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Rural-urban disparities in colorectal cancer survival and risk among men in Utah: a statewide population-based study. Cancer Causes Control 2020 Mar;31(3):241-253

Date

02/01/2020

Pubmed ID

32002718

Pubmed Central ID

PMC7033015

DOI

10.1007/s10552-020-01268-2

Scopus ID

2-s2.0-85078860646   15 Citations

Abstract

Rural areas of the U.S. experience disproportionate colorectal cancer (CRC) death compared to urban areas. The authors aimed to analyze differences in CRC survival between rural and urban Utah men and investigate potential prognostic factors for survival among these men. A cohort of Utah men diagnosed with CRC between 1997 and 2013 was identified from the Utah Cancer Registry. Survival and prognostic factors were analyzed via 5-year CRC survival and Cox proportional hazards models, stratified by rural/urban residence. Among 4,660 men diagnosed with CRC, 15.3% were living in rural Utah. Compared with urban men, rural CRC patients were diagnosed at older ages and in different anatomic subsites; more were overweight, and current smokers. Differences in stage and treatment were not apparent between rural and urban CRC patients. Compared with urban counterparts, rural men experienced a lower CRC survival (Hazard Ratio 0.55, 95% CI 0.53, 0.58 vs. 0.58, 95% CI 0.56, 0.59). Race and cancer treatment influenced CRC survival among men living in both urban and rural areas. Factors of CRC survival varied greatly among urban and rural men in Utah. The influence of social and environmental conditions on health behaviors and outcomes merits further exploration.

Author List

Rogers CR, Blackburn BE, Huntington M, Curtin K, Thorpe RJ Jr, Rowe K, Snyder J, Deshmukh V, Newman M, Fraser A, Smith K, Hashibe M

Author

Charles R. Rogers PhD Center Associate Director, Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Aged
Aged, 80 and over
Cohort Studies
Colonic Neoplasms
Colorectal Neoplasms
Healthcare Disparities
Humans
Male
Middle Aged
Proportional Hazards Models
Registries
Risk
Rural Population
Urban Population
Utah