic health disparities · 2026Observational
- Rurality and long-term outcomes after critical illness.Annals of the American Thoracic Society · 2026Article
- Genomic, phenomic and geographic associations of leukocyte telomere length in the United States.Nature genetics · 2026Article
- Assessing healthcare access among residents in rural Eastern San Diego county: a qualitative study.BMC primary care · 2026Article
- Ethnic and Socioeconomic Factors Associated with Locally Advanced Retinoblastoma: A Retrospective Study.Ocular oncology and pathology · 2026Article
- Growing Inequities in Median Age of Death and Obesity Prevalence Between Australian Major Cities and Remote Areas: A National, Longitudinal, Spatial Analysis.Public health challenges · 2026Article
- Mortality trends for chronic kidney disease and dementia in the United States, 1999-2020: a 22-year retrospective analysis.Annals of medicine and surgery (2012) · 2026Article
- Rural and Urban Variation in Mobile Health Substance Use Disorder Treatment Mechanisms and Efficacy.Rural mental health · 2026Article
- Urban-rural differences and bidirectional association between social participation and cognitive function among Chinese older adults: a 10-year prospective cohort study.Archives of public health = Archives belges de sante publique · 2025Article
- Regional disparities in the care and outcomes of atrial fibrillation patients in a universal health care system: a population-based cohort study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025Article
- Community readiness and feasibility of the Exercising TogetherJournal of cancer survivorship : research and practice · 2025Article
- Assessing Measurement Invariance in Neighborhood Socioeconomic Environment Across Levels of Urbanicity.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Social Vulnerability Predictors of Acute Care: Leveraging Health Information Exchange Data to Understand Social Determinants at the Census Tract Level in a Correlational Study.Health science reports · 2025Article
- Trends in coronary artery disease mortality among hyperlipidemic patients: Geographic, gender, and racial insights from CDC WONDER data (1999-2020).International journal of cardiology. Cardiovascular risk and prevention · 2025Article
- "It's not about me. It's about what's best for my community": Factors impacting COVID-19 vaccine uptake among Native Americans and Latinos from two agricultural communities.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Effects of a theory driven and culturally tailored educational program on promoting cervical cancer screening in rural populations.Scientific reports · 2025Article
- Mapping the lived experience of rural substance use stigma: A conceptual framework of salient attitudes, beliefs, and behaviors in people who use drugs.Social science & medicine (1982) · 2025Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
Abstract
objectivesRural disparities in age-adjusted mortality are growing in the United States. While socioeconomic variables have been found to explain significant variation in life expectancy across US counties, previous research has not examined the role of socioeconomic variables in explaining rural mortality disparities. The purpose of this study was to quantify the rural mortality disparity after controlling for socioeconomic variables.
methodsRecursive partitioning, or tree regression, was used to fit models predicting premature mortality across counties in the United States, adjusted for age, median income, and percent in poverty in 4 time periods (from 2004 to 2012) with and without inclusion of an urban-rural variable.
resultsWe found median income and percent in poverty explained about 50% of the variation in age-adjusted premature mortality rates across US counties in each of the four time periods. After controlling for these socioeconomic variables, rural mortality disparities largely disappeared, explaining less than 2% of the variance in premature mortality.
conclusionsAddressing poverty and other socioeconomic issues should be a priority to improve health in rural communities. Interventions designed to target social determinants of health in rural areas are needed to address the growing rural mortality disparity that is largely explained by measures of poverty and income. Researchers examining rural health disparities should routinely include socioeconomic variables in their analyses.
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