## Interpretation of Death Rates Data

### Death Rate Report for United States by State

Colon & Rectum, 2013

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

Healthy People 2020 Objective Number: C-5

Reduce the colorectal cancer death rate

Sorted by Average Annual Percent Change (AAPC)

**Explanation of Column Headers**

**Objective** - The objective of 14.5 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 met.
- The death rate is 14.5 with a 95% confidence interval from 14.3 to 14.6 and 51,813 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -2.7 to -2.3.

#### Mississippi

- The healthy people objective was
*not*met. - The death rate is 18.6 with a 95% confidence interval from 17.1 to 20.2 and 615 average annual deaths.
- The rate is falling because the AAPC value is -0.5 with a 95% confidence interval from -0.8 to -0.2.

#### Alabama

- The healthy people objective was
*not*met. - The death rate is 17.5 with a 95% confidence interval from 16.4 to 18.7 and 982 average annual deaths.
- The rate is falling because the AAPC value is -0.9 with a 95% confidence interval from -1.1 to -0.6.

#### Arkansas

- The healthy people objective was
*not*met. - The death rate is 17.6 with a 95% confidence interval from 16.3 to 19.1 and 623 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.

#### Oklahoma

- The healthy people objective was
*not*met. - The death rate is 17.3 with a 95% confidence interval from 16.0 to 18.6 and 746 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.

#### New Mexico

- The healthy people objective was met.
- The death rate is 14.2 with a 95% confidence interval from 12.7 to 15.9 and 338 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.6 to -1.0.

#### Tennessee

- The healthy people objective was
*not*met. - The death rate is 16.4 with a 95% confidence interval from 15.5 to 17.4 and 1,219 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.8 to -1.3.

#### West Virginia

- The healthy people objective was
*not*met. - The death rate is 19.7 with a 95% confidence interval from 18.0 to 21.6 and 484 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.9 to -1.1.

#### Hawaii

- The healthy people objective was met.
- The death rate is 14.2 with a 95% confidence interval from 12.4 to 16.2 and 245 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.

#### Nevada

- The healthy people objective was
*not*met. - The death rate is 16.8 with a 95% confidence interval from 15.3 to 18.4 and 482 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.

#### Oregon

- The healthy people objective was met.
- The death rate is 14.1 with a 95% confidence interval from 13.0 to 15.2 and 670 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.1 to -1.6.

#### Wisconsin

- The healthy people objective was met.
- The death rate is 14.0 with a 95% confidence interval from 13.1 to 14.9 and 975 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -3.0 to -0.6.

#### Kansas

- The healthy people objective was
*not*met. - The death rate is 15.3 with a 95% confidence interval from 14.0 to 16.7 and 506 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.1 to -1.6.

#### Arizona

- The healthy people objective was met.
- The death rate is 13.0 with a 95% confidence interval from 12.2 to 13.8 and 987 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.3 to -1.8.

#### Idaho

- The healthy people objective was met.
- The death rate is 13.2 with a 95% confidence interval from 11.5 to 15.0 and 232 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.4 to -1.6.

#### South Carolina

- The healthy people objective was
*not*met. - The death rate is 14.9 with a 95% confidence interval from 13.9 to 15.9 and 823 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.3 to -1.6.

#### California

- The healthy people objective was met.
- The death rate is 13.1 with a 95% confidence interval from 12.7 to 13.4 and 5,179 average annual deaths.
- The rate is falling because the AAPC value is -2.2 with a 95% confidence interval from -2.2 to -2.1.

#### Iowa

- The healthy people objective was
*not*met. - The death rate is 15.5 with a 95% confidence interval from 14.2 to 16.8 and 606 average annual deaths.
- The rate is falling because the AAPC value is -2.2 with a 95% confidence interval from -2.5 to -2.0.

#### South Dakota

- The healthy people objective was
*not*met. - The death rate is 16.6 with a 95% confidence interval from 14.1 to 19.4 and 167 average annual deaths.
- The rate is falling because the AAPC value is -2.2 with a 95% confidence interval from -2.7 to -1.7.

#### Georgia

- The healthy people objective was
*not*met. - The death rate is 14.8 with a 95% confidence interval from 14.1 to 15.6 and 1,452 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.9 to -1.7.

#### Nebraska

- The healthy people objective was
*not*met. - The death rate is 15.0 with a 95% confidence interval from 13.3 to 16.7 and 320 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.7 to -1.9.

#### North Dakota

- The healthy people objective was
*not*met. - The death rate is 15.7 with a 95% confidence interval from 13.1 to 18.7 and 135 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.7 to -1.8.

#### Texas

- The healthy people objective was
*not*met. - The death rate is 14.6 with a 95% confidence interval from 14.1 to 15.1 and 3,581 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.4 to -2.1.

#### Montana

- The healthy people objective was met.
- The death rate is 12.3 with a 95% confidence interval from 10.4 to 14.4 and 161 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -2.9 to -1.9.

#### Utah

- The healthy people objective was met.
- The death rate is 10.9 with a 95% confidence interval from 9.6 to 12.4 and 252 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -2.9 to -1.9.

#### Alaska

- The healthy people objective was
*not*met. - The death rate is 16.6 with a 95% confidence interval from 13.2 to 20.5 and 99 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -3.3 to -1.7.

#### Florida

- The healthy people objective was met.
- The death rate is 13.4 with a 95% confidence interval from 13.0 to 13.9 and 3,698 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -2.6 to -2.3.

#### Louisiana

- The healthy people objective was
*not*met. - The death rate is 18.3 with a 95% confidence interval from 17.1 to 19.5 and 909 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -3.0 to -2.0.

#### Michigan

- The healthy people objective was
*not*met. - The death rate is 14.6 with a 95% confidence interval from 13.9 to 15.3 and 1,730 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -2.6 to -2.4.

#### Minnesota

- The healthy people objective was met.
- The death rate is 12.8 with a 95% confidence interval from 11.9 to 13.7 and 792 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -2.8 to -2.2.

#### Missouri

- The healthy people objective was
*not*met. - The death rate is 15.5 with a 95% confidence interval from 14.6 to 16.5 and 1,116 average annual deaths.
- The rate is falling because the AAPC value is -2.6 with a 95% confidence interval from -3.1 to -2.1.

#### Pennsylvania

- The healthy people objective was
*not*met. - The death rate is 15.8 with a 95% confidence interval from 15.2 to 16.4 and 2,657 average annual deaths.
- The rate is falling because the AAPC value is -2.6 with a 95% confidence interval from -3.0 to -2.2.

#### District of Columbia

- The healthy people objective was met.
- The death rate is 14.2 with a 95% confidence interval from 11.3 to 17.6 and 86 average annual deaths.
- The rate is falling because the AAPC value is -2.7 with a 95% confidence interval from -3.4 to -2.1.

#### Kentucky

- The healthy people objective was
*not*met. - The death rate is 16.8 with a 95% confidence interval from 15.7 to 18.0 and 849 average annual deaths.
- The rate is falling because the AAPC value is -2.8 with a 95% confidence interval from -3.4 to -2.2.

#### Ohio

- The healthy people objective was
*not*met. - The death rate is 16.1 with a 95% confidence interval from 15.4 to 16.8 and 2,258 average annual deaths.
- The rate is falling because the AAPC value is -2.8 with a 95% confidence interval from -3.0 to -2.5.

#### Vermont

- The healthy people objective was met.
- The death rate is 14.2 with a 95% confidence interval from 11.7 to 17.2 and 113 average annual deaths.
- The rate is falling because the AAPC value is -2.8 with a 95% confidence interval from -3.4 to -2.1.

#### Washington

- The healthy people objective was met.
- The death rate is 12.7 with a 95% confidence interval from 11.9 to 13.5 and 970 average annual deaths.
- The rate is falling because the AAPC value is -2.8 with a 95% confidence interval from -3.3 to -2.3.

#### Indiana

- The healthy people objective was
*not*met. - The death rate is 15.3 with a 95% confidence interval from 14.4 to 16.2 and 1,135 average annual deaths.
- The rate is falling because the AAPC value is -2.9 with a 95% confidence interval from -3.2 to -2.5.

#### New Jersey

- The healthy people objective was
*not*met. - The death rate is 14.6 with a 95% confidence interval from 13.9 to 15.4 and 1,542 average annual deaths.
- The rate is falling because the AAPC value is -3.0 with a 95% confidence interval from -3.2 to -2.8.

#### Illinois

- The healthy people objective was
*not*met. - The death rate is 15.7 with a 95% confidence interval from 15.1 to 16.4 and 2,265 average annual deaths.
- The rate is falling because the AAPC value is -3.1 with a 95% confidence interval from -3.7 to -2.6.

#### North Carolina

- The healthy people objective was met.
- The death rate is 13.1 with a 95% confidence interval from 12.4 to 13.8 and 1,441 average annual deaths.
- The rate is falling because the AAPC value is -3.1 with a 95% confidence interval from -3.5 to -2.6.

#### Delaware

- The healthy people objective was met.
- The death rate is 13.8 with a 95% confidence interval from 11.7 to 16.2 and 151 average annual deaths.
- The rate is falling because the AAPC value is -3.2 with a 95% confidence interval from -3.7 to -2.6.

#### Maine

- The healthy people objective was met.
- The death rate is 12.5 with a 95% confidence interval from 10.9 to 14.3 and 230 average annual deaths.
- The rate is falling because the AAPC value is -3.2 with a 95% confidence interval from -3.5 to -2.8.

#### New Hampshire

- The healthy people objective was met.
- The death rate is 13.0 with a 95% confidence interval from 11.2 to 14.9 and 207 average annual deaths.
- The rate is falling because the AAPC value is -3.2 with a 95% confidence interval from -3.7 to -2.8.

#### Rhode Island

- The healthy people objective was met.
- The death rate is 13.0 with a 95% confidence interval from 11.1 to 15.1 and 179 average annual deaths.
- The rate is falling because the AAPC value is -3.3 with a 95% confidence interval from -3.6 to -2.9.

#### Virginia

- The healthy people objective was met.
- The death rate is 13.6 with a 95% confidence interval from 12.9 to 14.4 and 1,203 average annual deaths.
- The rate is falling because the AAPC value is -3.3 with a 95% confidence interval from -3.8 to -2.8.

#### Wyoming

- The healthy people objective was met.
- The death rate is 12.2 with a 95% confidence interval from 9.6 to 15.3 and 79 average annual deaths.
- The rate is falling because the AAPC value is -3.3 with a 95% confidence interval from -4.3 to -2.2.

#### New York

- The healthy people objective was met.
- The death rate is 13.8 with a 95% confidence interval from 13.3 to 14.3 and 3,189 average annual deaths.
- The rate is falling because the AAPC value is -3.5 with a 95% confidence interval from -3.9 to -3.2.

#### Colorado

- The healthy people objective was met.
- The death rate is 12.1 with a 95% confidence interval from 11.2 to 13.1 and 640 average annual deaths.
- The rate is falling because the AAPC value is -3.7 with a 95% confidence interval from -4.3 to -3.1.

#### Maryland

- The healthy people objective was met.
- The death rate is 14.0 with a 95% confidence interval from 13.1 to 15.0 and 919 average annual deaths.
- The rate is falling because the AAPC value is -3.8 with a 95% confidence interval from -4.1 to -3.5.

#### Massachusetts

- The healthy people objective was met.
- The death rate is 12.9 with a 95% confidence interval from 12.1 to 13.7 and 1,039 average annual deaths.
- The rate is falling because the AAPC value is -4.3 with a 95% confidence interval from -4.7 to -3.8.

#### Connecticut

- The healthy people objective was met.
- The death rate is 11.8 with a 95% confidence interval from 10.8 to 12.9 and 537 average annual deaths.
- The rate is falling because the AAPC value is -4.4 with a 95% confidence interval from -4.9 to -3.8.

**Notes:**

Created by statecancerprofiles.cancer.gov on 03/23/2017 12:15 pm.

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.