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01-03-2020 | Colorectal Cancer | Original Paper

Rural–urban disparities in colorectal cancer survival and risk among men in Utah: a statewide population-based study

Authors: Charles R. Rogers, Brenna E. Blackburn, Matthew Huntington, Karen Curtin, Roland J. Thorpe Jr., Kerry Rowe, John Snyder, Vikrant Deshmukh, Michael Newman, Alison Fraser, Ken Smith, Mia Hashibe

Published in: Cancer Causes & Control | Issue 3/2020

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.

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Title: Rural–urban disparities in colorectal cancer survival and risk among men in Utah: a statewide population-based study
Authors: Charles R. Rogers
Brenna E. Blackburn
Matthew Huntington
Karen Curtin
Roland J. Thorpe Jr.
Kerry Rowe
John Snyder
Vikrant Deshmukh
Michael Newman
Alison Fraser
Ken Smith
Mia Hashibe
Publication date: 01-03-2020
Publisher: Springer International Publishing
Keywords: Colorectal Cancer
Colorectal Cancer
Published in: Cancer Causes & Control / Issue 3/2020
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-020-01268-2

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