title: All-cancers mortality rates approaching diseases of the heart mortality rates as leading cause of death in Texas.
abstract: OBJECTIVE
  Diseases of the heart and malignant neoplasms (all-cancers) are the leading causes of death in the United States. The gap between the two has been closing in recent years. To assess the gap status in Texas and to establish a baseline to support evaluation efforts for the Cancer Prevention Research Institute of Texas, mortality data from 2006 to 2009 were analyzed.
  
  
  METHODS
  Immediate cause of death data in Texas for the years 2006-2009 were analyzed and rates developed by sex, race/ethnicity, and four metropolitan counties.
  
  
  RESULTS
  Overall, for the years 2006-2009, the age-adjusted mortality rates (AARs) among Texas residents for both diseases of the heart and all-cancers decreased; however, during this time frame, there was greater improvement in diseases of the heart AARs as compared with all-cancers AARs. For the four large metropolitan counties of Bexar, Dallas, Harris, and Travis, data were analyzed by sex and race/ethnicity, and 11 of the 12 largest percent mortality rate decreases were for diseases of the heart.
  
  
  CONCLUSIONS
  Age-adjusted mortality rates among Texas residents from diseases of the heart are showing improvement as compared with the rates for all-cancers.
authors.affiliation: From the College of Public Health, University of Kentucky, Lexington, Department of State Health Services, Texas Cancer Registry, Austin, and Cancer Prevention and Research Institute of Texas, Austin.
authors.forename: Stephen W
authors.initials: SW
authors.lastname: Wyatt
authors.forename: William Ryan
authors.initials: WR
authors.lastname: Maynard
authors.forename: David R
authors.initials: DR
authors.lastname: Risser
authors.forename: Anne M
authors.initials: AM
authors.lastname: Hakenewerth
authors.forename: Melanie A
authors.initials: MA
authors.lastname: Williams
authors.forename: Rebecca
authors.initials: R
authors.lastname: Garcia
mesh_terms: D002423:Cause of Death / Q000639:trends*; D005006:Ethnicity; D005260:Female; D006331:Heart Diseases / Q000401:mortality*; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000401:mortality*; D044469:Racial Groups; D012307:Risk Factors; D013781:Texas / Q000453:epidemiology