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GMJ News > GMJ Briefs > Cancer Progress Is Not Reaching Everyone: The Urban-Rural Mortality Divide

Cancer Progress Is Not Reaching Everyone: The Urban-Rural Mortality Divide

GMJ
Last updated: 17/07/2026 04:52
By
Prof. Giorgi Pkhakadze
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1 Min Read
Chart showing diverging cancer mortality trends between high-income urban and rural low-income regions in the United States
Cancer mortality in the US has dropped steeply since 1991, but the gains are concentrated in wealthy urban areas. Rural and low-income regions continue to experience elevated cancer death rates due to limited screening access, specialist shortages, and prevention resource gaps—widening an already stark health equity divide in oncology. — Photo by Shane Ryan Herilalaina on Unsplash (Unsplash License)
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1 min read|116 words

While cancer mortality rates have declined substantially across the United States since 1991, a troubling geographical divide has emerged. New analysis reveals that affluent urban areas have captured the majority of these gains, while rural and low-income communities continue to experience persistently elevated death rates. This disparity reflects systemic inequities in access to early detection programs, specialized oncology care, and modern treatment facilities. The widening gap underscores a critical health equity challenge: advances in cancer prevention and treatment are not being equitably distributed across the nation. Without targeted policy reform and strategic health system investment in underserved regions, cancer mortality disparities will continue to widen, leaving vulnerable populations increasingly behind. Read the full article on GMJ Newsroom.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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