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Rural Areas Lag Behind in Cancer Treatment and Prevention

Researchers found 4.5 million fewer cancer deaths since 1991, but counties with lower incomes and weaker tobacco controls saw far smaller declines.

  • Cancer deaths in the United States declined 34% between 1991 and 2022, preventing an estimated 4.5 million deaths as mortality fell from a peak of 215 deaths per 100,000 people.
  • Researchers found county median family income strongly influences mortality improvements; the wealthiest 10% of the population saw gains seven times greater than the poorest 10%.
  • Wealthy urban areas like Manhattan achieved 47% fewer deaths, while nonmetropolitan areas lagged significantly; Mississippi saw 20% decline, Arkansas 23%, West Virginia 24%, and Montana 29%. Around 458 rural counties experienced increasing mortality rates.
  • Urban centers like New York City aggressively instituted tobacco control measures that proved especially successful in reducing lung cancer deaths. Rural areas often lack these policies and face higher smoking rates.
  • Prior to 1991, rural and urban areas generally shared similar cancer mortality rates, but national statistics now mask the deepening rural mortality penalty where residents have fewer survival chances.
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The ConversationThe Conversation
+24 Reposted by 24 other sources
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Rural areas lag behind in cancer treatment and prevention – even as rich, urban areas increasingly leave dying from cancer in the rearview

Cancer treatment and prevention strategies are lagging in the rural U.S. MoMo Productions/DigitalVision via Getty ImagesCancer in the United States experienced a dramatic turnaround in 1991. Prior to that year, cancer deaths had been increasing for decades, peaking at 215 deaths per 100,000 people, meaning about 1 in 4 deaths were attributed to cancer. Then it began to consistently decline, decreasing by 34% between 1991 and 2022. This amounted …

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The Conversation broke the news on Wednesday, June 17, 2026.
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