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Medicine United States Technology Science

Rural Americans At Higher Risk From Five Leading Causes of Death: CDC (cbsnews.com) 375

An anonymous reader quotes a report from CBS News: Americans living in rural areas are more likely to die from five leading causes of death than people living in urban areas, according to a new government report. Many of these deaths are preventable, officials say, with causes including heart disease, cancer, unintentional injuries, stroke, and chronic lower respiratory disease. Approximately 46 million Americans -- about 15 percent of the U.S. population -- currently live in rural areas. According to the CDC report, several demographic, environmental, economic, and social factors might put rural residents at higher risk of death from these conditions. Rural residents in the U.S., for example, tend to be older and sicker than their urban counterparts, and have higher rates of cigarette smoking, high blood pressure, and obesity. People living in rural areas also report less leisure-time physical activity and lower seatbelt use than their those living in urban areas and have higher rates of poverty, less access to health care, and are less likely to have health insurance. Specifically, the report found that in 2014, deaths among rural Americans included: 25,000 from heart disease; 19,000 from cancer; 12,000 from unintentional injuries; 11,000 from chronic lower respiratory disease; 4,000 from stroke. The percentages of deaths that were potentially preventable were higher in rural areas than in urban areas, the authors report. For the study, the researchers analyzed numbers from a national database. The CDC suggests to help close the gap, health care providers in rural areas can: Screen patients for high blood pressure; Increase cancer prevention and early detection; Encourage physical activity and healthy eating; Promote smoking cessation; Promote motor vehicle safety; Engage in safer prescribing of opioids for pain.
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Rural Americans At Higher Risk From Five Leading Causes of Death: CDC

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  • Conclusion: (Score:2, Funny)

    by Snufu ( 1049644 )

    Escape rural American lifestyle as soon as you can.

    • Re:Conclusion: (Score:5, Insightful)

      by Anonymous Coward on Thursday January 12, 2017 @07:25PM (#53657699)

      Let's see - I have gigabit internet, satellite TV, 4G cell service, acres of land and a house that would cost you millions, and no traffic or crime in this rural American lifestyle as you call it.

      I actually know my neighbors, the mayor of the town, the sheriff, and I participate in my community. My kids go to decent schools with normal people and not the psychotics that live in major cities. Despite the article above we have good health care and actually know our doctors who even make house calls. We grow a lot of our own food and have easy access to hunting. When the shit hits the fan you will be starving.

      So no thanks. Keep your city lifestyle.

      • Re: Conclusion: (Score:2, Insightful)

        by Anonymous Coward

        Just wait until you have to actually foot the bill for the services you use, mooch.

        The urban centers provide the tax dollars to make your life possible. Roads, electricity, telephone lines, etc are mandated by the government and without that you'd have nothing.

        • by Anonymous Coward

          Out where I'm at I have solar, geothermal, and hydro power. Comcast and cellular networks for internet. Well water and septic. We can grow a bit of food, raise chickens and keep bees and fish in the pond and nearby streams, hunt on the land. The county doesn't plow our road but our 4WDs haven't let us down yet. And its DARK and QUIET at night, my insomnia disappeared almost immediately. I lived in cities and suburbs until a few years ago, never without a bright as hell street light within 100 yards of my be

        • The urban centers provide the tax dollars to make your life possible. Roads, electricity, telephone lines, etc are mandated by the government and without that you'd have nothing.

          ...and they make our life possible by providing food and natural resources. I think we need them more than they need us: life without technology would be hard but life without food would be a lot harder.

        • by amiga3D ( 567632 )

          The roads in the South were built mostly with state funds and were built to, in the words of one Georgia governor, move food from the farm to the city. Everyone pays taxes and road use taxes are built into everything to do with transportation. Electricity and telephone companies operate at a controlled profit. All that infrastructure has been paid for decades ago.

      • by amiga3D ( 567632 )

        Housing makes it all worth the risks. I've seen shit holes in New York that sell for a million dollars that would cost 80K in Alabama not including the 5 acres.

      • I'm betting you're significantly more educated and informed than the average rural resident. That makes a huge difference. You're an outlier.
      • So in rural Oregon - Josephine county - where they are no longer prosecuting property crimes (Google it)... I have friends who live there still (because they grow certain green flowers) and have been involved in actual shootouts. They called 911 - who said see and wait if they stop shooting and call back.

        So in my example - shit has already hit the fan and life seems somehow indifferent from the inner city. People want your stuff and they'll cap your ass to get it.

      • Counterpoint: I live in a city of ~1.2 million people, ~2 million in the greater metro area. It's not in the US, but I still think it's relevant. I've lived everywhere from rural areas with several kilometers to the nearest neighbor, to the city where I live now.

        I grew up in a rural area, plenty of fresh air, areas to explore, places to go fish, all that good stuff. The nearest school had less than 100 students, we had a lot of trips to the nearby forests, we made viking age-style huts and cooked food over

    • Re:Conclusion: (Score:5, Interesting)

      by ColdWetDog ( 752185 ) on Thursday January 12, 2017 @07:36PM (#53657769) Homepage

      Nope. Ain't gonna go. I suspect there are a number of different reasons - it's usually complicated.

      - Poverty or at least fewer jobs without insurance. Remember folks, most non Medicare / Medicaid insurances in our Glorious Country are based on having a job with a largish employer. Small businesses - which tend to abound in places without lots of people - are famous for not carrying insurance for their employees.
      - Aging population. In my little rural town, the average age is older than Miami in the winter time. If it wasn't for the Coast Guard base and the schools we would have damned few kids in town (teachers tend to be younger with kids).
      - Poorer access to specialty care. As you age, you start to need the services of various -ologists. Which often means traveling to the Big City. Which often doesn't happen. Quite frequently, it is a conscious decision not to partake of the smorgasbord of potential medical treatments but finances and distance do play a part.
      - I'm not sure that lifestyle always plays a part. Here in Alaska we actually have a somewhat lower rate of obesity than in other states, but growing up in the South I was always struck with how many sedentary people spent their lives eating fried everything and smoking. Not too many vegans out here in the bush.
      - Education. Doesn't always correlate with health (or happiness) but trying to work your way around the mine field of recommendations these days takes at least an interest in doing so. Again, this is going to vary from place to place but access to above high school education isn't a given in a rural area (see also, poverty).

      I'm sure there are other bits to this. It's very likely Bush's fault.

      • access to above high school education isn't a given in a rural area

        Poverty aside, the most people who attend a traditional college live on campus anyways. I grew up in a VERY rural area (the nearest gas station was 15 miles away - don't drive home if you're close to empty) and was actually from a poor family but when it came time for college I took out loans and lived on campus.

        When I was done I ended up moving back to the general area (I live in a small town of about 8,000 people now, but it's within 20 miles of where I grew up). Having had a taste of more urban life in

    • Escape rural American lifestyle as soon as you can.

      Only if you want to die of something less common. While the article is suggestive that the life expectancy of rural americans is shorter it never actually says that which suggests that they do not have the evidence to make such a claim. So if it does not make any difference to the average life expectancy do you really care whether you end up dying from a stroke instead of a rare form of cancer?

      • by tsotha ( 720379 )
        I was wondering about that too. Maybe rural people live long enough to die of lifestyle diseases because they don't have to deal with urban violence.
    • by amiga3D ( 567632 )

      Or don't sit around, watch TV and eat shitty food. You're so far from the hospital that when your heart attack or stroke comes you'll die before you get there. That's another issue too. Rural hospitals are okay as long as you aren't too sick. Have something serious happen and your chances are much worse than that fancy city hospital with all the latest and greatest equipment. Still and all life can be good out in the sticks if you like to hunt and fish and enjoy peace and quiet.

  • So, no more videos of hicks doing incredibly stupid stuff involving cars'n'stuff if you "Promote motor vehicle safety". Why do you hate them so much that you want to take away their god-given right to Darwin themselves?
  • Amazing (Score:2, Insightful)

    I came here to complain about how this would generate divisive and callous political snarking, and guess what the first two comments that beat me to the punch are?

    You people are thoroughly disgusting. You're the reason people outside The Six Cities That Matter don't trust liberals, and the reason true leftists like Bernie can't ever make any headway. If you keep this shit up, you're going to bring this country to the point of civil war. Good idea, I say: this side has all the guns, so we can push all you
    • Re: (Score:3, Insightful)

      by tempo36 ( 2382592 )

      Sorry, healthcare in America is now a political issue. And the Gods-honest truth is that those who need it most don't seem to realize that the GOP has somehow convinced them that it's a bad idea.

    • Re: (Score:2, Funny)

      by xevioso ( 598654 )

      So you are saying you don't like the political discourse here? You don't like one side complaining about the politics of your side?

      Maybe you need a safe space...

      • Re: Amazing (Score:2, Flamebait)

        What I don't like is you disingenuous shitrats practically burning half the country's population in effigy and then claiming they're cruel, bigoted warmongers.
        • Dude it goes both ways you know. Have you read the average commentator on Breitbart?

    • Good idea, I say: this side has all the guns, so we can push all you fuckers into the ocean.

      Well, you are not correct, and did you just threaten to kill me and others? Let me know, so we can find out who you are.

      My mamma taught me to never threaten to kill people. Makes you look like a very interesting person. Already, I am exceptionally interested in hearing your response.

    • We're giving +5 Insightful to comments which end with
      civil war. Good idea, I say: this side has all the guns, so we can push all you fuckers into the ocean.

      What has become of this place?
  • by turkeydance ( 1266624 ) on Thursday January 12, 2017 @07:19PM (#53657669)
    1."The numbers of potentially excess deaths for each cause were assumed to follow a Poisson distribution..." 2."...rates are index measures that do not represent actual deaths but are appropriate for comparisons..." 3. "...nonmetropolitan areas might have characteristics that make deaths harder to prevent, such as long travel distances...".
  • Good! They don't want health care? Let's not give them health care and let them die out. It'd be cheaper for all of us who actually pay taxes to support them.
  • What's that? There are compelling reasons to have government support of rural healthcare to improve access for those who cannot otherwise have access to preventative and interventional medical care? Leave it to the states and local governments to find a way to make a hospital or clinic profitable that serves a population of hundreds or a few thousand?

    Nah...just have people drive hundreds of miles, I'm sure that will work out.

  • God-fearing country folk have down so well at shunning them heathen city types with their satanic "medical science" that Jaysus is rewarding their faith by bringing them to Heaven faster.

    • by tsotha ( 720379 )
      This is why you get Trump.
      • "I am standing on a fire escape in 1945, reaching out to stop my father, take the cogs and flywheels from him, piece them all together again... but it's too late, always has been, always will be too late."

  • Translation (Score:4, Funny)

    by Orgasmatron ( 8103 ) on Thursday January 12, 2017 @07:31PM (#53657725)

    Rural is the greek word for "Not close to an ambulance"

    • I live in a very rural county with 81.2 people per square mile and a square milage of over 500. Not a single person lives more than 10 mins from an ambulance.

      • I live in a rural area too. My mother-in-law had a stroke a few years back. By the time the ambulance got there, loaded her up, started the IV, and got to the hospital, the time had elapsed to give her whatever that anti-stroke drug is. Now she's paralyzed on her left side. Don't tell me distance isn't a factor...
      • by EvilSS ( 557649 )
        10 minutes can be a long wait for an ambulance. Then once you are in it, what kind of hospital are you going to end up in? I don't even live in an area I consider rural but the closest hospital to me is really no more than a heliport for the university hospitals in the major metro 30 miles away. And having been in their ED I'd be concerned about being treated there for more than an ingrown toenail anyway.
      • I lived in a very rural area and anyone who had to call an ambulance needed to be prepared for a ~45 minute wait. And that's assuming it wasn't busy because in the entire county (which is larger than the state of Rhode Island) we had around a dozen ambulances total.

      • by tsotha ( 720379 )

        My great uncle had a heart attack and drove himself forty miles to the nearest hospital, because the ambulance wasn't running that day. Shit happens.

        On the other hand, when I was living in Southern California you could show up to the emergency room and wait six or seven hours to be seen on a Friday night because of all the shooting and car crash victims that skipped past you.

  • "12,000 from unintentional injuries;"

    Otherwise known as "Hey y'all, watch this" syndrome

  • The cause is fracking.

  • falling into a combine harvester.

    getting caught in a tractor PTO.

    falling into a hay baler.

    carrying aluminum irrigation pipe under a power line.

    falling into a grain silo.

    Not considered in study: Any activity preceded by "Hey! Watch this!"

  • I wonder how much things like "35+ miles to nearest doctor or pharmacy approved by government approved healthcare" factors in? Especially for those with any type of transportation challenges.
    • More importantly the 5,000 deductible on each family member. Does Obamacare really help broke-ass people get medical care?
  • You ought to die of something. If odds are lower to die from heart disease, cancer and accident in urban areas, then what are the risks in the city?
    • If odds are lower to die from heart disease, cancer and accident in urban areas, then what are the risks in the city?

      Lead poisoning. In Flint, it's in the water. In Chicago, it's in 9mm slug form.

      If you get shot in the heart, does that count as heart disease . . . ?

      • If you get shot in the heart, does that count as heart disease . . . ?

        But the policeman said it was an accident!

  • Maybe I'm just being bitter, but after 30 years of them putting people in charge who oppose extending healthcare to all well, they made their bed (and mine). Go sleep in it.
  • You mean when someone has a problem with something like a heart attack or a major injury, being an extra hour away from an emergency room could make a difference in survival rates?

    Do tell, Sherlock.

  • Rural Americans At Higher Risk From Five Leading Causes of Death: CDC

    Darwinian evolution at work.

    And before you throw, "What are you liberal city-dwellers gonna do when there aren't any rural dumbfucks left to grow your food", you should realize that the industry that's being automated faster than any other is agriculture.

    Your time is up.

  • Well it's a good thing they voted for someone that will improve their healthcare. Oh wait...

  • Medical errors kill more people than respiratory problems.

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