State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for North Dakota by County

All Cancer Sites, 2019-2023

White Non-Hispanic, Both Sexes, All Ages

Sorted by CI*Rank

Explanation of Column Headers

Death Rate (95% Confidence Interval) - The death rate is based upon 100,000 people and is for 5 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

Other Notes

• Larger confidence intervals indicate less stability 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

Burke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 201.1 with a 95% confidence interval from 129.9 to 300.6 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 44)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.8 to 4.2.

Eddy County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 192.7 with a 95% confidence interval from 129.0 to 281.8 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 42)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.5 to 2.6.

Sargent County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.0 with a 95% confidence interval from 134.1 to 237.6 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 40)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.8 to 1.1.

Foster County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 170.4 with a 95% confidence interval from 123.1 to 233.2 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 43)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.0 to 0.9.

Dickey County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.6 with a 95% confidence interval from 121.1 to 210.8 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 43)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.5 to 2.5.

Morton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 157.5 with a 95% confidence interval from 140.0 to 176.7 and 63 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (2, 28)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.0 to 0.4.

Pembina County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.3 with a 95% confidence interval from 122.6 to 193.7 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 41)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.2.

Barnes County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 153.4 with a 95% confidence interval from 127.8 to 183.7 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (2, 38)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.2 to 0.3.

McHenry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 153.3 with a 95% confidence interval from 116.5 to 200.1 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 43)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -2.0 to 3.0.

Hettinger County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.9 with a 95% confidence interval from 100.2 to 228.5 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 46)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.6 to 1.0.

McIntosh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.2 with a 95% confidence interval from 100.0 to 228.6 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 46)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -3.2 to 1.5.

Mountrail County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.8 with a 95% confidence interval from 112.1 to 201.7 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (1, 45)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -3.1 to 2.4.

Adams County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.1 with a 95% confidence interval from 92.1 to 239.6 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 46)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -4.3 to 1.3.

Walsh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.6 with a 95% confidence interval from 123.2 to 183.5 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (2, 41)
• Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -15.5 to 2.0.

Divide County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 149.6 with a 95% confidence interval from 93.3 to 233.8 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 46)
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 1.2 to 11.0.

Stutsman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 143.8 with a 95% confidence interval from 124.8 to 165.4 and 44 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (4, 38)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.7 to 0.8.

Grand Forks County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 143.7 with a 95% confidence interval from 131.1 to 157.1 and 102 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (6, 34)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 to -0.8.

Renville County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 143.0 with a 95% confidence interval from 88.7 to 222.9 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (1, 46)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.0 to 2.7.

Rolette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 141.4 with a 95% confidence interval from 92.9 to 212.8 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (1, 46)
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -5.7 to 0.7.

Pierce County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 141.0 with a 95% confidence interval from 103.6 to 191.8 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (1, 46)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.2 to 0.0.

Bowman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 140.3 with a 95% confidence interval from 93.6 to 206.2 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (1, 46)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.0 to 0.6.

Benson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.8 with a 95% confidence interval from 93.0 to 207.5 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (1, 46)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.7 to 1.7.

Ramsey County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 138.1 with a 95% confidence interval from 113.6 to 167.4 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (4, 43)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.3 to -0.2.

Cavalier County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 137.1 with a 95% confidence interval from 95.3 to 194.3 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (1, 46)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.3 to 0.4.

Mercer County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.6 with a 95% confidence interval from 107.0 to 170.8 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (4, 45)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.3 to 1.3.

Williams County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.6 with a 95% confidence interval from 116.6 to 156.8 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (7, 42)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.1 to -0.1.

Cass County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.4 with a 95% confidence interval from 127.6 to 143.6 and 234 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (14, 35)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.3 to -1.0.

Ward County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.2 with a 95% confidence interval from 122.0 to 147.3 and 93 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (10, 39)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.7.

Ransom County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.2 with a 95% confidence interval from 100.2 to 177.7 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (2, 46)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -4.2 to -0.3.

Stark County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 132.7 with a 95% confidence interval from 115.5 to 151.8 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (8, 42)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.1 to -0.4.

Traill County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 128.0 with a 95% confidence interval from 100.2 to 162.3 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (4, 45)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -7.3 to -0.5.

Burleigh County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 127.2 with a 95% confidence interval from 118.3 to 136.6 and 161 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (18, 41)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.5.

Bottineau County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 126.2 with a 95% confidence interval from 96.9 to 163.7 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (5, 46)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.7 to 1.7.

Dunn County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 124.1 with a 95% confidence interval from 79.9 to 185.1 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (2, 46)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -4.0 to 2.8.

Grant County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 123.0 with a 95% confidence interval from 79.6 to 191.0 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (1, 46)
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -5.4 to 0.6.

Wells County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 121.6 with a 95% confidence interval from 87.3 to 169.4 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (3, 46)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.3 to 0.8.

McLean County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 120.9 with a 95% confidence interval from 96.3 to 151.1 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (9, 46)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.0 to -1.3.

Richland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 117.9 with a 95% confidence interval from 98.2 to 140.9 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (14, 46)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.7 to 0.1.

Nelson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 117.2 with a 95% confidence interval from 79.2 to 174.0 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (3, 46)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -4.0 to 1.2.

Emmons County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 117.1 with a 95% confidence interval from 78.4 to 173.2 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (3, 46)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.9 to 0.4.

LaMoure County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 115.2 with a 95% confidence interval from 78.8 to 165.3 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (4, 46)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.7 to -1.1.

Towner County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 114.9 with a 95% confidence interval from 72.6 to 185.4 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (2, 46)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.7 to 1.3.

Kidder County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 110.1 with a 95% confidence interval from 69.4 to 173.8 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (3, 46)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -5.4 to 2.0.

McKenzie County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 106.6 with a 95% confidence interval from 79.2 to 140.3 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (11, 46)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.9 to -0.9.

Steele County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 103.5 with a 95% confidence interval from 59.9 to 177.9 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (3, 46)
• Recent Trend :

Griggs County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 95.6 with a 95% confidence interval from 62.8 to 151.3 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (12, 46)
• Recent Trend : The trend is falling because the trend is -7.7 with a 95% confidence interval from -32.4 to -3.2.

Billings County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Golden Valley County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Logan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Oliver County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Sheridan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Sioux County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Slope County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 6:54 am.

State Cancer Registries may provide more current or more local data.

† 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 (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+).

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.

If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Data for United States does not include Puerto Rico.