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Preliminary evidence for an emerging nonmetropolitan mortality penalty in the United States

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  • Cosby, A.G.
  • Neaves, T.T.
  • Cossman, R.E.
  • Cossman, J.S.
  • James, W.L.
  • Feierabend, N.
  • Mirvis, D.M.
  • Jones, C.A.
  • Farrigan, T.

Abstract

We discovered an emerging nonmetropolitan 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 100 000 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.

Suggested Citation

  • Cosby, A.G. & Neaves, T.T. & Cossman, R.E. & Cossman, J.S. & James, W.L. & Feierabend, N. & Mirvis, D.M. & Jones, C.A. & Farrigan, T., 2008. "Preliminary evidence for an emerging nonmetropolitan mortality penalty in the United States," American Journal of Public Health, American Public Health Association, vol. 98(8), pages 1470-1472.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.123778_6
    DOI: 10.2105/AJPH.2007.123778
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    Cited by:

    1. Roth, Adam R. & Denney, Justin T. & Amiri, Solmaz & Amram, Ofer, 2020. "Characteristics of place and the rural disadvantage in deaths from highly preventable causes," Social Science & Medicine, Elsevier, vol. 245(C).
    2. Wesley James & Jeralynn Cossman & Julia Wolf, 2018. "Persistence of death in the United States: The remarkably different mortality patterns between America’s Heartland and Dixieland," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 39(33), pages 897-910.
    3. Thomas, Kelsey L. & Dobis, Elizabeth A. & McGranahan, David A., 2024. "The Nature of the Rural-Urban Mortality Gap," Economic Information Bulletin 341639, United States Department of Agriculture, Economic Research Service.
    4. Shannon M. Monnat, 2020. "Trends in U.S. Working-Age non-Hispanic White Mortality: Rural–Urban and Within-Rural Differences," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 39(5), pages 805-834, October.
    5. Allan, Rebecca & Williamson, Paul & Kulu, Hill, 2019. "Gendered mortality differentials over the rural-urban continuum: The analysis of census linked longitudinal data from England and Wales," Social Science & Medicine, Elsevier, vol. 221(C), pages 68-78.

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