Interpretation of Death Rates Data

Death Rate Report for Iowa by County

Colon & Rectum, 2008 - 2012

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


Healthy People 2020 Objective Number: C-5
Reduce the colorectal cancer death rate

Sorted by Rate
County
Met Healthy People Objective of 14.5? 1 Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
Average Deaths per Year
Recent Trend 2 Recent 5-Year Trend2
in Death Rates
(95% Confidence Interval)
Iowa (State) No 16.7 (16.1, 17.3) 635 falling falling trend -2.2 (-2.5, -1.9)
United States No 15.5 (15.4, 15.6) 52,010 falling falling trend -2.5 (-2.8, -2.3)
Lucas County No 34.7 (22.4, 52.7) 5 ** **
Greene County No 29.9 (18.7, 46.9) 5 stable stable trend -0.2 (-2.9, 2.5)
Cass County No 29.5 (20.1, 42.6) 7 stable stable trend 36.9 (-4.3, 95.9)
Page County No 26.2 (17.4, 38.4) 6 stable stable trend 0.4 (-2.0, 3.0)
Lee County No 24.3 (18.5, 31.7) 12 falling falling trend -2.1 (-3.7, -0.5)
Poweshiek County No 24.2 (16.8, 34.5) 7 stable stable trend -0.9 (-2.9, 1.2)
Jackson County No 23.7 (16.2, 33.9) 7 stable stable trend -0.4 (-3.1, 2.5)
Mitchell County No 23.5 (13.9, 38.3) 4 ** **
Harrison County No 23.3 (14.9, 35.5) 5 stable stable trend -0.9 (-3.8, 2.0)
Allamakee County No 23.2 (14.3, 35.9) 5 ** **
Buchanan County No 22.7 (15.2, 32.8) 6 stable stable trend -1.5 (-3.6, 0.5)
Henry County No 22.1 (14.7, 32.1) 6 stable stable trend -0.8 (-3.0, 1.5)
Wright County No 21.7 (13.3, 34.1) 5 ** **
Delaware County No 21.6 (14.0, 32.3) 5 falling falling trend -2.4 (-4.6, -0.2)
Calhoun County No 21.4 (13.0, 34.9) 4 stable stable trend -2.3 (-5.3, 0.9)
Keokuk County No 21.4 (12.7, 34.9) 4 ** **
Pottawattamie County No 20.3 (16.6, 24.5) 22 stable stable trend -0.5 (-2.1, 1.2)
Plymouth County No 19.9 (13.4, 28.8) 6 falling falling trend -2.6 (-5.2, -0.0)
O'Brien County No 19.8 (11.7, 32.0) 4 falling falling trend -3.3 (-5.6, -0.9)
Mahaska County No 19.7 (13.0, 28.9) 6 stable stable trend -1.1 (-3.3, 1.3)
Muscatine County No 19.6 (14.3, 26.4) 9 stable stable trend -0.8 (-2.5, 1.0)
Jefferson County No 19.6 (11.6, 31.2) 4 ** **
Wapello County No 19.6 (14.4, 26.2) 10 falling falling trend -2.8 (-5.3, -0.2)
Madison County No 19.5 (11.7, 31.1) 4 stable stable trend -1.6 (-4.0, 1.0)
Washington County No 19.4 (13.0, 28.1) 6 stable stable trend -2.5 (-5.4, 0.5)
Jasper County No 19.3 (14.3, 25.8) 10 stable stable trend -1.2 (-3.1, 0.7)
Sac County No 19.3 (10.8, 33.3) 4 stable stable trend -2.1 (-4.7, 0.6)
Mills County No 19.0 (11.0, 31.1) 3 ** **
Marion County No 19.0 (13.6, 26.0) 8 stable stable trend -0.6 (-2.5, 1.5)
Carroll County No 18.8 (12.7, 27.2) 7 stable stable trend -1.8 (-4.1, 0.6)
Clinton County No 18.6 (14.2, 24.0) 12 falling falling trend -2.3 (-3.8, -0.9)
Warren County No 18.6 (13.7, 24.8) 10 stable stable trend -1.6 (-3.9, 0.8)
Hamilton County No 18.6 (11.6, 29.1) 4 ** **
Buena Vista County No 18.6 (11.5, 28.6) 5 falling falling trend -2.6 (-4.8, -0.4)
Dickinson County No 18.0 (11.5, 27.5) 5 stable stable trend -1.4 (-4.6, 1.9)
Marshall County No 17.4 (12.6, 23.6) 9 falling falling trend -2.1 (-3.6, -0.5)
Woodbury County No 16.7 (13.5, 20.6) 19 stable stable trend -1.0 (-2.4, 0.4)
Benton County No 16.6 (11.0, 24.4) 6 falling falling trend -3.3 (-5.6, -1.0)
Clay County No 16.6 (10.2, 26.0) 4 falling falling trend -2.4 (-4.5, -0.2)
Montgomery County No 16.5 (9.3, 28.6) 3 stable stable trend -1.6 (-5.1, 2.0)
Fayette County No 16.4 (11.0, 24.2) 6 falling falling trend -3.0 (-5.8, -0.2)
Polk County No 16.2 (14.4, 18.1) 65 falling falling trend -1.6 (-2.3, -0.9)
Scott County No 16.1 (13.6, 19.0) 30 falling falling trend -3.0 (-4.2, -1.7)
Black Hawk County No 15.9 (13.2, 19.1) 25 falling falling trend -2.4 (-3.3, -1.4)
Clayton County No 15.8 (10.2, 24.3) 5 stable stable trend -2.7 (-5.4, 0.0)
Jones County No 15.7 (10.0, 24.0) 5 stable stable trend -1.9 (-4.6, 0.8)
Tama County No 15.6 (10.0, 23.9) 5 stable stable trend -33.8 (-57.2, 2.3)
Hardin County No 15.6 (9.9, 24.2) 5 falling falling trend -3.5 (-5.9, -1.1)
Winneshiek County No 15.2 (9.4, 23.8) 4 ** **
Cedar County No 15.1 (8.9, 24.2) 4 stable stable trend -1.9 (-4.9, 1.1)
Johnson County No 15.0 (11.7, 18.8) 15 falling falling trend -2.0 (-3.8, -0.1)
Linn County Yes 14.4 (12.3, 16.8) 34 falling falling trend -3.6 (-4.5, -2.6)
Crawford County Yes 14.2 (8.2, 23.5) 3 falling falling trend -3.0 (-5.6, -0.3)
Bremer County Yes 14.1 (8.9, 21.5) 5 falling falling trend -3.3 (-5.4, -1.1)
Kossuth County Yes 14.0 (8.3, 23.3) 4 stable stable trend -2.0 (-4.7, 0.8)
Webster County Yes 13.9 (9.7, 19.6) 7 stable stable trend -2.1 (-4.3, 0.2)
Floyd County Yes 13.1 (7.4, 22.1) 3 falling falling trend -3.9 (-6.5, -1.3)
Dallas County Yes 12.9 (9.0, 17.7) 8 falling falling trend -2.9 (-5.2, -0.6)
Butler County Yes 12.8 (7.2, 21.9) 3 falling falling trend -3.5 (-6.5, -0.4)
Cerro Gordo County Yes 12.6 (9.0, 17.4) 8 falling falling trend -3.2 (-5.2, -1.2)
Dubuque County Yes 12.3 (9.6, 15.5) 15 falling falling trend -4.2 (-5.6, -2.8)
Sioux County Yes 12.3 (7.8, 18.5) 5 falling falling trend -3.2 (-5.3, -1.1)
Des Moines County Yes 12.2 (8.3, 17.5) 7 falling falling trend -4.5 (-6.8, -2.2)
Story County Yes 11.8 (8.5, 15.9) 9 falling falling trend -2.9 (-5.0, -0.8)
Boone County Yes 11.3 (6.5, 18.4) 4 falling falling trend -3.9 (-6.6, -1.2)
Adair County * * 3 or fewer * -3.9 (-6.6, -1.2)
Adams County * * 3 or fewer ** **
Appanoose County * * 3 or fewer * **
Audubon County * * 3 or fewer ** **
Cherokee County * * 3 or fewer * **
Chickasaw County * * 3 or fewer ** **
Clarke County * * 3 or fewer ** **
Davis County * * 3 or fewer ** **
Decatur County * * 3 or fewer ** **
Emmet County * * 3 or fewer * **
Franklin County * * 3 or fewer * **
Fremont County * * 3 or fewer ** **
Grundy County * * 3 or fewer ** **
Guthrie County * * 3 or fewer * **
Hancock County * * 3 or fewer * **
Howard County * * 3 or fewer * **
Humboldt County * * 3 or fewer ** **
Ida County * * 3 or fewer ** **
Iowa County * * 3 or fewer ** **
Louisa County * * 3 or fewer * **
Lyon County * * 3 or fewer ** **
Monona County * * 3 or fewer ** **
Monroe County * * 3 or fewer ** **
Osceola County * * 3 or fewer ** **
Palo Alto County * * 3 or fewer * **
Pocahontas County * * 3 or fewer ** **
Ringgold County * * 3 or fewer ** **
Shelby County * * 3 or fewer * **
Taylor County * * 3 or fewer ** **
Union County * * 3 or fewer * **
Van Buren County * * 3 or fewer ** **
Wayne County * * 3 or fewer ** **
Winnebago County * * 3 or fewer ** **
Worth County * * 3 or fewer ** **
Notes:
Created by statecancerprofiles.cancer.gov on 05/04/2016 1:24 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).

Trend
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.
* Data has been suppressed to ensure confidentiality and stability of rate estimates.
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
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.

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