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Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties - United States.

Abstract Previous reports have shown that persons living in nonmetropolitan (rural or urban) areas in the United States have higher death rates from all cancers combined than persons living in metropolitan areas. Disparities might vary by cancer type and between occurrence and death from the disease. This report provides a comprehensive assessment of cancer incidence and deaths by cancer type in nonmetropolitan and metropolitan counties.
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Authors

Mayor MeshTerms
Keywords
Journal Title morbidity and mortality weekly report. surveillance summaries (washington, d.c. : 2002)
Publication Year Start




PMID- 28683054
OWN - NLM
STAT- In-Process
DA  - 20170706
LR  - 20170706
IS  - 1545-8636 (Electronic)
IS  - 0892-3787 (Linking)
VI  - 66
IP  - 14
DP  - 2017 Jul 07
TI  - Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan
      and Metropolitan Counties - United States.
PG  - 1-13
LID - 10.15585/mmwr.ss6614a1 [doi]
AB  - PROBLEM/CONDITION: Previous reports have shown that persons living in
      nonmetropolitan (rural or urban) areas in the United States have higher death
      rates from all cancers combined than persons living in metropolitan areas.
      Disparities might vary by cancer type and between occurrence and death from the
      disease. This report provides a comprehensive assessment of cancer incidence and 
      deaths by cancer type in nonmetropolitan and metropolitan counties. REPORTING
      PERIOD: 2004-2015. DESCRIPTION OF SYSTEM: Cancer incidence data from CDC's
      National Program of Cancer Registries and the National Cancer Institute's
      Surveillance, Epidemiology, and End Results program were used to calculate
      average annual age-adjusted incidence rates for 2009-2013 and trends in annual
      age-adjusted incidence rates for 2004-2013. Cancer mortality data from the
      National Vital Statistics System were used to calculate average annual
      age-adjusted death rates for 2011-2015 and trends in annual age-adjusted death
      rates for 2006-2015. For 5-year average annual rates, counties were classified
      into four categories (nonmetropolitan rural, nonmetropolitan urban, metropolitan 
      with population <1 million, and metropolitan with population >/=1 million). For
      the trend analysis, which used annual rates, these categories were combined into 
      two categories (nonmetropolitan and metropolitan). Rates by county classification
      were examined by sex, age, race/ethnicity, U.S. census region, and cancer site.
      Trends in rates were examined by county classification and cancer site. RESULTS: 
      During the most recent 5-year period for which data were available,
      nonmetropolitan rural areas had lower average annual age-adjusted cancer
      incidence rates for all anatomic cancer sites combined but higher death rates
      than metropolitan areas. During 2006-2015, the annual age-adjusted death rates
      for all cancer sites combined decreased at a slower pace in nonmetropolitan areas
      (-1.0% per year) than in metropolitan areas (-1.6% per year), increasing the
      differences in these rates. In contrast, annual age-adjusted incidence rates for 
      all cancer sites combined decreased approximately 1% per year during 2004-2013
      both in nonmetropolitan and metropolitan counties. INTERPRETATION: This report
      provides the first comprehensive description of cancer incidence and mortality in
      nonmetropolitan and metropolitan counties in the United States. Nonmetropolitan
      rural counties had higher incidence of and deaths from several cancers related to
      tobacco use and cancers that can be prevented by screening. Differences between
      nonmetropolitan and metropolitan counties in cancer incidence might reflect
      differences in risk factors such as cigarette smoking, obesity, and physical
      inactivity, whereas differences in cancer death rates might reflect disparities
      in access to health care and timely diagnosis and treatment. PUBLIC HEALTH
      ACTION: Many cancer cases and deaths could be prevented, and public health
      programs can use evidence-based strategies from the U.S. Preventive Services Task
      Force and Advisory Committee for Immunization Practices (ACIP) to support cancer 
      prevention and control. The U.S. Preventive Services Task Force recommends
      population-based screening for colorectal, female breast, and cervical cancers
      among adults at average risk for these cancers and for lung cancer among adults
      at high risk; screening adults for tobacco use and excessive alcohol use,
      offering counseling and interventions as needed; and using low-dose aspirin to
      prevent colorectal cancer among adults considered to be at high risk for
      cardiovascular disease based on specific criteria. ACIP recommends vaccination
      against cancer-related infectious diseases including human papillomavirus and
      hepatitis B virus. The Guide to Community Preventive Services describes program
      and policy interventions proven to increase cancer screening and vaccination
      rates and to prevent tobacco use, excessive alcohol use, obesity, and physical
      inactivity.
FAU - Henley, S Jane
AU  - Henley SJ
AD  - National Center for Chronic Disease Prevention and Health Promotion, CDC.
FAU - Anderson, Robert N
AU  - Anderson RN
AD  - National Center for Health Statistics, CDC.
FAU - Thomas, Cheryll C
AU  - Thomas CC
AD  - National Center for Chronic Disease Prevention and Health Promotion, CDC.
FAU - Massetti, Greta M
AU  - Massetti GM
AD  - National Center for Chronic Disease Prevention and Health Promotion, CDC.
FAU - Peaker, Brandy
AU  - Peaker B
AD  - National Center for Chronic Disease Prevention and Health Promotion, CDC.
FAU - Richardson, Lisa C
AU  - Richardson LC
AD  - National Center for Chronic Disease Prevention and Health Promotion, CDC.
LA  - eng
PT  - Journal Article
DEP - 20170707
PL  - United States
TA  - MMWR Surveill Summ
JT  - Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. :
      2002)
JID - 101142015
EDAT- 2017/07/07 06:00
MHDA- 2017/07/07 06:00
CRDT- 2017/07/07 06:00
AID - 10.15585/mmwr.ss6614a1 [doi]
PST - epublish
SO  - MMWR Surveill Summ. 2017 Jul 7;66(14):1-13. doi: 10.15585/mmwr.ss6614a1.