## Interpretation of Death Rates Data

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

Colon & Rectum

Healthy People 2020 Objective Number: C-5

Reduce the colorectal cancer death rate

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

Sorted by Average Annual Percent Change (AAPC)

Colon & Rectum

Healthy People 2020 Objective Number: C-5

Reduce the colorectal cancer death rate

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

Sorted by Average Annual Percent Change (AAPC)

#### Explanation of Column Headers

**Objective** - The objective of 14.5 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 15.1 with a 95% confidence interval from 15.0 to 15.2 and 51,783 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -2.8 to -2.2.

**Rhode Island**

- The healthy people objective was
*not*met. - The death rate is 14.9 with a 95% confidence interval from 12.8 to 17.2 and 196 average annual deaths.
- The rate is stable because the AAPC value is -0.2 with a 95% confidence interval from -3.6 to 3.3.

**Mississippi**

- The healthy people objective was
*not*met. - The death rate is 19.9 with a 95% confidence interval from 18.3 to 21.5 and 626 average annual deaths.
- The rate is stable because the AAPC value is -0.4 with a 95% confidence interval from -0.7 to 0.0.

**Alabama**

- The healthy people objective was
*not*met. - The death rate is 16.3 with a 95% confidence interval from 15.2 to 17.4 and 880 average annual deaths.
- The rate is falling because the AAPC value is -0.8 with a 95% confidence interval from -1.2 to -0.5.

**Wisconsin**

- The healthy people objective was
*not*met. - The death rate is 14.8 with a 95% confidence interval from 13.9 to 15.8 and 992 average annual deaths.
- The rate is stable because the AAPC value is -1.0 with a 95% confidence interval from -5.0 to 3.1.

**Arkansas**

- The healthy people objective was
*not*met. - The death rate is 18.5 with a 95% confidence interval from 17.1 to 20.1 and 622 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.4 to -0.8.

**New Mexico**

- The healthy people objective was
*not*met. - The death rate is 14.7 with a 95% confidence interval from 13.2 to 16.4 and 334 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.

**Tennessee**

- The healthy people objective was
*not*met. - The death rate is 17.7 with a 95% confidence interval from 16.7 to 18.7 and 1,253 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.

**West Virginia**

- The healthy people objective was
*not*met. - The death rate is 18.4 with a 95% confidence interval from 16.7 to 20.3 and 437 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.

**Nebraska**

- The healthy people objective was
*not*met. - The death rate is 17.1 with a 95% confidence interval from 15.4 to 19.0 and 361 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.

**Oregon**

- The healthy people objective was
*not*met. - The death rate is 15.7 with a 95% confidence interval from 14.6 to 16.9 and 710 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -2.1 to -1.4.

**Hawaii**

- The healthy people objective was met.
- The death rate is 14.1 with a 95% confidence interval from 12.3 to 16.1 and 235 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.4 to -1.2.

**Kansas**

- The healthy people objective was
*not*met. - The death rate is 15.9 with a 95% confidence interval from 14.5 to 17.4 and 512 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.

**Kentucky**

- The healthy people objective was
*not*met. - The death rate is 17.9 with a 95% confidence interval from 16.7 to 19.2 and 857 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.2 to -1.6.

**Oklahoma**

- The healthy people objective was
*not*met. - The death rate is 16.7 with a 95% confidence interval from 15.5 to 18.0 and 700 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.6 to -1.2.

**South Carolina**

- The healthy people objective was
*not*met. - The death rate is 16.0 with a 95% confidence interval from 14.9 to 17.2 and 834 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.

**Arizona**

- The healthy people objective was met.
- The death rate is 13.3 with a 95% confidence interval from 12.4 to 14.1 and 950 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.

**California**

- The healthy people objective was met.
- The death rate is 14.1 with a 95% confidence interval from 13.7 to 14.4 and 5,283 average annual deaths.
- The rate is falling because the AAPC value is -2.1 with a 95% confidence interval from -2.2 to -2.0.

**Idaho**

- The healthy people objective was met.
- The death rate is 13.7 with a 95% confidence interval from 11.9 to 15.7 and 220 average annual deaths.
- The rate is falling because the AAPC value is -2.1 with a 95% confidence interval from -2.5 to -1.6.

**Washington**

- The healthy people objective was met.
- The death rate is 14.2 with a 95% confidence interval from 13.3 to 15.1 and 1,027 average annual deaths.
- The rate is falling because the AAPC value is -2.1 with a 95% confidence interval from -2.3 to -1.8.

**Iowa**

- The healthy people objective was
*not*met. - The death rate is 17.3 with a 95% confidence interval from 16.0 to 18.7 and 662 average annual deaths.
- The rate is falling because the AAPC value is -2.2 with a 95% confidence interval from -2.4 to -1.9.

**North Dakota**

- The healthy people objective was
*not*met. - The death rate is 15.9 with a 95% confidence interval from 13.2 to 18.9 and 132 average annual deaths.
- The rate is falling because the AAPC value is -2.2 with a 95% confidence interval from -2.7 to -1.6.

**District of Columbia**

- The healthy people objective was
*not*met. - The death rate is 19.3 with a 95% confidence interval from 15.9 to 23.2 and 116 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.9 to -1.7.

**Florida**

- The healthy people objective was met.
- The death rate is 14.1 with a 95% confidence interval from 13.6 to 14.5 and 3,654 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.4 to -2.1.

**Montana**

- The healthy people objective was met.
- The death rate is 12.8 with a 95% confidence interval from 10.8 to 15.0 and 160 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.9 to -1.7.

**Texas**

- The healthy people objective was
*not*met. - The death rate is 15.0 with a 95% confidence interval from 14.5 to 15.5 and 3,474 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.5 to -2.1.

**Utah**

- The healthy people objective was met.
- The death rate is 11.4 with a 95% confidence interval from 10.0 to 12.9 and 247 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.9 to -1.7.

**Georgia**

- The healthy people objective was
*not*met. - The death rate is 16.0 with a 95% confidence interval from 15.1 to 16.8 and 1,460 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -3.0 to -1.8.

**Michigan**

- The healthy people objective was
*not*met. - The death rate is 15.5 with a 95% confidence interval from 14.8 to 16.2 and 1,784 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -2.5 to -2.3.

**South Dakota**

- The healthy people objective was met.
- The death rate is 13.7 with a 95% confidence interval from 11.5 to 16.3 and 136 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -3.0 to -1.8.

**Minnesota**

- The healthy people objective was met.
- The death rate is 13.7 with a 95% confidence interval from 12.8 to 14.7 and 820 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -2.8 to -2.1.

**Missouri**

- The healthy people objective was
*not*met. - The death rate is 15.8 with a 95% confidence interval from 14.8 to 16.8 and 1,094 average annual deaths.
- The rate is falling because the AAPC value is -2.7 with a 95% confidence interval from -3.4 to -2.1.

**Vermont**

- The healthy people objective was met.
- The death rate is 14.3 with a 95% confidence interval from 11.7 to 17.4 and 108 average annual deaths.
- The rate is falling because the AAPC value is -2.7 with a 95% confidence interval from -3.4 to -1.9.

**Alaska**

- The healthy people objective was met.
- The death rate is 13.9 with a 95% confidence interval from 10.6 to 17.7 and 74 average annual deaths.
- The rate is falling because the AAPC value is -2.8 with a 95% confidence interval from -3.7 to -1.8.

**Ohio**

- The healthy people objective was
*not*met. - The death rate is 16.5 with a 95% confidence interval from 15.8 to 17.2 and 2,253 average annual deaths.
- The rate is falling because the AAPC value is -2.9 with a 95% confidence interval from -3.2 to -2.5.

**Maine**

- The healthy people objective was
*not*met. - The death rate is 15.0 with a 95% confidence interval from 13.2 to 17.0 and 259 average annual deaths.
- The rate is falling because the AAPC value is -3.0 with a 95% confidence interval from -3.4 to -2.6.

**Nevada**

- The healthy people objective was
*not*met. - The death rate is 16.4 with a 95% confidence interval from 14.9 to 18.1 and 438 average annual deaths.
- The rate is falling because the AAPC value is -3.0 with a 95% confidence interval from -4.2 to -1.8.

**New Jersey**

- The healthy people objective was
*not*met. - The death rate is 15.5 with a 95% confidence interval from 14.7 to 16.2 and 1,578 average annual deaths.
- The rate is falling because the AAPC value is -3.0 with a 95% confidence interval from -3.2 to -2.7.

**Delaware**

- The healthy people objective was met.
- The death rate is 13.1 with a 95% confidence interval from 11.0 to 15.5 and 141 average annual deaths.
- The rate is falling because the AAPC value is -3.1 with a 95% confidence interval from -3.7 to -2.4.

**Indiana**

- The healthy people objective was
*not*met. - The death rate is 17.1 with a 95% confidence interval from 16.1 to 18.1 and 1,210 average annual deaths.
- The rate is falling because the AAPC value is -3.1 with a 95% confidence interval from -3.7 to -2.5.

**Louisiana**

- The healthy people objective was
*not*met. - The death rate is 17.9 with a 95% confidence interval from 16.7 to 19.1 and 855 average annual deaths.
- The rate is falling because the AAPC value is -3.1 with a 95% confidence interval from -3.9 to -2.3.

**New Hampshire**

- The healthy people objective was
*not*met. - The death rate is 14.8 with a 95% confidence interval from 12.9 to 16.9 and 229 average annual deaths.
- The rate is falling because the AAPC value is -3.1 with a 95% confidence interval from -3.7 to -2.6.

**North Carolina**

- The healthy people objective was met.
- The death rate is 14.2 with a 95% confidence interval from 13.5 to 14.9 and 1,481 average annual deaths.
- The rate is falling because the AAPC value is -3.2 with a 95% confidence interval from -3.9 to -2.6.

**Pennsylvania**

- The healthy people objective was
*not*met. - The death rate is 15.8 with a 95% confidence interval from 15.2 to 16.5 and 2,601 average annual deaths.
- The rate is falling because the AAPC value is -3.2 with a 95% confidence interval from -3.6 to -2.9.

**Illinois**

- The healthy people objective was
*not*met. - The death rate is 15.7 with a 95% confidence interval from 15.1 to 16.4 and 2,178 average annual deaths.
- The rate is falling because the AAPC value is -3.3 with a 95% confidence interval from -4.0 to -2.6.

**Wyoming**

- The healthy people objective was met.
- The death rate is 14.2 with a 95% confidence interval from 11.3 to 17.7 and 87 average annual deaths.
- The rate is falling because the AAPC value is -3.3 with a 95% confidence interval from -4.5 to -2.0.

**Virginia**

- The healthy people objective was met.
- The death rate is 14.0 with a 95% confidence interval from 13.2 to 14.8 and 1,176 average annual deaths.
- The rate is falling because the AAPC value is -3.5 with a 95% confidence interval from -4.3 to -2.8.

**New York**

- The healthy people objective was
*not*met. - The death rate is 14.6 with a 95% confidence interval from 14.1 to 15.1 and 3,277 average annual deaths.
- The rate is falling because the AAPC value is -3.7 with a 95% confidence interval from -4.0 to -3.3.

**Maryland**

- The healthy people objective was met.
- The death rate is 14.2 with a 95% confidence interval from 13.3 to 15.2 and 889 average annual deaths.
- The rate is falling because the AAPC value is -4.0 with a 95% confidence interval from -4.4 to -3.6.

**Colorado**

- The healthy people objective was met.
- The death rate is 12.9 with a 95% confidence interval from 11.9 to 14.0 and 633 average annual deaths.
- The rate is falling because the AAPC value is -4.1 with a 95% confidence interval from -5.2 to -2.9.

**Massachusetts**

- The healthy people objective was met.
- The death rate is 13.0 with a 95% confidence interval from 12.2 to 13.9 and 1,027 average annual deaths.
- The rate is falling because the AAPC value is -4.5 with a 95% confidence interval from -5.1 to -3.9.

**Connecticut**

- The healthy people objective was met.
- The death rate is 11.9 with a 95% confidence interval from 10.8 to 13.0 and 521 average annual deaths.
- The rate is falling because the AAPC value is -5.0 with a 95% confidence interval from -5.7 to -4.3.

**Notes:**

Created by statecancerprofiles.cancer.gov on 05/22/2015 10:43 pm.

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.