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

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 deat...

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Vydáno v:American journal of public health (1971) Ročník 110; číslo 9; s. 1325 - 1327
Hlavní autoři: Probst, Janice C., Zahnd, Whitney E., Hung, Peiyin, Eberth, Jan M., Crouch, Elizabeth L., Merrell, Melinda A.
Médium: Journal Article
Jazyk:angličtina
Vydáno: Washington American Public Health Association 01.09.2020
Témata:
Accidents
Age
AJPH Rural Health
American Indians
Cancer
Cardiovascular disease
Cardiovascular diseases
Causes
Community Health
Death
Death & dying
Disease
Ethnic groups
Ethnicity
Health disparities
Health education
Health surveillance
Hispanic Americans
Indigenous peoples
Injuries
Minority & ethnic groups
Minority groups
Mortality
Mortality rates
Other Race/Ethnicity
Pacific Islander people
Population
Populations
Public health
Race
Racial differences
Residents
Respiratory diseases
Rural areas
Rural Health
Rural populations
Rural urban differences
Socioeconomic Factors
Stroke
Urban areas
Urban Health
Urban population
Urban populations
Vital statistics
United States > US
Alaska
ISSN:0090-0036, 1541-0048, 1541-0048
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Shrnutí: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 considering race/ethnicity leaves minority health disparities unexamined and thus unaddressed. Further research is needed to clarify local factors associated with these disparities and to test appropriate interventions.
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All authors have been actively involved in the substantive work of this study and hold themselves jointly and individually responsible for the content of this article.
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ISSN:0090-0036
1541-0048
1541-0048
DOI:10.2105/AJPH.2020.305703