Data Table for Rate/Trend Comparison by Cancer
Counties |
Priority Index1 1=highest 9=lowest |
Recent Trend2 |
County Death Rate Compared to US Rate |
Average Annual Count |
Age-Adjusted Death Rate deaths per 100,000 (95% Confidence Interval) |
Rate Ratio3 County to US |
Recent 5-Year Trend2 in Death Rates (95% Confidence Interval) |
---|---|---|---|---|---|---|---|
United States | - | falling | - | 315,770 | 177.5 (177.2, 177.8) | - | -2.2 (-2.5, -2.0) |
Virginia | - | falling | - | 7,995 | 179.8 (178.0, 181.7) | - | -2.1 (-2.2, -2.0) |
Covington City | 1 | rising | higher | 13 | 419.1 (317.9, 542.8) | 2.4 | 8.6 (1.5, 16.2) |
Martinsville City | 1 | rising | higher | 24 | 420.1 (337.3, 515.8) | 2.4 | 7.5 (1.6, 13.7) |
Williamsburg City | 7 | stable | lower | 9 | 109.4 (78.5, 150.1) | 0.6 | 14.1 (-21.9, 66.6) |
Fredericksburg City | 6 | stable | similar | 19 | 168.9 (135.3, 207.9) | 1.0 | 13.1 (-13.1, 47.2) |
Lexington City | 4 | stable | higher | 10 | 339.7 (250.2, 453.1) | 1.9 | 11.4 (-2.0, 26.6) |
Norfolk City | 4 | stable | higher | 229 | 242.1 (227.6, 257.2) | 1.4 | 0.8 (-1.8, 3.4) |
Manassas Park City | 9 | falling | lower | 5 | 96.3 (60.2, 144.1) | 0.5 | -5.1 (-7.6, -2.4) |
Richmond City | 8 | falling | similar | 182 | 176.6 (164.7, 189.1) | 1.0 | -4.5 (-5.5, -3.5) |
York County | 9 | falling | lower | 51 | 134.9 (118.6, 152.9) | 0.8 | -3.3 (-4.0, -2.6) |
Northumberland County | 8 | falling | similar | 24 | 159.7 (130.3, 197.7) | 0.9 | -3.0 (-3.9, -2.0) |
Alexandria City | 9 | falling | lower | 79 | 133.4 (120.0, 147.8) | 0.8 | -3.0 (-3.4, -2.6) |
Galax City | 4 | stable | higher | 15 | 437.4 (343.0, 550.8) | 2.5 | -20.0 (-36.6, 0.9) |
Loudoun County | 9 | falling | lower | 190 | 133.6 (124.8, 142.8) | 0.8 | -2.9 (-3.3, -2.5) |
Prince William County | 9 | falling | lower | 245 | 147.6 (138.7, 156.8) | 0.8 | -2.9 (-3.2, -2.5) |
Emporia City | 8 | falling | similar | 7 | 214.0 (147.3, 303.0) | 1.2 | -2.8 (-4.3, -1.2) |
Prince George County | 8 | falling | similar | 32 | 161.5 (136.6, 189.6) | 0.9 | -2.8 (-3.7, -2.0) |
Powhatan County | 8 | falling | similar | 30 | 163.4 (136.8, 193.9) | 0.9 | -2.8 (-3.6, -2.0) |
Arlington County | 9 | falling | lower | 106 | 119.1 (108.9, 130.1) | 0.7 | -2.8 (-3.2, -2.5) |
Poquoson City | 8 | falling | similar | 16 | 207.1 (163.2, 260.0) | 1.2 | -2.6 (-4.1, -1.1) |
Brunswick County | 5 | falling | higher | 25 | 218.4 (181.0, 262.1) | 1.2 | -2.6 (-3.5, -1.7) |
Stafford County | 8 | falling | similar | 96 | 167.5 (151.7, 184.4) | 0.9 | -2.6 (-3.3, -2.0) |
Rappahannock County | 8 | falling | similar | 10 | 157.4 (116.7, 212.0) | 0.9 | -2.5 (-4.0, -1.1) |
Bath County | 8 | falling | similar | 8 | 184.5 (129.9, 263.6) | 1.0 | -2.5 (-3.9, -1.1) |
Sussex County | 5 | falling | higher | 16 | 236.1 (186.0, 296.3) | 1.3 | -2.5 (-3.5, -1.6) |
Charlottesville City | 8 | falling | similar | 29 | 160.2 (134.0, 190.0) | 0.9 | -2.5 (-3.3, -1.8) |
Hanover County | 8 | falling | similar | 107 | 165.4 (151.3, 180.6) | 0.9 | -2.5 (-3.0, -2.0) |
Mathews County | 8 | falling | similar | 16 | 173.4 (135.9, 222.6) | 1.0 | -2.4 (-3.5, -1.3) |
Manassas City | 8 | falling | similar | 24 | 166.0 (134.6, 201.8) | 0.9 | -2.4 (-3.4, -1.5) |
Charles City County | 8 | falling | similar | 11 | 193.8 (143.9, 259.8) | 1.1 | -2.4 (-3.4, -1.3) |
Southampton County | 8 | falling | similar | 25 | 197.2 (162.9, 237.4) | 1.1 | -2.4 (-3.2, -1.7) |
Fairfax County | 9 | falling | lower | 664 | 123.0 (118.7, 127.4) | 0.7 | -2.4 (-2.6, -2.2) |
Falls Church City | 8 | falling | similar | 10 | 166.1 (122.1, 220.3) | 0.9 | -2.3 (-3.6, -1.0) |
Surry County | 8 | falling | similar | 10 | 202.4 (147.9, 274.1) | 1.1 | -2.3 (-3.5, -1.0) |
King George County | 8 | falling | similar | 23 | 171.8 (140.4, 208.0) | 1.0 | -2.2 (-3.2, -1.1) |
Fluvanna County | 8 | falling | similar | 28 | 161.4 (135.3, 191.6) | 0.9 | -2.2 (-3.1, -1.4) |
Isle of Wight County | 5 | falling | higher | 49 | 211.9 (185.2, 241.6) | 1.2 | -2.2 (-3.1, -1.4) |
Caroline County | 8 | falling | similar | 33 | 198.8 (168.4, 233.1) | 1.1 | -2.2 (-3.0, -1.4) |
Fauquier County | 8 | falling | similar | 71 | 170.7 (152.7, 190.3) | 1.0 | -2.2 (-2.9, -1.6) |
Spotsylvania County | 8 | falling | similar | 118 | 175.6 (161.2, 191.0) | 1.0 | -2.2 (-2.8, -1.7) |
New Kent County | 8 | falling | similar | 26 | 194.9 (159.5, 235.9) | 1.1 | -2.1 (-3.2, -1.0) |
Goochland County | 8 | falling | similar | 34 | 192.4 (163.0, 226.4) | 1.1 | -2.1 (-3.1, -1.1) |
Harrisonburg City | 8 | falling | similar | 33 | 192.5 (163.8, 224.6) | 1.1 | -2.1 (-3.0, -1.1) |
Botetourt County | 8 | falling | similar | 40 | 162.6 (140.1, 188.1) | 0.9 | -2.1 (-2.9, -1.3) |
Middlesex County | 8 | falling | similar | 22 | 192.9 (157.9, 237.1) | 1.1 | -2.1 (-2.8, -1.5) |
Chesapeake City | 5 | falling | higher | 215 | 199.8 (187.4, 212.8) | 1.1 | -2.1 (-2.4, -1.7) |
Cumberland County | 8 | falling | similar | 16 | 216.7 (169.8, 274.4) | 1.2 | -2.0 (-3.0, -1.1) |
Westmoreland County | 5 | falling | higher | 33 | 218.7 (185.6, 257.2) | 1.2 | -2.0 (-2.8, -1.1) |
Nottoway County | 5 | falling | higher | 22 | 225.0 (184.2, 272.7) | 1.3 | -2.0 (-2.7, -1.3) |
Norton City | 8 | falling | similar | 6 | 278.5 (185.3, 403.5) | 1.6 | -1.9 (-3.7, -0.1) |
Buena Vista City | 8 | falling | similar | 8 | 213.9 (152.9, 293.3) | 1.2 | -1.9 (-3.1, -0.7) |
Louisa County | 8 | falling | similar | 46 | 183.2 (159.3, 210.0) | 1.0 | -1.9 (-2.6, -1.2) |
Winchester City | 8 | falling | similar | 28 | 186.8 (156.7, 221.0) | 1.1 | -1.9 (-2.5, -1.3) |
Frederick County | 8 | falling | similar | 99 | 185.2 (168.9, 202.6) | 1.0 | -1.9 (-2.4, -1.4) |
Suffolk City | 5 | falling | higher | 95 | 209.9 (190.6, 230.5) | 1.2 | -1.9 (-2.4, -1.4) |
Augusta County | 8 | falling | similar | 88 | 159.7 (144.9, 175.8) | 0.9 | -1.9 (-2.4, -1.3) |
Henrico County | 8 | falling | similar | 293 | 180.1 (170.7, 189.8) | 1.0 | -1.9 (-2.2, -1.6) |
Chesterfield County | 8 | falling | similar | 306 | 182.9 (173.4, 192.8) | 1.0 | -1.9 (-2.2, -1.5) |
Virginia Beach City | 8 | falling | similar | 377 | 177.2 (169.1, 185.6) | 1.0 | -1.9 (-2.0, -1.7) |
Greensville County | 5 | falling | higher | 15 | 238.5 (184.2, 303.8) | 1.3 | -1.8 (-3.1, -0.4) |
King William County | 8 | falling | similar | 18 | 191.8 (152.5, 238.4) | 1.1 | -1.8 (-2.9, -0.7) |
Lancaster County | 5 | falling | higher | 27 | 232.8 (189.3, 286.8) | 1.3 | -1.8 (-2.8, -0.9) |
Rockbridge County | 8 | falling | similar | 31 | 159.0 (133.6, 188.8) | 0.9 | -1.8 (-2.7, -0.9) |
Dinwiddie County | 8 | falling | similar | 34 | 205.7 (174.9, 240.6) | 1.2 | -1.8 (-2.6, -1.0) |
Pulaski County | 8 | falling | similar | 45 | 179.5 (156.4, 205.6) | 1.0 | -1.8 (-2.5, -1.2) |
Albemarle County | 9 | falling | lower | 95 | 145.6 (132.6, 159.6) | 0.8 | -1.8 (-2.3, -1.2) |
Portsmouth City | 5 | falling | higher | 108 | 231.4 (211.7, 252.4) | 1.3 | -1.8 (-2.2, -1.3) |
Newport News City | 5 | falling | higher | 173 | 227.2 (211.8, 243.3) | 1.3 | -1.8 (-2.1, -1.5) |
Lunenburg County | 8 | falling | similar | 19 | 222.6 (178.5, 275.1) | 1.3 | -1.7 (-2.8, -0.6) |
Alleghany County and Clifton Forge City | 8 | falling | similar | 23 | 194.7 (159.5, 236.8) | 1.1 | -1.7 (-2.6, -0.7) |
Wythe County | 8 | falling | similar | 41 | 204.1 (176.3, 235.7) | 1.2 | -1.7 (-2.4, -1.0) |
Lee County | 8 | falling | similar | 34 | 200.1 (170.4, 234.0) | 1.1 | -1.7 (-2.3, -1.0) |
Montgomery County | 8 | falling | similar | 70 | 169.0 (151.4, 188.1) | 1.0 | -1.7 (-2.2, -1.3) |
Accomack County | 5 | falling | higher | 55 | 214.3 (188.9, 242.7) | 1.2 | -1.7 (-2.2, -1.2) |
Bedford City and County | 5 | falling | higher | 111 | 196.0 (179.5, 213.8) | 1.1 | -1.7 (-2.1, -1.2) |
Greene County | 8 | falling | similar | 20 | 176.9 (142.8, 216.9) | 1.0 | -1.6 (-2.8, -0.4) |
Essex County | 8 | falling | similar | 17 | 216.1 (170.6, 271.8) | 1.2 | -1.6 (-2.7, -0.5) |
Clarke County | 8 | falling | similar | 19 | 183.8 (147.8, 227.1) | 1.0 | -1.6 (-2.7, -0.4) |
King and Queen County | 8 | falling | similar | 12 | 238.5 (178.5, 314.2) | 1.3 | -1.6 (-2.7, -0.4) |
Amherst County | 8 | falling | similar | 41 | 194.1 (167.8, 223.8) | 1.1 | -1.6 (-2.3, -0.9) |
Washington County | 8 | falling | similar | 71 | 179.8 (160.9, 200.6) | 1.0 | -1.6 (-2.1, -1.1) |
Orange County | 5 | falling | higher | 51 | 211.2 (185.8, 239.5) | 1.2 | -1.6 (-2.1, -1.0) |
Amelia County | 5 | falling | higher | 21 | 239.2 (193.0, 293.9) | 1.3 | -1.5 (-2.6, -0.5) |
Colonial Heights City | 5 | falling | higher | 26 | 252.6 (210.7, 301.0) | 1.4 | -1.5 (-2.3, -0.7) |
Campbell County | 5 | falling | higher | 73 | 200.7 (180.2, 223.0) | 1.1 | -1.5 (-2.2, -0.9) |
Culpeper County | 8 | falling | similar | 55 | 198.4 (175.0, 224.1) | 1.1 | -1.5 (-2.1, -1.0) |
Pittsylvania County | 5 | falling | higher | 93 | 205.7 (186.6, 226.5) | 1.2 | -1.5 (-2.0, -1.0) |
Wise County | 5 | falling | higher | 55 | 234.3 (206.5, 264.9) | 1.3 | -1.5 (-2.0, -0.9) |
Hampton City | 5 | falling | higher | 153 | 227.6 (211.3, 244.8) | 1.3 | -1.5 (-1.9, -1.1) |
Roanoke City | 5 | falling | higher | 116 | 226.6 (207.8, 246.6) | 1.3 | -1.5 (-1.8, -1.1) |
Fairfax City | 5 | falling | higher | 30 | 273.6 (230.5, 322.2) | 1.5 | -1.4 (-2.8, 0.0) |
Appomattox County | 8 | falling | similar | 22 | 204.0 (166.3, 248.5) | 1.1 | -1.4 (-2.7, -0.2) |
Franklin County | 8 | falling | similar | 72 | 170.5 (152.4, 190.4) | 1.0 | -1.4 (-2.0, -0.9) |
Halifax County with South Boston City | 5 | falling | higher | 65 | 254.9 (226.9, 285.8) | 1.4 | -1.4 (-2.0, -0.8) |
Lynchburg City | 5 | falling | higher | 83 | 232.8 (210.6, 256.7) | 1.3 | -1.4 (-1.8, -0.9) |
Charlotte County | 5 | falling | higher | 20 | 226.1 (182.2, 278.6) | 1.3 | -1.3 (-2.2, -0.4) |
Page County | 5 | falling | higher | 39 | 220.4 (189.6, 255.4) | 1.2 | -1.3 (-2.1, -0.6) |
Scott County | 5 | falling | higher | 39 | 218.1 (187.9, 252.7) | 1.2 | -1.3 (-1.9, -0.7) |
Warren County | 5 | falling | higher | 54 | 241.0 (211.6, 273.4) | 1.4 | -1.3 (-1.9, -0.7) |
Tazewell County | 5 | falling | higher | 71 | 241.4 (216.0, 269.3) | 1.4 | -1.3 (-1.8, -0.8) |
Radford City | 6 | stable | similar | 13 | 231.4 (176.1, 298.0) | 1.3 | -1.2 (-2.5, 0.1) |
Prince Edward County | 5 | falling | higher | 27 | 223.3 (186.2, 266.0) | 1.3 | -1.2 (-2.0, -0.5) |
Mecklenburg County | 5 | falling | higher | 53 | 209.5 (184.2, 237.9) | 1.2 | -1.2 (-1.9, -0.6) |
Gloucester County | 5 | falling | higher | 57 | 234.2 (206.8, 264.6) | 1.3 | -1.2 (-1.8, -0.6) |
James City County | 8 | falling | similar | 108 | 172.9 (158.2, 188.8) | 1.0 | -1.2 (-1.8, -0.6) |
Roanoke County | 8 | falling | similar | 109 | 172.0 (157.5, 187.5) | 1.0 | -1.2 (-1.6, -0.7) |
Northampton County | 5 | falling | higher | 26 | 270.4 (223.6, 325.9) | 1.5 | -1.1 (-2.0, -0.2) |
Buchanan County | 8 | falling | similar | 33 | 206.5 (175.1, 242.7) | 1.2 | -1.1 (-1.9, -0.3) |
Grayson County | 8 | falling | similar | 23 | 185.1 (151.5, 225.1) | 1.0 | -1.1 (-1.9, -0.2) |
Buckingham County | 4 | stable | higher | 26 | 218.2 (181.1, 261.3) | 1.2 | -1.0 (-2.1, 0.1) |
Richmond County | 5 | falling | higher | 16 | 251.8 (198.7, 316.3) | 1.4 | -1.0 (-1.9, -0.1) |
Bristol City | 5 | falling | higher | 26 | 247.5 (206.0, 295.4) | 1.4 | -1.0 (-1.8, -0.2) |
Carroll County | 8 | falling | similar | 43 | 173.0 (150.2, 199.1) | 1.0 | -1.0 (-1.8, -0.2) |
Giles County | 5 | falling | higher | 28 | 236.1 (197.1, 281.4) | 1.3 | -1.0 (-1.8, -0.1) |
Danville City | 5 | falling | higher | 64 | 270.7 (240.9, 303.4) | 1.5 | -1.0 (-1.6, -0.4) |
Smyth County | 5 | falling | higher | 52 | 234.4 (206.3, 265.7) | 1.3 | -1.0 (-1.6, -0.3) |
Shenandoah County | 5 | falling | higher | 66 | 212.8 (190.0, 237.9) | 1.2 | -1.0 (-1.5, -0.6) |
Rockingham County | 8 | falling | similar | 91 | 173.7 (157.9, 190.8) | 1.0 | -1.0 (-1.4, -0.6) |
Madison County | 6 | stable | similar | 19 | 198.7 (159.6, 245.8) | 1.1 | -0.9 (-2.2, 0.3) |
Patrick County | 8 | falling | similar | 28 | 198.1 (165.1, 236.9) | 1.1 | -0.9 (-1.8, 0.0) |
Waynesboro City | 5 | falling | higher | 32 | 246.7 (209.3, 289.1) | 1.4 | -0.9 (-1.6, -0.1) |
Henry County | 5 | falling | higher | 78 | 198.3 (178.5, 220.1) | 1.1 | -0.9 (-1.3, -0.6) |
Hopewell City | 5 | falling | higher | 33 | 303.0 (257.3, 354.5) | 1.7 | -0.8 (-1.4, -0.2) |
Petersburg City | 5 | falling | higher | 55 | 358.7 (315.5, 406.3) | 2.0 | -0.8 (-1.3, -0.4) |
Salem City | 5 | falling | higher | 38 | 252.8 (217.5, 292.5) | 1.4 | -0.7 (-1.3, -0.1) |
Franklin City | 4 | stable | higher | 16 | 331.2 (260.0, 417.3) | 1.9 | -0.6 (-1.5, 0.3) |
Russell County | 4 | stable | higher | 40 | 212.3 (183.0, 245.4) | 1.2 | -0.5 (-1.2, 0.2) |
Staunton City | 4 | stable | higher | 36 | 234.9 (201.2, 273.1) | 1.3 | -0.5 (-1.1, 0.2) |
Dickenson County | 4 | stable | higher | 28 | 259.3 (216.5, 309.0) | 1.5 | -0.4 (-1.2, 0.5) |
Craig County | 6 | stable | similar | 8 | 184.6 (128.0, 262.8) | 1.0 | -0.3 (-1.9, 1.4) |
Nelson County | 6 | stable | similar | 26 | 217.0 (178.3, 263.0) | 1.2 | -0.3 (-1.2, 0.7) |
Floyd County | 6 | stable | similar | 23 | 201.0 (164.9, 243.8) | 1.1 | -0.1 (-1.1, 0.8) |
Bland County |
|
** | similar | 6 | 131.4 (88.7, 191.0) | 0.7 |
|
Highland County |
|
** | similar | 5 | 195.6 (123.5, 327.1) | 1.1 |
|
Notes:
Created by statecancerprofiles.cancer.gov on 06/18/2024 12:44 am.
** 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:
Bland County, Highland County
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.
Created by statecancerprofiles.cancer.gov on 06/18/2024 12:44 am.
Trend2
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
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:
Bland County, Highland County
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.