Journal article
Rural-Urban Mortality Disparities: Variations Across Causes of Death and Race/Ethnicity, 2013–2017
American journal of public health (1971), Vol.110(9), pp.1325-1327
09/2020
DOI: 10.2105/AJPH.2020.305703
PMCID: PMC7427230
PMID: 32673111
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 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.
Details
- Title: Subtitle
- Rural-Urban Mortality Disparities: Variations Across Causes of Death and Race/Ethnicity, 2013–2017
- Creators
- Janice C Probst - The authors are with the Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, ColumbiaWhitney E Zahnd - The authors are with the Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, ColumbiaPeiyin Hung - The authors are with the Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, ColumbiaJan M Eberth - The authors are with the Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, ColumbiaElizabeth L Crouch - The authors are with the Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, ColumbiaMelinda A Merrell - The authors are with the Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia
- Resource Type
- Journal article
- Publication Details
- American journal of public health (1971), Vol.110(9), pp.1325-1327
- DOI
- 10.2105/AJPH.2020.305703
- PMID
- 32673111
- PMCID
- PMC7427230
- ISSN
- 0090-0036
- eISSN
- 1541-0048
- Language
- English
- Date published
- 09/2020
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984214690902771
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