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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Michigan Counties versus United States

Colon & Rectum

All Races, Both Sexes

Sorted by priority index
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 descending 		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 falling trend - 52,152 13.1 (13.1, 13.2) - -1.9 (-2.1, -1.8)
Michigan - stable stable trend - 1,719 13.4 (13.1, 13.7) - -0.1 (-2.8, 2.7)
Gratiot County 4 stable stable trend higher 10 18.9 (13.9, 25.2) 1.4 0.0 (-1.4, 1.4)
Isabella County 4 stable stable trend higher 14 20.1 (15.5, 25.7) 1.5 0.1 (-1.2, 1.3)
Roscommon County 4 stable stable trend higher 10 20.0 (14.3, 28.2) 1.5 -1.1 (-2.8, 0.5)
Genesee County 5 falling falling trend higher 79 14.8 (13.3, 16.4) 1.1 -2.1 (-2.7, -1.6)
Manistee County 5 falling falling trend higher 9 21.9 (15.7, 30.3) 1.7 -1.6 (-3.0, -0.1)
Sanilac County 5 falling falling trend higher 13 19.4 (14.8, 25.2) 1.5 -2.0 (-3.2, -0.8)
Wayne County 5 falling falling trend higher 329 15.6 (14.9, 16.4) 1.2 -2.2 (-2.3, -2.0)
Branch County 6 stable stable trend similar 8 14.6 (10.5, 20.1) 1.1 -1.1 (-2.3, 0.2)
Gladwin County 6 stable stable trend similar 7 16.1 (11.0, 23.3) 1.2 -1.2 (-2.7, 0.3)
Iosco County 6 stable stable trend similar 8 17.5 (12.0, 25.2) 1.3 -1.2 (-2.6, 0.2)
Mackinac County 6 stable stable trend similar 4 20.3 (12.5, 33.5) 1.5 -1.8 (-3.7, 0.1)
Menominee County 6 stable stable trend similar 5 12.2 (7.8, 18.8) 0.9 -1.7 (-3.7, 0.3)
Montcalm County 6 stable stable trend similar 11 13.4 (10.0, 17.6) 1.0 13.4 (-20.2, 61.1)
Osceola County 6 stable stable trend similar 6 18.4 (12.4, 26.7) 1.4 -1.3 (-3.0, 0.5)
St. Clair County 6 stable stable trend similar 33 14.8 (12.5, 17.3) 1.1 9.9 (-11.2, 36.0)
Barry County 7 stable stable trend lower 7 8.8 (6.1, 12.5) 0.7 23.5 (-12.8, 75.1)
Allegan County 8 falling falling trend similar 19 13.5 (10.9, 16.6) 1.0 -2.5 (-3.1, -1.8)
Alpena County 8 falling falling trend similar 7 12.9 (8.8, 18.8) 1.0 -2.8 (-4.1, -1.4)
Antrim County 8 falling falling trend similar 4 10.0 (5.8, 16.7) 0.8 -3.8 (-5.4, -2.2)
Arenac County 8 falling falling trend similar 4 15.0 (8.2, 25.9) 1.1 -2.6 (-4.4, -0.8)
Bay County 8 falling falling trend similar 24 15.5 (12.8, 18.7) 1.2 -1.2 (-2.0, -0.3)
Berrien County 8 falling falling trend similar 35 15.3 (13.1, 17.9) 1.2 -2.0 (-2.8, -1.2)
Calhoun County 8 falling falling trend similar 26 14.7 (12.2, 17.6) 1.1 -2.3 (-3.2, -1.4)
Cass County 8 falling falling trend similar 11 14.7 (11.1, 19.4) 1.1 -1.6 (-3.0, -0.2)
Charlevoix County 8 falling falling trend similar 4 11.2 (6.8, 17.9) 0.9 -2.4 (-4.1, -0.8)
Cheboygan County 8 falling falling trend similar 5 10.9 (6.8, 17.3) 0.8 -2.3 (-4.2, -0.4)
Clare County 8 falling falling trend similar 8 15.8 (11.3, 21.9) 1.2 -2.3 (-3.6, -1.0)
Clinton County 8 falling falling trend similar 13 13.4 (10.3, 17.2) 1.0 -2.7 (-4.2, -1.2)
Delta County 8 falling falling trend similar 8 13.6 (9.5, 19.0) 1.0 -2.3 (-3.9, -0.8)
Dickinson County 8 falling falling trend similar 5 12.1 (7.7, 18.5) 0.9 -2.0 (-3.7, -0.3)
Eaton County 8 falling falling trend similar 16 10.9 (8.5, 13.7) 0.8 -3.2 (-4.1, -2.3)
Emmet County 8 falling falling trend similar 6 11.5 (7.7, 16.8) 0.9 -2.9 (-4.0, -1.7)
Hillsdale County 8 falling falling trend similar 8 12.2 (8.5, 17.1) 0.9 -3.1 (-4.5, -1.7)
Houghton County 8 falling falling trend similar 6 14.5 (9.7, 20.9) 1.1 -2.0 (-3.5, -0.5)
Huron County 8 falling falling trend similar 8 14.6 (10.4, 20.4) 1.1 -1.8 (-3.0, -0.6)
Ingham County 8 falling falling trend similar 36 12.4 (10.6, 14.4) 0.9 -2.7 (-3.5, -1.9)
Ionia County 8 falling falling trend similar 8 11.7 (8.2, 16.1) 0.9 -2.1 (-3.4, -0.8)
Jackson County 8 falling falling trend similar 29 13.8 (11.6, 16.3) 1.0 -2.7 (-3.2, -2.1)
Kalamazoo County 8 falling falling trend similar 36 12.3 (10.5, 14.3) 0.9 -2.3 (-2.9, -1.7)
Lapeer County 8 falling falling trend similar 18 14.9 (11.9, 18.5) 1.1 -2.3 (-3.4, -1.1)
Leelanau County 8 falling falling trend similar 4 8.9 (4.8, 15.9) 0.7 -3.3 (-5.0, -1.6)
Lenawee County 8 falling falling trend similar 21 16.0 (13.0, 19.5) 1.2 -1.5 (-2.5, -0.5)
Livingston County 8 falling falling trend similar 28 11.4 (9.6, 13.6) 0.9 -2.8 (-3.7, -2.0)
Macomb County 8 falling falling trend similar 161 14.2 (13.3, 15.3) 1.1 -2.0 (-2.3, -1.7)
Marquette County 8 falling falling trend similar 11 12.2 (9.0, 16.2) 0.9 -2.0 (-3.3, -0.7)
Mason County 8 falling falling trend similar 6 11.8 (7.6, 17.8) 0.9 -2.5 (-4.2, -0.8)
Mecosta County 8 falling falling trend similar 8 14.7 (10.2, 20.7) 1.1 -2.7 (-4.2, -1.1)
Midland County 8 falling falling trend similar 14 11.4 (8.8, 14.6) 0.9 -2.8 (-3.9, -1.7)
Monroe County 8 falling falling trend similar 27 13.2 (11.0, 15.8) 1.0 -2.5 (-3.2, -1.9)
Muskegon County 8 falling falling trend similar 26 11.8 (9.8, 14.0) 0.9 -2.3 (-3.1, -1.5)
Newaygo County 8 falling falling trend similar 9 12.3 (8.8, 16.9) 0.9 -2.7 (-4.0, -1.3)
Oceana County 8 falling falling trend similar 6 15.0 (10.0, 22.0) 1.1 -1.9 (-3.7, -0.1)
Ogemaw County 8 falling falling trend similar 6 16.2 (10.8, 24.1) 1.2 -3.5 (-4.8, -2.2)
Otsego County 8 falling falling trend similar 5 12.7 (8.1, 19.4) 1.0 -2.7 (-4.2, -1.2)
Saginaw County 8 falling falling trend similar 37 13.5 (11.6, 15.7) 1.0 -2.4 (-3.0, -1.8)
Shiawassee County 8 falling falling trend similar 12 12.8 (9.6, 16.7) 1.0 -2.9 (-3.9, -2.0)
St. Joseph County 8 falling falling trend similar 13 16.0 (12.2, 20.7) 1.2 -2.3 (-3.2, -1.4)
Tuscola County 8 falling falling trend similar 12 15.3 (11.5, 20.0) 1.2 -2.5 (-3.8, -1.1)
Van Buren County 8 falling falling trend similar 15 14.8 (11.5, 18.7) 1.1 -2.2 (-3.2, -1.2)
Grand Traverse County 9 falling falling trend lower 12 9.5 (7.2, 12.3) 0.7 -2.7 (-3.8, -1.5)
Kent County 9 falling falling trend lower 76 10.8 (9.7, 11.9) 0.8 -2.8 (-3.2, -2.3)
Oakland County 9 falling falling trend lower 189 11.6 (10.9, 12.4) 0.9 -2.5 (-2.7, -2.2)
Ottawa County 9 falling falling trend lower 31 9.2 (7.8, 10.8) 0.7 -3.3 (-4.1, -2.6)
Washtenaw County 9 falling falling trend lower 43 11.5 (10.0, 13.2) 0.9 -2.6 (-3.2, -2.0)
Wexford County 9 falling falling trend lower 4 8.3 (5.1, 13.0) 0.6 -3.6 (-5.0, -2.1)
Alcona County
**
 		** similar 4 19.2 (9.8, 36.0) 1.5
**
Benzie County
**
 		** similar 4 12.2 (7.1, 20.6) 0.9
**
Chippewa County
**
 		** similar 6 12.4 (8.3, 18.0) 0.9
**
Gogebic County
**
 		** similar 3 13.0 (7.0, 23.0) 1.0
**
Kalkaska County
**
 		** similar 4 17.7 (10.8, 27.8) 1.3
**
Presque Isle County
**
 		** similar 3 15.1 (7.8, 27.9) 1.2
**
Alger County
**
 		**
*
3 or fewer
*
*
**
Baraga County
**
 		**
*
3 or fewer
*
*
**
Crawford County
**
 		**
*
3 or fewer
*
*
**
Iron County
**
 		**
*
3 or fewer
*
*
**
Keweenaw County
**
 		**
*
3 or fewer
*
*
**
Lake County
**
 		**
*
3 or fewer
*
*
**
Luce County
**
 		**
*
3 or fewer
*
*
**
Missaukee County
**
 		**
*
3 or fewer
*
*
**
Montmorency County
**
 		**
*
3 or fewer
*
*
**
Ontonagon County
**
 		**
*
3 or fewer
*
*
**
Oscoda County
**
 		**
*
3 or fewer
*
*
**
Schoolcraft County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/15/2024 2:42 pm.

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 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).

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

Trend for the following could not be reliably determined due to small number of deaths per year:
Alcona County, Benzie County, Chippewa County, Gogebic County, Kalkaska 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 does not include Puerto Rico.

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