## Interpretation of Death Rates Data

### Death Rate Report for United States by State

Breast, 2013

All Races (includes Hispanic), Female, All Ages

Healthy People 2020 Objective Number: C-3

Reduce the female breast cancer death rate

Sorted by Rate

**Explanation of Column Headers**

**Objective** - The objective of 20.6 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 20.7 with a 95% confidence interval from 20.5 to 20.9 and 40,860 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -1.9 to -1.8.

#### District of Columbia

- The healthy people objective was
*not*met. - The death rate is 29.6 with a 95% confidence interval from 24.2 to 36.0 and 108 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.6 to -1.5.

#### Louisiana

- The healthy people objective was
*not*met. - The death rate is 23.9 with a 95% confidence interval from 22.0 to 25.8 and 652 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.

#### Mississippi

- The healthy people objective was
*not*met. - The death rate is 23.1 with a 95% confidence interval from 20.9 to 25.5 and 418 average annual deaths.
- The rate is falling because the AAPC value is -1.0 with a 95% confidence interval from -1.2 to -0.7.

#### New Jersey

- The healthy people objective was
*not*met. - The death rate is 23.0 with a 95% confidence interval from 21.7 to 24.3 and 1,356 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.5 to -2.1.

#### Oklahoma

- The healthy people objective was
*not*met. - The death rate is 23.0 with a 95% confidence interval from 21.1 to 25.1 and 542 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.6 to -0.9.

#### Ohio

- The healthy people objective was
*not*met. - The death rate is 22.8 with a 95% confidence interval from 21.7 to 23.9 and 1,780 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.0 to -1.8.

#### Georgia

- The healthy people objective was
*not*met. - The death rate is 22.5 with a 95% confidence interval from 21.3 to 23.8 and 1,245 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.

#### Nevada

- The healthy people objective was
*not*met. - The death rate is 22.4 with a 95% confidence interval from 20.1 to 25.0 and 352 average annual deaths.
- The rate is falling because the AAPC value is -1.4 with a 95% confidence interval from -1.8 to -1.0.

#### Tennessee

- The healthy people objective was
*not*met. - The death rate is 22.3 with a 95% confidence interval from 20.8 to 23.8 and 928 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.

#### Idaho

- The healthy people objective was
*not*met. - The death rate is 22.2 with a 95% confidence interval from 19.2 to 25.5 and 205 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.4 to -1.3.

#### Illinois

- The healthy people objective was
*not*met. - The death rate is 22.1 with a 95% confidence interval from 21.0 to 23.2 and 1,761 average annual deaths.
- The rate is stable because the AAPC value is -0.5 with a 95% confidence interval from -2.6 to 1.6.

#### Missouri

- The healthy people objective was
*not*met. - The death rate is 21.9 with a 95% confidence interval from 20.4 to 23.5 and 858 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.

#### Indiana

- The healthy people objective was
*not*met. - The death rate is 21.7 with a 95% confidence interval from 20.3 to 23.2 and 887 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.

#### Pennsylvania

- The healthy people objective was
*not*met. - The death rate is 21.6 with a 95% confidence interval from 20.7 to 22.7 and 2,001 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.

#### West Virginia

- The healthy people objective was
*not*met. - The death rate is 21.6 with a 95% confidence interval from 19.0 to 24.4 and 277 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.

#### Alabama

- The healthy people objective was
*not*met. - The death rate is 21.4 with a 95% confidence interval from 19.7 to 23.1 and 661 average annual deaths.
- The rate is falling because the AAPC value is -1.3 with a 95% confidence interval from -1.6 to -1.1.

#### Arkansas

- The healthy people objective was
*not*met. - The death rate is 21.4 with a 95% confidence interval from 19.3 to 23.7 and 400 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.5 to -0.9.

#### Maryland

- The healthy people objective was
*not*met. - The death rate is 21.4 with a 95% confidence interval from 19.9 to 23.0 and 783 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.

#### Delaware

- The healthy people objective was
*not*met. - The death rate is 21.2 with a 95% confidence interval from 17.7 to 25.3 and 131 average annual deaths.
- The rate is falling because the AAPC value is -2.7 with a 95% confidence interval from -3.1 to -2.2.

#### Michigan

- The healthy people objective was
*not*met. - The death rate is 21.1 with a 95% confidence interval from 19.9 to 22.2 and 1,382 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.

#### South Carolina

- The healthy people objective was
*not*met. - The death rate is 21.1 with a 95% confidence interval from 19.5 to 22.9 and 638 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -1.9 to -1.4.

#### Kentucky

- The healthy people objective was
*not*met. - The death rate is 21.0 with a 95% confidence interval from 19.3 to 22.9 and 585 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 21.0 with a 95% confidence interval from 19.7 to 22.4 and 1,049 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.

#### Nebraska

- The healthy people objective was
*not*met. - The death rate is 20.8 with a 95% confidence interval from 18.2 to 23.7 and 245 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.

#### Wyoming

- The healthy people objective was
*not*met. - The death rate is 20.7 with a 95% confidence interval from 16.1 to 26.3 and 72 average annual deaths.
- The rate is falling because the AAPC value is -2.3 with a 95% confidence interval from -2.8 to -1.7.

#### Arizona

- The healthy people objective was met.
- The death rate is 20.4 with a 95% confidence interval from 19.0 to 21.8 and 839 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.

#### New York

- The healthy people objective was met.
- The death rate is 20.4 with a 95% confidence interval from 19.7 to 21.3 and 2,632 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -2.4 to -0.7.

#### North Carolina

- The healthy people objective was met.
- The death rate is 20.4 with a 95% confidence interval from 19.3 to 21.6 and 1,254 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.0 to -1.5.

#### Washington

- The healthy people objective was met.
- The death rate is 20.4 with a 95% confidence interval from 19.0 to 21.9 and 854 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.

#### Utah

- The healthy people objective was met.
- The death rate is 20.3 with a 95% confidence interval from 17.9 to 23.0 and 255 average annual deaths.
- The rate is falling because the AAPC value is -1.2 with a 95% confidence interval from -1.6 to -0.8.

#### Wisconsin

- The healthy people objective was met.
- The death rate is 20.3 with a 95% confidence interval from 18.8 to 21.8 and 762 average annual deaths.
- The rate is stable because the AAPC value is -0.5 with a 95% confidence interval from -2.1 to 1.0.

#### Texas

- The healthy people objective was met.
- The death rate is 20.1 with a 95% confidence interval from 19.3 to 20.9 and 2,746 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -1.9 to -1.7.

#### California

- The healthy people objective was met.
- The death rate is 20.0 with a 95% confidence interval from 19.4 to 20.6 and 4,371 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -2.1 to -1.2.

#### Oregon

- The healthy people objective was met.
- The death rate is 19.9 with a 95% confidence interval from 18.2 to 21.8 and 519 average annual deaths.
- The rate is falling because the AAPC value is -2.0 with a 95% confidence interval from -2.2 to -1.7.

#### South Dakota

- The healthy people objective was met.
- The death rate is 19.9 with a 95% confidence interval from 16.2 to 24.2 and 110 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.6 to -1.2.

#### New Hampshire

- The healthy people objective was met.
- The death rate is 19.8 with a 95% confidence interval from 16.9 to 23.1 and 176 average annual deaths.
- The rate is falling because the AAPC value is -3.0 with a 95% confidence interval from -3.4 to -2.6.

#### Montana

- The healthy people objective was met.
- The death rate is 19.7 with a 95% confidence interval from 16.5 to 23.5 and 137 average annual deaths.
- The rate is falling because the AAPC value is -2.2 with a 95% confidence interval from -2.9 to -1.6.

#### Minnesota

- The healthy people objective was met.
- The death rate is 19.5 with a 95% confidence interval from 18.0 to 21.1 and 665 average annual deaths.
- The rate is falling because the AAPC value is -2.5 with a 95% confidence interval from -2.7 to -2.2.

#### Alaska

- The healthy people objective was met.
- The death rate is 19.4 with a 95% confidence interval from 14.6 to 25.2 and 61 average annual deaths.
- The rate is falling because the AAPC value is -1.6 with a 95% confidence interval from -2.5 to -0.6.

#### Florida

- The healthy people objective was met.
- The death rate is 19.4 with a 95% confidence interval from 18.6 to 20.2 and 2,778 average annual deaths.
- The rate is falling because the AAPC value is -1.5 with a 95% confidence interval from -1.9 to -1.0.

#### Rhode Island

- The healthy people objective was met.
- The death rate is 19.4 with a 95% confidence interval from 16.2 to 23.0 and 143 average annual deaths.
- The rate is falling because the AAPC value is -3.2 with a 95% confidence interval from -3.6 to -2.8.

#### Maine

- The healthy people objective was met.
- The death rate is 18.7 with a 95% confidence interval from 16.0 to 21.7 and 186 average annual deaths.
- The rate is falling because the AAPC value is -2.6 with a 95% confidence interval from -3.0 to -2.3.

#### Vermont

- The healthy people objective was met.
- The death rate is 18.7 with a 95% confidence interval from 14.7 to 23.6 and 79 average annual deaths.
- The rate is falling because the AAPC value is -2.7 with a 95% confidence interval from -3.2 to -2.2.

#### Connecticut

- The healthy people objective was met.
- The death rate is 18.6 with a 95% confidence interval from 16.9 to 20.5 and 454 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -2.7 to -2.2.

#### Iowa

- The healthy people objective was met.
- The death rate is 18.6 with a 95% confidence interval from 16.7 to 20.6 and 385 average annual deaths.
- The rate is falling because the AAPC value is -2.4 with a 95% confidence interval from -2.7 to -2.1.

#### Massachusetts

- The healthy people objective was met.
- The death rate is 18.3 with a 95% confidence interval from 17.1 to 19.7 and 832 average annual deaths.
- The rate is falling because the AAPC value is -3.2 with a 95% confidence interval from -3.4 to -3.0.

#### Kansas

- The healthy people objective was met.
- The death rate is 18.2 with a 95% confidence interval from 16.3 to 20.4 and 334 average annual deaths.
- The rate is falling because the AAPC value is -1.8 with a 95% confidence interval from -2.2 to -1.4.

#### Colorado

- The healthy people objective was met.
- The death rate is 17.9 with a 95% confidence interval from 16.4 to 19.6 and 531 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.

#### North Dakota

- The healthy people objective was met.
- The death rate is 17.7 with a 95% confidence interval from 13.8 to 22.3 and 79 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.

#### New Mexico

- The healthy people objective was met.
- The death rate is 17.1 with a 95% confidence interval from 14.9 to 19.6 and 224 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.5 to -1.3.

#### Hawaii

- The healthy people objective was met.
- The death rate is 15.3 with a 95% confidence interval from 12.8 to 18.3 and 138 average annual deaths.
- The rate is falling because the AAPC value is -1.9 with a 95% confidence interval from -2.4 to -1.4.

**Notes:**

Created by statecancerprofiles.cancer.gov on 07/27/2016 11:25 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.