Temporal trends and regional disparities in prostate cancer mortality in the United States, 1999–2023: an analysis of the CDC WONDER database
From 1999 to 2023, prostate cancer mortality among U.S. men aged 45 years and older showed a consistent decline. While the AAMR continued to decrease, the rate of decline slowed after 2013, likely due to changes in prostate-specific antigen (PSA) screening practices. In contrast, the observed rise in the absolute number of deaths mainly reflects demographic effects associated with population aging. The greatest burdens were observed among residents of the South, NH Black men, older adults, and rural populations. State-level AAMRs revealed a clear geographic gradient, with consistently higher rates in the South and lower rates in the Northeast. These findings highlight the need for future prevention and control strategies to prioritize high-risk groups through targeted interventions that promote health equity.
Authors
- Jianbin Zhou (ORCID: https://orcid.org/0000-0003-0043-9825)
- Zhifang Chai (ORCID: https://orcid.org/0000-0003-0680-6067)
- Zheng Dong (ORCID: https://orcid.org/0000-0003-3538-8095)
- Yi‐Ming Fan (ORCID: https://orcid.org/0000-0002-6206-1306)
- Sheng Li (ORCID: https://orcid.org/0000-0001-8080-9712)
- Haolin Li (ORCID: https://orcid.org/0000-0003-3456-1845)
- Peng Gu (ORCID: https://orcid.org/0000-0002-9646-172X)
- Zhiwei He (ORCID: https://orcid.org/0000-0002-5689-9006)
- XinQi Dong (ORCID: https://orcid.org/0000-0002-5680-7319)
- Shuangfeng Yan (ORCID: https://orcid.org/0000-0003-4475-2266)
- Pengxiang Lei
Institutions
- Kunming Medical University (CN)
- First Affiliated Hospital of Kunming Medical University (CN)
Publication Details
- Journal
- BMC Public Health
- Published
- 2025-12-18
- DOI
- https://doi.org/10.1186/s12889-025-25694-6
- Citations
- 1
- Primary Topic
- Prostate Cancer Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 1.52
Funders
- National Natural Science Foundation of China
- Kunming Medical University
- Centers for Disease Control and Prevention