State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Iowa 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

Iowa

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 149.2 with a 95% confidence interval from 147.5 to 150.9 and 6,318 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.5 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.

Ringgold County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 183.6 with a 95% confidence interval from 142.3 to 235.2 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 95)
• Recent Trend : The trend is stable because the trend is -18.8 with a 95% confidence interval from -38.2 to 0.7.

Decatur County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.9 with a 95% confidence interval from 119.7 to 188.7 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (1, 99)
• Recent Trend : The trend is falling because the trend is -6.1 with a 95% confidence interval from -21.5 to -1.5.

Taylor County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 121.2 with a 95% confidence interval from 92.3 to 158.0 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 94 (12, 99)
• Recent Trend : The trend is falling because the trend is -5.9 with a 95% confidence interval from -26.4 to -1.3.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 117.8 with a 95% confidence interval from 99.7 to 138.7 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 96 (49, 99)
• Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -11.7 to -2.7.

Johnson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 111.4 with a 95% confidence interval from 103.8 to 119.4 and 166 average annual counts over 2019-2023.
• CI*Rank ⋔ : 98 (88, 99)
• Recent Trend : The trend is falling because the trend is -4.5 with a 95% confidence interval from -9.3 to -2.5.

Story County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 126.2 with a 95% confidence interval from 116.0 to 137.0 and 118 average annual counts over 2019-2023.
• CI*Rank ⋔ : 93 (63, 98)
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -8.8 to -1.5.

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 113.7 with a 95% confidence interval from 104.5 to 123.5 and 116 average annual counts over 2019-2023.
• CI*Rank ⋔ : 97 (83, 99)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.1 to -1.6.

Cass County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.6 with a 95% confidence interval from 144.8 to 198.2 and 37 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 85)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -12.7 to 0.2.

Wright County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 136.0 with a 95% confidence interval from 113.0 to 162.8 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 78 (11, 99)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.2 to -0.7.

Crawford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.0 with a 95% confidence interval from 117.4 to 163.7 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 74 (9, 99)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.8 to -0.8.

Louisa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.2 with a 95% confidence interval from 138.5 to 200.7 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (1, 91)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.3.

Harrison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.2 with a 95% confidence interval from 136.6 to 187.1 and 34 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (2, 93)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.7.

O'Brien County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.9 with a 95% confidence interval from 123.1 to 172.1 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (6, 98)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.0 to -0.5.

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 132.6 with a 95% confidence interval from 110.3 to 159.0 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 89 (14, 99)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.8 to -0.6.

Cedar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.8 with a 95% confidence interval from 115.8 to 156.3 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 83 (21, 99)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.8 to -0.4.

Hamilton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.2 with a 95% confidence interval from 114.5 to 159.1 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 82 (16, 99)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.7 to -0.6.

Jones County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 132.5 with a 95% confidence interval from 114.7 to 152.6 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 90 (26, 99)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.5 to -0.6.

Monona County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.6 with a 95% confidence interval from 118.3 to 176.3 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (5, 99)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.2 to -0.2.

Muscatine County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.0 with a 95% confidence interval from 135.7 to 165.5 and 84 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (13, 88)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.5 to -0.7.

Winneshiek 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 103.8 to 140.5 and 39 average annual counts over 2019-2023.
• CI*Rank ⋔ : 95 (49, 99)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.5 to -0.7.

Worth 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 104.6 to 167.4 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 88 (5, 99)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.4 to 0.1.

Audubon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.4 with a 95% confidence interval from 115.5 to 194.2 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (1, 99)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.2 to 0.1.

Carroll County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 137.2 with a 95% confidence interval from 119.6 to 157.1 and 46 average annual counts over 2019-2023.
• CI*Rank ⋔ : 75 (22, 98)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.2.

Dubuque County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 140.0 with a 95% confidence interval from 131.1 to 149.4 and 194 average annual counts over 2019-2023.
• CI*Rank ⋔ : 72 (42, 90)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.0.

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 140.6 with a 95% confidence interval from 121.6 to 162.0 and 44 average annual counts over 2019-2023.
• CI*Rank ⋔ : 70 (14, 97)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.6 to -0.6.

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.1 with a 95% confidence interval from 140.5 to 171.0 and 85 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (10, 84)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.7.

Page 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 138.8 to 185.4 and 41 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (2, 88)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.3.

Plymouth County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 133.8 with a 95% confidence interval from 117.1 to 152.3 and 48 average annual counts over 2019-2023.
• CI*Rank ⋔ : 86 (27, 99)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.5.

Scott County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.0 with a 95% confidence interval from 143.7 to 158.5 and 338 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (28, 72)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.1.

Sioux County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 107.7 with a 95% confidence interval from 94.3 to 122.6 and 48 average annual counts over 2019-2023.
• CI*Rank ⋔ : 99 (79, 99)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.8.

Buena Vista County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 127.2 with a 95% confidence interval from 107.8 to 149.2 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 92 (29, 99)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.6 to -0.3.

Dickinson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.1 with a 95% confidence interval from 116.4 to 154.4 and 46 average annual counts over 2019-2023.
• CI*Rank ⋔ : 84 (25, 99)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.6 to -0.2.

Linn County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 140.4 with a 95% confidence interval from 134.3 to 146.7 and 408 average annual counts over 2019-2023.
• CI*Rank ⋔ : 71 (51, 86)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.7 to -1.0.

Sac 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 110.6 to 165.4 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 81 (7, 99)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.8 to -0.1.

Cerro Gordo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 146.7 with a 95% confidence interval from 133.7 to 160.7 and 104 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (20, 90)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.6.

Hardin 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 130.3 to 173.7 and 43 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (5, 93)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.5 to -0.2.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.8 with a 95% confidence interval from 149.1 to 181.8 and 86 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (4, 71)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.4.

Warren County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 137.1 with a 95% confidence interval from 124.6 to 150.6 and 90 average annual counts over 2019-2023.
• CI*Rank ⋔ : 76 (33, 95)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.4.

Humboldt County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.1 with a 95% confidence interval from 108.5 to 164.7 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 85 (12, 99)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.5 to 0.0.

Jasper County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.2 with a 95% confidence interval from 137.7 to 167.9 and 84 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (11, 86)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.5.

Mills County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.2 with a 95% confidence interval from 120.8 to 171.2 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (5, 98)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.9 to 0.5.

Polk County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.0 with a 95% confidence interval from 154.1 to 164.1 and 826 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (20, 54)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.5 to -0.9.

Union County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.1 with a 95% confidence interval from 132.0 to 188.3 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (1, 95)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.8 to 0.3.

Webster County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.8 with a 95% confidence interval from 144.4 to 176.6 and 84 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (5, 78)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.4.

Allamakee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 153.6 with a 95% confidence interval from 129.9 to 180.7 and 33 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (3, 95)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.2.

Kossuth County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 129.4 with a 95% confidence interval from 108.8 to 153.2 and 33 average annual counts over 2019-2023.
• CI*Rank ⋔ : 91 (20, 99)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.2.

Adair County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 149.5 with a 95% confidence interval from 119.7 to 185.6 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (2, 99)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.6 to 0.6.

Adams County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 142.0 with a 95% confidence interval from 99.0 to 199.7 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (1, 99)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.7 to 1.4.

Black Hawk County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 153.4 with a 95% confidence interval from 144.9 to 162.3 and 253 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (21, 73)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.6.

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 141.3 with a 95% confidence interval from 119.7 to 166.1 and 33 average annual counts over 2019-2023.
• CI*Rank ⋔ : 68 (10, 99)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.1 to 0.1.

Delaware 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 123.8 to 166.4 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (10, 98)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.2.

Guthrie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.7 with a 95% confidence interval from 120.6 to 175.4 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (4, 99)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.4 to 0.4.

Hancock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.9 with a 95% confidence interval from 111.5 to 164.9 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 80 (6, 99)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.4 to 7.1.

Pottawattamie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.7 with a 95% confidence interval from 164.2 to 185.7 and 217 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (2, 41)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.5.

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 156.6 with a 95% confidence interval from 136.9 to 178.7 and 47 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (3, 91)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.2 to 0.4.

Poweshiek County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.4 with a 95% confidence interval from 121.0 to 160.4 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 73 (16, 98)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.0.

Benton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 141.0 with a 95% confidence interval from 123.9 to 160.1 and 52 average annual counts over 2019-2023.
• CI*Rank ⋔ : 69 (18, 96)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.0.

Clinton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.6 with a 95% confidence interval from 153.9 to 182.3 and 115 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (3, 62)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.1.

Des Moines County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 172.2 with a 95% confidence interval from 157.1 to 188.6 and 100 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (2, 60)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.1.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.2 with a 95% confidence interval from 135.6 to 177.2 and 48 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (4, 91)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.1.

Lucas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.4 with a 95% confidence interval from 131.7 to 194.6 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (1, 96)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.3.

Osceola 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 122.8 to 197.1 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (1, 99)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.5 to 0.8.

Wayne 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 122.9 to 199.6 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (1, 99)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.4 to 0.7.

Woodbury County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.1 with a 95% confidence interval from 152.9 to 173.8 and 198 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (8, 62)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.4.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.6 with a 95% confidence interval from 127.9 to 181.4 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (2, 96)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.2 to 0.6.

Ida County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.8 with a 95% confidence interval from 129.9 to 198.4 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (1, 97)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.2 to 0.7.

Iowa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.5 with a 95% confidence interval from 136.4 to 183.6 and 39 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (2, 91)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.3.

Keokuk County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.0 with a 95% confidence interval from 122.6 to 182.5 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (2, 99)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.3 to 0.9.

Wapello County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 181.9 with a 95% confidence interval from 164.8 to 200.3 and 87 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 43)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.

Buchanan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.9 with a 95% confidence interval from 141.7 to 186.6 and 44 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (2, 87)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.5.

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.0 with a 95% confidence interval from 124.6 to 182.2 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (3, 98)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.0 to 0.7.

Clayton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 172.3 with a 95% confidence interval from 150.5 to 197.0 and 51 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (1, 75)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 136.2 with a 95% confidence interval from 115.6 to 159.9 and 35 average annual counts over 2019-2023.
• CI*Rank ⋔ : 77 (16, 99)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.4.

Pocahontas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.8 with a 95% confidence interval from 142.9 to 215.5 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 89)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.0 to 0.8.

Appanoose County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.6 with a 95% confidence interval from 135.7 to 187.2 and 33 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (2, 92)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.3 to 1.2.

Grundy County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.2 with a 95% confidence interval from 136.9 to 191.3 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (1, 91)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.0 to 1.0.

Lyon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 132.8 with a 95% confidence interval from 108.9 to 160.9 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 87 (14, 99)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.2 to 1.1.

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.5 with a 95% confidence interval from 151.2 to 185.1 and 81 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (2, 67)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.0.

Boone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.8 with a 95% confidence interval from 149.2 to 188.4 and 62 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (2, 76)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.3.

Howard County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.8 with a 95% confidence interval from 137.6 to 201.1 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (1, 93)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.8 to 0.9.

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.5 with a 95% confidence interval from 141.1 to 214.5 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 93)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.7 to 1.1.

Tama County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.8 with a 95% confidence interval from 141.2 to 189.3 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (2, 88)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.5.

Chickasaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.3 with a 95% confidence interval from 140.8 to 197.9 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (1, 89)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.4 to 0.9.

Mahaska County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 176.1 with a 95% confidence interval from 155.3 to 199.3 and 54 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 64)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.5.

Van Buren County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 184.8 with a 95% confidence interval from 149.9 to 226.5 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 87)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.4 to 2.0.

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 186.9 with a 95% confidence interval from 154.9 to 224.0 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 84)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.2 to 2.0.

Emmet County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 180.3 with a 95% confidence interval from 149.4 to 216.4 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 83)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.2.

Floyd County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 161.2 with a 95% confidence interval from 138.9 to 186.6 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (2, 88)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.8.

Mitchell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 153.0 with a 95% confidence interval from 127.3 to 183.3 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (3, 96)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.2.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.7 with a 95% confidence interval from 135.5 to 194.5 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (1, 93)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.2.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 178.2 with a 95% confidence interval from 147.5 to 214.3 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 85)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.4 to 1.3.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.0 with a 95% confidence interval from 150.4 to 202.8 and 37 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 78)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.4 to 1.5.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 142.6 with a 95% confidence interval from 124.6 to 162.7 and 48 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (15, 96)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.4 to 1.4.

Winnebago County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 156.9 with a 95% confidence interval from 130.3 to 188.0 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (2, 96)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.3.

Bremer County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 136.0 with a 95% confidence interval from 118.8 to 155.1 and 48 average annual counts over 2019-2023.
• CI*Rank ⋔ : 79 (20, 98)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.8 to 2.9.

Davis County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.3 with a 95% confidence interval from 118.9 to 187.7 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (1, 99)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.6 to 1.8.

Franklin 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 146.2 to 208.8 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 88)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.6 to 2.1.

Fremont County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.6 with a 95% confidence interval from 132.8 to 207.8 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (1, 97)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.5 to 8.6.

Palo Alto County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 206.6 with a 95% confidence interval from 172.8 to 246.0 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 52)
• Recent Trend : The trend is rising because the trend is 3.2 with a 95% confidence interval from 0.2 to 14.7.

Notes:
Created by statecancerprofiles.cancer.gov on 03/26/2026 11:36 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+).

The Healthy People 2030 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 US Population Data File is used with mortality data.

‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

⋔ 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.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.

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 for United States does not include Puerto Rico.