Preliminary Evidence for an Emerging Nonmetropolitan Mortality Penalty in the United States
- 1 August 2008
- journal article
- research article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 98 (8), 1470-1472
- https://doi.org/10.2105/ajph.2007.123778
Abstract
We discovered an emerging non-metropolitan mortality penalty by contrasting 37 years of age-adjusted mortality rates for metropolitan versus nonmetropolitan US counties. During the 1980s, annual metropolitan–nonmetropolitan differences averaged 6.2 excess deaths per 100000 nonmetropolitan population, or approximately 3600 excess deaths; however, by 2000 to 2004, the difference had increased more than 10 times to average 71.7 excess deaths, or approximately 35 000 excess deaths. We recommend that research be undertaken to evaluate and utilize our preliminary findings of an emerging US nonmetropolitan mortality penalty.Keywords
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