Why the study?
There was limited information on historical trends in mortality rates between older Black and White adults living in urban compared with rural communities.
Population
Older adults (≥65 years) of Black and White ancestry living in 3131 US counties
Comparison
Urban vs rural-adjacent vs rural-nonadjacent counties across White and Black older adults
Design
County-level cross-sectional longitudinal study
Authors
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Rural mortality gaps may warrant targeted efforts; observational data leaves open causal drivers and effective interventions.
Significant racial and geographic disparities in mortality rates persist among older US adults, with the gap widening for Black men living in rural counties since 1980.
Ferdows et al. (2020) studied this question.
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