Jennifer L. Moss|Benmei Liu|Eric J. Feuer
Urban/Rural Differences in Breast and Cervical Cancer Incidence: The Mediating Roles of Socioeconomic Status and Provider Density
National Cancer Institute|Statistical Research (United States)|National Cancer Institute|Statistical Research (United States)|National Cancer Institute
breast cervical cancer incidence vary urbanicity several ecological factors could contribute patterns particular cancer screening sociodemographic health care system variables could explain geographic disparities cancer incidencegovernmental research sources provided data 612 counties surveillance epidemiology end results program ruralurban continuum code socioeconomic status ses quintile percent nonhispanic white residents density primary care physicians cancer screening breast cervical cancer incidence rates 20092013 ecological mediation analyses used weighted least squares regression examine whether candidate mediators explained relationship urbanicity cancer incidenceas urbanicity increased breast cancer incidence 023 p 001 ses quintile density primary care physicians mediated relationship whereas percent nonhispanic white suppressed p 05 countylevel mammography levels contribute relationship controlling variables urbanicity breast cancer incidence longer associated 011 p 05 contrast urbanicity increased cervical cancer incidence decreased 033 p 001 ses quintile density primary care physicians mediated relationship p 05 percent nonhispanic white pap screening levels contribute relationship controlling variables relationship urbanicity cervical cancer incidence remained significant 013 p 05countylevel ses density primary care physicians explained relationships urbanicity breast cervical cancer incidence improving factors rural counties could ameliorate geographic disparities breast cervical cancer incidence