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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2019-2023

Michigan Counties versus United States

Colon & Rectum

All Races, Both Sexes

Sorted by rate

Counties
 sort alphabetically by name ascending
Priority Index1
1=highest
9=lowest

 sort by priority index descending
Recent Trend2
County Death
Rate
Compared
to
US Rate
Average Annual Count
 sort by count descending
Age-Adjusted Death Rate

deaths per 100,000
(95% Confidence Interval)
 sort by rate ascending
Rate
Ratio3
County
to
US
 sort by rate descending
Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
 sort by trend descending
United States - falling - 52,648 12.9 (12.8, 12.9) - -0.8 (-1.5, -0.4)
Michigan - stable - 1,748 13.5 (13.2, 13.8) - -0.8 (-1.5, 0.7)
Gratiot County 4 stable higher 13 23.9 (18.3, 30.8) 1.9 -0.3 (-2.8, 2.1)
Osceola County 4 stable higher 8 23.6 (16.7, 32.7) 1.8 1.1 (-1.9, 4.6)
Huron County 4 stable higher 12 20.5 (15.4, 27.1) 1.6 -0.6 (-2.5, 1.3)
Oceana County 4 stable higher 8 20.1 (14.0, 28.1) 1.6 1.8 (-1.7, 6.0)
Gladwin County 4 stable higher 9 20.0 (14.0, 28.1) 1.6 0.4 (-2.5, 3.2)
Cass County 4 stable higher 15 19.4 (15.1, 24.6) 1.5 -0.5 (-2.9, 2.1)
Iosco County 6 stable similar 8 19.1 (12.8, 27.7) 1.5 0.9 (-1.5, 3.2)
Isabella County 4 stable higher 11 18.4 (13.8, 24.1) 1.4 -0.3 (-2.2, 1.8)
Mackinac County 6 stable similar 4 18.1 (10.5, 31.0) 1.4 -38.6 (-67.3, 5.7)
Kalkaska County 8 falling similar 4 17.8 (10.8, 28.1) 1.4 -3.6 (-7.2, -0.4)
Newaygo County 6 stable similar 12 17.5 (13.1, 22.9) 1.4 -1.5 (-3.6, 0.7)
Sanilac County 6 stable similar 11 17.0 (12.6, 22.7) 1.3 -0.1 (-2.9, 2.6)
Berrien County 4 stable higher 38 16.9 (14.5, 19.6) 1.3 -0.1 (-1.7, 1.5)
Missaukee County 6 stable similar 4 16.9 (9.6, 27.9) 1.3 -2.5 (-6.3, 0.8)
Clare County 6 stable similar 9 16.8 (12.1, 23.1) 1.3 -0.6 (-2.6, 1.6)
Tuscola County 6 stable similar 13 16.2 (12.4, 20.9) 1.3 -1.6 (-3.9, 0.6)
Lenawee County 4 stable higher 21 16.1 (13.1, 19.7) 1.3 -1.0 (-2.9, 0.8)
Lake County 8 falling similar 4 16.0 (9.2, 27.5) 1.2 -4.3 (-7.1, -2.0)
Manistee County 6 stable similar 7 16.0 (10.7, 23.4) 1.2 -1.4 (-4.0, 1.1)
St. Clair County 5 falling higher 33 15.4 (13.1, 18.1) 1.2 -2.3 (-3.7, -1.0)
Arenac County 6 stable similar 4 15.4 (8.8, 25.9) 1.2 -1.8 (-5.5, 1.6)
Hillsdale County 8 falling similar 10 15.3 (11.2, 20.4) 1.2 -2.7 (-4.7, -0.7)
Bay County 6 stable similar 23 15.1 (12.4, 18.3) 1.2 -1.0 (-2.8, 0.7)
Ogemaw County 6 stable similar 5 15.1 (9.5, 23.4) 1.2 -1.3 (-3.9, 1.1)
Calhoun County 6 stable similar 25 15.0 (12.4, 18.0) 1.2 -1.1 (-2.7, 0.4)
Branch County 6 stable similar 9 14.9 (10.7, 20.4) 1.2 -0.9 (-3.2, 1.3)
Van Buren County 6 stable similar 15 14.9 (11.6, 18.9) 1.2 -1.3 (-3.1, 0.4)
Wayne County 5 falling higher 313 14.8 (14.0, 15.6) 1.1 -2.2 (-2.5, -1.9)
Ionia County 6 stable similar 10 14.7 (10.9, 19.6) 1.1 -1.0 (-3.4, 1.3)
Jackson County 8 falling similar 32 14.5 (12.3, 17.1) 1.1 -1.1 (-2.3, 0.0)
Houghton County 6 stable similar 7 14.5 (9.7, 20.9) 1.1 -0.1 (-2.3, 2.0)
Delta County 6 stable similar 9 14.4 (10.1, 20.2) 1.1 -1.9 (-5.7, 1.5)
Montcalm County 6 stable similar 12 14.2 (10.7, 18.5) 1.1 1.5 (-1.6, 16.5)
St. Joseph County 8 falling similar 11 14.2 (10.6, 18.6) 1.1 -2.5 (-4.2, -1.0)
Menominee County 6 stable similar 6 14.1 (9.3, 21.3) 1.1 -0.3 (-3.0, 2.4)
Allegan County 8 falling similar 21 14.1 (11.4, 17.2) 1.1 -1.8 (-2.8, -0.8)
Genesee County 6 stable similar 75 14.1 (12.6, 15.6) 1.1 -0.1 (-1.7, 5.3)
Alpena County 8 falling similar 7 13.7 (9.3, 19.8) 1.1 -2.5 (-5.0, -0.2)
Monroe County 8 falling similar 29 13.6 (11.4, 16.1) 1.1 -2.6 (-3.9, -1.5)
Saginaw County 8 falling similar 35 13.3 (11.3, 15.5) 1.0 -2.2 (-3.2, -1.3)
Cheboygan County 6 stable similar 5 13.0 (8.2, 20.1) 1.0 -1.8 (-5.0, 1.1)
Ingham County 8 falling similar 37 12.9 (11.1, 15.0) 1.0 -1.3 (-2.6, 0.0)
Kalamazoo County 8 falling similar 38 12.9 (11.1, 14.9) 1.0 -1.6 (-2.5, -0.7)
Midland County 2 rising similar 16 12.9 (10.1, 16.3) 1.0 4.3 (0.4, 15.9)
Mason County 8 falling similar 6 12.8 (8.1, 19.5) 1.0 -3.2 (-6.6, -0.4)
Macomb County 8 falling similar 147 12.8 (11.8, 13.7) 1.0 -2.3 (-3.0, -1.7)
Lapeer County 8 falling similar 15 12.7 (9.9, 16.1) 1.0 -2.3 (-3.9, -0.6)
Emmet County 6 stable similar 7 12.6 (8.4, 18.4) 1.0 -1.1 (-3.4, 1.1)
Wexford County 6 stable similar 6 12.4 (8.3, 18.0) 1.0 -2.1 (-4.9, 0.5)
Mecosta County 8 falling similar 7 12.3 (8.4, 17.6) 1.0 -2.6 (-5.3, -0.2)
Shiawassee County 6 stable similar 11 12.3 (9.2, 16.2) 1.0 -1.5 (-3.0, 0.0)
Washtenaw County 8 falling similar 48 12.1 (10.6, 13.8) 0.9 -2.2 (-3.2, -1.1)
Muskegon County 8 falling similar 27 12.1 (10.1, 14.4) 0.9 -2.3 (-3.7, -1.0)
Oakland County 8 falling similar 201 12.0 (11.2, 12.7) 0.9 -1.7 (-2.2, -1.2)
Kent County 8 falling similar 83 11.9 (10.8, 13.1) 0.9 -2.3 (-3.2, -1.4)
Benzie County 6 stable similar 3 11.7 (6.4, 20.2) 0.9 -2.4 (-6.1, 1.1)
Roscommon County 6 stable similar 7 11.7 (7.9, 17.8) 0.9 -0.5 (-4.2, 3.1)
Clinton County 8 falling similar 12 11.6 (8.9, 15.1) 0.9 -3.2 (-5.4, -1.1)
Otsego County 8 falling similar 5 11.6 (7.3, 18.0) 0.9 -2.9 (-5.9, 0.0)
Dickinson County 8 falling similar 5 11.5 (7.3, 17.7) 0.9 -3.2 (-6.3, -0.7)
Livingston County 8 falling similar 29 11.4 (9.5, 13.5) 0.9 -2.3 (-3.5, -1.1)
Marquette County 6 stable similar 9 10.8 (7.8, 14.7) 0.8 -1.6 (-3.9, 0.5)
Barry County 8 falling similar 9 10.6 (7.6, 14.5) 0.8 -4.2 (-7.1, -1.7)
Ottawa County 9 falling lower 35 10.3 (8.8, 11.9) 0.8 -1.8 (-3.0, -0.6)
Eaton County 9 falling lower 15 10.3 (8.0, 13.0) 0.8 -2.3 (-3.7, -0.9)
Grand Traverse County 7 stable lower 13 10.0 (7.7, 12.9) 0.8 -2.4 (-4.9, 0.0)
Charlevoix County 6 stable similar 4 9.1 (5.5, 14.9) 0.7 -2.6 (-5.4, 0.0)
Antrim County 7 stable lower 4 8.0 (4.6, 13.7) 0.6 -2.3 (-5.1, 0.6)
Alcona County
**
** similar 4 27.4 (14.7, 47.5) 2.1
**
Chippewa County
**
** similar 8 17.6 (12.5, 24.2) 1.4
**
Oscoda County
**
** similar 4 20.3 (11.8, 35.4) 1.6
**
Presque Isle County
**
** similar 3 14.7 (7.6, 26.9) 1.1
**
Alger County
**
**
*
3 or fewer
*
*
**
Baraga County
**
**
*
3 or fewer
*
*
**
Crawford County
**
**
*
3 or fewer
*
*
**
Gogebic County
**
**
*
3 or fewer
*
*
**
Iron County
**
**
*
3 or fewer
*
*
**
Keweenaw County
**
**
*
3 or fewer
*
*
**
Leelanau County
**
**
*
3 or fewer
*
*
**
Luce County
**
**
*
3 or fewer
*
*
**
Montmorency County
**
**
*
3 or fewer
*
*
**
Ontonagon County
**
**
*
3 or fewer
*
*
**
Schoolcraft County
**
**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/31/2026 1:31 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

* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** 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. 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 (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+). The Healthy People 2030 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).

Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Alger County, Baraga County, Crawford County, Gogebic County, Iron County, Keweenaw County, Leelanau County, Luce County, Montmorency County, Ontonagon County, Schoolcraft County

Trend for the following could not be reliably determined due to small number of deaths per year:
Alcona County, Chippewa County, Oscoda County, Presque Isle 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 do not include Puerto Rico.

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