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 6
Multivariate weighted least squares regression models showing adjusted differentials in colorectal, prostate, breast, and cervical 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
value
Mean
SE
value
Mean
SE
value
Colorectal cancer mortality
Total population
All males
All females
Socioeconomic deprivation index
Socioeconomic decile 1
20.46
0.18
<0.001
25.88
0.28
<0.001
17.77
0.20
<0.001
Socioeconomic decile 2
19.93
0.17
<0.001
25.11
0.27
<0.001
17.06
0.19
<0.001
Socioeconomic decile 3
19.11
0.18
<0.001
24.07
0.28
<0.001
16.33
0.19
<0.001
Socioeconomic deciles 4–7
18.11
0.12
<0.001
22.20
0.19
<0.001
15.86
0.14
<0.001
Socioeconomic decile 8
17.28
0.20
<0.001
20.86
0.32
0.002
15.34
0.22
0.006
Socioeconomic decile 9
17.15
0.22
0.064
20.71
0.35
0.009
15.17
0.24
0.036
Socioeconomic decile 10
16.27
0.22
Reference
19.59
0.35
Reference
14.56
0.24
Reference
Rural-urban continuum category
Large metro counties
18.51
0.09
Reference
22.46
0.14
Reference
15.81
0.10
Reference
Medium metro counties
17.61
0.13
<0.001
21.25
0.21
<0.001
15.20
0.15
<0.001
Small metro counties
17.52
0.18
<0.001
21.43
0.29
0.001
15.02
0.20
<0.001
Urban nonmetro counties
18.68
0.15
0.323
22.72
0.23
0.368
16.37
0.16
0.004
Rural counties
19.32
0.37
0.034
25.29
0.56
<0.001
17.65
0.41
<0.001
Colorectal cancer mortality
All whites
All blacks
Black male
Socioeconomic deprivation index
Socioeconomic decile 1
19.51
0.18
<0.001
24.84
0.52
<0.001
31.08
1.50
0.031
Socioeconomic decile 2
19.34
0.17
<0.001
24.11
0.58
0.002
30.68
1.66
0.035
Socioeconomic decile 3
18.82
0.17
<0.001
23.64
0.66
0.020
29.56
1.88
0.129
Socioeconomic deciles 4–7
17.80
0.12
<0.001
24.96
0.48
<0.001
31.19
1.37
0.007
Socioeconomic decile 8
17.34
0.20
0.066
23.52
0.69
0.023
27.95
1.97
0.356
Socioeconomic decile 9
17.42
0.22
0.037
23.36
0.73
0.041
28.25
2.08
0.309
Socioeconomic decile 10
16.86
0.22
Reference
21.59
0.78
Reference
25.71
2.24
Reference
Rural-urban continuum category
Large metro counties
17.78
0.09
Reference
24.44
0.24
Reference
29.88
0.69
Reference
Medium metro counties
17.32
0.13
0.003
22.81
0.43
<0.001
27.57
1.24
0.081
Small metro counties
17.30
0.18
0.016
24.24
0.63
0.764
28.93
1.80
0.624
Urban nonmetro counties
18.76
0.14
<0.001
24.52
0.61
0.905
30.17
1.72
0.874
Rural counties
19.61
0.35
<0.001
22.58
1.68
0.277
29.46
4.73
0.932
Prostate cancer mortality
Total population
White
Black
Socioeconomic deprivation index
Socioeconomic decile 1
31.24
0.37
<0.001
25.61
0.32
0.927
57.80
1.49
<0.001
Socioeconomic decile 2
27.59
0.37
<0.001
24.19
0.31
0.002
58.43
1.66
<0.001
Socioeconomic decile 3
25.99
0.37
<0.001
24.65
0.30
0.029
53.43
1.87
0.044
Socioeconomic deciles 4–7
26.21
0.25
<0.001
25.10
0.21
0.128
55.45
1.36
<0.001
Socioeconomic decile 8
25.63
0.42
<0.001
25.91
0.34
0.559
51.81
1.96
0.151
Socioeconomic decile 9
25.35
0.46
0.003
26.50
0.37
0.067
54.55
2.07
0.013
Socioeconomic decile 10
23.60
0.47
Reference
25.63
0.38
Reference
48.35
2.23
Reference
Rural-urban continuum category
Large metro counties
26.18
0.19
Reference
22.82
0.17
Reference
51.83
0.68
Reference
Medium metro counties
25.81
0.28
0.240
23.75
0.23
<0.001
53.97
1.23
0.104
Small metro counties
25.55
0.38
0.132
24.73
0.30
<0.001
51.57
1.79
0.891
Urban nonmetro counties
26.27
0.30
0.810
26.13
0.24
<0.001
56.21
1.71
0.020
Rural counties
28.77
0.74
<0.001
29.42
0.59
<0.001
57.72
4.70
0.218
Breast cancer mortality
Total population
White
Black
Socioeconomic deprivation index
Socioeconomic decile 1
26.40
0.24
<0.001
24.88
0.24
0.304
32.43
0.92
0.037
Socioeconomic decile 2
25.62
0.24
<0.001
24.60
0.23
0.816
32.95
1.03
0.010
Socioeconomic decile 3
24.87
0.24
<0.001
24.23
0.22
0.369
32.92
1.17
0.018
Socioeconomic deciles 4–7
24.53
0.17
<0.001
24.19
0.16
0.179
33.21
0.85
0.001
Socioeconomic decile 8
24.37
0.26
0.003
24.68
0.25
0.590
30.87
1.21
0.280
Socioeconomic decile 9
23.47
0.28
0.862
24.13
0.27
0.211
31.04
1.28
0.244
Socioeconomic decile 10
23.41
0.28
Reference
24.52
0.26
Reference
29.28
1.37
References
Rural-urban continuum category
Large metro counties
25.23
0.12
Reference
24.28
0.12
Reference
32.12
0.41
Reference
Medium metro counties
24.04
0.17
<0.001
23.67
0.16
0.001
30.12
0.75
0.013
Small metro counties
24.11
0.24
<0.001
24.05
0.22
0.355
30.74
1.12
0.245
Urban nonmetro counties
24.24
0.20
<0.001
24.44
0.18
0.481
32.45
1.09
0.781
Rural counties
25.72
0.51
0.362
25.86
0.48
0.002
33.65
3.01
0.616
Cervical cancer mortality
Total population
White
Black
Socioeconomic deprivation index
Socioeconomic decile 1
5.22
0.10
<0.001
5.06
0.11
<0.001
5.42
0.32
<0.001
Socioeconomic decile 2
4.37
0.10
<0.001
4.15
0.11
<0.001
5.38
0.35
<0.001
Socioeconomic decile 3
3.91
0.11
<0.001
3.83
0.11
<0.001
4.65
0.40
0.002
Socioeconomic deciles 4–7
3.45
0.08
<0.001
3.33
0.08
<0.001
4.38
0.29
0.001
Socioeconomic decile 8
3.03
0.13
<0.001
2.97
0.14
0.003
4.11
0.42
0.031
Socioeconomic decile 9
2.70
0.14
0.065
2.77
0.15
0.081
3.44
0.44
0.404
Socioeconomic decile 10
2.38
0.14
Reference
2.44
0.15
Reference
3.01
0.47
Reference
Rural-urban continuum category
Large metro counties
2.97
0.05
Reference
2.74
0.06
Reference
4.27
0.14
Reference
Medium metro counties
2.61
0.08
<0.001
2.49
0.09
0.014
3.88
0.26
0.151
Small metro counties
2.84
0.11
0.265
2.75
0.12
0.922
4.26
0.39
0.972
Urban nonmetro counties
3.34
0.09
<0.001
3.38
0.09
<0.001
5.22
0.38
0.022
Rural counties
6.14
0.24
<0.001
6.18
0.25
<0.001
4.09
1.04
0.860
Decile 1 of the socioeconomic deprivation index represents the most deprived group and decile 10 the least deprived group.
