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Leading Causes of Death in Nonmetropolitan and Metropolitan Areas- United States, 1999-2014.

Abstract Higher rates of death in nonmetropolitan areas (often referred to as rural areas) compared with metropolitan areas have been described but not systematically assessed.
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Journal Title morbidity and mortality weekly report. surveillance summaries (washington, d.c. : 2002)
Publication Year Start




PMID- 28081058
OWN - NLM
STAT- In-Data-Review
DA  - 20170112
LR  - 20170112
IS  - 1545-8636 (Electronic)
IS  - 0892-3787 (Linking)
VI  - 66
IP  - 1
DP  - 2017 Jan 13
TI  - Leading Causes of Death in Nonmetropolitan and Metropolitan Areas- United States,
      1999-2014.
PG  - 1-8
LID - 10.15585/mmwr.ss6601a1 [doi]
AB  - PROBLEM/CONDITION: Higher rates of death in nonmetropolitan areas (often referred
      to as rural areas) compared with metropolitan areas have been described but not
      systematically assessed. PERIOD COVERED: 1999-2014 DESCRIPTION OF SYSTEM:
      Mortality data for U.S. residents from the National Vital Statistics System were 
      used to calculate age-adjusted death rates and potentially excess deaths for
      nonmetropolitan and metropolitan areas for the five leading causes of death.
      Age-adjusted death rates included all ages and were adjusted to the 2000 U.S.
      standard population by the direct method. Potentially excess deaths are defined
      as deaths among persons aged <80 years that exceed the numbers that would be
      expected if the death rates of states with the lowest rates (i.e., benchmark
      states) occurred across all states. (Benchmark states were the three states with 
      the lowest rates for each cause during 2008-2010.) Potentially excess deaths were
      calculated separately for nonmetropolitan and metropolitan areas. Data are
      presented for the United States and the 10 U.S. Department of Health and Human
      Services public health regions. RESULTS: Across the United States,
      nonmetropolitan areas experienced higher age-adjusted death rates than
      metropolitan areas. The percentages of potentially excess deaths among persons
      aged <80 years from the five leading causes were higher in nonmetropolitan areas 
      than in metropolitan areas. For example, approximately half of deaths from
      unintentional injury and chronic lower respiratory disease in nonmetropolitan
      areas were potentially excess deaths, compared with 39.2% and 30.9%,
      respectively, in metropolitan areas. Potentially excess deaths also differed
      among and within public health regions; within regions, nonmetropolitan areas
      tended to have higher percentages of potentially excess deaths than metropolitan 
      areas. INTERPRETATION: Compared with metropolitan areas, nonmetropolitan areas
      have higher age-adjusted death rates and greater percentages of potentially
      excess deaths from the five leading causes of death, nationally and across public
      health regions. PUBLIC HEALTH ACTION: Routine tracking of potentially excess
      deaths in nonmetropolitan areas might help public health departments identify
      emerging health problems, monitor known problems, and focus interventions to
      reduce preventable deaths in these areas.
FAU - Moy, Ernest
AU  - Moy E
AD  - National Center for Health Statistics, CDC.
FAU - Garcia, Macarena C
AU  - Garcia MC
AD  - Center for Surveillance, Epidemiology, and Laboratory Services, CDC.
FAU - Bastian, Brigham
AU  - Bastian B
AD  - National Center for Health Statistics, CDC.
FAU - Rossen, Lauren M
AU  - Rossen LM
AD  - National Center for Health Statistics, CDC.
FAU - Ingram, Deborah D
AU  - Ingram DD
AD  - National Center for Health Statistics, CDC.
FAU - Faul, Mark
AU  - Faul M
AD  - National Center for Injury Prevention and Control, CDC.
FAU - Massetti, Greta M
AU  - Massetti GM
AD  - National Center for Chronic Disease Prevention and Health Promotion, CDC.
FAU - Thomas, Cheryll C
AU  - Thomas CC
AD  - National Center for Chronic Disease Prevention and Health Promotion, CDC.
FAU - Hong, Yuling
AU  - Hong Y
AD  - National Center for Chronic Disease Prevention and Health Promotion, CDC.
FAU - Yoon, Paula W
AU  - Yoon PW
AD  - Center for Surveillance, Epidemiology, and Laboratory Services, CDC.
FAU - Iademarco, Michael F
AU  - Iademarco MF
AD  - Center for Surveillance, Epidemiology, and Laboratory Services, CDC.
LA  - eng
PT  - Journal Article
DEP - 20170113
PL  - United States
TA  - MMWR Surveill Summ
JT  - Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. :
      2002)
JID - 101142015
EDAT- 2017/01/13 06:00
MHDA- 2017/01/13 06:00
CRDT- 2017/01/13 06:00
AID - 10.15585/mmwr.ss6601a1 [doi]
PST - epublish
SO  - MMWR Surveill Summ. 2017 Jan 13;66(1):1-8. doi: 10.15585/mmwr.ss6601a1.

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