Healthy People 2020: Rural Areas Lag In Achieving Targets For Major Causes Of Death

Sirin Yaemsiri; Johanna M Alfier; Ernest Moy; Lauren M Rossen; Brigham Bastian; Jane Bolin; Alva O Ferdinand; Timothy Callaghan; Melonie Heron

doi:10.1377/hlthaff.2019.00915

Healthy People 2020: Rural Areas Lag In Achieving Targets For Major Causes Of Death

Health Aff (Millwood). 2019 Dec;38(12):2027-2031. doi: 10.1377/hlthaff.2019.00915.

Authors

Sirin Yaemsiri¹, Johanna M Alfier², Ernest Moy³, Lauren M Rossen⁴, Brigham Bastian⁵, Jane Bolin⁶, Alva O Ferdinand⁷, Timothy Callaghan⁸, Melonie Heron⁹

Affiliations

¹ Sirin Yaemsiri is a senior statistician at the US Government Accountability Office, in Washington, D.C. She was a statistician in the Division of Analysis and Epidemiology, National Center for Health Statistics (NCHS), in Hyattsville, Maryland, at the time this work was conducted.
² Johanna M. Alfier ( mpo3@cdc. gov ) is a statistician in the Division of Analysis and Epidemiology, NCHS.
³ Ernest Moy is executive director of the Office of Health Equity, Veterans Health Administration, in Washington, D.C.
⁴ Lauren M. Rossen is a statistician in the Division of Research and Methodology, NCHS.
⁵ Brigham Bastian is a statistician in the Division of Vital Statistics, NCHS.
⁶ Jane Bolin is associate dean for research in the College of Nursing and deputy director of the Southwest Rural Health Research Center at the School of Public Health, both at Texas A&M University, in College Station.
⁷ Alva O. Ferdinand is an assistant professor in the Department of Health Policy and Management and director of the Southwest Rural Health Research Center at the School of Public Health, Texas A&M University.
⁸ Timothy Callaghan is an assistant professor in the Department of Health Policy and Management and director of evaluation for the Southwest Rural Health Research Center at the School of Public Health, Texas A&M University.
⁹ Melonie Heron is a health scientist in the Division of Vital Statistics, NCHS.

Abstract

For the period 2007-17 rural death rates were higher than urban rates for the seven major causes of death analyzed, and disparities widened for five of the seven. In 2017 urban areas had met national targets for three of the seven causes, while rural areas had met none of the targets.

Keywords: Cancer; Chronic obstructive pulmonary disease; Health People 2020; Health Services; Health policy; Mortality; Rural health care; Stroke; access to care; health disparities; public health.

Publication types

Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

Cause of Death / trends*
Female
Health Status Disparities*
Healthy People Programs / statistics & numerical data*
Humans
Male
Rural Population / statistics & numerical data*

Grants and funding

CC999999/ImCDC/Intramural CDC HHS/United States