Underlying Causes of the Emerging Nonmetropolitan Mortality Penalty

The nonmetropolitan mortality penalty results in an estimated 40 201 excessive US deaths per year, deaths that would not occur if nonmetropolitan and metropolitan residents died at the same rate. We explored the underlying causes of the nonmetropolitan mortality penalty by examining variation in cau...

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Bibliographic Details
Published inAmerican journal of public health (1971) Vol. 100; no. 8; pp. 1417 - 1419
Main Authors COSSMAN, Jeralynn S, JAMES, Wesley L, COSBY, Arthur G, COSSMAN, Ronald E
Format Journal Article
LanguageEnglish
Published Washington, DC American Public Health Association 01.08.2010
Subjects
Biological and medical sciences
Cancer
Cardiovascular disease
Causality
Cause of Death - trends
Classification
Cluster Analysis
Epidemiology
Forecasting
General aspects
Health Services Accessibility
Heart
Heart Diseases - mortality
Hispanic people
Humans
Incidence
Life Expectancy
Medical sciences
Metropolitan areas
Miscellaneous
Mortality
National Center for Health Statistics (U.S.)
Neoplasms - mortality
Population Surveillance
Predation
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of Health Care
Research and Practice
Rural areas
Rural Health - trends
Socioeconomic Factors
Stroke
Stroke - mortality
Trends
United States - epidemiology
Urban Health - trends
United States
Etiology
Epidemiology
Mortality
Public health
Cause
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Summary:The nonmetropolitan mortality penalty results in an estimated 40 201 excessive US deaths per year, deaths that would not occur if nonmetropolitan and metropolitan residents died at the same rate. We explored the underlying causes of the nonmetropolitan mortality penalty by examining variation in cause of death. Declines in heart disease and cancer death rates in metropolitan areas drive the nonmetropolitan mortality penalty. Future work should explore why the top causes of death are higher in nonmetropolitan areas than they are in metropolitan areas.
Bibliography:ObjectType-Article-1
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Peer Reviewed
J. S. Cossman conceptualized the brief and drafted the original submission. W. L. James calculated all rates for analyses and reviewed all drafts of the brief. A. G. Cosby originated the idea of healthy and unhealthy places and reviewed all drafts of the brief. R. E. Cossman assisted in writing, analyzing, and reviewing all drafts of the brief.
Contributors
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2009.174185