Interpretation of Death Rates Data

Death Rate Report for Iowa by County, 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 Rate
County
Met Healthy People Objective of 14.5? 1 Annual Death Rate
over rate period deaths per 100,000
(95% Confidence Interval)
Average Deaths per Year
over rate period
Rate Period Recent Trend 2 Recent Average Annual Percent Change2
in Death Rates
(95% Confidence Interval)
Recent Trend Period2
Iowa (State) No 17.1 (16.5, 17.7) 646 2007 - 2011 falling falling trend -2.2 (-2.4, -1.9) 2007 - 2011
United States No 15.9 (15.9, 16.0) 52,350 2007 - 2011 falling falling trend -2.5 (-2.8, -2.2) 2007 - 2011
Lucas County No 30.9 (19.6, 47.8) 5 2007 - 2011 ** ** **
Harrison County No 26.4 (17.4, 38.9) 6 2007 - 2011 stable stable trend -0.4 (-3.4, 2.6) 2007 - 2011
Greene County No 26.3 (15.8, 42.5) 4 2007 - 2011 rising rising trend 14.8 (2.4, 28.7) 2007 - 2011
Poweshiek County No 25.9 (18.0, 36.5) 8 2007 - 2011 stable stable trend -0.5 (-2.6, 1.6) 2007 - 2011
Page County No 25.1 (16.6, 36.9) 6 2007 - 2011 stable stable trend 0.2 (-2.5, 3.0) 2007 - 2011
Wright County No 24.9 (16.1, 37.7) 6 2007 - 2011 ** ** **
Lee County No 23.9 (18.1, 31.2) 12 2007 - 2011 falling falling trend -2.3 (-4.0, -0.5) 2007 - 2011
Henry County No 22.9 (15.4, 33.0) 6 2007 - 2011 stable stable trend -0.4 (-2.7, 1.9) 2007 - 2011
Warren County No 22.7 (17.1, 29.4) 12 2007 - 2011 stable stable trend -1.1 (-3.5, 1.2) 2007 - 2011
Calhoun County No 22.6 (13.9, 36.4) 4 2007 - 2011 stable stable trend -1.7 (-4.7, 1.5) 2007 - 2011
Mahaska County No 22.5 (15.2, 32.3) 6 2007 - 2011 stable stable trend -0.6 (-3.0, 1.7) 2007 - 2011
Jackson County No 21.9 (14.7, 31.8) 6 2007 - 2011 stable stable trend 0.1 (-2.7, 3.1) 2007 - 2011
Buchanan County No 21.8 (14.6, 31.7) 6 2007 - 2011 stable stable trend -1.8 (-4.0, 0.5) 2007 - 2011
Cass County No 21.6 (13.8, 33.0) 5 2007 - 2011 stable stable trend -0.9 (-4.1, 2.4) 2007 - 2011
Pottawattamie County No 21.2 (17.5, 25.6) 23 2007 - 2011 stable stable trend -0.0 (-1.7, 1.7) 2007 - 2011
Jasper County No 21.2 (15.9, 27.8) 11 2007 - 2011 stable stable trend -0.8 (-2.8, 1.1) 2007 - 2011
Muscatine County No 21.0 (15.5, 27.8) 10 2007 - 2011 stable stable trend -0.5 (-2.4, 1.3) 2007 - 2011
Hamilton County No 20.9 (13.3, 31.9) 5 2007 - 2011 ** ** **
Union County No 20.7 (12.0, 33.8) 4 2007 - 2011 stable stable trend -1.2 (-3.8, 1.4) 2007 - 2011
Sac County No 20.6 (11.6, 34.9) 4 2007 - 2011 stable stable trend -1.7 (-4.6, 1.2) 2007 - 2011
Mills County No 20.3 (11.7, 32.9) 3 2007 - 2011 ** ** **
Dickinson County No 20.1 (13.5, 29.8) 6 2007 - 2011 stable stable trend -1.2 (-4.6, 2.3) 2007 - 2011
Delaware County No 19.8 (12.6, 30.1) 5 2007 - 2011 stable stable trend -2.5 (-5.0, 0.0) 2007 - 2011
Allamakee County No 19.7 (12.1, 30.9) 4 2007 - 2011 ** ** **
Washington County No 19.6 (13.2, 28.4) 6 2007 - 2011 stable stable trend -2.1 (-5.1, 1.1) 2007 - 2011
Tama County No 19.6 (13.1, 28.8) 6 2007 - 2011 stable stable trend -24.5 (-56.0, 29.6) 2007 - 2011
Plymouth County No 19.3 (12.9, 28.0) 6 2007 - 2011 stable stable trend -2.4 (-5.2, 0.4) 2007 - 2011
Buena Vista County No 19.2 (12.3, 28.8) 5 2007 - 2011 falling falling trend -2.8 (-5.1, -0.4) 2007 - 2011
Carroll County No 18.7 (12.6, 27.3) 6 2007 - 2011 stable stable trend -1.2 (-3.6, 1.3) 2007 - 2011
Fayette County No 18.4 (12.5, 26.7) 6 2007 - 2011 stable stable trend -3.0 (-6.0, 0.1) 2007 - 2011
Crawford County No 18.4 (11.1, 28.9) 4 2007 - 2011 stable stable trend -2.7 (-5.4, 0.2) 2007 - 2011
O'Brien County No 18.3 (11.4, 28.7) 5 2007 - 2011 falling falling trend -3.9 (-6.3, -1.5) 2007 - 2011
Mitchell County No 18.2 (9.9, 31.6) 3 2007 - 2011 ** ** **
Hardin County No 18.2 (12.0, 27.2) 6 2007 - 2011 falling falling trend -3.4 (-6.1, -0.7) 2007 - 2011
Marion County No 18.1 (12.8, 25.0) 8 2007 - 2011 stable stable trend -0.9 (-3.1, 1.3) 2007 - 2011
Clay County No 18.1 (11.6, 27.7) 5 2007 - 2011 stable stable trend -2.3 (-4.5, 0.1) 2007 - 2011
Wapello County No 17.9 (13.0, 24.3) 9 2007 - 2011 stable stable trend -2.5 (-5.2, 0.2) 2007 - 2011
Kossuth County No 17.8 (10.5, 28.7) 4 2007 - 2011 stable stable trend -1.9 (-4.9, 1.1) 2007 - 2011
Woodbury County No 17.6 (14.2, 21.5) 20 2007 - 2011 stable stable trend -0.7 (-2.0, 0.7) 2007 - 2011
Marshall County No 17.6 (12.8, 23.8) 9 2007 - 2011 falling falling trend -2.1 (-3.8, -0.4) 2007 - 2011
Clinton County No 17.5 (13.2, 22.8) 12 2007 - 2011 falling falling trend -2.5 (-4.1, -0.9) 2007 - 2011
Jefferson County No 17.5 (10.0, 28.9) 4 2007 - 2011 ** ** **
Montgomery County No 17.5 (10.0, 29.9) 3 2007 - 2011 stable stable trend -1.6 (-5.4, 2.4) 2007 - 2011
Emmet County No 17.5 (9.8, 30.3) 3 2007 - 2011 stable stable trend 1.1 (-1.9, 4.1) 2007 - 2011
Shelby County No 17.3 (10.4, 28.5) 4 2007 - 2011 stable stable trend -0.8 (-4.2, 2.6) 2007 - 2011
Madison County No 16.8 (9.5, 27.8) 3 2007 - 2011 stable stable trend -1.8 (-4.5, 1.1) 2007 - 2011
Franklin County No 16.7 (9.4, 28.8) 3 2007 - 2011 falling falling trend -3.2 (-6.2, -0.1) 2007 - 2011
Polk County No 16.7 (14.9, 18.6) 67 2007 - 2011 falling falling trend -1.5 (-2.2, -0.7) 2007 - 2011
Clayton County No 16.3 (10.4, 24.9) 5 2007 - 2011 stable stable trend -2.6 (-5.5, 0.4) 2007 - 2011
Black Hawk County No 16.2 (13.4, 19.4) 25 2007 - 2011 falling falling trend -2.4 (-3.4, -1.3) 2007 - 2011
Scott County No 15.7 (13.2, 18.6) 28 2007 - 2011 falling falling trend -3.3 (-4.6, -2.0) 2007 - 2011
Winneshiek County No 15.5 (9.6, 24.0) 4 2007 - 2011 ** ** **
Benton County No 15.4 (10.0, 23.0) 5 2007 - 2011 falling falling trend -3.4 (-5.9, -0.8) 2007 - 2011
Johnson County No 15.3 (12.0, 19.2) 15 2007 - 2011 stable stable trend -2.0 (-4.1, 0.1) 2007 - 2011
Jones County No 14.7 (9.1, 22.8) 4 2007 - 2011 stable stable trend -1.7 (-4.6, 1.2) 2007 - 2011
Linn County No 14.6 (12.5, 17.0) 34 2007 - 2011 falling falling trend -3.9 (-4.8, -3.0) 2007 - 2011
Sioux County Yes 14.1 (9.3, 20.7) 6 2007 - 2011 falling falling trend -3.4 (-5.7, -1.1) 2007 - 2011
Cerro Gordo County Yes 13.9 (10.0, 19.1) 9 2007 - 2011 falling falling trend -3.1 (-5.3, -0.9) 2007 - 2011
Cedar County Yes 13.8 (7.9, 22.7) 3 2007 - 2011 stable stable trend -1.6 (-4.8, 1.8) 2007 - 2011
Floyd County Yes 13.6 (7.8, 22.7) 3 2007 - 2011 falling falling trend -3.6 (-6.4, -0.9) 2007 - 2011
Iowa County Yes 13.5 (7.7, 22.5) 3 2007 - 2011 ** ** **
Des Moines County Yes 13.4 (9.4, 18.7) 8 2007 - 2011 falling falling trend -4.5 (-7.0, -2.0) 2007 - 2011
Webster County Yes 13.3 (9.1, 18.8) 7 2007 - 2011 stable stable trend -2.3 (-4.7, 0.2) 2007 - 2011
Butler County Yes 13.1 (7.4, 22.4) 3 2007 - 2011 stable stable trend -3.2 (-6.3, 0.1) 2007 - 2011
Dallas County Yes 13.1 (9.2, 18.1) 8 2007 - 2011 falling falling trend -3.5 (-6.0, -0.9) 2007 - 2011
Bremer County Yes 12.9 (8.0, 20.1) 4 2007 - 2011 falling falling trend -3.5 (-5.8, -1.1) 2007 - 2011
Dubuque County Yes 12.9 (10.1, 16.2) 15 2007 - 2011 falling falling trend -4.0 (-5.4, -2.5) 2007 - 2011
Boone County Yes 10.5 (5.9, 17.3) 3 2007 - 2011 falling falling trend -4.6 (-7.5, -1.6) 2007 - 2011
Story County Yes 10.1 (7.1, 14.0) 8 2007 - 2011 falling falling trend -3.2 (-5.5, -0.9) 2007 - 2011
Adair County * * 3 or fewer 2007 - 2011 * -3.2 (-5.5, -0.9) *
Adams County * * 3 or fewer 2007 - 2011 ** ** **
Appanoose County * * 3 or fewer 2007 - 2011 * ** *
Audubon County * * 3 or fewer 2007 - 2011 ** ** **
Cherokee County * * 3 or fewer 2007 - 2011 * ** *
Chickasaw County * * 3 or fewer 2007 - 2011 ** ** **
Clarke County * * 3 or fewer 2007 - 2011 ** ** **
Davis County * * 3 or fewer 2007 - 2011 ** ** **
Decatur County * * 3 or fewer 2007 - 2011 ** ** **
Fremont County * * 3 or fewer 2007 - 2011 ** ** **
Grundy County * * 3 or fewer 2007 - 2011 ** ** **
Guthrie County * * 3 or fewer 2007 - 2011 * ** *
Hancock County * * 3 or fewer 2007 - 2011 * ** *
Howard County * * 3 or fewer 2007 - 2011 * ** *
Humboldt County * * 3 or fewer 2007 - 2011 ** ** **
Ida County * * 3 or fewer 2007 - 2011 ** ** **
Keokuk County * * 3 or fewer 2007 - 2011 ** ** **
Louisa County * * 3 or fewer 2007 - 2011 * ** *
Lyon County * * 3 or fewer 2007 - 2011 ** ** **
Monona County * * 3 or fewer 2007 - 2011 ** ** **
Monroe County * * 3 or fewer 2007 - 2011 ** ** **
Osceola County * * 3 or fewer 2007 - 2011 ** ** **
Palo Alto County * * 3 or fewer 2007 - 2011 * ** *
Pocahontas County * * 3 or fewer 2007 - 2011 ** ** **
Ringgold County * * 3 or fewer 2007 - 2011 ** ** **
Taylor County * * 3 or fewer 2007 - 2011 ** ** **
Van Buren County * * 3 or fewer 2007 - 2011 * ** *
Wayne County * * 3 or fewer 2007 - 2011 ** ** **
Winnebago County * * 3 or fewer 2007 - 2011 ** ** **
Worth County * * 3 or fewer 2007 - 2011 ** ** **
Notes:
Created by statecancerprofiles.cancer.gov on 10/26/2014 1:57 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).

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. 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.

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