Rural/nonrural differences in colorectal cancer incidence in the United States, 1998–2001

• DOI: 10.1002/cncr.22015
• Publication Date: 2006-06-26T18:07:08Z
• Authors: Steven S. Coughlin; Thomas B. Richards; Trevor Thompson; Barry A. Miller; Juliet VanEenwyk; Marc T. Goodman; Recinda L. Sherman
• Keywords: Adult; Male; Rural Population; 330; Urban Population; poverty; Hispanics; colorectal cancer; 613; 03 medical and health sciences; 0302 clinical medicine; Asians and Pacific Islanders; 11. Sustainability; Ethnicity; Humans; Registries; Aged; Aged, 80 and over; Incidence; Age Factors; 1. No poverty; Middle Aged; blacks; United States; 3. Good health; incidence; Female; Public Health; Colorectal Neoplasms

BACKGROUND. Few studies of colorectal cancer incidence by rural, suburban, and metropolitan residence have been published. METHODS. The authors examined among men women in U.S. counties classified as for the period 1998–2001. They rural/suburban/metropolitan differences age, race, Hispanic ethnicity, stage at diagnosis, histology, percentage total county population below poverty level, using data from CDC's National Program Cancer Registries, NCI's Surveillance, Epidemiology, End Results Program, 2000 Census. RESULTS. A 495,770 newly diagnosed or incident cases were included this analysis (249,919 245,851 women). Over 1998–2001, rates tended to be lower those who resided rural areas, each subgroups examined, with exception Asians Pacific Islanders living more affluent counties. Among aged 75 years older, than suburban residents, though slight. In multivariate analysis, was higher metropolitan, areas blacks that whites (incidence rate ratios [RR] = 1.12, 1.07, 1.06, respectively, all P < 0.015). CONCLUSIONS. This study suggests black reside a risk areas. finding need diverse approaches reducing when targeting compared 2006. © 2006 American Society.