Interpretation of Rate/Trend Comparison by State/County Data
Death Rate/Trend Comparison by State/County, 2016-2020
Iowa versus United States
All Races, Both Sexes
Sorted by priority index
Explanation of Column HeadersCancer Site and Sex - The site and sex combination for this comparison.
Priority Index 1 - The priority index is based upon the direction of the trend and the rate comparison. An index of 1 is the highest priority - that trend is rising and the rate is already higher. An index of 9 is the lowest priority - the trend is falling and the rate is already lower.
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 stability 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
Cervix (Female)
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.3 to -1.2.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 1.7 with a 95% confidence interval from 1.4 to 2.0 and 30 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Stomach (Female)
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.9 to -1.5.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 1.4 with a 95% confidence interval from 1.2 to 1.7 and 31 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
Stomach (Male)
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -3.0 with a 95% confidence interval from -3.5 to -2.6.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 2.6 with a 95% confidence interval from 2.3 to 2.9 and 47 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
Brain & ONS (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.9 to -0.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 5.7 with a 95% confidence interval from 5.2 to 6.3 and 107 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Breast (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.3 to -1.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 18.1 with a 95% confidence interval from 17.3 to 19.0 and 398 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Colon & Rectum (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.5 to -2.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 11.4 with a 95% confidence interval from 10.8 to 12.1 and 272 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Colon & Rectum (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.5 with a 95% confidence interval from -2.7 to -2.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 16.2 with a 95% confidence interval from 15.3 to 17.0 and 292 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Kidney & Renal Pelvis (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.4 with a 95% confidence interval from 2.2 to 2.8 and 57 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Kidney & Renal Pelvis (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 5.7 with a 95% confidence interval from 5.2 to 6.2 and 106 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Leukemia (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.3 to -1.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.5 with a 95% confidence interval from 4.1 to 4.9 and 104 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Leukemia (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 9.2 with a 95% confidence interval from 8.6 to 9.9 and 163 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Lung & Bronchus (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.0 to -1.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 31.8 with a 95% confidence interval from 30.8 to 32.9 and 717 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Lung & Bronchus (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -5.2 with a 95% confidence interval from -6.7 to -3.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 45.8 with a 95% confidence interval from 44.5 to 47.3 and 861 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Non-Hodgkin Lymphoma (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.5 with a 95% confidence interval from -2.9 to -2.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.2 with a 95% confidence interval from 3.8 to 4.6 and 99 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Non-Hodgkin Lymphoma (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.8 to -1.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 7.5 with a 95% confidence interval from 6.9 to 8.1 and 134 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Ovary (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.6 with a 95% confidence interval from -3.9 to -1.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 6.9 with a 95% confidence interval from 6.4 to 7.4 and 154 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Bladder (Female)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.0 with a 95% confidence interval from 1.8 to 2.3 and 52 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Bladder (Male)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 7.1 with a 95% confidence interval from 6.5 to 7.6 and 125 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Esophagus (Female)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.7 to 0.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 1.5 with a 95% confidence interval from 1.2 to 1.7 and 34 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Oral Cavity & Pharynx (Female)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 1.3 with a 95% confidence interval from 1.1 to 1.6 and 30 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Prostate (Male)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.5 with a 95% confidence interval from -2.0 to 3.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 20.3 with a 95% confidence interval from 19.3 to 21.2 and 357 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Brain & ONS (Female)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 4.1 with a 95% confidence interval from 3.7 to 4.6 and 81 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Esophagus (Male)
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.4.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 8.1 with a 95% confidence interval from 7.5 to 8.7 and 156 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Melanoma of the Skin (Female)
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.5 to 0.9.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 1.8 with a 95% confidence interval from 1.5 to 2.1 and 37 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.4
Melanoma of the Skin (Male)
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.1 to 0.9.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 3.6 with a 95% confidence interval from 3.2 to 4.0 and 66 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Liver & Bile Duct (Male)
- Priority Index(1) : The priority index is 3.
- Recent Trend(2) : The trend is rising because the trend is 2.9 with a 95% confidence interval from 2.5 to 3.3.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 7.6 with a 95% confidence interval from 7.0 to 8.2 and 147 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Liver & Bile Duct (Female)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 2.6 with a 95% confidence interval from 1.9 to 3.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 3.5 with a 95% confidence interval from 3.2 to 3.9 and 80 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Oral Cavity & Pharynx (Male)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.1 to 1.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.2 with a 95% confidence interval from 3.8 to 4.6 and 80 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Pancreas (Female)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.3 to 1.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 9.7 with a 95% confidence interval from 9.1 to 10.3 and 226 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Pancreas (Male)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 0.4 with a 95% confidence interval from 0.1 to 0.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 12.6 with a 95% confidence interval from 11.9 to 13.4 and 235 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Uterus (Corpus & Uterus, NOS) (Female)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 0.5 with a 95% confidence interval from 0.1 to 1.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.9 with a 95% confidence interval from 4.5 to 5.4 and 112 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 1.5 with a 95% confidence interval from 0.9 to 2.2 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.5 with a 95% confidence interval from 1.7 to 3.4 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 1.6 with a 95% confidence interval from 1.1 to 2.2 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.8 with a 95% confidence interval from 2.2 to 3.7 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 0.5 with a 95% confidence interval from 0.3 to 0.6 and 10 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 0.6 with a 95% confidence interval from 0.4 to 0.8 and 11 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Notes:
Created by statecancerprofiles.cancer.gov on 05/13/2024 2:22 am.
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.
Rate Comparison
Above when 95% confident the rate is above and Rate Ratio3 > 1.10
Similar when unable to conclude above or below with confidence.
Below when 95% confident the rate is below and Rate Ratio3 < 0.90
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
1 Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.
2 Recent trend in death rates is usually an Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint Version 4.8.0.0. Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected geographic areas.
3 Rate ratio is the county rate divided by the US rate. Previous versions of this table used one-year rates for states and five-year rates for counties. As of June 2018, only five-year rates are used.
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 US Population Data File is used with mortality data.
Note: When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate. Suppression is used to avoid misinterpretation when rates are unstable.
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 for the following could not be reliably determined due to small number of deaths per year:
Childhood (Ages <15, All Sites) (Female), Childhood (Ages <15, All Sites) (Male), Childhood (Ages <20, All Sites) (Female), Childhood (Ages <20, All Sites) (Male), Thyroid (Female), Thyroid (Male)
Interpret Rankings provides insight into interpreting cancer statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.
Data for United States does not include Puerto Rico.