ArticleCancer medicine2023
Disparities in cancer mortality patterns: A comprehensive examination of U.S. rural and urban adults, 1999-2020.
Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Medicaid Expansion and Place-Based Disparities in Non-Small Cell Lung Cancer Diagnosis and Survival.JAMA network open · 2026Article
- A mixed-methods approach for understanding cancer center catchment area needs: An example of rural cancer disparities, needs, and resiliencies.Cancer causes & control : CCC · 2026Article
- Association between rurality and mortality from major diseases in Japan: an ecological study.BMJ open · 2026Article
- Application of Spatial Methods in Rural Cancer Control Research in the United States.Current epidemiology reports · 2026Review
- Temporal trends and demographic-geographic disparities in kidney Cancer mortality in the United States, 1999-2023.Preventive medicine reports · 2025Article
- Disparities in tissue-based biomarker testing among US Medicare beneficiaries with prostate cancer.JNCI cancer spectrum · 2025Article
- Counties with Low Employment and Education Status Are Associated with Higher Age-Adjusted Cancer Mortality.Cancers · 2025Article
- Metropolitan/nonmetropolitan differences of the impact of COVID-19 on cancer survivors' care.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Differences in lung cancer death rates by rural vs. urban status in comparison to all-cancer death rates - United States, 1999-2020.Cancer epidemiology · 2025Article
- Rural Versus Urban Genitourinary Cancer Incidence and Mortality in Pennsylvania: 1990-2019.Current oncology (Toronto, Ont.) · 2024Article
- Geospatial Hot Spots and Cold Spots in US Cancer Disparities and Associated Risk Factors, 2004-2008 to 2014-2018.Preventing chronic disease · 2024Article
- Trends in genitourinary cancer mortality in the United States: analysis of the CDC-WONDER database 1999-2020.Frontiers in public health · 2024Article
- Disparities in cancer mortality patterns: A comprehensive examination of U.S. rural and urban adults, 1999-2020.Cancer medicine · 2023Article
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Authors and funding
3 authors.
Funding
Abstract
backgroundCancer mortality rates overall in the U.S. have decreased significantly; however, the rate of decline has not been uniform across sociodemographic groups. We aimed to compare trends in cancer mortality rates from 1999 to 2020 between rural and urban individuals and to examine whether any rural-urban differences are uniform across racial and ethnic groups.
methodsWe used U.S.-wide data from the National Center for Health Statistics, for all cancer deaths among individuals aged 25 years or older. We estimated average annual percentage change (AAPC) in age-standardized cancer mortality rates in the U.S. by cancer type, rural-urban status, sex, and race and ethnicity.
resultsThere was a larger reduction in cancer mortality rates among individuals from urban (males: AAPC, -1.96%; 95% CI, -2.03, -1.90; females: AAPC, -1.56%; 95% CI, -1.64, -1.48) than rural (males: AAPC, -1.43%; 95% CI, -1.47, -1.39; females: AAPC, -0.93; 95% CI, -1.03, -0.82) areas. AAPCs for cancer types were uniformly higher among urban areas compared with rural areas. Despite overall decreases, deaths rates for liver and pancreas cancers increased, including in the most recent period among males (2012-2020, APC, 1.34; 95% CI, 0.49, 2.20) and females (2013-2020, APC, 1.52; 95% CI, 0.03, 3.02) in rural areas.
conclusionsCancer death rates decreased in all racial and ethnic populations; however, the rural-urban differences varied by race/ethnicity. The rate of decline in mortality rates were lower in rural areas and death rates for liver and pancreas cancers increased, particularly for individuals living in rural America.
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