Abstract:
:This study examined disparities in lung cancer mortality rates among US men and women in metropolitan and non-metropolitan areas from 1950 through 2007. Annual age-adjusted mortality rates were calculated for men and women in metropolitan and non-metropolitan areas, and differences in mortality rates were tested for statistical significance. Log-linear regression was used to model annual rates of change in mortality over time, while Poisson regression was used to estimate relative risk after adjusting for age, sex, deprivation, and urbanization levels. Urbanization patterns in lung cancer mortality changed dramatically between 1950 and 2007. Compared to men in metropolitan areas, men aged 25-64 years in non-metropolitan areas had significantly lower lung cancer mortality rates from 1950 to 1977 and men aged ≥65 years in non-metropolitan areas had lower mortality rates from 1950 to 1985. Differentials began to reverse and widen by the mid-1980s for men and by the mid-1990s for younger women. In 2007, compared to their metropolitan counterparts, men aged 25-64 and ≥65 years in non-metropolitan areas had 49 and 19% higher lung cancer mortality and women aged 25-64 and ≥65 years in non-metropolitan areas had 32 and 4% higher lung cancer mortality, respectively. Although adjustment for deprivation levels reduced excess lung cancer mortality risk among those in non-metropolitan areas, significant rural-urban differences remained. Rural-urban patterns reversed because of faster and earlier reductions in lung cancer mortality among men and women in metropolitan areas. Temporal trends in rural-urban disparities in lung cancer mortality appear to be consistent with those in smoking.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Singh GK,Siahpush M,Williams SDdoi
10.1007/s10900-011-9458-3subject
Has Abstractpub_date
2012-04-01 00:00:00pages
412-20issue
2eissn
0094-5145issn
1573-3610journal_volume
37pub_type
杂志文章abstract::Chagas disease (CHD) has become a challenge in Spain due to the high prevalence of immigrants coming from endemic areas. One of the main difficulties for its control and elimination is its underdiagnosis. The identification and integral treatment of CHD are key to increasing rates of diagnosis, overcoming psycho-socia...
journal_title:Journal of community health
pub_type: 杂志文章
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journal_title:Journal of community health
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journal_title:Journal of community health
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journal_title:Journal of community health
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journal_title:Journal of community health
pub_type: 杂志文章
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更新日期:1977-01-01 00:00:00
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journal_title:Journal of community health
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journal_title:Journal of community health
pub_type: 历史文章,杂志文章
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journal_title:Journal of community health
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journal_title:Journal of community health
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journal_title:Journal of community health
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journal_title:Journal of community health
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abstract::This paper describes the approach of the Department of Community Medicine of the Mount Sinai School of Medicine in the education of local and foreign physicians and their participation in the development of community oriented health care systems. It also presents the first steps taken by this medical school to create ...
journal_title:Journal of community health
pub_type: 杂志文章
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journal_title:Journal of community health
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journal_title:Journal of community health
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