## Interpretation of Death Rates Data

**Death Rate Report by State, Death Years Through 2012**

Lung & Bronchus

Healthy People 2020 Objective Number: C-2

Reduce the lung cancer death rate

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

Sorted by Rate

Lung & Bronchus

Healthy People 2020 Objective Number: C-2

Reduce the lung cancer death rate

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

Sorted by Rate

#### Explanation of Column Headers

**Objective** - The objective of 45.5 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 (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 met.
- The death rate is 45.0 with a 95% confidence interval from 44.7 to 45.2 and 157,423 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.

**Kentucky**

- The healthy people objective was
*not*met. - The death rate is 68.8 with a 95% confidence interval from 66.5 to 71.2 and 3,479 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -2.0 to -0.8.

**Arkansas**

- The healthy people objective was
*not*met. - The death rate is 60.6 with a 95% confidence interval from 58.1 to 63.3 and 2,130 average annual deaths.
- The rate is falling because the AAPC value is -0.7 with a 95% confidence interval from -0.9 to -0.5.

**West Virginia**

- The healthy people objective was
*not*met. - The death rate is 59.6 with a 95% confidence interval from 56.5 to 62.8 and 1,483 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.8 to -0.9.

**Tennessee**

- The healthy people objective was
*not*met. - The death rate is 58.6 with a 95% confidence interval from 56.9 to 60.4 and 4,359 average annual deaths.
- The rate is falling because the AAPC value is -2.2 with a 95% confidence interval from -2.8 to -1.7.

**Mississippi**

- The healthy people objective was
*not*met. - The death rate is 58.1 with a 95% confidence interval from 55.5 to 60.8 and 1,907 average annual deaths.
- The rate is falling because the AAPC value is -2.8 with a 95% confidence interval from -4.3 to -1.2.

**Missouri**

- The healthy people objective was
*not*met. - The death rate is 55.9 with a 95% confidence interval from 54.1 to 57.7 and 3,992 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -2.2 to -1.2.

**Louisiana**

- The healthy people objective was
*not*met. - The death rate is 55.5 with a 95% confidence interval from 53.4 to 57.7 and 2,740 average annual deaths.
- The rate is falling because the AAPC value is -2.2 with a 95% confidence interval from -2.8 to -1.5.

**Oklahoma**

- The healthy people objective was
*not*met. - The death rate is 55.4 with a 95% confidence interval from 53.2 to 57.7 and 2,380 average annual deaths.
- The rate is falling because the AAPC value is -1.0 with a 95% confidence interval from -1.3 to -0.7.

**Indiana**

- The healthy people objective was
*not*met. - The death rate is 54.9 with a 95% confidence interval from 53.2 to 56.6 and 3,975 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.3 to -1.2.

**Ohio**

- The healthy people objective was
*not*met. - The death rate is 54.2 with a 95% confidence interval from 53.0 to 55.5 and 7,525 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.9 to -1.0.

**Alabama**

- The healthy people objective was
*not*met. - The death rate is 54.1 with a 95% confidence interval from 52.2 to 56.1 and 3,065 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.7 to -0.9.

**Maine**

- The healthy people objective was
*not*met. - The death rate is 53.0 with a 95% confidence interval from 49.6 to 56.5 and 958 average annual deaths.
- The rate is falling because the AAPC value is -1.0 with a 95% confidence interval from -1.3 to -0.8.

**Delaware**

- The healthy people objective was
*not*met. - The death rate is 52.3 with a 95% confidence interval from 48.1 to 56.8 and 580 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.7 to -1.0.

**South Carolina**

- The healthy people objective was
*not*met. - The death rate is 51.9 with a 95% confidence interval from 49.9 to 53.8 and 2,865 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -3.1 to -1.6.

**Alaska**

- The healthy people objective was
*not*met. - The death rate is 50.9 with a 95% confidence interval from 44.5 to 58.0 and 260 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.7 to -0.9.

**North Carolina**

- The healthy people objective was
*not*met. - The death rate is 49.9 with a 95% confidence interval from 48.6 to 51.3 and 5,458 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -3.3 to -1.4.

**Michigan**

- The healthy people objective was
*not*met. - The death rate is 49.6 with a 95% confidence interval from 48.3 to 50.9 and 5,847 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -3.6 to -1.0.

**Georgia**

- The healthy people objective was
*not*met. - The death rate is 48.9 with a 95% confidence interval from 47.5 to 50.4 and 4,640 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -3.0 to -2.0.

**Rhode Island**

- The healthy people objective was
*not*met. - The death rate is 48.4 with a 95% confidence interval from 44.6 to 52.4 and 628 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -2.2 to -1.3.

**Illinois**

- The healthy people objective was
*not*met. - The death rate is 47.9 with a 95% confidence interval from 46.8 to 49.1 and 6,678 average annual deaths.
- The rate is falling because the AAPC value is -2.1 with a 95% confidence interval from -3.0 to -1.3.

**New Hampshire**

- The healthy people objective was
*not*met. - The death rate is 47.0 with a 95% confidence interval from 43.6 to 50.5 and 750 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.

**Pennsylvania**

- The healthy people objective was
*not*met. - The death rate is 46.8 with a 95% confidence interval from 45.8 to 47.9 and 7,712 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.4 to -1.5.

**Kansas**

- The healthy people objective was
*not*met. - The death rate is 46.4 with a 95% confidence interval from 44.1 to 48.9 and 1,502 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -3.3 to -1.4.

**Iowa**

- The healthy people objective was
*not*met. - The death rate is 46.2 with a 95% confidence interval from 44.1 to 48.5 and 1,749 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.5 to -1.0.

**Nevada**

- The healthy people objective was
*not*met. - The death rate is 46.1 with a 95% confidence interval from 43.5 to 48.7 and 1,313 average annual deaths.
- The rate is falling because the AAPC value is -3.0 with a 95% confidence interval from -3.7 to -2.2.

**Virginia**

- The healthy people objective was
*not*met. - The death rate is 46.1 with a 95% confidence interval from 44.7 to 47.6 and 3,998 average annual deaths.
- The rate is falling because the AAPC value is -2.9 with a 95% confidence interval from -3.3 to -2.6.

**Oregon**

- The healthy people objective was met.
- The death rate is 45.4 with a 95% confidence interval from 43.4 to 47.4 and 2,104 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -3.2 to -1.8.

**Massachusetts**

- The healthy people objective was met.
- The death rate is 44.5 with a 95% confidence interval from 43.0 to 46.0 and 3,458 average annual deaths.
- The rate is falling because the AAPC value is -2.8 with a 95% confidence interval from -3.6 to -2.0.

**Florida**

- The healthy people objective was met.
- The death rate is 44.3 with a 95% confidence interval from 43.5 to 45.1 and 11,981 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -2.7 to -2.1.

**Maryland**

- The healthy people objective was met.
- The death rate is 43.8 with a 95% confidence interval from 42.1 to 45.5 and 2,744 average annual deaths.
- The rate is falling because the AAPC value is -3.0 with a 95% confidence interval from -3.5 to -2.4.

**South Dakota**

- The healthy people objective was met.
- The death rate is 43.5 with a 95% confidence interval from 39.4 to 47.9 and 435 average annual deaths.
- The rate is stable because the AAPC value is -0.3 with a 95% confidence interval from -0.7 to 0.1.

**Wisconsin**

- The healthy people objective was met.
- The death rate is 43.4 with a 95% confidence interval from 41.8 to 45.0 and 2,930 average annual deaths.
- The rate is falling because the AAPC value is -0.4 with a 95% confidence interval from -0.6 to -0.2.

**Nebraska**

- The healthy people objective was met.
- The death rate is 43.3 with a 95% confidence interval from 40.4 to 46.2 and 905 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.9 to -0.8.

**North Dakota**

- The healthy people objective was met.
- The death rate is 42.6 with a 95% confidence interval from 38.2 to 47.5 and 348 average annual deaths.
- The rate is falling because the AAPC value is -0.5 with a 95% confidence interval from -1.0 to -0.1.

**Vermont**

- The healthy people objective was met.
- The death rate is 42.5 with a 95% confidence interval from 38.1 to 47.4 and 345 average annual deaths.
- The rate is falling because the AAPC value is -0.9 with a 95% confidence interval from -1.3 to -0.4.

**Washington**

- The healthy people objective was met.
- The death rate is 42.5 with a 95% confidence interval from 41.0 to 44.0 and 3,112 average annual deaths.
- The rate is falling because the AAPC value is -2.6 with a 95% confidence interval from -3.2 to -2.1.

**New York**

- The healthy people objective was met.
- The death rate is 41.2 with a 95% confidence interval from 40.4 to 42.1 and 9,206 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.

**Texas**

- The healthy people objective was met.
- The death rate is 41.0 with a 95% confidence interval from 40.2 to 41.9 and 9,665 average annual deaths.
- The rate is falling because the AAPC value is -3.0 with a 95% confidence interval from -3.4 to -2.7.

**District of Columbia**

- The healthy people objective was met.
- The death rate is 40.0 with a 95% confidence interval from 35.0 to 45.5 and 241 average annual deaths.
- The rate is falling because the AAPC value is -2.6 with a 95% confidence interval from -3.2 to -2.0.

**New Jersey**

- The healthy people objective was met.
- The death rate is 39.6 with a 95% confidence interval from 38.3 to 40.8 and 4,041 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.

**Minnesota**

- The healthy people objective was met.
- The death rate is 39.1 with a 95% confidence interval from 37.5 to 40.7 and 2,333 average annual deaths.
- The rate is falling because the AAPC value is -3.3 with a 95% confidence interval from -4.4 to -2.2.

**Montana**

- The healthy people objective was met.
- The death rate is 39.1 with a 95% confidence interval from 35.6 to 42.8 and 495 average annual deaths.
- The rate is falling because the AAPC value is -2.6 with a 95% confidence interval from -3.7 to -1.5.

**Wyoming**

- The healthy people objective was met.
- The death rate is 37.9 with a 95% confidence interval from 33.0 to 43.2 and 230 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.

**Connecticut**

- The healthy people objective was met.
- The death rate is 37.6 with a 95% confidence interval from 35.8 to 39.5 and 1,651 average annual deaths.
- The rate is falling because the AAPC value is -2.7 with a 95% confidence interval from -3.6 to -1.8.

**Arizona**

- The healthy people objective was met.
- The death rate is 37.1 with a 95% confidence interval from 35.7 to 38.5 and 2,803 average annual deaths.
- The rate is falling because the AAPC value is -2.7 with a 95% confidence interval from -3.2 to -2.2.

**Idaho**

- The healthy people objective was met.
- The death rate is 36.5 with a 95% confidence interval from 33.6 to 39.5 and 620 average annual deaths.
- The rate is falling because the AAPC value is -2.7 with a 95% confidence interval from -4.1 to -1.1.

**California**

- The healthy people objective was met.
- The death rate is 33.3 with a 95% confidence interval from 32.7 to 33.9 and 12,501 average annual deaths.
- The rate is falling because the AAPC value is -3.7 with a 95% confidence interval from -4.4 to -3.0.

**New Mexico**

- The healthy people objective was met.
- The death rate is 32.7 with a 95% confidence interval from 30.4 to 35.1 and 764 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.6 to -0.9.

**Colorado**

- The healthy people objective was met.
- The death rate is 31.7 with a 95% confidence interval from 30.1 to 33.3 and 1,590 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -3.2 to -1.9.

**Hawaii**

- The healthy people objective was met.
- The death rate is 29.2 with a 95% confidence interval from 26.7 to 32.0 and 495 average annual deaths.
- The rate is falling because the AAPC value is -3.8 with a 95% confidence interval from -5.0 to -2.6.

**Utah**

- The healthy people objective was met.
- The death rate is 20.4 with a 95% confidence interval from 18.6 to 22.4 and 453 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.7 to -0.8.

**Notes:**

Created by statecancerprofiles.cancer.gov on 08/04/2015 10:21 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 (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.