## Interpretation of Death Rates Data

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

Breast

Healthy People 2020 Objective Number: C-3

Reduce the female breast cancer death rate

All Races (includes Hispanic), Female, All Ages

Sorted by Rate

Breast

Healthy People 2020 Objective Number: C-3

Reduce the female breast cancer death rate

All Races (includes Hispanic), Female, All Ages

Sorted by Rate

#### Explanation of Column Headers

**Objective** - The objective of 20.6 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 21.5 with a 95% confidence interval from 21.3 to 21.8 and 40,931 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.

**District of Columbia**

- The healthy people objective was
*not*met. - The death rate is 26.3 with a 95% confidence interval from 21.0 to 32.5 and 89 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.

**South Carolina**

- The healthy people objective was
*not*met. - The death rate is 24.6 with a 95% confidence interval from 22.8 to 26.5 and 717 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.9 to -1.3.

**Louisiana**

- The healthy people objective was
*not*met. - The death rate is 24.5 with a 95% confidence interval from 22.7 to 26.5 and 658 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.

**New Jersey**

- The healthy people objective was
*not*met. - The death rate is 24.3 with a 95% confidence interval from 23.0 to 25.6 and 1,396 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.

**Oklahoma**

- The healthy people objective was
*not*met. - The death rate is 23.8 with a 95% confidence interval from 21.8 to 26.0 and 541 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.

**South Dakota**

- The healthy people objective was
*not*met. - The death rate is 23.8 with a 95% confidence interval from 19.7 to 28.6 and 125 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.8 to -1.1.

**Ohio**

- The healthy people objective was
*not*met. - The death rate is 23.6 with a 95% confidence interval from 22.5 to 24.7 and 1,803 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.

**West Virginia**

- The healthy people objective was
*not*met. - The death rate is 23.6 with a 95% confidence interval from 20.9 to 26.5 and 303 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -2.0 to -1.1.

**Nevada**

- The healthy people objective was
*not*met. - The death rate is 23.3 with a 95% confidence interval from 20.9 to 26.0 and 346 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.9 to -1.0.

**Illinois**

- The healthy people objective was
*not*met. - The death rate is 23.2 with a 95% confidence interval from 22.2 to 24.4 and 1,815 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -2.5 to -2.2.

**Missouri**

- The healthy people objective was
*not*met. - The death rate is 23.2 with a 95% confidence interval from 21.7 to 24.9 and 898 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.8 to -1.1.

**Mississippi**

- The healthy people objective was
*not*met. - The death rate is 22.9 with a 95% confidence interval from 20.7 to 25.3 and 401 average annual deaths.
- The rate is falling because the AAPC value is -1.0 with a 95% confidence interval from -1.3 to -0.6.

**Pennsylvania**

- The healthy people objective was
*not*met. - The death rate is 22.9 with a 95% confidence interval from 21.9 to 24.0 and 2,057 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.

**Georgia**

- The healthy people objective was
*not*met. - The death rate is 22.6 with a 95% confidence interval from 21.3 to 23.9 and 1,188 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.

**Kentucky**

- The healthy people objective was
*not*met. - The death rate is 22.6 with a 95% confidence interval from 20.8 to 24.5 and 613 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -2.0 to -1.5.

**Michigan**

- The healthy people objective was
*not*met. - The death rate is 22.6 with a 95% confidence interval from 21.4 to 23.8 and 1,431 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.

**Virginia**

- The healthy people objective was
*not*met. - The death rate is 22.6 with a 95% confidence interval from 21.3 to 24.0 and 1,084 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.

**Indiana**

- The healthy people objective was
*not*met. - The death rate is 22.2 with a 95% confidence interval from 20.7 to 23.8 and 879 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.1 to -1.6.

**Maryland**

- The healthy people objective was
*not*met. - The death rate is 22.2 with a 95% confidence interval from 20.7 to 23.9 and 785 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.2 to -1.9.

**North Carolina**

- The healthy people objective was
*not*met. - The death rate is 22.2 with a 95% confidence interval from 21.0 to 23.5 and 1,315 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -2.0 to -1.5.

**Idaho**

- The healthy people objective was
*not*met. - The death rate is 22.1 with a 95% confidence interval from 19.0 to 25.5 and 193 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.4 to -1.3.

**Delaware**

- The healthy people objective was
*not*met. - The death rate is 22.0 with a 95% confidence interval from 18.3 to 26.3 and 128 average annual deaths.
- The rate is falling because the AAPC value is -2.9 with a 95% confidence interval from -3.4 to -2.3.

**Wyoming**

- The healthy people objective was
*not*met. - The death rate is 22.0 with a 95% confidence interval from 17.0 to 28.0 and 70 average annual deaths.
- The rate is falling because the AAPC value is -2.2 with a 95% confidence interval from -2.8 to -1.6.

**Tennessee**

- The healthy people objective was
*not*met. - The death rate is 21.6 with a 95% confidence interval from 20.2 to 23.1 and 867 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -1.9 to -1.4.

**Alabama**

- The healthy people objective was
*not*met. - The death rate is 21.4 with a 95% confidence interval from 19.8 to 23.2 and 647 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.

**New York**

- The healthy people objective was
*not*met. - The death rate is 21.4 with a 95% confidence interval from 20.6 to 22.3 and 2,699 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -2.9 to -0.2.

**Wisconsin**

- The healthy people objective was
*not*met. - The death rate is 21.4 with a 95% confidence interval from 19.9 to 23.0 and 783 average annual deaths.
- The rate is stable because the AAPC value is 0.3 with a 95% confidence interval from -3.0 to 3.6.

**Arkansas**

- The healthy people objective was
*not*met. - The death rate is 20.9 with a 95% confidence interval from 18.8 to 23.2 and 388 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.

**New Mexico**

- The healthy people objective was
*not*met. - The death rate is 20.9 with a 95% confidence interval from 18.3 to 23.7 and 249 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -2.3 to -1.0.

**Washington**

- The healthy people objective was
*not*met. - The death rate is 20.8 with a 95% confidence interval from 19.3 to 22.3 and 827 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.

**California**

- The healthy people objective was met.
- The death rate is 20.6 with a 95% confidence interval from 19.9 to 21.2 and 4,260 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.

**Florida**

- The healthy people objective was met.
- The death rate is 20.6 with a 95% confidence interval from 19.8 to 21.4 and 2,814 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.

**Utah**

- The healthy people objective was met.
- The death rate is 20.5 with a 95% confidence interval from 18.0 to 23.3 and 244 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.7 to -0.7.

**Alaska**

- The healthy people objective was met.
- The death rate is 20.4 with a 95% confidence interval from 15.2 to 26.8 and 57 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -2.4 to -0.2.

**Montana**

- The healthy people objective was met.
- The death rate is 20.3 with a 95% confidence interval from 16.9 to 24.3 and 134 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -3.1 to -1.6.

**Oregon**

- The healthy people objective was met.
- The death rate is 20.3 with a 95% confidence interval from 18.5 to 22.2 and 500 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.

**Texas**

- The healthy people objective was met.
- The death rate is 20.2 with a 95% confidence interval from 19.5 to 21.0 and 2,630 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.0 to -1.7.

**Rhode Island**

- The healthy people objective was met.
- The death rate is 20.0 with a 95% confidence interval from 16.8 to 23.8 and 144 average annual deaths.
- The rate is falling because the AAPC value is -3.3 with a 95% confidence interval from -3.7 to -2.8.

**Kansas**

- The healthy people objective was met.
- The death rate is 19.9 with a 95% confidence interval from 17.8 to 22.2 and 352 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.3 to -1.4.

**New Hampshire**

- The healthy people objective was met.
- The death rate is 19.9 with a 95% confidence interval from 17.0 to 23.2 and 174 average annual deaths.
- The rate is falling because the AAPC value is -3.1 with a 95% confidence interval from -3.6 to -2.6.

**Colorado**

- The healthy people objective was met.
- The death rate is 19.6 with a 95% confidence interval from 18.0 to 21.4 and 550 average annual deaths.
- The rate is falling because the AAPC value is -2.2 with a 95% confidence interval from -2.6 to -1.9.

**Connecticut**

- The healthy people objective was met.
- The death rate is 19.6 with a 95% confidence interval from 17.8 to 21.5 and 484 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -2.6 to -2.1.

**Minnesota**

- The healthy people objective was met.
- The death rate is 19.6 with a 95% confidence interval from 18.1 to 21.2 and 638 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -2.8 to -2.3.

**Arizona**

- The healthy people objective was met.
- The death rate is 19.5 with a 95% confidence interval from 18.1 to 21.0 and 752 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.

**Iowa**

- The healthy people objective was met.
- The death rate is 19.5 with a 95% confidence interval from 17.6 to 21.6 and 408 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -2.8 to -2.1.

**Massachusetts**

- The healthy people objective was met.
- The death rate is 19.3 with a 95% confidence interval from 18.0 to 20.7 and 855 average annual deaths.
- The rate is falling because the AAPC value is -3.2 with a 95% confidence interval from -3.5 to -3.0.

**Nebraska**

- The healthy people objective was met.
- The death rate is 18.1 with a 95% confidence interval from 15.6 to 20.9 and 206 average annual deaths.
- The rate is falling because the AAPC value is -2.6 with a 95% confidence interval from -3.0 to -2.2.

**Vermont**

- The healthy people objective was met.
- The death rate is 17.9 with a 95% confidence interval from 14.1 to 22.5 and 81 average annual deaths.
- The rate is falling because the AAPC value is -2.8 with a 95% confidence interval from -3.3 to -2.2.

**North Dakota**

- The healthy people objective was met.
- The death rate is 17.4 with a 95% confidence interval from 13.7 to 21.9 and 83 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.9 to -1.8.

**Maine**

- The healthy people objective was met.
- The death rate is 16.9 with a 95% confidence interval from 14.4 to 19.9 and 163 average annual deaths.
- The rate is falling because the AAPC value is -2.6 with a 95% confidence interval from -3.1 to -2.2.

**Hawaii**

- The healthy people objective was met.
- The death rate is 12.4 with a 95% confidence interval from 10.1 to 15.1 and 107 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.6 to -1.4.

**Notes:**

Created by statecancerprofiles.cancer.gov on 02/27/2015 11:46 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.