MMWR Morb Mortal Wkly Rep

Ingram, Deborah D.

National Center for Health Statistics (U.S.)

During 2009–2011, higher death rates for COPD among persons aged ≥55 years were associated with more rural localities, with rates increasing steadily from the least to the most rural county. For males, the age-adjusted COPD death rate in rural counties was 59% higher than in large central metropolitan counties (284.3 versus 178.9 deaths per 100,000 population). For females, the age-adjusted COPD death rate in rural counties was 39% higher than in large central metropolitan counties (193.6 versus 139.3 deaths per 100,000 population). COPD death rates for males were 21% to 47% higher than for females, with the largest differentials observed in nonmetropolitan counties (i.e., town/city and rural counties). Sources: National Vital Statistics System. County-level mortality file. Available at http://www.cdc.gov/nchs/deaths.htm and http://wonder.cdc. gov/mortsql.html. Ingram DD, Franco SJ. 2013 NCHS urban-rural classification scheme for counties. Vital Health Stat 2014;2(166). Available at http://www.cdc.gov/ nchs/data/series/sr_02/sr02_166.pdf. Reported by: Deborah D. Ingram, PhD.

PMC5779485

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United States

Morbidity and Mortality Weekly Report (MMWR)