## Interpretation of Death Rates Data

### Death Rate Report for United States by State

All Cancer Sites, 2012

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

Healthy People 2020 Objective Number: C-1

Reduce the overall cancer death rate

Sorted by Average Annual Percent Change (AAPC)

**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 (Version 4.2)

**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 166.4 with a 95% confidence interval from 166.0 to 166.8 and 582,607 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.

#### Arkansas

- The healthy people objective was
*not*met. - The death rate is 188.6 with a 95% confidence interval from 184.0 to 193.3 and 6,540 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 189.6 with a 95% confidence interval from 185.4 to 193.8 and 8,040 average annual deaths.
- The rate is falling because the AAPC value is -0.7 with a 95% confidence interval from -0.8 to -0.5.

#### Iowa

- The healthy people objective was
*not*met. - The death rate is 167.9 with a 95% confidence interval from 163.7 to 172.1 and 6,438 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.

#### Nebraska

- The healthy people objective was
*not*met. - The death rate is 164.6 with a 95% confidence interval from 159.1 to 170.3 and 3,479 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.

#### Idaho

- The healthy people objective was met.
- The death rate is 152.0 with a 95% confidence interval from 146.1 to 158.1 and 2,572 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.

#### South Dakota

- The healthy people objective was
*not*met. - The death rate is 162.0 with a 95% confidence interval from 154.1 to 170.3 and 1,630 average annual deaths.
- The rate is falling because the AAPC value is -0.9 with a 95% confidence interval from -1.1 to -0.6.

#### Mississippi

- The healthy people objective was
*not*met. - The death rate is 200.0 with a 95% confidence interval from 195.1 to 205.0 and 6,496 average annual deaths.
- The rate is falling because the AAPC value is -1.0 with a 95% confidence interval from -1.2 to -0.8.

#### West Virginia

- The healthy people objective was
*not*met. - The death rate is 191.1 with a 95% confidence interval from 185.6 to 196.8 and 4,684 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.

#### Wisconsin

- The healthy people objective was
*not*met. - The death rate is 166.1 with a 95% confidence interval from 163.0 to 169.3 and 11,252 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.

#### Hawaii

- The healthy people objective was met.
- The death rate is 134.6 with a 95% confidence interval from 129.0 to 140.4 and 2,284 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.2 to -1.0.

#### Michigan

- The healthy people objective was
*not*met. - The death rate is 174.3 with a 95% confidence interval from 171.9 to 176.8 and 20,496 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.1 to -1.0.

#### Utah

- The healthy people objective was met.
- The death rate is 128.7 with a 95% confidence interval from 124.0 to 133.6 and 2,876 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.

#### Alaska

- The healthy people objective was
*not*met. - The death rate is 169.0 with a 95% confidence interval from 157.4 to 181.2 and 925 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.4 to -0.9.

#### Kansas

- The healthy people objective was
*not*met. - The death rate is 167.7 with a 95% confidence interval from 163.2 to 172.4 and 5,429 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.6 to -0.8.

#### Kentucky

- The healthy people objective was
*not*met. - The death rate is 201.2 with a 95% confidence interval from 197.2 to 205.3 and 10,012 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.5 to -0.9.

#### Maine

- The healthy people objective was
*not*met. - The death rate is 179.0 with a 95% confidence interval from 172.8 to 185.5 and 3,226 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.

#### North Dakota

- The healthy people objective was met.
- The death rate is 150.7 with a 95% confidence interval from 142.3 to 159.5 and 1,253 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.

#### Ohio

- The healthy people objective was
*not*met. - The death rate is 182.1 with a 95% confidence interval from 179.8 to 184.4 and 25,261 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.2 to -1.1.

#### Vermont

- The healthy people objective was
*not*met. - The death rate is 164.8 with a 95% confidence interval from 155.8 to 174.2 and 1,325 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.

#### Indiana

- The healthy people objective was
*not*met. - The death rate is 184.2 with a 95% confidence interval from 181.0 to 187.3 and 13,368 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.

#### New York

- The healthy people objective was met.
- The death rate is 159.5 with a 95% confidence interval from 157.8 to 161.2 and 35,881 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.6 to -1.0.

#### Texas

- The healthy people objective was met.
- The death rate is 160.6 with a 95% confidence interval from 159.0 to 162.3 and 38,142 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.7 to -0.8.

#### Arizona

- The healthy people objective was met.
- The death rate is 148.3 with a 95% confidence interval from 145.5 to 151.1 and 11,085 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.

#### Florida

- The healthy people objective was met.
- The death rate is 157.8 with a 95% confidence interval from 156.3 to 159.4 and 42,187 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.5 to -1.4.

#### Missouri

- The healthy people objective was
*not*met. - The death rate is 182.0 with a 95% confidence interval from 178.8 to 185.2 and 12,919 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.6 to -1.1.

#### New Hampshire

- The healthy people objective was
*not*met. - The death rate is 167.7 with a 95% confidence interval from 161.3 to 174.4 and 2,660 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.6 to -1.2.

#### Pennsylvania

- The healthy people objective was
*not*met. - The death rate is 174.8 with a 95% confidence interval from 172.8 to 176.9 and 28,907 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.6 to -1.3.

#### South Carolina

- The healthy people objective was
*not*met. - The death rate is 179.0 with a 95% confidence interval from 175.4 to 182.7 and 9,728 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.6 to -1.2.

#### Tennessee

- The healthy people objective was
*not*met. - The death rate is 187.9 with a 95% confidence interval from 184.7 to 191.1 and 13,765 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.

#### California

- The healthy people objective was met.
- The death rate is 151.0 with a 95% confidence interval from 149.8 to 152.3 and 57,675 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.

#### Delaware

- The healthy people objective was
*not*met. - The death rate is 176.1 with a 95% confidence interval from 168.3 to 184.3 and 1,935 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.7 to -1.4.

#### Illinois

- The healthy people objective was
*not*met. - The death rate is 175.5 with a 95% confidence interval from 173.3 to 177.8 and 24,562 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.7 to -1.4.

#### New Mexico

- The healthy people objective was met.
- The death rate is 148.0 with a 95% confidence interval from 143.0 to 153.1 and 3,461 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.

#### North Carolina

- The healthy people objective was
*not*met. - The death rate is 170.5 with a 95% confidence interval from 168.0 to 173.0 and 18,405 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.

#### Oregon

- The healthy people objective was
*not*met. - The death rate is 168.3 with a 95% confidence interval from 164.5 to 172.1 and 7,832 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.

#### Washington

- The healthy people objective was
*not*met. - The death rate is 161.8 with a 95% confidence interval from 158.9 to 164.8 and 11,951 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.7 to -1.2.

#### Wyoming

- The healthy people objective was met.
- The death rate is 154.6 with a 95% confidence interval from 144.7 to 164.9 and 955 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.8 to -1.2.

#### Louisiana

- The healthy people objective was
*not*met. - The death rate is 190.5 with a 95% confidence interval from 186.6 to 194.5 and 9,308 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.7 to -1.4.

#### Alabama

- The healthy people objective was
*not*met. - The death rate is 184.8 with a 95% confidence interval from 181.2 to 188.5 and 10,274 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -2.5 to -1.0.

#### Colorado

- The healthy people objective was met.
- The death rate is 143.7 with a 95% confidence interval from 140.3 to 147.1 and 7,306 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -2.0 to -1.3.

#### Georgia

- The healthy people objective was
*not*met. - The death rate is 169.6 with a 95% confidence interval from 166.9 to 172.3 and 16,020 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.1 to -1.5.

#### Rhode Island

- The healthy people objective was
*not*met. - The death rate is 163.6 with a 95% confidence interval from 156.5 to 170.8 and 2,148 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.0 to -1.6.

#### Virginia

- The healthy people objective was
*not*met. - The death rate is 165.3 with a 95% confidence interval from 162.5 to 168.1 and 14,294 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -1.9 to -1.6.

#### Massachusetts

- The healthy people objective was
*not*met. - The death rate is 163.3 with a 95% confidence interval from 160.4 to 166.2 and 12,864 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.1 to -1.7.

#### Connecticut

- The healthy people objective was met.
- The death rate is 152.0 with a 95% confidence interval from 148.3 to 155.8 and 6,681 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.3 to -1.7.

#### District of Columbia

- The healthy people objective was
*not*met. - The death rate is 178.4 with a 95% confidence interval from 167.7 to 189.6 and 1,081 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.

#### Maryland

- The healthy people objective was
*not*met. - The death rate is 166.0 with a 95% confidence interval from 162.7 to 169.2 and 10,524 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.

#### Montana

- The healthy people objective was met.
- The death rate is 154.2 with a 95% confidence interval from 147.3 to 161.3 and 1,954 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.4 to -1.6.

#### Nevada

- The healthy people objective was
*not*met. - The death rate is 163.8 with a 95% confidence interval from 159.0 to 168.7 and 4,610 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.

#### Minnesota

- The healthy people objective was met.
- The death rate is 155.6 with a 95% confidence interval from 152.5 to 158.9 and 9,424 average annual deaths.
- The rate is falling because the AAPC value is -2.1 with a 95% confidence interval from -3.3 to -0.8.

#### New Jersey

- The healthy people objective was met.
- The death rate is 160.3 with a 95% confidence interval from 157.8 to 162.8 and 16,483 average annual deaths.
- The rate is falling because the AAPC value is -2.1 with a 95% confidence interval from -2.3 to -1.9.

**Notes:**

Created by statecancerprofiles.cancer.gov on 05/29/2016 1:48 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 (Version 4.2). 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 1969-2013 US Population Data File is used with mortality data.