2020
DOI: 10.1001/jama.2020.2047
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Rural-Urban Differences in Cardiovascular Mortality in the US, 1999-2017

Abstract: Conflict of InterestDisclosures: Dr Pompeii reported receiving grants from the Centers for Disease Control and Prevention during the conduct of the study. Dr Kraft reported receiving grants from the National Institute for Occupational Safety and Health during the conduct of the study and serving on a scientific advisory board for Rebiotix outside the submitted work. Dr Lane reported receiving grants from the Centers for Disease Control and Prevention during the conduct of the study. Dr Benavides reported recei… Show more

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Cited by 122 publications
(85 citation statements)
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“…Physician shortages may contribute to current gaps in population health between urban and rural counties. 5 , 6 This study’s data support improved incentive structures to redistribute physician resources to match the unequal health burden experienced by rural and urban populations in the US. A limitation of this study is that it relied on 1 urban-rural classification scheme proposed by the CDC in which county designations appeared to track with other health measures; however, other schema may differentially categorize counties.…”
Section: Discussionmentioning
confidence: 60%
See 1 more Smart Citation
“…Physician shortages may contribute to current gaps in population health between urban and rural counties. 5 , 6 This study’s data support improved incentive structures to redistribute physician resources to match the unequal health burden experienced by rural and urban populations in the US. A limitation of this study is that it relied on 1 urban-rural classification scheme proposed by the CDC in which county designations appeared to track with other health measures; however, other schema may differentially categorize counties.…”
Section: Discussionmentioning
confidence: 60%
“…4 Physician shortages may contribute to current gaps in population health between urban and rural counties. 5,6 This study's data support improved incentive structures to redistribute physician resources to match the unequal health burden experienced by rural and urban populations in the US.…”
Section: Discussionmentioning
confidence: 63%
“…Rural areas experience higher age-adjusted mortality rates (AAMR) from cardiovascular disease than urban areas. 1 However, trends for major cardiovascular disease subgroups remain unknown. Therefore, we analyzed trends in AAMR by urban-rural status for major cardiovascular disease subtypes: ischemic heart disease (IHD), heart failure (HF), and stroke.…”
mentioning
confidence: 99%
“…1,2 However, while rural-urban disparities in mortality from such chronic diseases as cancer and cardiovascular disease have been documented, rural-urban differences in ADRD mortality have not been examined. 3,4 We sought to assess trends in ADRD mortality and examine differences by rural-urban status.…”
mentioning
confidence: 99%