Understanding rural mortality disparities in cancer: a multi-level approach
了解农村癌症死亡率差异:多层次方法
基本信息
- 批准号:10340241
- 负责人:
- 金额:$ 27.18万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-01-01 至 2022-08-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAreaBehavioral Risk Factor Surveillance SystemBlack PopulationsBlack raceBudgetsCancer PatientCaringCensusesCharacteristicsClinical TrialsCodeCommutingComplexCountyDataData SetDatabasesDiagnosisEmergency department visitEvaluationExcess MortalityFibrinogenFutureGeographic FactorGeographic LocationsGeographyHealthHealth Information National Trends SurveyHealth InsuranceHealth Services AccessibilityHealth behaviorHealthcareHospitalizationIndividualInferiorInsuranceInterventionLinkMalignant NeoplasmsMapsMediatingMediationMethodologyModelingNatureOffice ManagementOutcomeParticipantPlayPoliciesPolicy DevelopmentsPolicy MakerPopulationPovertyPoverty AreasQuality of CareRaceReasons for Geographic And Racial Differences in StrokeReportingResearch PersonnelRoleRuralRural PopulationSEER ProgramSamplingSocial supportSocioeconomic StatusSpecialistStroke BeltSystemTransportationWorkcancer health disparitycohortcomorbiditycontextual factorsdata registrydeprivationevidence baseexperiencehealth literacyindexingmalignant breast neoplasmmortalitymortality disparitymultilevel analysisneoplasm registryprimary outcomerural arearural disparitiesrural patientsrural povertyrural residenceruralitysocial vulnerabilitysociodemographicsstatisticstherapy developmenturban areaurban disparityurban residencevirtual
项目摘要
Abstract
Cancer mortality rates in the US declined by 26% between 1991 and 2015, but the decline has not been equal
across all populations. Approximately 19% of the US population resides in rural areas; for over three decades,
this population has experienced increasingly inferior outcomes when compared with their urban counterparts.
The underlying cause(s) of the widening rural/urban gap in cancer outcomes is hypothesized to be multifactorial,
with socioeconomic status (SES) both at the individual-level and geographic area-level likely playing a significant
role. Gaps in evidence include the use of multiple “rural” definitions, a lack of evidence on associated geographic
factors, and limited evidence based on multi-level approaches to understand the complex nature of rural
disparities. Therefore, the overall objective of this study is to conduct a comprehensive examination of the
underlying causes of rural/urban disparities in mortality among individuals diagnosed with cancer. In the first aim,
the Surveillance, Epidemiology, and End Results (SEER) population-level data will be used to examine mortality
among individuals diagnosed with cancer across three definitions of rurality, providing researchers and policy
makers with the magnitude of differences by each definition. In the second aim, SEER will be linked via county-
indicators to 16 databases (US Census Bureau, Area Deprivation Index, Bureau of Labor Statistics, County
Health Rankings and Roadmaps, AMA Healthcare Workforce Mapper, BRFSS, Social Vulnerability Index, Health
Information National Trends Survey, etc.). These linkages will allow us to estimate the contribution of specific area-
level factors (e.g., area-level SES, access to high-quality care) on rural/urban mortality differences using effect
decomposition methodology. In the third aim, the Reasons for Geographic and Racial Differences in Stroke
(REGARDS) cohort (U01 NS041588) will be linked to state level cancer registry data using the Virtual Pooled
Registry Cancer Linkage System (VPR-CLS). REGARDS includes longitudinally collected data for 30,239
participants (44% blacks), oversampled from stroke belt/buckle states (56% of participants from NC, SC, GA,
TN, AL, MS, AK, LA) with large rural populations experiencing the highest mortality. REGARDS collects
information at the individual level on sociodemographics, health literacy, and distance to healthcare,
transportation, and risky health behaviors. Multi-level modeling and mediation modeling approaches will allow for
the examination of the contribution of individual-level characteristics and the area-level characteristics simultaneously.
Results will provide estimates of how much of the mortality disparity is explained by differences in urban and
rural geographic characteristics overall as well estimates that describe the potential impact of hypothetical
interventions on specific mediating factors. Findings will provide the critical evidence needed to inform policy and
intervention development aimed at addressing the systemic disparities in mortality experienced by rural patients
with cancer.
摘要
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
KELLY KENZIK其他文献
KELLY KENZIK的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('KELLY KENZIK', 18)}}的其他基金
Understanding rural mortality disparities in cancer: a multi-level approach
了解农村癌症死亡率差异:多层次方法
- 批准号:
10814517 - 财政年份:2023
- 资助金额:
$ 27.18万 - 项目类别:
Understanding rural mortality disparities in cancer: a multi-level approach
了解农村癌症死亡率差异:多层次方法
- 批准号:
10711063 - 财政年份:2022
- 资助金额:
$ 27.18万 - 项目类别:
相似国自然基金
层出镰刀菌氮代谢调控因子AreA 介导伏马菌素 FB1 生物合成的作用机理
- 批准号:2021JJ40433
- 批准年份:2021
- 资助金额:0.0 万元
- 项目类别:省市级项目
寄主诱导梢腐病菌AreA和CYP51基因沉默增强甘蔗抗病性机制解析
- 批准号:32001603
- 批准年份:2020
- 资助金额:24.0 万元
- 项目类别:青年科学基金项目
AREA国际经济模型的移植.改进和应用
- 批准号:18870435
- 批准年份:1988
- 资助金额:2.0 万元
- 项目类别:面上项目
相似海外基金
Onboarding Rural Area Mathematics and Physical Science Scholars
农村地区数学和物理科学学者的入职
- 批准号:
2322614 - 财政年份:2024
- 资助金额:
$ 27.18万 - 项目类别:
Standard Grant
TRACK-UK: Synthesized Census and Small Area Statistics for Transport and Energy
TRACK-UK:交通和能源综合人口普查和小区域统计
- 批准号:
ES/Z50290X/1 - 财政年份:2024
- 资助金额:
$ 27.18万 - 项目类别:
Research Grant
Wide-area low-cost sustainable ocean temperature and velocity structure extraction using distributed fibre optic sensing within legacy seafloor cables
使用传统海底电缆中的分布式光纤传感进行广域低成本可持续海洋温度和速度结构提取
- 批准号:
NE/Y003365/1 - 财政年份:2024
- 资助金额:
$ 27.18万 - 项目类别:
Research Grant
Point-scanning confocal with area detector
点扫描共焦与区域检测器
- 批准号:
534092360 - 财政年份:2024
- 资助金额:
$ 27.18万 - 项目类别:
Major Research Instrumentation
Collaborative Research: Scalable Manufacturing of Large-Area Thin Films of Metal-Organic Frameworks for Separations Applications
合作研究:用于分离应用的大面积金属有机框架薄膜的可扩展制造
- 批准号:
2326714 - 财政年份:2024
- 资助金额:
$ 27.18万 - 项目类别:
Standard Grant
Collaborative Research: Scalable Manufacturing of Large-Area Thin Films of Metal-Organic Frameworks for Separations Applications
合作研究:用于分离应用的大面积金属有机框架薄膜的可扩展制造
- 批准号:
2326713 - 财政年份:2024
- 资助金额:
$ 27.18万 - 项目类别:
Standard Grant
Unlicensed Low-Power Wide Area Networks for Location-based Services
用于基于位置的服务的免许可低功耗广域网
- 批准号:
24K20765 - 财政年份:2024
- 资助金额:
$ 27.18万 - 项目类别:
Grant-in-Aid for Early-Career Scientists
RAPID: Collaborative Research: Multifaceted Data Collection on the Aftermath of the March 26, 2024 Francis Scott Key Bridge Collapse in the DC-Maryland-Virginia Area
RAPID:协作研究:2024 年 3 月 26 日 DC-马里兰-弗吉尼亚地区 Francis Scott Key 大桥倒塌事故后果的多方面数据收集
- 批准号:
2427233 - 财政年份:2024
- 资助金额:
$ 27.18万 - 项目类别:
Standard Grant
RAPID: Collaborative Research: Multifaceted Data Collection on the Aftermath of the March 26, 2024 Francis Scott Key Bridge Collapse in the DC-Maryland-Virginia Area
RAPID:协作研究:2024 年 3 月 26 日 DC-马里兰-弗吉尼亚地区 Francis Scott Key 大桥倒塌事故后果的多方面数据收集
- 批准号:
2427232 - 财政年份:2024
- 资助金额:
$ 27.18万 - 项目类别:
Standard Grant
RAPID: Collaborative Research: Multifaceted Data Collection on the Aftermath of the March 26, 2024 Francis Scott Key Bridge Collapse in the DC-Maryland-Virginia Area
RAPID:协作研究:2024 年 3 月 26 日 DC-马里兰-弗吉尼亚地区 Francis Scott Key 大桥倒塌事故后果的多方面数据收集
- 批准号:
2427231 - 财政年份:2024
- 资助金额:
$ 27.18万 - 项目类别:
Standard Grant














{{item.name}}会员




