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 7
Weighted least squares regression models1 showing the relative impacts of the continuous socioeconomic deprivation index2 and rural-urban continuum3 on county-level age-adjusted mortality rates for colorectal, prostate, breast, and cervical cancers, United States, 2003–2007 ().
Covariate
Bivariate models
Multivariate models
b
β
-stat.
value
Adj.
b
β
-stat.
value
Adj.
Colorectal cancer mortality—total population
Socioeconomic deprivation index
−0.064
−0.371
−22.29
<0.001
13.75
−0.058
−0.339
−16.93
<0.001
13.95
Rural-urban continuum
0.419
0.247
14.18
<0.001
6.05
0.098
0.058
2.88
0.004
Colorectal cancer mortality—male
Socioeconomic deprivation index
−0.101
−0.377
−22.56
<0.001
14.21
−0.088
−0.328
−16.31
<0.001
14.72
Rural-urban continuum
0.720
0.272
15.62
<0.001
7.34
0.233
0.088
4.37
<0.001
Colorectal cancer mortality—female
Socioeconomic deprivation index
−0.053
−0.294
−17.01
<0.001
8.63
−0.041
−0.231
−11.18
<0.001
9.49
Rural-urban continuum
0.431
0.242
13.76
<0.001
5.81
0.202
0.113
5.47
<0.001
Colorectal cancer mortality—white
Socioeconomic deprivation index
−0.052
−0.307
−17.95
<0.001
9.41
−0.035
−0.208
−10.08
<0.001
11.44
Rural-urban continuum
0.480
0.293
17.04
<0.001
8.56
0.286
0.175
8.49
<0.001
Colorectal cancer mortality—white male
Socioeconomic deprivation index
−0.090
−0.325
−18.97
<0.001
10.55
−0.063
−0.227
−11.01
<0.001
12.50
Rural-urban continuum
0.799
0.301
17.42
<0.001
9.04
0.455
0.171
8.30
<0.001
Colorectal cancer mortality—white female
Socioeconomic deprivation index
−0.042
−0.233
−17.01
<0.001
5.40
−0.019
−0.105
−4.99
<0.001
8.80
Rural-urban continuum
0.500
0.285
16.35
<0.001
8.08
0.395
0.225
10.66
<0.001
Colorectal cancer mortality—black
Socioeconomic deprivation index
−0.041
−0.084
−4.71
<0.001
0.68
−0.056
−0.116
−5.41
<0.001
0.88
Rural-urban continuum
0.038
0.006
0.35
0.725
0.00
−0.343
−0.057
−2.68
0.007
Colorectal cancer mortality—black male
Socioeconomic deprivation index
−0.070
−0.051
−2.84
0.005
0.23
−0.090
−0.065
−3.03
0.003
0.24
Rural-urban continuum
0.172
0.010
0.57
0.569
0.01
−0.436
−0.026
−1.20
0.229
Colorectal cancer mortality—black female
Socioeconomic deprivation index
−0.026
−0.042
−2.33
0.020
0.14
−0.037
−0.061
−2.83
0.005
0.19
Rural-urban continuum
−0.009
−0.001
−0.06
0.951
0.00
−0.265
−0.034
−1.60
0.110
Prostate cancer mortality—total population
Socioeconomic deprivation index
−0.098
−0.283
−16.37
<0.001
8.00
−0.087
−0.252
−12.12
<0.001
8.20
Rural-urban continuum
0.665
0.197
11.11
<0.001
3.83
0.194
0.057
2.77
<0.001
Prostate cancer mortality—white
Socioeconomic deprivation index
−0.028
−0.097
−5.41
0.009
0.92
0.022
0.078
3.69
<0.001
7.46
Rural-urban continuum
0.721
0.267
15.28
<0.001
7.07
0.840
0.310
14.72
<0.001
Prostate cancer mortality—black
Socioeconomic deprivation index
−0.170
−0.124
−6.91
<0.001
1.49
−0.149
−0.108
−5.03
<0.001
1.52
Rural-urban continuum
1.473
0.088
4.89
<0.001
0.74
0.467
0.028
1.30
0.195
Breast cancer mortality—total population
Socioeconomic deprivation index
−0.034
−0.164
−9.22
<0.001
2.65
−0.038
−0.186
−8.80
<0.001
2.74
Rural-urban continuum
0.130
0.060
3.36
<0.001
0.33
−0.089
−0.041
−1.95
0.051
Breast cancer mortality—white
Socioeconomic deprivation index
−0.008
−0.039
−2.17
0.030
0.12
0.001
0.005
0.22
0.822
0.52
Rural-urban continuum
0.151
0.076
4.23
<0.001
0.55
0.157
0.079
3.63
<0.001
Breast cancer mortality—black
Socioeconomic deprivation index
−0.048
−0.057
−3.18
0.002
0.30
−0.060
−0.071
−3.31
<0.001
0.31
Rural-urban continuum
0.142
0.013
0.75
0.455
0.00
−0.268
−0.025
−1.19
0.236
Cervical cancer mortality—total population
Socioeconomic deprivation index
−0.048
−0.503
−28.11
<0.001
25.28
−0.037
−0.385
−18.37
<0.001
28.53
Rural-urban continuum
0.426
0.427
22.81
<0.001
18.21
0.216
0.216
10.34
<0.001
Cervical cancer mortality—white
Socioeconomic deprivation index
−0.048
−0.470
−24.94
<0.001
22.07
−0.032
−0.316
−14.45
<0.001
27.45
Rural-urban continuum
0.465
0.454
23.85
<0.001
20.58
0.286
0.279
12.79
<0.001
Cervical cancer mortality—black
Socioeconomic deprivation index
−0.043
−0.149
−8.35
<0.001
2.19
−0.041
−0.141
−6.60
<0.001
2.17
Rural-urban continuum
0.337
0.092
5.12
<0.001
0.81
0.055
0.015
0.70
0.481
Notes: : unstandardized regression coefficient; β: standardized regression coefficient; : percentage variance explained. β is also equal to the correlation coefficient in bivariate regression models. 1The least squares regression models are weighted, with weights being cancer-specific deaths in each county. 2The 2000 census socioeconomic deprivation index is a continuous variable with a mean of 100 and a standard deviation of 20. Higher index scores denote higher levels of socioeconomic position and lower levels of deprivation. 3The 2003 rural-urban continuum is used as a continuous variable, with code 1 being the most urbanized county and code 9 being the most rural county.