Rural-Urban Mortality Disparities: Variations Across Causes of Death and Race/Ethnicity, 2013-2017

American Journal of Public Health
Janice ProbstMelinda A Merrell

Abstract

Objectives. To examine rural-urban disparities in overall mortality and leading causes of death across Hispanic (any race) and non-Hispanic White, Black, American Indian/Alaska Native (AI/AN), and Asian/Pacific Islander populations.Methods. We performed a retrospective analysis of age-adjusted death rates for all-cause mortality and 5 leading causes of death (cardiovascular, cancer, unintentional injuries, chronic lower respiratory disease, and stroke) by rural versus urban county of residence in the United States and race/ethnicity for the period 2013 to 2017.Results. Rural populations, across all racial/ethnic groups, had higher all-cause mortality rates than did their urban counterparts. Comparisons within causes of death documented rural disparities for all conditions except cancer and stroke among Hispanic individuals; Hispanic rural residents had death rates similar to or lower than urban residents. Rural Black populations experienced the highest mortality for cardiovascular disease, cancer, and stroke. Unintentional injury and chronic lower respiratory disease mortality were highest in rural AI/AN and rural non-Hispanic White populations, respectively.Conclusions. Investigating rural-urban disparities without also consid...Continue Reading

References

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Citations

Oct 30, 2020·Journal of Managed Care & Specialty Pharmacy·Stephen J Kogut
Feb 7, 2021·International Journal of Environmental Research and Public Health·Whitney E ZahndJan M Eberth
Feb 10, 2021·American Journal of Respiratory and Critical Care Medicine·Paul A ReyfmanSadiya S Khan
Jul 23, 2021·Cancer Epidemiology·Dorothy A RhoadesBarbara V Howard

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