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In the U.S., the likelihood of dying from an injury -- either accidental or intentional -- is significantly higher in rural counties than it is in urban counties, researchers found.
The rate of injury death increased on a continuum from the most urban (49.72 per 100,000 people) to the most rural (73.76 per 100,000 people), which worked out to a relative 22% increased risk in the most rural counties (rate ratio 1.22, 95% CI 1.07-1.39), according to Sage Myers, MD, of the Childrens Hospital of Philadelphia, and colleagues.
The relationship was consistent for people younger than 45 -- a group in which the leading cause of death is injury -- but not among those older than that, the researchers reported online in Annals of Emergency Medicine.
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