OBJECTIVE: To evaluate overall trends in @entity320 mortality rates among non-Hispanic whites by educational level. DESIGN: Descriptive study. SETTING: Death certificate records from 26 states, representing approximately 45% of the US population as reported by the National Center for Health Statistics, with recorded educational level information and population data from the US Bureau of Census Current Population Survey. @entity1 : Recorded deaths from @entity320 in non-Hispanic whites reported from 1993 through 2007. MAIN OUTCOME MEASURES: Age-standardized mortality rates for @entity320 were evaluated by educational attainment (a marker of socioeconomic status) among non- Hispanic whites (aged 25-64 years) from 1993 through 2007. Rate ratios assessed the time trend in age-adjusted @entity204 rates by sex and educational level. Mortality differentials in educational level were measured using the regression-based Relative Index of Inequality. All statistical tests were 2-sided. RESULTS: @entity320 mortality declined significantly between 1993-1997 and 2003-2007 in @entity1 (RR [rate ratio], 0.916; 95% CI, 0.878-0.954; P.001) and @entity1 (RR, 0.907; 95% CI, 0.857-0.957; P.001). However, these declines occurred only among the most educated @entity1 (>= 13 years of education irrespective of sex), and nonsignificant increases were found among the least-educated individuals, specifically @entity1 (P=.17). As a result, the Relative Index of Inequality by education in @entity320 mortality in 2003-2007 relative to 1993-1997 (baseline) widened by 51.7% in @entity1 and by 35.7% in @entity1 . CONCLUSIONS: Recent declines in @entity320 mortality rates among non-Hispanic whites in the United States mainly reflect declines among the most-educated individuals. The widening disparities in @entity320 mortality rates by education calls for early detection strategies to effectively target high-risk, less-educated, non-Hispanic white individuals.

Trends in XXXX mortality among non-Hispanic whites by educational attainment, 1993-2007.

@entity1 :: ('9606', 'Species') :: ['women', 'PATIENTS', 'persons', 'men'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity320 :: ('MESH:D008545', 'Disease') :: ['melanoma', 'Melanoma', 'malignant melanoma']
@entity320 :: (MESH:D008545,Disease) :: ['melanoma']
