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. 2023 Aug 10;12(18):18988–18998. doi: 10.1002/cam4.6451

TABLE 2.

Annual percentage changes in cancer death rates by rural–urban status and cancer site among males aged ≥25 years in the United States, 1999–2020.

Cause of Death AAPC Segment 1 Segment 2 Segment 3
Urban
All malignant cancers −1.96 (−2.03, −1.90) 1999–2014 −1.86 (−1.91, −1.81) 2014–2020 −2.23 (−2.43, −2.03) N/A N/A
Colon and rectum −2.82 (−3.00, −2.64) 1999–2011 −3.31 (−3.54, −3.08) 2011–2020 −2.16 (−2.50, −1.53) N/A N/A
Kidney and renal pelvis −1.14 (−1.49, −0.79) 1999–2014 −0.74 (−0.99, −0.48) 2014–2020 −2.15 (−3.28, −1.00) N/A N/A
Leukemia −1.44 (−1.62, −1.27) 1999–2012 −0.85 (−1.07, −0.64) 2012–2020 −2.39 (−2.75, −2.04) N/A N/A
Liver and intrahepatic bile 1.74 (1.57, 1.92) 1999–2013 2.74 (2.56, 2.93) 2013–2020 −0.23 (−0.65, 0.19) N/A N/A
Lung and bronchus −3.49 (−3.62, −3.35) 1999–2005 −2.02 (−2.31, −1.73) 2005–2013 −3.14 (−3.38, −2.90) 2013–2020 −5.11 (−5.35, −4.88)
Myeloma −1.10 (−1.41, −0.78) 1999–2016 −0.85 (−1.02, −0.69) 2016–2020 −2.11 (−3.75, −0.45) N/A N/A
Non‐Hodgkin lymphoma −2.58 (−2.75, −2.41) 1999–2006 −3.28 (−3.74, −2.82) 2006–2020 −2.23 (−2.38, −2.08) N/A N/A
Pancreas 0.13 (0.06, 0.20) 1999–2020 0.13 (0.06, 0.20) N/A N/A N/A N/A
Prostate −2.48 (−2.68, −2.27) 1999–2013 −3.39 (−3.57, −3.21) 2013–2020 −0.62 (−1.19, −0.05) N/A N/A
Stomach −2.92 (−3.05, −2.78) 1999–2006 −3.57 (−3.87, −3.27) 2006–2020 −2.59 (−2.74, −2.44) N/A N/A
Urinary bladder −0.61 (−0.83, −0.39) 1999–2014 −0.07 (−0.24, 0.11) 2014–2020 −1.94 (−2.63, −1.24) N/A N/A
Rural
All malignant cancers −1.43 (−1.47, −1.39) 1999–2020 −1.43 (−1.47, −1.39) N/A N/A N/A N/A
Colon and rectum −2.01 (−2.20, −1.83) 1999–2009 −2.66 (−2.95, −2.36) 2009–2020 −1.43 (−1.70, −1.15) N/A N/A
Kidney and renal pelvis −0.33 (−0.51, −0.14) 1999–2020 −0.33 (−0.51, −0.14) N/A N/A N/A N/A
Leukemia −1.12 (−1.29, −0.95) 1999–2020 −1.12 (−1.29, −0.95) N/A N/A N/A N/A
Liver and intrahepatic bile 2.41 (1.59, 3.25) 1999–2007 1.87 (0.66, 3.10) 2007–2012 5.05 (2.06, 8.12) 2012–2020 1.34 (0.49, 2.20)
Lung and bronchus −2.70 (−2.98, −2.43) 1999–2007 −1.47 (−1.86, −1.08) 2007–2014 −2.56 (−3.14, −1.97) 2014–2020 −4.49 (−5.08, −3.90)
Myeloma −0.91 (−1.14, −0.68) 1999–2020 −0.91 (−1.14, −0.68) N/A N/A N/A N/A
Non‐Hodgkin lymphoma −2.13 (−2.30, −1.95) 1999–2020 −2.13 (−2.30, −1.95) N/A N/A N/A N/A
Pancreas 0.66 (0.52, 0.81) 1999–2020 0.66 (0.52, 0.81) N/A N/A N/A N/A
Prostate −2.54 (−2.78, −2.30) 1999–2014 −3.49 (−3.68, −3.31) 2014–2020 −0.11 (−0.90, 0.69) N/A N/A
Stomach −2.75 (−3.20, −2.30) 1999–2007 −3.75 (−4.68, −2.81) 2007–2020 −2.13 (−2.66, −1.60) N/A N/A
Urinary bladder 0.08 (−0.24, 0.41) 1999–2010 0.77 (0.26, 1.27) 2010–2020 −0.66 (−1.15, −0.18) N/A N/A

Segments were chosen by Joinpoint regression. Boldfaced cell indicates statistical significance (p < 0.05).

Abbreviations: AAPC, average annual percentage change; APC, annual percentage change; N/A, not applicable.