## Interpretation of Death Rates Data

### Death Rate Report for United States by State

All Cancer Sites, 2013

All Races (includes Hispanic), Both Sexes, All Ages

Healthy People 2020 Objective Number: C-1

Reduce the overall cancer death rate

Sorted by Average Annual Percent Change (AAPC)

**Explanation of Column Headers**

**Objective** - The objective of 161.4 is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

**Death Rate (95% Confidence Interval)** - The death rate is based upon 100,000 people and is for 1 year(s). Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population (the Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal).

**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 (Version 4.3.0.0)

**Other Notes**

- Larger confidence intervals indicate less accuracy 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**

#### United States

- The healthy people objective was
*not*met. - The death rate is 163.0 with a 95% confidence interval from 162.6 to 163.4 and 584,872 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.6 to -1.5.

#### Arkansas

- The healthy people objective was
*not*met. - The death rate is 189.6 with a 95% confidence interval from 185.0 to 194.2 and 6,688 average annual deaths.
- The rate is falling because the AAPC value is -0.7 with a 95% confidence interval from -0.8 to -0.7.

#### Iowa

- The healthy people objective was
*not*met. - The death rate is 168.2 with a 95% confidence interval from 164.0 to 172.4 and 6,509 average annual deaths.
- The rate is falling because the AAPC value is -0.8 with a 95% confidence interval from -0.9 to -0.7.

#### Nebraska

- The healthy people objective was met.
- The death rate is 160.7 with a 95% confidence interval from 155.3 to 166.2 and 3,459 average annual deaths.
- The rate is falling because the AAPC value is -0.8 with a 95% confidence interval from -0.9 to -0.7.

#### Oklahoma

- The healthy people objective was
*not*met. - The death rate is 185.4 with a 95% confidence interval from 181.3 to 189.5 and 8,039 average annual deaths.
- The rate is falling because the AAPC value is -0.8 with a 95% confidence interval from -1.0 to -0.6.

#### Idaho

- The healthy people objective was met.
- The death rate is 156.3 with a 95% confidence interval from 150.4 to 162.4 and 2,707 average annual deaths.
- The rate is falling because the AAPC value is -0.9 with a 95% confidence interval from -1.1 to -0.8.

#### Mississippi

- The healthy people objective was
*not*met. - The death rate is 196.5 with a 95% confidence interval from 191.7 to 201.4 and 6,527 average annual deaths.
- The rate is falling because the AAPC value is -1.0 with a 95% confidence interval from -1.1 to -0.8.

#### West Virginia

- The healthy people objective was
*not*met. - The death rate is 190.5 with a 95% confidence interval from 185.0 to 196.1 and 4,718 average annual deaths.
- The rate is falling because the AAPC value is -1.0 with a 95% confidence interval from -1.1 to -0.9.

#### Wisconsin

- The healthy people objective was
*not*met. - The death rate is 164.6 with a 95% confidence interval from 161.6 to 167.7 and 11,425 average annual deaths.
- The rate is falling because the AAPC value is -1.0 with a 95% confidence interval from -1.1 to -0.9.

#### Alaska

- The healthy people objective was
*not*met. - The death rate is 173.1 with a 95% confidence interval from 161.8 to 185.1 and 1,016 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.4 to -0.9.

#### Hawaii

- The healthy people objective was met.
- The death rate is 134.9 with a 95% confidence interval from 129.3 to 140.6 and 2,332 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.2 to -1.0.

#### Utah

- The healthy people objective was met.
- The death rate is 127.9 with a 95% confidence interval from 123.3 to 132.7 and 2,971 average annual deaths.
- The rate is falling because the AAPC value is -1.1 with a 95% confidence interval from -1.3 to -0.9.

#### Kentucky

- The healthy people objective was
*not*met. - The death rate is 199.3 with a 95% confidence interval from 195.3 to 203.3 and 10,082 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.4 to -0.9.

#### North Dakota

- The healthy people objective was met.
- The death rate is 150.8 with a 95% confidence interval from 142.5 to 159.5 and 1,286 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.4 to -1.0.

#### Vermont

- The healthy people objective was
*not*met. - The death rate is 164.1 with a 95% confidence interval from 155.2 to 173.5 and 1,318 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.4 to -1.1.

#### Indiana

- The healthy people objective was
*not*met. - The death rate is 179.4 with a 95% confidence interval from 176.3 to 182.5 and 13,258 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.5 to -1.2.

#### Kansas

- The healthy people objective was
*not*met. - The death rate is 162.9 with a 95% confidence interval from 158.5 to 167.4 and 5,379 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.7 to -0.9.

#### Maine

- The healthy people objective was
*not*met. - The death rate is 174.8 with a 95% confidence interval from 168.7 to 181.1 and 3,227 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.4 to -1.1.

#### Missouri

- The healthy people objective was
*not*met. - The death rate is 179.1 with a 95% confidence interval from 176.0 to 182.3 and 12,955 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.5 to -1.1.

#### New York

- The healthy people objective was met.
- The death rate is 155.5 with a 95% confidence interval from 153.9 to 157.2 and 35,735 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.5 to -1.1.

#### Texas

- The healthy people objective was met.
- The death rate is 156.9 with a 95% confidence interval from 155.3 to 158.5 and 38,412 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.7 to -0.9.

#### Arizona

- The healthy people objective was met.
- The death rate is 146.4 with a 95% confidence interval from 143.7 to 149.2 and 11,347 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.5 to -1.3.

#### South Carolina

- The healthy people objective was
*not*met. - The death rate is 174.0 with a 95% confidence interval from 170.4 to 177.5 and 9,745 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.6 to -1.2.

#### South Dakota

- The healthy people objective was met.
- The death rate is 154.1 with a 95% confidence interval from 146.4 to 162.0 and 1,577 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.9 to -1.0.

#### Tennessee

- The healthy people objective was
*not*met. - The death rate is 185.4 with a 95% confidence interval from 182.3 to 188.6 and 13,953 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.6 to -1.2.

#### Illinois

- The healthy people objective was
*not*met. - The death rate is 171.7 with a 95% confidence interval from 169.5 to 173.9 and 24,491 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.6 to -1.4.

#### Louisiana

- The healthy people objective was
*not*met. - The death rate is 188.7 with a 95% confidence interval from 184.9 to 192.7 and 9,419 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.7 to -1.4.

#### New Hampshire

- The healthy people objective was met.
- The death rate is 158.6 with a 95% confidence interval from 152.4 to 165.0 and 2,584 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.6 to -1.3.

#### New Mexico

- The healthy people objective was met.
- The death rate is 145.1 with a 95% confidence interval from 140.2 to 150.1 and 3,481 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.8 to -1.2.

#### Ohio

- The healthy people objective was
*not*met. - The death rate is 177.4 with a 95% confidence interval from 175.1 to 179.6 and 24,986 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.9 to -1.2.

#### Pennsylvania

- The healthy people objective was
*not*met. - The death rate is 170.0 with a 95% confidence interval from 168.0 to 172.0 and 28,512 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.6 to -1.4.

#### California

- The healthy people objective was met.
- The death rate is 146.6 with a 95% confidence interval from 145.4 to 147.8 and 57,714 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.8 to -1.5.

#### Delaware

- The healthy people objective was
*not*met. - The death rate is 167.1 with a 95% confidence interval from 159.6 to 174.9 and 1,905 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.8 to -1.4.

#### Florida

- The healthy people objective was met.
- The death rate is 154.9 with a 95% confidence interval from 153.4 to 156.4 and 42,734 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.8 to -1.5.

#### North Carolina

- The healthy people objective was
*not*met. - The death rate is 167.7 with a 95% confidence interval from 165.3 to 170.2 and 18,589 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.7 to -1.4.

#### Oregon

- The healthy people objective was
*not*met. - The death rate is 163.2 with a 95% confidence interval from 159.5 to 167.0 and 7,799 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.7 to -1.4.

#### Rhode Island

- The healthy people objective was
*not*met. - The death rate is 173.9 with a 95% confidence interval from 166.7 to 181.3 and 2,326 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.8 to -1.4.

#### Wyoming

- The healthy people objective was met.
- The death rate is 147.7 with a 95% confidence interval from 138.3 to 157.7 and 946 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.9 to -1.3.

#### Alabama

- The healthy people objective was
*not*met. - The death rate is 182.1 with a 95% confidence interval from 178.5 to 185.7 and 10,328 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -2.2 to -1.2.

#### Colorado

- The healthy people objective was met.
- The death rate is 139.2 with a 95% confidence interval from 135.9 to 142.5 and 7,357 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -2.0 to -1.4.

#### Georgia

- The healthy people objective was
*not*met. - The death rate is 168.1 with a 95% confidence interval from 165.5 to 170.7 and 16,417 average annual deaths.
- The rate is falling because the AAPC value is -1.7 with a 95% confidence interval from -1.9 to -1.4.

#### Virginia

- The healthy people objective was
*not*met. - The death rate is 162.3 with a 95% confidence interval from 159.6 to 165.0 and 14,414 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -1.9 to -1.6.

#### Massachusetts

- The healthy people objective was met.
- The death rate is 159.7 with a 95% confidence interval from 156.9 to 162.6 and 12,858 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.1 to -1.8.

#### Michigan

- The healthy people objective was
*not*met. - The death rate is 170.2 with a 95% confidence interval from 167.8 to 172.6 and 20,367 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.8 to -0.9.

#### Montana

- The healthy people objective was met.
- The death rate is 154.0 with a 95% confidence interval from 147.2 to 161.1 and 1,997 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.3 to -1.6.

#### Nevada

- The healthy people objective was
*not*met. - The death rate is 164.9 with a 95% confidence interval from 160.2 to 169.7 and 4,817 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.2 to -1.6.

#### District of Columbia

- The healthy people objective was
*not*met. - The death rate is 177.7 with a 95% confidence interval from 167.1 to 188.8 and 1,095 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.2 to -1.8.

#### Maryland

- The healthy people objective was
*not*met. - The death rate is 163.0 with a 95% confidence interval from 159.9 to 166.2 and 10,608 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.1 to -1.8.

#### Connecticut

- The healthy people objective was met.
- The death rate is 147.8 with a 95% confidence interval from 144.2 to 151.5 and 6,619 average annual deaths.
- The rate is falling because the AAPC value is -2.1 with a 95% confidence interval from -2.4 to -1.8.

#### New Jersey

- The healthy people objective was met.
- The death rate is 156.0 with a 95% confidence interval from 153.6 to 158.5 and 16,315 average annual deaths.
- The rate is falling because the AAPC value is -2.1 with a 95% confidence interval from -2.3 to -1.9.

#### Minnesota

- The healthy people objective was met.
- The death rate is 155.1 with a 95% confidence interval from 152.0 to 158.3 and 9,601 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -3.4 to -1.2.

#### Washington

- The healthy people objective was met.
- The death rate is 156.3 with a 95% confidence interval from 153.4 to 159.2 and 11,928 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -4.2 to -0.7.

**Notes:**

Created by statecancerprofiles.cancer.gov on 05/25/2017 8:25 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).

**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.

^{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 (Version 4.3.0.0). 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 1969-2014 US Population Data File is used with mortality data.