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Trends in death rates in urban and rural areas : United States, 1999–2019
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9/21/21
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Series: NCHS Data Briefs
[PDF-508.06 KB]
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Description:Data from the National Vital Statistics System
● From 1999 through 2019, age-adjusted death rates in urban areas declined from 865.1 per 100,000 to 693.4, whereas rates in rural areas initially declined from 1999 (923.8) through 2010 (837.6) and then stabilized through 2019 (834.0).
● Death rates for both males and females were higher in rural than in urban areas from 1999 through 2019, and the differences in rates widened over the period.
● In 2019, rates for the 10 leading causes of death were higher in rural areas than in urban areas, with the greatest difference in rates for deaths due to heart disease (189.1 compared with 156.3), cancer (164.1 compared with 142.8), and chronic lower respiratory disease (CLRD) (52.5 compared with 35.4).
● Differences between rural and urban death rates for heart disease, cancer, and CLRD widened from 1999 through 2019.
In the United States, approximately 15% of the population resides in counties located in rural areas (1). Those living in rural areas often face greater public health challenges as they have more limited access to health care, are less likely to be insured, and are more likely to live in poverty (1,2). This report provides the latest national data for trends in age-adjusted death rates for all causes of death among rural and urban areas by sex. Rates for rural and urban areas for the 10 leading causes of death in 2019 are also presented by urban- rural status along with trends in selected causes of death.
Suggested citation: Curtin SC, Spencer MR. Trends in death rates in urban and rural areas: United States, 1999–2019. NCHS Data Brief, no 417. Hyattsville, MD: National Center for Health Statistics. 2021.
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db417.pdf
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