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Interpretation of Death Rates Data

Death Rate Report for North Dakota by County

All Cancer Sites, 2019-2023

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

Sorted by Recentaapc

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

North Dakota

2023 Rural-Urban Continuum Codes Φ : N/A
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 136.4 with a 95% confidence interval from 133.0 to 139.9 and 1,292 average annual counts over 2019-2023.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.6 to -1.2.

United States

2023 Rural-Urban Continuum Codes Φ : N/A
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 145.4 with a 95% confidence interval from 145.2 to 145.6 and 605,771 average annual counts over 2019-2023.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.5 to -1.2.

Traill County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 126.1 with a 95% confidence interval from 99.0 to 159.4 and 16 average annual counts over 2019-2023.
CI*Rank ⋔ : 34 (6, 47)
Recent Trend : The trend is falling because the trend is -9.2 with a 95% confidence interval from -22.2 to -1.8.

Griggs County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 94.8 with a 95% confidence interval from 62.2 to 149.3 and 5 average annual counts over 2019-2023.
CI*Rank ⋔ : 47 (12, 48)
Recent Trend : The trend is falling because the trend is -7.8 with a 95% confidence interval from -31.4 to -3.3.

Williams County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 129.5 with a 95% confidence interval from 111.8 to 149.2 and 41 average annual counts over 2019-2023.
CI*Rank ⋔ : 31 (10, 45)
Recent Trend : The trend is falling because the trend is -5.7 with a 95% confidence interval from -17.9 to -1.3.

LaMoure County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 113.4 with a 95% confidence interval from 77.7 to 162.0 and 8 average annual counts over 2019-2023.
CI*Rank ⋔ : 43 (6, 48)
Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -5.3 to -1.5.

McKenzie County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 114.8 with a 95% confidence interval from 87.5 to 147.5 and 13 average annual counts over 2019-2023.
CI*Rank ⋔ : 42 (10, 48)
Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.5 to -1.2.

McLean County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 116.1 with a 95% confidence interval from 93.0 to 144.3 and 19 average annual counts over 2019-2023.
CI*Rank ⋔ : 41 (12, 48)
Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.2 to -1.7.

Grant County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 120.6 with a 95% confidence interval from 78.3 to 186.2 and 6 average annual counts over 2019-2023.
CI*Rank ⋔ : 37 (2, 48)
Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -5.5 to 0.5.

Sioux County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 144.2 with a 95% confidence interval from 91.2 to 217.1 and 5 average annual counts over 2019-2023.
CI*Rank ⋔ : 17 (1, 48)
Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -6.0 to 1.4.

Ransom County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 133.1 with a 95% confidence interval from 99.9 to 175.4 and 12 average annual counts over 2019-2023.
CI*Rank ⋔ : 29 (3, 48)
Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -4.3 to -0.4.

Benson County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 165.9 with a 95% confidence interval from 122.9 to 219.3 and 11 average annual counts over 2019-2023.
CI*Rank ⋔ : 6 (1, 44)
Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -19.4 to 0.3.

Pierce County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 143.3 with a 95% confidence interval from 106.0 to 192.9 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 19 (2, 47)
Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.0 to 0.1.

Bowman 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 95.1 to 204.7 and 6 average annual counts over 2019-2023.
CI*Rank ⋔ : 24 (1, 48)
Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.0 to 0.6.

Cass County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 136.5 with a 95% confidence interval from 128.8 to 144.5 and 246 average annual counts over 2019-2023.
CI*Rank ⋔ : 26 (14, 36)
Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.3 to -1.0.

Hettinger County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 149.8 with a 95% confidence interval from 98.8 to 221.8 and 6 average annual counts over 2019-2023.
CI*Rank ⋔ : 14 (1, 48)
Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.6 to 0.8.

Ramsey County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 141.5 with a 95% confidence interval from 117.5 to 169.6 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 22 (4, 44)
Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.3 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 132.3 with a 95% confidence interval from 115.4 to 150.9 and 46 average annual counts over 2019-2023.
CI*Rank ⋔ : 30 (10, 43)
Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.1 to -0.5.

Ward 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 123.5 to 148.1 and 99 average annual counts over 2019-2023.
CI*Rank ⋔ : 28 (11, 40)
Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.6 to -0.9.

Foster County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 170.1 with a 95% confidence interval from 123.6 to 231.4 and 9 average annual counts over 2019-2023.
CI*Rank ⋔ : 5 (1, 45)
Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.2 to 0.8.

Kidder County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 108.0 with a 95% confidence interval from 68.1 to 169.7 and 5 average annual counts over 2019-2023.
CI*Rank ⋔ : 45 (5, 48)
Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -5.4 to 1.8.

Towner County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 110.6 with a 95% confidence interval from 69.8 to 176.3 and 4 average annual counts over 2019-2023.
CI*Rank ⋔ : 44 (4, 48)
Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.7 to 1.1.

Burleigh County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 128.5 with a 95% confidence interval from 119.8 to 137.8 and 168 average annual counts over 2019-2023.
CI*Rank ⋔ : 32 (18, 41)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.7.

Emmons County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 120.4 with a 95% confidence interval from 82.3 to 174.7 and 8 average annual counts over 2019-2023.
CI*Rank ⋔ : 38 (4, 48)
Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.0 to 0.7.

Grand Forks County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 141.2 with a 95% confidence interval from 129.1 to 154.0 and 106 average annual counts over 2019-2023.
CI*Rank ⋔ : 23 (9, 36)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.2 to -0.9.

Adams County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 143.0 with a 95% confidence interval from 88.6 to 223.4 and 5 average annual counts over 2019-2023.
CI*Rank ⋔ : 20 (1, 48)
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.5 to 1.3.

Cavalier County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 143.7 with a 95% confidence interval from 102.0 to 199.5 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 18 (1, 48)
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.3 to 0.5.

Nelson County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 118.2 with a 95% confidence interval from 80.5 to 172.9 and 7 average annual counts over 2019-2023.
CI*Rank ⋔ : 40 (4, 48)
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.2 to 1.2.

Stutsman County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 141.7 with a 95% confidence interval from 123.1 to 162.6 and 45 average annual counts over 2019-2023.
CI*Rank ⋔ : 21 (6, 40)
Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.4.

Wells County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 120.0 with a 95% confidence interval from 86.3 to 166.6 and 9 average annual counts over 2019-2023.
CI*Rank ⋔ : 39 (4, 48)
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.4 to 0.7.

Barnes County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 152.5 with a 95% confidence interval from 127.3 to 182.0 and 28 average annual counts over 2019-2023.
CI*Rank ⋔ : 13 (2, 39)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.2.

Morton County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 155.7 with a 95% confidence interval from 138.8 to 174.2 and 65 average annual counts over 2019-2023.
CI*Rank ⋔ : 12 (3, 30)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.2 to 0.0.

Mountrail County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 145.1 with a 95% confidence interval from 111.4 to 185.8 and 13 average annual counts over 2019-2023.
CI*Rank ⋔ : 16 (2, 46)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.5 to 1.1.

Richland County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 121.5 with a 95% confidence interval from 101.7 to 144.3 and 29 average annual counts over 2019-2023.
CI*Rank ⋔ : 36 (12, 47)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.3.

Dunn County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 125.2 with a 95% confidence interval from 83.4 to 181.3 and 6 average annual counts over 2019-2023.
CI*Rank ⋔ : 35 (2, 48)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.6 to 2.5.

McIntosh County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 165.1 with a 95% confidence interval from 109.2 to 243.8 and 8 average annual counts over 2019-2023.
CI*Rank ⋔ : 7 (1, 47)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.1 to 1.4.

Rolette County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 220.0 with a 95% confidence interval from 182.8 to 262.5 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 1 (1, 11)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.0 to 0.1.

Sargent County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 175.1 with a 95% confidence interval from 131.4 to 231.5 and 11 average annual counts over 2019-2023.
CI*Rank ⋔ : 4 (1, 41)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.9 to 0.9.

Mercer County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 135.5 with a 95% confidence interval from 107.3 to 169.8 and 17 average annual counts over 2019-2023.
CI*Rank ⋔ : 27 (4, 46)
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.3 to 1.1.

Walsh County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 156.7 with a 95% confidence interval from 129.7 to 188.3 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 9 (2, 39)
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.1 to 0.9.

Pembina County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 157.4 with a 95% confidence interval from 126.4 to 195.4 and 20 average annual counts over 2019-2023.
CI*Rank ⋔ : 8 (2, 41)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.9 to 0.9.

Bottineau County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 126.5 with a 95% confidence interval from 97.1 to 163.7 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 33 (4, 48)
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.5 to 1.7.

Eddy County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 184.4 with a 95% confidence interval from 124.1 to 267.6 and 7 average annual counts over 2019-2023.
CI*Rank ⋔ : 3 (1, 45)
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.3 to 1.8.

Renville County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 138.3 with a 95% confidence interval from 86.1 to 214.6 and 4 average annual counts over 2019-2023.
CI*Rank ⋔ : 25 (1, 48)
Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.1 to 2.5.

Dickey County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 156.0 with a 95% confidence interval from 117.7 to 204.4 and 11 average annual counts over 2019-2023.
CI*Rank ⋔ : 11 (1, 45)
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.5 to 2.4.

McHenry County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 156.2 with a 95% confidence interval from 119.6 to 202.3 and 12 average annual counts over 2019-2023.
CI*Rank ⋔ : 10 (1, 45)
Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.7 to 2.9.

Burke County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 191.1 with a 95% confidence interval from 123.8 to 284.5 and 5 average annual counts over 2019-2023.
CI*Rank ⋔ : 2 (1, 47)
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -2.1 to 3.7.

Divide County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 146.3 with a 95% confidence interval from 91.5 to 226.6 and 5 average annual counts over 2019-2023.
CI*Rank ⋔ : 15 (1, 48)
Recent Trend : The trend is rising because the trend is 4.5 with a 95% confidence interval from 1.2 to 11.8.

Golden Valley County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 93.1 with a 95% confidence interval from 51.8 to 164.9 and 3 average annual counts over 2019-2023.
CI*Rank ⋔ : 48 (6, 48)
Recent Trend :

Steele County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 102.2 with a 95% confidence interval from 59.1 to 174.4 and 3 average annual counts over 2019-2023.
CI*Rank ⋔ : 46 (4, 48)
Recent Trend :

Billings 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 : *

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 03/25/2026 12:23 pm.

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.

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.

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