Making the Case for Investment in Rural Cancer Control: An Analysis of Rural Cancer Incidence, Mortality, and Funding Trends

Estimates of those living in rural counties vary from 46.2 to 59 million, or 14% to 19% of the U.S. Rural communities face disadvantages compared with urban areas, including higher poverty, lower educational attainment, and lack of access to health services. We aimed to demonstrate rural-urban dispa...

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Veröffentlicht in:Cancer epidemiology, biomarkers & prevention Jg. 26; H. 7; S. 992
Hauptverfasser: Blake, Kelly D, Moss, Jennifer L, Gaysynsky, Anna, Srinivasan, Shobha, Croyle, Robert T
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.07.2017
Schlagworte:
Financing, Government - standards
Financing, Government - trends
Healthcare Disparities - statistics & numerical data
Healthcare Disparities - trends
Humans
Incidence
National Cancer Institute (U.S.) - economics
National Cancer Institute (U.S.) - statistics & numerical data
National Cancer Institute (U.S.) - trends
Neoplasms - epidemiology
Neoplasms - therapy
Rural Health - standards
Rural Health - trends
Rural Health Services - economics
Rural Health Services - organization & administration
Rural Health Services - statistics & numerical data
Rural Health Services - trends
Rural Population - statistics & numerical data
SEER Program - statistics & numerical data
United States
Urban Health
Urban Health Services - economics
Urban Health Services - organization & administration
Urban Health Services - statistics & numerical data
Urban Health Services - trends
Urban Population - statistics & numerical data
ISSN:1538-7755, 1538-7755
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Zusammenfassung:Estimates of those living in rural counties vary from 46.2 to 59 million, or 14% to 19% of the U.S. Rural communities face disadvantages compared with urban areas, including higher poverty, lower educational attainment, and lack of access to health services. We aimed to demonstrate rural-urban disparities in cancer and to examine NCI-funded cancer control grants focused on rural populations. Estimates of 5-year cancer incidence and mortality from 2009 to 2013 were generated for counties at each level of the rural-urban continuum and for metropolitan versus nonmetropolitan counties, for all cancers combined and several individual cancer types. We also examined the number and foci of rural cancer control grants funded by NCI from 2011 to 2016. Cancer incidence was 447 cases per 100,000 in metropolitan counties and 460 per 100,000 in nonmetropolitan counties ( < 0.001). Cancer mortality rates were 166 per 100,000 in metropolitan counties and 182 per 100,000 in nonmetropolitan counties ( < 0.001). Higher incidence and mortality in rural areas were observed for cervical, colorectal, kidney, lung, melanoma, and oropharyngeal cancers. There were 48 R- and 3 P-mechanism rural-focused grants funded from 2011 to 2016 (3% of 1,655). Further investment is needed to disentangle the effects of individual-level SES and area-level factors to understand observed effects of rurality on cancer. .
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1538-7755
1538-7755
DOI:10.1158/1055-9965.EPI-17-0092