Socioeconomic, Rural-Urban, and Racial Inequalities in US Cancer Mortality: Part I—All Cancers and Lung Cancer and Part II—Colorectal, Prostate, Breast, and Cervical Cancers

Table 2

Multivariate weighted least squares regression models showing adjusted differentials in all-cancer and lung cancer mortality rates per 100,000 population according to socioeconomic deprivation deciles and five rural-urban categories, United States, 2003–2007.

	Predicted mortality rate			Predicted mortality rate			Predicted mortality rate
	Mean	SE	𝑃 value	Mean	SE	𝑃value	Mean	SE	𝑃 value
All cancer mortality		Total Population			Male			Female
Socioeconomic deprivation index
Socioeconomic decile 1	204.64	1.20	<0.001	264.32	1.73	<0.001	165.29	1.04	<0.001
Socioeconomic decile 2	195.67	1.19	<0.001	246.44	1.73	<0.001	161.77	1.02	<0.001
Socioeconomic decile 3	193.35	1.20	<0.001	240.38	1.74	<0.001	161.52	1.02	<0.001
Socioeconomic deciles 4–7	187.18	0.84	<0.001	228.64	1.22	<0.001	159.25	0.71	<0.001
Socioeconomic decile 8	180.87	1.37	<0.001	218.39	2.03	<0.001	155.80	1.15	<0.001
Socioeconomic decile 9	177.50	1.48	<0.001	213.91	2.19	0.064	153.47	1.23	0.057
Socioeconomic decile 10	170.65	1.49	Reference	201.72	2.23	Reference	150.65	1.23	Reference
Rural-urban continuum category
Large metro counties	186.03	0.62	Reference	229.16	0.91	Reference	158.15	0.51	Reference
Medium metro counties	185.40	0.90	0.544	229.99	1.32	0.583	155.96	0.75	0.011
Small metro counties	187.69	1.21	0.218	232.20	1.77	0.126	158.16	1.02	0.997
Urban non-metro counties	189.55	0.99	0.004	233.09	1.44	0.029	159.81	0.84	0.111
Rural counties	186.94	2.50	0.728	228.28	3.56	0.814	159.17	2.17	0.656
All cancer mortality		All whites			All blacks			Black male
Socioeconomic deprivation index
Socioeconomic decile 1	200.40	1.16	<0.001	229.69	2.60	<0.001	316.78	4.61	<0.001
Socioeconomic decile 2	192.32	1.12	<0.001	221.83	2.89	<0.001	299.29	5.12	<0.001
Socioeconomic decile 3	191.52	1.10	<0.001	228.84	3.28	<0.001	302.99	5.79	<0.001
Socioeconomic deciles 4–7	185.84	0.77	<0.001	232.03	2.39	<0.001	304.38	4.21	<0.001
Socioeconomic decile 8	182.37	1.27	<0.001	213.47	3.42	<0.001	280.86	6.05	<0.001
Socioeconomic decile 9	181.06	1.39	0.003	213.68	3.61	<0.001	276.02	6.39	0.057
Socioeconomic decile 10	175.97	1.38	Reference	193.03	3.89	Reference	243.82	6.89	Reference
Rural-urban continuum category
Large metro counties	183.91	0.60	Reference	215.91	1.17	Reference	282.00	2.11	Reference
Medium metro counties	184.67	0.83	0.433	216.07	2.14	0.946	290.10	3.80	0.046
Small metro counties	187.69	1.11	0.003	225.30	3.14	0.005	297.93	5.54	0.007
Urban non-metro counties	190.82	0.90	<0.001	225.76	3.03	0.003	299.43	5.27	0.003
Rural counties	188.26	2.27	0.070	211.65	8.36	0.615	276.36	14.53	0.702
Lung cancer mortality		Total population			Male			Female
Socioeconomic deprivation index
Socioeconomic decile 1	66.38	0.61	<0.001	96.05	0.89	<0.001	46.28	0.52	<0.001
Socioeconomic decile 2	60.89	0.61	<0.001	84.28	0.90	<0.001	45.02	0.52	<0.001
Socioeconomic decile 3	59.26	0.61	<0.001	79.53	0.92	<0.001	45.32	0.51	<0.001
Socioeconomic deciles 4–7	55.52	0.43	<0.001	72.62	0.65	<0.001	43.80	0.36	<0.001
Socioeconomic decile 8	51.81	0.73	<0.001	65.43	1.13	<0.001	42.62	0.58	<0.001
Socioeconomic decile 9	50.48	0.79	0.064	63.24	1.23	0.064	42.07	0.63	0.064
Socioeconomic decile 10	46.28	0.81	Reference	56.70	1.27	Reference	39.45	0.63	Reference
Rural-urban continuum category
Large metro counties	53.72	0.33	Reference	70.89	0.50	Reference	41.92	0.26	Reference
Medium metro counties	54.92	0.47	0.026	73.31	0.72	0.004	42.20	0.38	0.519
Small metro counties	56.47	0.62	<0.001	75.29	0.94	<0.001	43.56	0.51	0.004
Urban non-metro counties	57.04	0.51	<0.001	75.36	0.77	<0.001	44.49	0.42	<0.001
Rural counties	56.86	1.27	0.019	75.05	1.86	0.034	45.36	1.10	0.003
Lung cancer mortality		All whites			White male			White female
Socioeconomic deprivation index
Socioeconomic decile 1	67.62	0.62	<0.001	95.74	0.91	<0.001	48.51	0.53	<0.001
Socioeconomic decile 2	60.39	0.61	<0.001	82.21	0.90	<0.001	45.47	0.51	<0.001
Socioeconomic decile 3	58.89	0.60	<0.001	78.02	0.90	<0.001	45.68	0.50	<0.001
Socioeconomic deciles 4–7	55.34	0.42	<0.001	71.49	0.63	<0.001	44.27	0.34	<0.001
Socioeconomic decile 8	52.29	0.70	<0.001	65.16	1.08	<0.001	43.56	0.55	<0.001
Socioeconomic decile 9	51.53	0.81	<0.001	63.95	1.27	<0.001	43.39	0.64	0.001
Socioeconomic decile 10	47.41	0.83	Reference	57.79	1.30	Reference	40.76	0.65	Reference
Rural-urban continuum category
Large metro counties	54.32	0.35	Reference	70.44	0.53	Reference	43.19	0.28	Reference
Medium metro counties	55.45	0.48	0.044	72.71	0.73	0.008	43.46	0.39	0.557
Small metro counties	57.33	0.63	<0.001	75.54	0.95	<0.001	44.86	0.52	0.005
Urban nonmetro counties	57.36	0.50	<0.001	75.00	0.75	<0.001	45.37	0.41	<0.001
Rural counties	56.59	1.10	0.054	73.71	1.62	0.062	45.72	0.94	0.012
Lung cancer mortality		All blacks			Black male			Black female
Socioeconomic deprivation index
Socioeconomic decile 1	61.12	1.37	<0.001	99.10	2.61	<0.001	35.93	1.03	<0.001
Socioeconomic decile 2	55.30	1.53	<0.001	85.69	2.90	<0.001	34.46	1.15	0.006
Socioeconomic decile 3	63.01	1.73	<0.001	95.35	3.28	<0.001	39.83	1.30	<0.001
Socioeconomic deciles 4–7	61.71	1.26	<0.001	92.93	2.39	<0.001	39.23	0.95	<0.001
Socioeconomic decile 8	55.56	1.80	<0.001	83.91	3.43	<0.001	35.74	1.36	<0.001
Socioeconomic decile 9	54.27	1.90	<0.001	78.62	3.63	<0.001	35.81	1.43	<0.001
Socioeconomic decile 10	45.17	2.05	Reference	64.91	3.91	Reference	30.07	1.53	Reference
Rural-urban continuum category
Large metro counties	53.86	0.62	Reference	78.30	1.19	Reference	38.30	0.46	Reference
Medium metro counties	56.31	1.13	0.041	86.82	2.16	<0.001	36.40	0.84	0.033
Small metro counties	58.84	1.66	0.005	88.54	3.14	0.002	37.57	1.25	0.582
Urban nonmetro counties	59.25	1.60	0.002	90.80	2.99	<0.001	35.99	1.22	0.081
Rural counties	54.70	4.41	0.851	84.47	8.24	0.461	31.08	3.36	0.034

Decile 1 of the socioeconomic deprivation index represents the most deprived group and decile 10 the least deprived group.