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. 2013 Jan;103(1):99–104. doi: 10.2105/AJPH.2012.300743

TABLE 1—

Yearly Colorectal Cancer Mortality Rate Ratios, by Socioeconomic Status (SES) Tertile and Policy Date: United States, 1968–2005

SES Tertile
Year Low Middle High
1968 3.49 4.18 4.24
1969 3.24 4.11 4.59
1970 3.27 4.01 4.40
1971 3.36 3.86 4.29
1972 3.31 4.98 4.26
1973 3.38 3.91 4.43
1974 3.32 4.03 4.24
1975 3.23 4.03 4.36
1976 3.44 3.93 4.42
1977 3.35 4.01 4.49
1978 3.34 4.18 4.49
1979 3.42 3.90 4.15
1980 3.51 3.98 4.20
1981 3.45 4.01 4.19
1982 3.36 3.91 4.29
1983 3.33 3.99 4.09
1984 3.40 4.16 4.20
1985 3.38 4.25 4.18
1986 3.52 3.80 4.24
1987 3.48 3.81 4.00
1988 3.34 3.84 3.97
1989 3.48 3.82 4.01
1990 3.53 3.76 4.15
1991 3.65 3.88 3.75
1992 3.70 3.60 3.56
1993 3.53 3.89 3.58
1994 3.48 3.63 3.57
1995 3.56 3.72 3.52
1996 3.49 3.66 3.35
1997 3.46 3.56 3.36
1998 3.63 3.62 3.22
1999 3.51 3.40 3.44
2000 3.39 3.41 3.52
2001 3.50 3.26 3.14
2002 3.60 3.47 2.98
2003 3.60 3.21 2.97
2004 3.42 3.06 2.71
2005 3.23 3.00 2.64

Note. The American Cancer Society recommendations and guidelines were made public in 1980; the US Multi-Society Task Force provided its first guidelines in 1997. Initially colorectal cancer mortality rates were substantially higher among those living in high-SES counties (top 33%) than among those living in low-SES counties (bottom 33%); by 1991, however, these rates were lower than those among residents of middle-SES counties, and by 1995 they surpassed rates among those living in low-SES counties. Middle-SES counties experienced the same, if slower, reductions and surpassed low-SES counties in 1998.