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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Vydáno v:	Cancer epidemiology, biomarkers & prevention Ročník 26; číslo 7; s. 992
Hlavní autoři:	Blake, Kelly D, Moss, Jennifer L, Gaysynsky, Anna, Srinivasan, Shobha, Croyle, Robert T
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States 01.07.2017
Témata:	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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Shrnutí:	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. .
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1538-7755 1538-7755
DOI:	10.1158/1055-9965.EPI-17-0092