## Interpretation of Death Rates Data

**Death Rate Report by State, Death Years Through 2011**

All Cancer Sites

Healthy People 2020 Objective Number: C-1

Reduce the overall cancer death rate

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Rate

All Cancer Sites

Healthy People 2020 Objective Number: C-1

Reduce the overall cancer death rate

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Rate

#### Explanation of Column Headers

**Objective** - The objective of 160.6 is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

**Death Rate (95% Confidence Interval)** - The death rate is based upon 100,000 people and is for 1 year(s). Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population (the Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal).

**Recent Trends** - This is an interpretation of the AAPC:

**Rising**when 95% confidence interval of average annual percent change is above 0.**Stable**when 95% confidence interval of average annual percent change includes 0.**Falling**when 95% confidence interval of average annual percent change is below 0.

**AAPC (95% Confidence Interval)** - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

#### Other Notes

- Larger confidence intervals indicate less accuracy of the data. This is often due to low counts that are not quite low enough to be suppressed.
- Data is currently being suppressed if there are fewer than 16 counts for the time period.

#### Line by Line Interpretation of the Report

**United States**

- The healthy people objective was
*not*met. - The death rate is 168.7 with a 95% confidence interval from 168.3 to 169.1 and 576,685 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.6 to -1.5.

**Utah**

- The healthy people objective was met.
- The death rate is 125.6 with a 95% confidence interval from 120.9 to 130.5 and 2,746 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.4 to -0.9.

**Hawaii**

- The healthy people objective was met.
- The death rate is 138.2 with a 95% confidence interval from 132.5 to 144.2 and 2,278 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.2 to -0.9.

**Colorado**

- The healthy people objective was met.
- The death rate is 143.9 with a 95% confidence interval from 140.5 to 147.4 and 7,051 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.4 to -1.1.

**New Mexico**

- The healthy people objective was met.
- The death rate is 146.6 with a 95% confidence interval from 141.6 to 151.8 and 3,328 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -2.2 to -1.1.

**Arizona**

- The healthy people objective was met.
- The death rate is 148.4 with a 95% confidence interval from 145.6 to 151.3 and 10,690 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.5 to -1.3.

**California**

- The healthy people objective was met.
- The death rate is 151.8 with a 95% confidence interval from 150.5 to 153.1 and 56,448 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.6 to -1.4.

**Wyoming**

- The healthy people objective was met.
- The death rate is 156.1 with a 95% confidence interval from 146.1 to 166.7 and 936 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.9 to -1.1.

**Idaho**

- The healthy people objective was met.
- The death rate is 157.6 with a 95% confidence interval from 151.5 to 164.0 and 2,573 average annual deaths.
- The rate is falling because the AAPC value is -0.9 with a 95% confidence interval from -1.1 to -0.7.

**Connecticut**

- The healthy people objective was met.
- The death rate is 157.9 with a 95% confidence interval from 154.1 to 161.8 and 6,837 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.3 to -1.6.

**New York**

- The healthy people objective was met.
- The death rate is 159.6 with a 95% confidence interval from 157.9 to 161.3 and 35,469 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.7 to -1.2.

**Florida**

- The healthy people objective was met.
- The death rate is 160.2 with a 95% confidence interval from 158.6 to 161.7 and 41,681 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.5 to -1.3.

**Minnesota**

- The healthy people objective was met.
- The death rate is 160.5 with a 95% confidence interval from 157.2 to 163.8 and 9,489 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.6 to -1.1.

**North Dakota**

- The healthy people objective was met.
- The death rate is 160.5 with a 95% confidence interval from 151.8 to 169.6 and 1,321 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.3 to -0.9.

**Texas**

- The healthy people objective was
*not*met. - The death rate is 162.6 with a 95% confidence interval from 160.9 to 164.3 and 37,351 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -2.1 to -0.8.

**Nebraska**

- The healthy people objective was
*not*met. - The death rate is 164.2 with a 95% confidence interval from 158.7 to 169.9 and 3,410 average annual deaths.
- The rate is falling because the AAPC value is -0.8 with a 95% confidence interval from -0.9 to -0.7.

**Montana**

- The healthy people objective was
*not*met. - The death rate is 164.4 with a 95% confidence interval from 157.2 to 171.9 and 2,022 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.4 to -1.5.

**New Jersey**

- The healthy people objective was
*not*met. - The death rate is 165.6 with a 95% confidence interval from 163.1 to 168.2 and 16,708 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.0 to -1.8.

**Maryland**

- The healthy people objective was
*not*met. - The death rate is 165.9 with a 95% confidence interval from 162.6 to 169.2 and 10,249 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.2 to -1.8.

**Massachusetts**

- The healthy people objective was
*not*met. - The death rate is 166.4 with a 95% confidence interval from 163.5 to 169.4 and 12,895 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.2 to -1.7.

**Washington**

- The healthy people objective was
*not*met. - The death rate is 166.6 with a 95% confidence interval from 163.6 to 169.7 and 12,002 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.7 to -1.1.

**Rhode Island**

- The healthy people objective was
*not*met. - The death rate is 168.3 with a 95% confidence interval from 161.1 to 175.7 and 2,170 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.0 to -1.5.

**South Dakota**

- The healthy people objective was
*not*met. - The death rate is 168.6 with a 95% confidence interval from 160.5 to 177.1 and 1,665 average annual deaths.
- The rate is falling because the AAPC value is -0.8 with a 95% confidence interval from -1.1 to -0.6.

**Kansas**

- The healthy people objective was
*not*met. - The death rate is 169.9 with a 95% confidence interval from 165.4 to 174.6 and 5,440 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.8 to -0.7.

**Nevada**

- The healthy people objective was
*not*met. - The death rate is 170.3 with a 95% confidence interval from 165.3 to 175.5 and 4,605 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.3 to -1.5.

**Virginia**

- The healthy people objective was
*not*met. - The death rate is 170.7 with a 95% confidence interval from 167.8 to 173.5 and 14,374 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -1.9 to -1.5.

**Georgia**

- The healthy people objective was
*not*met. - The death rate is 171.0 with a 95% confidence interval from 168.2 to 173.7 and 15,602 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.2 to -1.5.

**Oregon**

- The healthy people objective was
*not*met. - The death rate is 172.2 with a 95% confidence interval from 168.3 to 176.2 and 7,802 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.8 to -1.3.

**Iowa**

- The healthy people objective was
*not*met. - The death rate is 172.4 with a 95% confidence interval from 168.1 to 176.7 and 6,481 average annual deaths.
- The rate is falling because the AAPC value is -0.8 with a 95% confidence interval from -0.9 to -0.7.

**Illinois**

- The healthy people objective was
*not*met. - The death rate is 174.8 with a 95% confidence interval from 172.5 to 177.0 and 24,006 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.7 to -1.5.

**North Carolina**

- The healthy people objective was
*not*met. - The death rate is 174.8 with a 95% confidence interval from 172.2 to 177.3 and 18,284 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.8 to -1.3.

**Wisconsin**

- The healthy people objective was
*not*met. - The death rate is 174.9 with a 95% confidence interval from 171.7 to 178.2 and 11,608 average annual deaths.
- The rate is falling because the AAPC value is -1.0 with a 95% confidence interval from -1.1 to -0.9.

**Vermont**

- The healthy people objective was
*not*met. - The death rate is 175.6 with a 95% confidence interval from 166.2 to 185.5 and 1,347 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.4 to -1.0.

**Pennsylvania**

- The healthy people objective was
*not*met. - The death rate is 177.3 with a 95% confidence interval from 175.2 to 179.4 and 28,895 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.6 to -1.3.

**Michigan**

- The healthy people objective was
*not*met. - The death rate is 177.4 with a 95% confidence interval from 174.9 to 179.9 and 20,420 average annual deaths.
- The rate is falling because the AAPC value is -1.0 with a 95% confidence interval from -1.1 to -1.0.

**New Hampshire**

- The healthy people objective was
*not*met. - The death rate is 178.0 with a 95% confidence interval from 171.3 to 185.0 and 2,740 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.5 to -1.2.

**Missouri**

- The healthy people objective was
*not*met. - The death rate is 179.4 with a 95% confidence interval from 176.2 to 182.6 and 12,473 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.9 to -1.2.

**Delaware**

- The healthy people objective was
*not*met. - The death rate is 179.7 with a 95% confidence interval from 171.6 to 188.1 and 1,905 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.7 to -1.3.

**District of Columbia**

- The healthy people objective was
*not*met. - The death rate is 180.6 with a 95% confidence interval from 169.8 to 192.0 and 1,070 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.2 to -1.7.

**Alaska**

- The healthy people objective was
*not*met. - The death rate is 181.3 with a 95% confidence interval from 168.9 to 194.4 and 935 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.4 to -0.9.

**Maine**

- The healthy people objective was
*not*met. - The death rate is 181.7 with a 95% confidence interval from 175.3 to 188.2 and 3,201 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.4 to -1.1.

**South Carolina**

- The healthy people objective was
*not*met. - The death rate is 182.2 with a 95% confidence interval from 178.5 to 186.0 and 9,543 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.7 to -1.2.

**Ohio**

- The healthy people objective was
*not*met. - The death rate is 184.4 with a 95% confidence interval from 182.1 to 186.7 and 25,140 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.2 to -1.1.

**Indiana**

- The healthy people objective was
*not*met. - The death rate is 185.2 with a 95% confidence interval from 182.0 to 188.4 and 13,180 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.5 to -1.1.

**Alabama**

- The healthy people objective was
*not*met. - The death rate is 187.4 with a 95% confidence interval from 183.8 to 191.1 and 10,233 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -2.6 to -0.6.

**Tennessee**

- The healthy people objective was
*not*met. - The death rate is 189.1 with a 95% confidence interval from 185.9 to 192.3 and 13,562 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.7 to -1.1.

**Arkansas**

- The healthy people objective was
*not*met. - The death rate is 191.1 with a 95% confidence interval from 186.5 to 195.9 and 6,497 average annual deaths.
- The rate is falling because the AAPC value is -0.7 with a 95% confidence interval from -0.8 to -0.6.

**Oklahoma**

- The healthy people objective was
*not*met. - The death rate is 191.2 with a 95% confidence interval from 186.9 to 195.4 and 7,997 average annual deaths.
- The rate is falling because the AAPC value is -0.8 with a 95% confidence interval from -1.0 to -0.6.

**Louisiana**

- The healthy people objective was
*not*met. - The death rate is 193.5 with a 95% confidence interval from 189.5 to 197.6 and 9,233 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.8 to -1.3.

**Mississippi**

- The healthy people objective was
*not*met. - The death rate is 196.8 with a 95% confidence interval from 191.9 to 201.8 and 6,278 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.3 to -0.9.

**West Virginia**

- The healthy people objective was
*not*met. - The death rate is 199.6 with a 95% confidence interval from 193.9 to 205.5 and 4,782 average annual deaths.
- The rate is falling because the AAPC value is -0.9 with a 95% confidence interval from -1.1 to -0.8.

**Kentucky**

- The healthy people objective was
*not*met. - The death rate is 200.9 with a 95% confidence interval from 196.9 to 205.0 and 9,733 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.6 to -0.9.

**Notes:**

Created by statecancerprofiles.cancer.gov on 11/26/2014 2:39 am.

State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).

**Rising**when 95% confidence interval of average annual percent change is above 0.

**Stable**when 95% confidence interval of average annual percent change includes 0.

**Falling**when 95% confidence interval of average annual percent change is below 0.

^{1}Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.

^{2}The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint Regression Program. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2012 US Population Data File is used with mortality data.