## Interpretation of Rate/Trend Comparison by Cancer Data

**Death Rate/Trend Comparison by Cancer, death years through 2013**

Iowa Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

Iowa Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

**United States**

- The priority index is -
- The recent trend is falling
- This death rate is - the US rate
- The average deaths per year (2009-2013) is 577,303
- The annual death rate (2009-2013) is 168.5 per 100,000 with a 95% confidence interval from 168.3 to 168.7
- The rate ratio is -0.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -1.6 to -1.5
- The recent trend period is 2009 - 2013

**Iowa**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 6,407
- The annual death rate (2009-2013) is 169.7 per 100,000 with a 95% confidence interval from 167.8 to 171.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -0.9 to -0.7
- The recent trend period is 2009 - 2013

**Cass County**

- The priority index is 1
- The recent trend is rising
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 49
- The annual death rate (2009-2013) is 218.8 per 100,000 with a 95% confidence interval from 191.0 to 250.1
- The rate ratio is 1.3
- The average annual percent change in death rates is 5.4 with a 95% confidence interval from 0.5 to 10.4
- The recent trend period is 2009 - 2013

**Decatur County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 24
- The annual death rate (2009-2013) is 209.1 per 100,000 with a 95% confidence interval from 173.2 to 251.1
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -2.0 to 1.2
- The recent trend period is 2009 - 2013

**Monroe County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 24
- The annual death rate (2009-2013) is 207.4 per 100,000 with a 95% confidence interval from 170.9 to 250.2
- The rate ratio is 1.2
- The average annual percent change in death rates is 0.6 with a 95% confidence interval from -0.7 to 2.0
- The recent trend period is 2009 - 2013

**Clinton County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 127
- The annual death rate (2009-2013) is 191.8 per 100,000 with a 95% confidence interval from 176.9 to 207.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.3 to -0.1
- The recent trend period is 2009 - 2013

**Polk County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 778
- The annual death rate (2009-2013) is 188.7 per 100,000 with a 95% confidence interval from 182.7 to 194.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -0.9 to -0.4
- The recent trend period is 2009 - 2013

**Adair County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 22
- The annual death rate (2009-2013) is 178.9 per 100,000 with a 95% confidence interval from 145.4 to 218.9
- The rate ratio is 1.1
- The average annual percent change in death rates is 0.5 with a 95% confidence interval from -0.4 to 1.5
- The recent trend period is 2009 - 2013

**Adams County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 11
- The annual death rate (2009-2013) is 171.3 per 100,000 with a 95% confidence interval from 128.2 to 226.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -2.2 to 0.4
- The recent trend period is 2009 - 2013

**Appanoose County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 36
- The annual death rate (2009-2013) is 176.1 per 100,000 with a 95% confidence interval from 150.7 to 205.2
- The rate ratio is 1.0
- The average annual percent change in death rates is 0.5 with a 95% confidence interval from -1.1 to 2.1
- The recent trend period is 2009 - 2013

**Audubon County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 19
- The annual death rate (2009-2013) is 176.9 per 100,000 with a 95% confidence interval from 139.5 to 222.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.3 with a 95% confidence interval from -2.2 to 1.7
- The recent trend period is 2009 - 2013

**Boone County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 60
- The annual death rate (2009-2013) is 171.0 per 100,000 with a 95% confidence interval from 151.8 to 192.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.3 with a 95% confidence interval from -0.9 to 0.4
- The recent trend period is 2009 - 2013

**Buena Vista County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 39
- The annual death rate (2009-2013) is 149.1 per 100,000 with a 95% confidence interval from 127.9 to 173.1
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -2.2 to 0.1
- The recent trend period is 2009 - 2013

**Calhoun County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 33
- The annual death rate (2009-2013) is 181.5 per 100,000 with a 95% confidence interval from 153.4 to 214.3
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.4 to 0.6
- The recent trend period is 2009 - 2013

**Carroll County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 56
- The annual death rate (2009-2013) is 176.6 per 100,000 with a 95% confidence interval from 155.6 to 199.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.5 to 0.5
- The recent trend period is 2009 - 2013

**Cedar County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 38
- The annual death rate (2009-2013) is 147.9 per 100,000 with a 95% confidence interval from 127.1 to 171.4
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -2.1 to 0.1
- The recent trend period is 2009 - 2013

**Chickasaw County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 31
- The annual death rate (2009-2013) is 161.9 per 100,000 with a 95% confidence interval from 136.6 to 191.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.9 to 0.4
- The recent trend period is 2009 - 2013

**Clarke County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 25
- The annual death rate (2009-2013) is 198.5 per 100,000 with a 95% confidence interval from 164.5 to 238.0
- The rate ratio is 1.2
- The average annual percent change in death rates is 0.3 with a 95% confidence interval from -1.3 to 2.0
- The recent trend period is 2009 - 2013

**Clay County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 44
- The annual death rate (2009-2013) is 171.5 per 100,000 with a 95% confidence interval from 148.7 to 197.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.3 with a 95% confidence interval from -1.2 to 0.6
- The recent trend period is 2009 - 2013

**Davis County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 19
- The annual death rate (2009-2013) is 158.6 per 100,000 with a 95% confidence interval from 127.6 to 195.6
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.1 with a 95% confidence interval from -1.8 to 1.6
- The recent trend period is 2009 - 2013

**Des Moines County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 98
- The annual death rate (2009-2013) is 170.1 per 100,000 with a 95% confidence interval from 154.9 to 186.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.4 to 0.1
- The recent trend period is 2009 - 2013

**Emmet County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 25
- The annual death rate (2009-2013) is 160.2 per 100,000 with a 95% confidence interval from 132.1 to 193.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.8 to 0.2
- The recent trend period is 2009 - 2013

**Franklin County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 27
- The annual death rate (2009-2013) is 165.3 per 100,000 with a 95% confidence interval from 137.5 to 197.7
- The rate ratio is 1.0
- The average annual percent change in death rates is 0.3 with a 95% confidence interval from -0.7 to 1.4
- The recent trend period is 2009 - 2013

**Fremont County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 20
- The annual death rate (2009-2013) is 181.2 per 100,000 with a 95% confidence interval from 146.6 to 222.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -3.2 to 0.6
- The recent trend period is 2009 - 2013

**Greene County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 28
- The annual death rate (2009-2013) is 186.9 per 100,000 with a 95% confidence interval from 156.0 to 223.1
- The rate ratio is 1.1
- The average annual percent change in death rates is 0.2 with a 95% confidence interval from -1.0 to 1.5
- The recent trend period is 2009 - 2013

**Grundy County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 29
- The annual death rate (2009-2013) is 151.8 per 100,000 with a 95% confidence interval from 127.2 to 180.4
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.2 with a 95% confidence interval from -1.7 to 1.3
- The recent trend period is 2009 - 2013

**Guthrie County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 29
- The annual death rate (2009-2013) is 168.5 per 100,000 with a 95% confidence interval from 141.6 to 199.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.5 to 0.4
- The recent trend period is 2009 - 2013

**Hancock County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 30
- The annual death rate (2009-2013) is 171.3 per 100,000 with a 95% confidence interval from 143.9 to 203.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.9 to 1.2
- The recent trend period is 2009 - 2013

**Henry County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 49
- The annual death rate (2009-2013) is 183.1 per 100,000 with a 95% confidence interval from 160.3 to 208.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.4 to 0.5
- The recent trend period is 2009 - 2013

**Howard County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 24
- The annual death rate (2009-2013) is 165.8 per 100,000 with a 95% confidence interval from 136.3 to 200.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.8 to 1.0
- The recent trend period is 2009 - 2013

**Ida County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 19
- The annual death rate (2009-2013) is 159.8 per 100,000 with a 95% confidence interval from 128.2 to 198.3
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -2.1 to 0.9
- The recent trend period is 2009 - 2013

**Iowa County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 38
- The annual death rate (2009-2013) is 163.4 per 100,000 with a 95% confidence interval from 140.5 to 189.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.5 to 0.0
- The recent trend period is 2009 - 2013

**Jackson County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 54
- The annual death rate (2009-2013) is 191.7 per 100,000 with a 95% confidence interval from 168.9 to 217.1
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.3 to 0.5
- The recent trend period is 2009 - 2013

**Jasper County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 91
- The annual death rate (2009-2013) is 181.7 per 100,000 with a 95% confidence interval from 165.1 to 199.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.4 to 0.2
- The recent trend period is 2009 - 2013

**Jefferson County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 37
- The annual death rate (2009-2013) is 163.0 per 100,000 with a 95% confidence interval from 139.1 to 190.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.5 to 0.2
- The recent trend period is 2009 - 2013

**Keokuk County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 28
- The annual death rate (2009-2013) is 169.3 per 100,000 with a 95% confidence interval from 141.7 to 201.5
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -2.3 to 0.5
- The recent trend period is 2009 - 2013

**Louisa County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 21
- The annual death rate (2009-2013) is 148.0 per 100,000 with a 95% confidence interval from 120.7 to 180.1
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -2.0 to 1.3
- The recent trend period is 2009 - 2013

**Lucas County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 27
- The annual death rate (2009-2013) is 184.7 per 100,000 with a 95% confidence interval from 154.2 to 220.6
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.4 to 0.6
- The recent trend period is 2009 - 2013

**Madison County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 33
- The annual death rate (2009-2013) is 172.2 per 100,000 with a 95% confidence interval from 146.5 to 201.5
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -2.3 to 0.2
- The recent trend period is 2009 - 2013

**Mahaska County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 56
- The annual death rate (2009-2013) is 190.3 per 100,000 with a 95% confidence interval from 168.1 to 214.7
- The rate ratio is 1.1
- The average annual percent change in death rates is 0.2 with a 95% confidence interval from -0.4 to 0.8
- The recent trend period is 2009 - 2013

**Mills County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 34
- The annual death rate (2009-2013) is 194.9 per 100,000 with a 95% confidence interval from 166.2 to 227.3
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.9 to 0.4
- The recent trend period is 2009 - 2013

**Muscatine County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 84
- The annual death rate (2009-2013) is 170.9 per 100,000 with a 95% confidence interval from 154.6 to 188.5
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.2 to 0.3
- The recent trend period is 2009 - 2013

**O'Brien County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 41
- The annual death rate (2009-2013) is 176.1 per 100,000 with a 95% confidence interval from 151.6 to 203.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.3 with a 95% confidence interval from -1.4 to 0.8
- The recent trend period is 2009 - 2013

**Osceola County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 17
- The annual death rate (2009-2013) is 162.0 per 100,000 with a 95% confidence interval from 127.4 to 204.3
- The rate ratio is 1.0
- The average annual percent change in death rates is 0.4 with a 95% confidence interval from -1.0 to 1.9
- The recent trend period is 2009 - 2013

**Page County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 44
- The annual death rate (2009-2013) is 179.7 per 100,000 with a 95% confidence interval from 155.9 to 206.6
- The rate ratio is 1.1
- The average annual percent change in death rates is 0.1 with a 95% confidence interval from -0.9 to 1.2
- The recent trend period is 2009 - 2013

**Poweshiek County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 43
- The annual death rate (2009-2013) is 154.2 per 100,000 with a 95% confidence interval from 133.7 to 177.3
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.6 to 0.1
- The recent trend period is 2009 - 2013

**Ringgold County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 17
- The annual death rate (2009-2013) is 172.1 per 100,000 with a 95% confidence interval from 134.8 to 218.9
- The rate ratio is 1.0
- The average annual percent change in death rates is 0.4 with a 95% confidence interval from -1.2 to 2.1
- The recent trend period is 2009 - 2013

**Sac County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 32
- The annual death rate (2009-2013) is 174.1 per 100,000 with a 95% confidence interval from 146.6 to 206.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.2 with a 95% confidence interval from -1.3 to 0.9
- The recent trend period is 2009 - 2013

**Tama County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 46
- The annual death rate (2009-2013) is 171.6 per 100,000 with a 95% confidence interval from 149.3 to 196.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.3 to 0.0
- The recent trend period is 2009 - 2013

**Taylor County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 19
- The annual death rate (2009-2013) is 181.3 per 100,000 with a 95% confidence interval from 145.3 to 225.1
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.1 with a 95% confidence interval from -1.1 to 1.0
- The recent trend period is 2009 - 2013

**Union County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 31
- The annual death rate (2009-2013) is 173.4 per 100,000 with a 95% confidence interval from 146.4 to 204.5
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -2.0 to 0.3
- The recent trend period is 2009 - 2013

**Van Buren County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 21
- The annual death rate (2009-2013) is 181.9 per 100,000 with a 95% confidence interval from 148.0 to 222.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.0 with a 95% confidence interval from -1.4 to 1.4
- The recent trend period is 2009 - 2013

**Warren County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 89
- The annual death rate (2009-2013) is 170.6 per 100,000 with a 95% confidence interval from 155.0 to 187.5
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.2 to 0.3
- The recent trend period is 2009 - 2013

**Washington County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 49
- The annual death rate (2009-2013) is 160.4 per 100,000 with a 95% confidence interval from 140.4 to 182.7
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.3 to 0.4
- The recent trend period is 2009 - 2013

**Wayne County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 16
- The annual death rate (2009-2013) is 150.9 per 100,000 with a 95% confidence interval from 117.9 to 191.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.9 to 0.6
- The recent trend period is 2009 - 2013

**Winnebago County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 27
- The annual death rate (2009-2013) is 163.3 per 100,000 with a 95% confidence interval from 135.7 to 195.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.3 with a 95% confidence interval from -1.6 to 1.0
- The recent trend period is 2009 - 2013

**Wright County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 34
- The annual death rate (2009-2013) is 159.3 per 100,000 with a 95% confidence interval from 135.0 to 187.5
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.6 to 0.6
- The recent trend period is 2009 - 2013

**Allamakee County**

- The priority index is 7
- The recent trend is stable
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 30
- The annual death rate (2009-2013) is 142.4 per 100,000 with a 95% confidence interval from 119.9 to 168.4
- The rate ratio is 0.8
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -2.3 to 0.8
- The recent trend period is 2009 - 2013

**Cherokee County**

- The priority index is 7
- The recent trend is stable
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 29
- The annual death rate (2009-2013) is 135.4 per 100,000 with a 95% confidence interval from 113.7 to 160.9
- The rate ratio is 0.8
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -2.1 to 0.4
- The recent trend period is 2009 - 2013

**Shelby County**

- The priority index is 7
- The recent trend is stable
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 29
- The annual death rate (2009-2013) is 138.5 per 100,000 with a 95% confidence interval from 115.9 to 165.1
- The rate ratio is 0.8
- The average annual percent change in death rates is -0.1 with a 95% confidence interval from -1.3 to 1.1
- The recent trend period is 2009 - 2013

**Worth County**

- The priority index is 7
- The recent trend is stable
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 16
- The annual death rate (2009-2013) is 136.5 per 100,000 with a 95% confidence interval from 107.7 to 171.9
- The rate ratio is 0.8
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -3.1 to 0.2
- The recent trend period is 2009 - 2013

**Benton County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 54
- The annual death rate (2009-2013) is 163.2 per 100,000 with a 95% confidence interval from 144.0 to 184.5
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.3 to -0.9
- The recent trend period is 2009 - 2013

**Black Hawk County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 261
- The annual death rate (2009-2013) is 170.9 per 100,000 with a 95% confidence interval from 161.5 to 180.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.6 to -0.8
- The recent trend period is 2009 - 2013

**Buchanan County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 49
- The annual death rate (2009-2013) is 188.1 per 100,000 with a 95% confidence interval from 165.1 to 213.6
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.8 to -0.1
- The recent trend period is 2009 - 2013

**Butler County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 37
- The annual death rate (2009-2013) is 156.6 per 100,000 with a 95% confidence interval from 134.2 to 182.2
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.5 to -0.5
- The recent trend period is 2009 - 2013

**Cerro Gordo County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 101
- The annual death rate (2009-2013) is 154.2 per 100,000 with a 95% confidence interval from 140.7 to 168.8
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -1.9 to -1.0
- The recent trend period is 2009 - 2013

**Clayton County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 46
- The annual death rate (2009-2013) is 168.3 per 100,000 with a 95% confidence interval from 146.3 to 193.0
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.7 to -0.3
- The recent trend period is 2009 - 2013

**Crawford County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 34
- The annual death rate (2009-2013) is 148.6 per 100,000 with a 95% confidence interval from 126.5 to 173.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -5.9 with a 95% confidence interval from -10.3 to -1.2
- The recent trend period is 2009 - 2013

**Delaware County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 38
- The annual death rate (2009-2013) is 154.1 per 100,000 with a 95% confidence interval from 132.5 to 178.5
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.9 to -0.4
- The recent trend period is 2009 - 2013

**Dickinson County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 46
- The annual death rate (2009-2013) is 156.1 per 100,000 with a 95% confidence interval from 136.0 to 179.0
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.9 to -0.0
- The recent trend period is 2009 - 2013

**Dubuque County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 201
- The annual death rate (2009-2013) is 167.8 per 100,000 with a 95% confidence interval from 157.4 to 178.7
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.5 to -0.4
- The recent trend period is 2009 - 2013

**Fayette County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 50
- The annual death rate (2009-2013) is 151.3 per 100,000 with a 95% confidence interval from 132.5 to 172.4
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -2.1 to -0.3
- The recent trend period is 2009 - 2013

**Floyd County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 41
- The annual death rate (2009-2013) is 165.4 per 100,000 with a 95% confidence interval from 142.7 to 191.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.5 to -0.7
- The recent trend period is 2009 - 2013

**Hamilton County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 36
- The annual death rate (2009-2013) is 153.2 per 100,000 with a 95% confidence interval from 131.1 to 178.5
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.3 to -0.6
- The recent trend period is 2009 - 2013

**Hardin County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 49
- The annual death rate (2009-2013) is 169.8 per 100,000 with a 95% confidence interval from 148.0 to 194.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.2 to -0.4
- The recent trend period is 2009 - 2013

**Harrison County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 38
- The annual death rate (2009-2013) is 178.1 per 100,000 with a 95% confidence interval from 153.1 to 206.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.8 to -0.3
- The recent trend period is 2009 - 2013

**Johnson County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 163
- The annual death rate (2009-2013) is 156.2 per 100,000 with a 95% confidence interval from 145.4 to 167.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.9 with a 95% confidence interval from -2.7 to -1.1
- The recent trend period is 2009 - 2013

**Jones County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 46
- The annual death rate (2009-2013) is 154.0 per 100,000 with a 95% confidence interval from 134.3 to 176.1
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -2.1 to -0.4
- The recent trend period is 2009 - 2013

**Lee County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 92
- The annual death rate (2009-2013) is 181.3 per 100,000 with a 95% confidence interval from 164.8 to 199.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.8 to -0.4
- The recent trend period is 2009 - 2013

**Linn County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 396
- The annual death rate (2009-2013) is 169.4 per 100,000 with a 95% confidence interval from 161.9 to 177.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.3 to -0.7
- The recent trend period is 2009 - 2013

**Lyon County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 24
- The annual death rate (2009-2013) is 151.7 per 100,000 with a 95% confidence interval from 124.9 to 182.9
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.0 with a 95% confidence interval from -3.3 to -0.8
- The recent trend period is 2009 - 2013

**Marion County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 76
- The annual death rate (2009-2013) is 176.6 per 100,000 with a 95% confidence interval from 159.0 to 195.7
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.0 to -0.0
- The recent trend period is 2009 - 2013

**Marshall County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 99
- The annual death rate (2009-2013) is 180.9 per 100,000 with a 95% confidence interval from 164.9 to 198.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.7 to -0.3
- The recent trend period is 2009 - 2013

**Monona County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 27
- The annual death rate (2009-2013) is 165.0 per 100,000 with a 95% confidence interval from 137.5 to 197.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -2.9 to -0.6
- The recent trend period is 2009 - 2013

**Montgomery County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 26
- The annual death rate (2009-2013) is 148.3 per 100,000 with a 95% confidence interval from 123.0 to 178.1
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.4 to -0.7
- The recent trend period is 2009 - 2013

**Palo Alto County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 25
- The annual death rate (2009-2013) is 152.6 per 100,000 with a 95% confidence interval from 126.1 to 184.2
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.7 to -0.3
- The recent trend period is 2009 - 2013

**Plymouth County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 53
- The annual death rate (2009-2013) is 156.0 per 100,000 with a 95% confidence interval from 137.3 to 176.8
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.7 to -0.2
- The recent trend period is 2009 - 2013

**Pocahontas County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 18
- The annual death rate (2009-2013) is 142.7 per 100,000 with a 95% confidence interval from 113.7 to 178.5
- The rate ratio is 0.8
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -3.1 to -0.1
- The recent trend period is 2009 - 2013

**Pottawattamie County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 204
- The annual death rate (2009-2013) is 183.8 per 100,000 with a 95% confidence interval from 172.5 to 195.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.1 to -0.2
- The recent trend period is 2009 - 2013

**Scott County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 346
- The annual death rate (2009-2013) is 185.1 per 100,000 with a 95% confidence interval from 176.3 to 194.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.1 to -0.3
- The recent trend period is 2009 - 2013

**Story County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 117
- The annual death rate (2009-2013) is 152.5 per 100,000 with a 95% confidence interval from 140.2 to 165.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.3 to -0.2
- The recent trend period is 2009 - 2013

**Wapello County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 86
- The annual death rate (2009-2013) is 182.7 per 100,000 with a 95% confidence interval from 165.6 to 201.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.6 to -0.3
- The recent trend period is 2009 - 2013

**Webster County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 86
- The annual death rate (2009-2013) is 169.2 per 100,000 with a 95% confidence interval from 153.2 to 186.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.4 to -0.1
- The recent trend period is 2009 - 2013

**Woodbury County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 197
- The annual death rate (2009-2013) is 176.4 per 100,000 with a 95% confidence interval from 165.4 to 187.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -0.9 to -0.3
- The recent trend period is 2009 - 2013

**Bremer County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 44
- The annual death rate (2009-2013) is 129.8 per 100,000 with a 95% confidence interval from 113.0 to 148.8
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.0 with a 95% confidence interval from -2.8 to -1.1
- The recent trend period is 2009 - 2013

**Dallas County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 80
- The annual death rate (2009-2013) is 132.6 per 100,000 with a 95% confidence interval from 119.8 to 146.5
- The rate ratio is 0.8
- The average annual percent change in death rates is -3.7 with a 95% confidence interval from -4.8 to -2.5
- The recent trend period is 2009 - 2013

**Humboldt County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 21
- The annual death rate (2009-2013) is 129.4 per 100,000 with a 95% confidence interval from 105.0 to 158.7
- The rate ratio is 0.8
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -2.8 to -0.8
- The recent trend period is 2009 - 2013

**Kossuth County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 36
- The annual death rate (2009-2013) is 138.4 per 100,000 with a 95% confidence interval from 118.1 to 161.8
- The rate ratio is 0.8
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -2.1 to -0.7
- The recent trend period is 2009 - 2013

**Mitchell County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 25
- The annual death rate (2009-2013) is 129.6 per 100,000 with a 95% confidence interval from 106.6 to 157.1
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -3.1 to -1.1
- The recent trend period is 2009 - 2013

**Sioux County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 57
- The annual death rate (2009-2013) is 140.7 per 100,000 with a 95% confidence interval from 124.4 to 158.6
- The rate ratio is 0.8
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.4 to -0.3
- The recent trend period is 2009 - 2013

**Winneshiek County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 40
- The annual death rate (2009-2013) is 138.4 per 100,000 with a 95% confidence interval from 119.0 to 160.3
- The rate ratio is 0.8
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.1 to -0.4
- The recent trend period is 2009 - 2013

**Notes:**

Created by statecancerprofiles.cancer.gov on 08/30/2016 6:40 pm.

Trend

Rate Comparison

* Data has been suppressed to ensure confidentiality and stability of rate and trendestimates.^{2}**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 Ratio^{3}> 1.10**Similar**when unable to conclude above or below with confidence.**Below**when 95% confident the rate is below and Rate Ratio^{3}< 0.90** 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 Average Annual Percent Change (AAPC) 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.

^{3}Rate ratio is the county rate divided by the US rate.

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 1969-2013 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).