Appendix Table A3:
Cancer mortality rate ratios according to counties clustered by health factors included in the adapted 2025 University of Wisconsin Population Health Institute Model of Health, Black and White population, US
| Cluster | Z-score range | N, Countiesb | All cancer | Lung | Colorectal | Breast (female) | Prostate (male) |
|---|---|---|---|---|---|---|---|
| Black population | |||||||
| 1 (most healthy) | −1.53 to −0.72 | 88 | 1 (ref) | 1 (ref) | 1 (ref) | 1 (ref) | 1 (ref) |
| 2 | −0.72 to −0.46 | 127 | 1.22 (1.14-1.30) | 1.36 (1.19-1.55) | 1.19 (1.05-1.36) | 1.15 (1.01-1.30) | 1.28 (1.09-1.50) |
| 3 | −0.46 to −0.24 | 148 | 1.28 (1.20-1.37) | 1.45 (1.28-1.65) | 1.18 (1.04-1.33) | 1.12 (1.00-1.26) | 1.30 (1.11-1.51) |
| 4 | −0.24 to −0.03 | 192 | 1.40 (1.31-1.49) | 1.62 (1.43-1.83) | 1.36 (1.20-1.53) | 1.20 (1.07-1.35) | 1.42 (1.22-1.66) |
| 5 | −0.03 to 0.18 | 159 | 1.51 (1.42-1.62) | 1.75 (1.54-1.99) | 1.47 (1.30-1.66) | 1.29 (1.15-1.45) | 1.53 (1.31-1.79) |
| 6 | 0.18 to 0.40 | 143 | 1.60 (1.50-1.72) | 1.99 (1.73-2.29) | 1.46 (1.28-1.67) | 1.25 (1.10-1.42) | 1.45 (1.21-1.73) |
| 7 | 0.40 to 0.64 | 159 | 1.65 (1.54-1.77) | 2.14 (1.86-2.46) | 1.76 (1.48-2.08) | 1.32 (1.09-1.59) | 1.63 (1.27-2.06) |
| 8 | 0.64 to 0.91 | 113 | 1.74 (1.61-1.87) | 2.32 (1.98-2.71) | 2.03 (1.61-2.52) | 1.33 (0.97-1.79) | 1.89 (1.38-2.55) |
| 9 | 0.91 to 1.25 | 68 | 1.83 (1.68-2.00) | 2.47 (2.05-2.97) | 1.44 (1.14-1.80) | 1.29 (1.04-1.60) | 1.50 (1.08-2.06) |
| 10 (least healthy) | 1.28 to 1.88 | 19 | 1.99 (1.72-2.30) | 2.49 (1.76-3.46) | 2.72 (1.54-4.42) | 2.01 (1.07-3.42) | 2.56 (1.14-4.98) |
| White population | |||||||
| 1 (most healthy) | −1.53 to −0.72 | 193 | 1 (ref) | 1 (ref) | 1 (ref) | 1 (ref) | 1 (ref) |
| 2 | −0.72 to −0.46 | 439 | 1.15 (1.13-1.18) | 1.25 (1.20-1.30) | 1.12 (1.08-1.17) | 1.07 (1.02-1.11) | 1.08 (1.03-1.14) |
| 3 | −0.46 to −0.24 | 444 | 1.23 (1.20-1.26) | 1.44 (1.38-1.50) | 1.22 (1.17-1.27) | 1.09 (1.05-1.13) | 1.11 (1.06-1.17) |
| 4 | −0.24 to −0.03 | 538 | 1.31 (1.28-1.34) | 1.64 (1.57-1.70) | 1.32 (1.27-1.37) | 1.14 (1.10-1.19) | 1.10 (1.04-1.16) |
| 5 | −0.03 to 0.18 | 418 | 1.38 (1.35-1.41) | 1.76 (1.69-1.84) | 1.43 (1.37-1.49) | 1.20 (1.15-1.26) | 1.20 (1.13-1.26) |
| 6 | 0.18 to 0.40 | 349 | 1.45 (1.42-1.49) | 1.97 (1.88-2.06) | 1.50 (1.42-1.57) | 1.22 (1.15-1.28) | 1.13 (1.05-1.22) |
| 7 | 0.40 to 0.64 | 309 | 1.49 (1.45-1.53) | 2.07 (1.97-2.17) | 1.65 (1.55-1.76) | 1.31 (1.21-1.42) | 1.32 (1.19-1.45) |
| 8 | 0.64 to 0.91 | 204 | 1.55 (1.50-1.60) | 2.20 (2.08-2.33) | 1.79 (1.65-1.95) | 1.34 (1.20-1.50) | 1.45 (1.24-1.69) |
| 9 | 0.91 to 1.25 | 107 | 1.55 (1.48-1.62) | 2.24 (2.07-2.43) | 1.84 (1.61-2.09) | 1.32 (1.09-1.59) | 1.33 (1.02-1.69) |
| 10 (least healthy) | 1.28 to 1.88 | 31 | 1.61 (1.46-1.77) | 2.51 (2.07-3.01) | 2.16 (1.44-3.09) | 1.03 (0.26-2.68)c | d |
Data presented as age-adjusted mortality rate ratios (with 95% confidence intervals). All cancer mortality rates are for the years 2018-2022.
Represents the total number of counties in each cluster for all cancer sites combined. For the White population, the number of counties for each outcome is: all cancer – 1,216; lung cancer – 665; colorectal cancer – 386; breast cancer – 341; prostate cancer – 300. For the Black population, the number of counties for each outcome is: all cancer – 3,032; lung cancer – 2,654; colorectal cancer – 1,970; breast cancer – 1,599; prostate cancer – 1,425.
Only 1 county had at least 3 breast cancer deaths among White women in cluster 10.
Zero counties in cluster 10 have at least 3 prostate cancer deaths per year on average among White men.