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. Author manuscript; available in PMC: 2013 Jun 1.
Published in final edited form as: J Health Care Poor Underserved. 2012 May;23(2):715–725. doi: 10.1353/hpu.2012.0043

Table 1.

APPALACHIAN/NON-APPALACHIAN RATIO OF 3-YEAR AGE-ADJUSTED FEMALE BREAST CANCER DEATH RATES BY STATE: WHITES ONLY, 12 APPALACHIAN STATES, 1969–2007a

Appalachian/Non-Appalachian Ratio of 3-year Age-Adjusted Female Breast Cancer Death Rates
Alabama Georgia Kentucky Maryland Mississippi New York North Carolina Ohio Pennsylvania South Carolina Tennessee Virginia
1969–1971 .9733 .9414 .7947** .8348 .8634 .8180*** .9634 .8721** .9702 1.1644 .9375 .6653***
1972–1974 1.1887* .9729 .7463*** .9632 .9578 .8654** .909 .8876** .9621 1.1556 .9222 .7166***
1975–1977 1.0436 .9692 .7003*** .9647 .9878 .8878** .932 .9281 .9302** 1.0194 .9022 .8625*
1978–1980 1.0026 .9625 .7616*** .8808 .8896 .9302 .9341 .9695 .9075*** 1.1422 .9923 .8335*
1981–1983 1.2010** .9283 .8806* .9898 .8946 .9100* .9735 .9667 .9143*** 1.1252 .913 .7583***
1984–1986 1.0188 1.0193 .8317** .8496 .9314 .9271 .8952* .9484 .9771 1.1313 .9729 .9066
1987–1989 1.0543 .9262 .9017 .8357 1.0569 .8408** .92 .9022* .9228** 1.1088 .9325 .8818*
1990–1992 .9923 .9783 .9013 .9438 .9895 .8896** .9583 .8917** .9688 .9944 .9662 .9435
1993–1995 .8851* 1.0521 1.0141 .7960* 1.1407 .9401 .9735 .9854 .958 .9247 .9745 1.0157
1996–1998 .9061 1.0213 .9801 .8365 .8726 .8584** .9293 1.0184 .9547 1.0866 .9628 1.0447
1999–2002 .9724 .9594 1.0383 1.0592 .8642 .9508 .9234* 1.0075 .9605 .9719 1.0025 .9101
2003–2007 1.0142 1.0059 1.0839 1.1014 1.0312 .9751 1.0069 .9484 1.0159 1.1031* .9907 1.1508**
p-value of the linear trend .088 .197 <.0001 .932 .629 .168 .998 .019 .622 .025 .045 .001
*

p-value <.05

**

p-value <.01

***

p-value <.001

a

The last study period 2003–2007 is 5-years, and the period 1999–2002 is 4-years. Rates are age adjusted to the 2000 U.S. standard population (Census P25-1130). Values are rate ratios; U.S. Mortality Data, 1969 to 2007. Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov). SEER Stat Database: Mortality—All COD, Aggregated With County, Total U.S. (1969–2007) <Katrina/Rita Population Adjustment>—Linked To County Attributes—Total U.S., 1969–2007 Counties, National Cancer Institute, DCCPS, Surveillance Research Program, Cancer Statistics Branch, released June 201. Underlying mortality data provided by NCHS (www.cdc.gov/nchs).

COD = Classification of disease

DCCPS = Division of Cancer Control and Population Sciences