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The Nature of the Rural-Urban Mortality Gap

Author

Listed:
  • Thomas, Kelsey L.
  • Dobis, Elizabeth A.
  • McGranahan, David A.

Abstract

The 2019 age-adjusted natural-cause mortality (NCM) rate for the prime working-age population (aged 25–54) was 43 percent higher in rural (nonmetropolitan) areas than in urban (metropolitan) areas. This is a shift from 25 years ago when NCM rates in urban and rural areas were similar for this age group. As a first step to understanding the increasing gap between rural and urban NCM rates, this report examines natural (disease-related) deaths for prime working-age adults in rural and urban areas between 1999 and 2019 using data from the U.S. Department of Health and Human Services, Centers for Disease Control’s Wide-ranging Online Data for Epidemiology Research (WONDER). Prime working age NCM rates are examined for the population as a whole, as well as by sex, race and ethnicity, region, and State. Overall, both an increase in the rural, prime working-age NCM rates and a decrease in the corresponding urban rates are contributing to the growing mortality gap.

Suggested Citation

  • 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.
    • Handle: RePEc:ags:uersib:341639
    DOI: 10.22004/ag.econ.341639
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    References listed on IDEAS

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    1. Preston, S.H. & Stokes, A., 2011. "Contribution of obesity to international differences in life expectancy," American Journal of Public Health, American Public Health Association, vol. 101(11), pages 2137-2143.
    2. 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.
    3. Miller, Charlotte E. & Vasan, Ramachandran S., 2021. "The southern rural health and mortality penalty: A review of regional health inequities in the United States," Social Science & Medicine, Elsevier, vol. 268(C).
    4. Pender, John & Kuhns, Maria & Yu, Cindy & Larson, Janice & Huck, Shirley, 2023. "Linkages Between Rural Community Capitals and Healthcare Provision: A Survey of Small Rural Towns in Three U.S. Regions," USDA Miscellaneous 333533, United States Department of Agriculture.
    5. James, W.L., 2014. "All rural places are not created equal: Revisiting the rural mortality penalty in the United States," American Journal of Public Health, American Public Health Association, vol. 104(11), pages 2122-2129.
    6. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    7. Stenberg, Peter L., 2018. "Rural Individuals’ Telehealth Practices: An Overview," Economic Information Bulletin 291929, United States Department of Agriculture, Economic Research Service.
    8. 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.
    9. Samuel Preston & Andrew Stokes & Neil Mehta & Bochen Cao, 2014. "Projecting the Effect of Changes in Smoking and Obesity on Future Life Expectancy in the United States," Demography, Springer;Population Association of America (PAA), vol. 51(1), pages 27-49, February.
    10. Jones, Carol Adaire & Parker, Timothy S. & Ahearn, Mary Clare & Mishra, Ashok K. & Variyam, Jayachandran N., 2009. "Health Status and Health Care Access of Farm and Rural Populations," Economic Information Bulletin 54430, United States Department of Agriculture, Economic Research Service.
    11. Cossman, J.S. & James, W.L. & Cosby, A.G. & Cossman, R.E., 2010. "Underlying causes of the emerging nonmetropolitan mortality penalty," American Journal of Public Health, American Public Health Association, vol. 100(8), pages 1417-1419.
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    Keywords

    Health Economics and Policy; Labor and Human Capital; Risk and Uncertainty;
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