Higher rural smoking rates drive increased disease incidence and per capita lung cancer mortality in rural areas of the United States. There were no rural-urban discrepancies in diagnostic stage, suggesting similar access to diagnostic services. Rural patients diagnosed with stage I non-small cell lung cancer had shorter survival, which may reflect disparities in access to surgical care. No survival difference for patients with advanced-stage lung cancer is attributed to lack of effective treatment during the time period of this study.

Purpose The purpose of this paper is to empirically investigate the negative casual relationships between organizational security factors (security systems, security education, and security visibility) and individual non-compliance causes (work impediment, security system anxiety, and non-compliance behaviors of peers), which have negative influences on compliance intention. Design/methodology/approach Based on literature review, the authors propose a research model together with hypotheses. The survey questionnaires were developed to collect data, which then validated the measurement model. The authors collected 415 responses from employees at manufacturing and service firms that had already implemented security policies. The hypothesized relationships were tested using the structural equation model approach with AMOS 18.0. Findings Survey results validate that work impediment, security system anxiety, and non-compliance peer behaviors are the causes of employee non-compliance. In addition, the authors found that security systems, security education, and security visibility decrease instances of non-compliance. Research limitations/implications Organizations should establish a mixture of security investment in their systems, education, and visibility in order to effectively reduce employees’ non-compliance. In addition, organizations should recognize the importance of minimizing the particular causes of employees’ non-compliance to positively increase intentions to comply with information security. Originality/value An important issue in information security management is employee compliance. Understanding the reasons behind employees’ non-compliance is a critical issue. This paper investigates empirically why employees do not comply, and how organizations can induce employees to comply by a mixture of investments in security systems, education, and visibility.

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