Appendix Table A5.
Cancer mortality rate ratios according to counties clustered by health factors included in the adapted 2014 County Health Rankings Model of Health, US (N = 3,079 counties)a
| Health Factor Clusterb |
Z-score range | N, Countiesc |
All cancer | Lung | Colorectal | Breast (female) | Prostate (male) |
|---|---|---|---|---|---|---|---|
| 1 (most healthy) | −1.40 to −0.82 | 109 | 1 (ref) | 1 (ref) | 1 (ref) | 1 (ref) | 1 (ref) |
| 2 | −0.81 to −0.54 | 278 | 1.14 (1.10-1.17) | 1.22 (1.16-1.29) | 1.10 (1.05-1.15) | 1.08 (1.03-1.12) | 1.10 (1.04-1.16) |
| 3 | −0.54 to −0.32 | 464 | 1.26 (1.22-1.29) | 1.46 (1.38-1.54) | 1.22 (1.17-1.27) | 1.15 (1.10-1.20) | 1.19 (1.13-1.26) |
| 4 | −0.32 to −0.12 | 460 | 1.33 (1.29-1.37) | 1.64 (1.56-1.73) | 1.31 (1.25-1.37) | 1.15 (1.11-1.20) | 1.20 (1.14-1.27) |
| 5 | −0.12 to 0.07 | 493 | 1.39 (1.35-1.43) | 1.76 (1.67-1.85) | 1.40 (1.35-1.47) | 1.22 (1.17-1.27) | 1.25 (1.18-1.32) |
| 6 | 0.08 to 0.27 | 419 | 1.48 (1.44-1.52) | 1.96 (1.85-2.06) | 1.54 (1.47-1.61) | 1.29 (1.23-1.35) | 1.31 (1.23-1.39) |
| 7 | 0.27 to 0.48 | 351 | 1.52 (1.48-1.57) | 2.09 (1.98-2.21) | 1.61 (1.53-1.70) | 1.26 (1.19-1.33) | 1.25 (1.16-1.35) |
| 8 | 0.48 to 0.72 | 266 | 1.53 (1.48-1.58) | 2.09 (1.97-2.22) | 1.65 (1.56-1.76) | 1.27 (1.19-1.36) | 1.39 (1.28-1.52) |
| 9 | 0.72 to 1.03 | 159 | 1.63 (1.57-1.70) | 2.28 (2.12-2.44) | 1.93 (1.77-2.09) | 1.42 (1.28-1.58) | 1.55 (1.35-1.78) |
| 10 (least healthy) | 1.04 to 1.76 | 80 | 1.60 (1.52-1.69) | 2.06 (1.86-2.28) | 1.79 (1.58-2.01) | 1.28 (1.11-1.46) | 1.34 (1.11-1.61) |
a
Data presented as age-adjusted mortality rate ratios (with 95% confidence interval. All cancer mortality rates are for the years 2018-2022.
b
Clusters are arranged in order from most to least healthy characteristics.
c
Represents the total number of counties in each cluster for all cancer sites combined. The number of counties for each outcome is: all cancer – 3,079; lung cancer – 2,745; colorectal cancer – 2,180; breast cancer – 1,778; prostate cancer – 1,612.