Journal article
Rural and racial disparities in colorectal cancer incidence and mortality in South Carolina, 1996 - 2016
The Journal of rural health, Vol.38(1), pp.34-39
01/2022
DOI: 10.1111/jrh.12580
PMID: 33964026
Abstract
Colorectal cancer (CRC) is the third leading cause of cancer mortality among men and women in the United States and South Carolina (SC). Since SC has one of the highest proportions of Black (27.9%) and rural residents (33.7%), the purpose of this investigation was to describe the burden of CRC on racial disparities in rural populations.
Count data from 2012 to 2016 were obtained from the state central cancer registry using an online data retrieval system. Rural-urban status was determined using Urban Influence Codes (1-2 = urban; 3-12 = rural). Chi-square tests were calculated to examine differences in CRC stage by rurality and race. Annual percent change and annual average percent change (AAPC) were calculated to examine trends in incidence and mortality rates across rural-urban and racial groups between 1996 and 2016.
Areas with high mortality-to-incidence ratios tended to be in rural counties. Furthermore, rural residents had higher proportions of distant stage CRC compared to urban residents, and Black populations had higher proportions of distant stage CRC compared to White populations (22.7% vs. 26.3% and 29.3% vs. 23.7%, respectively; P value < 0.05). From 1996 to 2016, Black and White urban-dwelling residents experienced a significant decline in incidence. Urban White, urban Black, and rural White populations experienced significant declines in mortality (AAPC = -2.6% vs -2.4% vs -1.6% vs -0.9%, respectively).
Despite improvements in CRC screening in recent decades, focused evidenced-based interventions for lowering incidence and mortality among rural and Black populations in South Carolina are necessary.
Details
- Title: Subtitle
- Rural and racial disparities in colorectal cancer incidence and mortality in South Carolina, 1996 - 2016
- Creators
- Swann Arp Adams - Cancer Prevention and Control Program, University of South Carolina, Columbia, South Carolina, USAWhitney E Zahnd - Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USARadhika Ranganathan - Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USAPeiyin Hung - Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USAMonique J Brown - The Smart State Center for Health Care Quality, University of South Carolina, Columbia, South Carolina, USASamantha Truman - Department of Epidemiology & Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USAClaire Biesecker - Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USAVictor C Kirksey - Morehouse School of Medicine, Atlanta, Georgia, USAJan M Eberth - Cancer Prevention and Control Program, University of South Carolina, Columbia, South Carolina, USA
- Resource Type
- Journal article
- Publication Details
- The Journal of rural health, Vol.38(1), pp.34-39
- DOI
- 10.1111/jrh.12580
- PMID
- 33964026
- ISSN
- 0890-765X
- eISSN
- 1748-0361
- Grant note
- K01 MH115794 / NIMH NIH HHS
- Language
- English
- Date published
- 01/2022
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984214676702771
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