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Potentially Excess Deaths From the Five Leading Causes of Death in Metropolitan and Nonmetropolitan Counties — United States, 2010–2017
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11/08/2019
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Source: Morbidity and Mortality Weekly Report (MMWR): Surveillance Summaries, 2019; v. 68, no. 10
[PDF-484.18 KB]
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Journal Article:Morbidity and Mortality Weekly Report (MMWR): Surveillance Summaries
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Description:A 2017 report quantified the higher percentage of potentially excess (or preventable) deaths in nonmetropolitan areas (often referred to as rural areas) compared with metropolitan areas. In that report, CDC compared national, regional, and state estimates of potentially excess deaths among the five leading causes of death in nonmetropolitan and metropolitan counties for 2010 and 2014. This report enhances the geographic detail by using the six levels of the 2013 National Center for Health Statistics (NCHS) urban-rural classification scheme for counties and extending estimates of potentially excess deaths by annual percent change (APC) and for additional years (2010–2017). Trends were tested both with linear and quadratic terms.
Mortality data for U.S. residents from the National Vital Statistics System (U.S.) were used to calculate potentially excess deaths from the five leading causes of death among persons aged <80 years. CDC’s NCHS urban-rural classification scheme for counties was used to categorize the deaths according to the urban-rural county classification level of the decedent’s county of residence (1: large central metropolitan [most urban], 2: large fringe metropolitan, 3: medium metropolitan, 4: small metropolitan, 5: micropolitan, and 6: noncore [most rural]). Potentially excess deaths were defined as deaths among persons aged <80 years that exceeded the number expected if the death rates for each cause in all states were equivalent to those in the benchmark states (i.e., the three states with the lowest rates). Potentially excess deaths were calculated separately for the six urban-rural county categories nationally, the 10 U.S. Department of Health and Human Services public health regions, and the 50 states and District of Columbia.
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ISSN:1546-0738 (print);1545-8636 (digital);
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Pages in Document:16 pdf pages
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Volume:68
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Issue:10
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