State Cancer Profiles > Interpretation of Death Rates Data

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Interpretation of Death Rates Data

Death Rate Report for Iowa by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Female, All Ages

Sorted by Rate

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 128.1 with a 95% confidence interval from 126.0 to 130.3 and 2,949 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 -2.3 to -1.1.

United States

2023 Rural-Urban Continuum Codes Φ : N/A
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 126.3 with a 95% confidence interval from 126.1 to 126.6 and 287,034 average annual counts over 2019-2023.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.2 to -1.0.

Sioux County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 75.2 with a 95% confidence interval from 60.2 to 93.2 and 19 average annual counts over 2019-2023.
CI*Rank ⋔ : 99 (81, 99)
Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.5 to 0.1.

Taylor County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 87.8 with a 95% confidence interval from 54.5 to 138.6 and 4 average annual counts over 2019-2023.
CI*Rank ⋔ : 98 (11, 99)
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -5.1 to 2.0.

Shelby County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 93.0 with a 95% confidence interval from 68.0 to 126.1 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 97 (30, 99)
Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.4 to 0.0.

Lyon County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 95.7 with a 95% confidence interval from 68.3 to 131.7 and 9 average annual counts over 2019-2023.
CI*Rank ⋔ : 96 (16, 99)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.9 to 1.9.

Dallas County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 95.9 with a 95% confidence interval from 84.8 to 108.2 and 55 average annual counts over 2019-2023.
CI*Rank ⋔ : 95 (68, 99)
Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.4 to -1.0.

Clay County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 97.8 with a 95% confidence interval from 75.3 to 126.1 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 94 (31, 99)
Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.7 to -0.4.

Johnson County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 99.5 with a 95% confidence interval from 89.9 to 109.9 and 82 average annual counts over 2019-2023.
CI*Rank ⋔ : 93 (68, 98)
Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.2 to -1.7.

Adams County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 100.4 with a 95% confidence interval from 53.9 to 178.0 and 3 average annual counts over 2019-2023.
CI*Rank ⋔ : 92 (1, 99)
Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -5.7 to 0.5.

Guthrie County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 102.7 with a 95% confidence interval from 74.8 to 139.9 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 91 (15, 99)
Recent Trend : The trend is falling because the trend is -7.9 with a 95% confidence interval from -24.4 to -1.3.

Bremer County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 103.2 with a 95% confidence interval from 82.7 to 127.7 and 19 average annual counts over 2019-2023.
CI*Rank ⋔ : 90 (28, 99)
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.6 to 1.1.

Cedar County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 103.4 with a 95% confidence interval from 81.5 to 130.5 and 16 average annual counts over 2019-2023.
CI*Rank ⋔ : 89 (25, 99)
Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.7 to -0.3.

Decatur County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 104.2 with a 95% confidence interval from 71.3 to 150.3 and 6 average annual counts over 2019-2023.
CI*Rank ⋔ : 88 (5, 99)
Recent Trend : The trend is falling because the trend is -9.8 with a 95% confidence interval from -34.9 to -2.7.

Hancock County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 104.3 with a 95% confidence interval from 74.8 to 143.3 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 87 (10, 99)
Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -4.4 to -0.8.

Winneshiek County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 104.6 with a 95% confidence interval from 82.7 to 131.7 and 18 average annual counts over 2019-2023.
CI*Rank ⋔ : 86 (23, 99)
Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.1 to 0.0.

Poweshiek County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 105.2 with a 95% confidence interval from 83.8 to 131.7 and 17 average annual counts over 2019-2023.
CI*Rank ⋔ : 85 (26, 99)
Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.6 to -0.4.

Carroll County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 108.4 with a 95% confidence interval from 87.2 to 134.1 and 20 average annual counts over 2019-2023.
CI*Rank ⋔ : 84 (25, 99)
Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.6 to 0.5.

Fayette County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 108.9 with a 95% confidence interval from 86.0 to 136.9 and 19 average annual counts over 2019-2023.
CI*Rank ⋔ : 83 (17, 99)
Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.9 to -0.1.

Winnebago County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 109.3 with a 95% confidence interval from 81.3 to 146.3 and 11 average annual counts over 2019-2023.
CI*Rank ⋔ : 82 (7, 99)
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.0 to 0.4.

Kossuth County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 109.6 with a 95% confidence interval from 82.8 to 143.6 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 81 (9, 99)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.1 to 0.6.

Plymouth County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 111.0 with a 95% confidence interval from 90.6 to 135.2 and 22 average annual counts over 2019-2023.
CI*Rank ⋔ : 80 (22, 99)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.9 to -0.2.

Jones County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 112.0 with a 95% confidence interval from 89.1 to 140.0 and 18 average annual counts over 2019-2023.
CI*Rank ⋔ : 79 (15, 98)
Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.4 to 0.0.

Dickinson County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 112.5 with a 95% confidence interval from 90.1 to 140.2 and 21 average annual counts over 2019-2023.
CI*Rank ⋔ : 78 (16, 98)
Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.1 to -0.6.

Davis County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 113.3 with a 95% confidence interval from 75.6 to 163.8 and 6 average annual counts over 2019-2023.
CI*Rank ⋔ : 77 (2, 99)
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.7 to 1.0.

Calhoun County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 114.2 with a 95% confidence interval from 84.6 to 153.7 and 11 average annual counts over 2019-2023.
CI*Rank ⋔ : 76 (5, 99)
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.0 to 2.0.

Buena Vista County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 114.6 with a 95% confidence interval from 89.3 to 145.1 and 15 average annual counts over 2019-2023.
CI*Rank ⋔ : 75 (9, 98)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.8 to 0.7.

Butler County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 115.7 with a 95% confidence interval from 88.5 to 149.8 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 74 (8, 99)
Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.8 to -0.2.

Warren County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 116.1 with a 95% confidence interval from 100.6 to 133.6 and 41 average annual counts over 2019-2023.
CI*Rank ⋔ : 73 (27, 94)
Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -12.2 to -1.0.

Story County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 117.5 with a 95% confidence interval from 104.2 to 132.2 and 60 average annual counts over 2019-2023.
CI*Rank ⋔ : 72 (30, 91)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.3.

Iowa County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 117.5 with a 95% confidence interval from 92.0 to 149.0 and 15 average annual counts over 2019-2023.
CI*Rank ⋔ : 71 (10, 98)
Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.2 to 0.1.

Audubon County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 117.5 with a 95% confidence interval from 77.1 to 176.0 and 6 average annual counts over 2019-2023.
CI*Rank ⋔ : 70 (1, 99)
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.4 to 0.5.

Crawford County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 118.6 with a 95% confidence interval from 90.9 to 152.7 and 13 average annual counts over 2019-2023.
CI*Rank ⋔ : 69 (6, 98)
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.2 to 0.3.

Hamilton County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 119.4 with a 95% confidence interval from 92.6 to 152.9 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 68 (4, 98)
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.2 to 0.4.

Worth County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 119.8 with a 95% confidence interval from 82.6 to 171.0 and 7 average annual counts over 2019-2023.
CI*Rank ⋔ : 67 (2, 99)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.3 to 1.1.

Union County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 119.9 with a 95% confidence interval from 90.1 to 157.7 and 11 average annual counts over 2019-2023.
CI*Rank ⋔ : 66 (3, 99)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.4 to 1.1.

Cerro Gordo County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 119.9 with a 95% confidence interval from 103.8 to 138.2 and 47 average annual counts over 2019-2023.
CI*Rank ⋔ : 65 (21, 93)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.5 to -0.1.

Delaware 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 96.2 to 150.0 and 18 average annual counts over 2019-2023.
CI*Rank ⋔ : 64 (7, 98)
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.4 to 1.0.

Linn County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 122.9 with a 95% confidence interval from 115.2 to 131.1 and 196 average annual counts over 2019-2023.
CI*Rank ⋔ : 63 (36, 79)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -0.9.

Monona County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 123.1 with a 95% confidence interval from 90.3 to 166.9 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 62 (2, 99)
Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.8 to 0.4.

Emmet County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 123.2 with a 95% confidence interval from 89.5 to 167.7 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 61 (2, 99)
Recent Trend : The trend is falling because the trend is -7.9 with a 95% confidence interval from -33.2 to -0.6.

Benton County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 123.3 with a 95% confidence interval from 101.6 to 148.8 and 24 average annual counts over 2019-2023.
CI*Rank ⋔ : 60 (9, 95)
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.1 to 0.7.

Wayne County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 124.4 with a 95% confidence interval from 84.2 to 180.3 and 7 average annual counts over 2019-2023.
CI*Rank ⋔ : 59 (1, 99)
Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.3 to 2.1.

Madison County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 124.4 with a 95% confidence interval from 96.9 to 158.1 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 58 (4, 97)
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.2 to 0.4.

Monroe County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 125.4 with a 95% confidence interval from 87.6 to 176.5 and 7 average annual counts over 2019-2023.
CI*Rank ⋔ : 57 (1, 99)
Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.5 to 2.1.

Humboldt 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 91.3 to 171.5 and 9 average annual counts over 2019-2023.
CI*Rank ⋔ : 56 (1, 99)
Recent Trend : The trend is stable because the trend is 3.1 with a 95% confidence interval from -0.5 to 17.7.

Pocahontas 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 89.0 to 177.4 and 8 average annual counts over 2019-2023.
CI*Rank ⋔ : 55 (1, 99)
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.0 to 0.3.

Jackson County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 126.4 with a 95% confidence interval from 101.7 to 156.1 and 20 average annual counts over 2019-2023.
CI*Rank ⋔ : 54 (5, 96)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.7 to 0.7.

Black Hawk County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 126.6 with a 95% confidence interval from 116.0 to 137.9 and 114 average annual counts over 2019-2023.
CI*Rank ⋔ : 53 (23, 79)
Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.6.

Dubuque County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 126.8 with a 95% confidence interval from 115.2 to 139.4 and 97 average annual counts over 2019-2023.
CI*Rank ⋔ : 52 (20, 81)
Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.4.

Webster 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 109.4 to 149.3 and 37 average annual counts over 2019-2023.
CI*Rank ⋔ : 51 (10, 90)
Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.1.

Montgomery County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 128.2 with a 95% confidence interval from 94.5 to 171.8 and 11 average annual counts over 2019-2023.
CI*Rank ⋔ : 50 (1, 98)
Recent Trend : The trend is falling because the trend is -21.5 with a 95% confidence interval from -33.3 to -14.2.

Harrison County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 129.3 with a 95% confidence interval from 100.6 to 164.7 and 15 average annual counts over 2019-2023.
CI*Rank ⋔ : 49 (2, 97)
Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.2 to 0.0.

O'Brien County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 129.6 with a 95% confidence interval from 99.5 to 167.0 and 15 average annual counts over 2019-2023.
CI*Rank ⋔ : 48 (2, 97)
Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -4.1 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 130.0 with a 95% confidence interval from 98.7 to 169.2 and 13 average annual counts over 2019-2023.
CI*Rank ⋔ : 47 (2, 97)
Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.9 to 0.2.

Page County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 130.1 with a 95% confidence interval from 103.2 to 163.6 and 18 average annual counts over 2019-2023.
CI*Rank ⋔ : 46 (3, 96)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.4 to -0.1.

Scott County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 130.7 with a 95% confidence interval from 121.7 to 140.4 and 160 average annual counts over 2019-2023.
CI*Rank ⋔ : 45 (21, 70)
Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.7.

Marshall County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 131.1 with a 95% confidence interval from 113.1 to 151.5 and 39 average annual counts over 2019-2023.
CI*Rank ⋔ : 44 (8, 87)
Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.0 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 132.4 with a 95% confidence interval from 90.0 to 191.7 and 7 average annual counts over 2019-2023.
CI*Rank ⋔ : 43 (1, 99)
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -6.7 to 0.7.

Hardin County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 132.9 with a 95% confidence interval from 106.5 to 165.2 and 20 average annual counts over 2019-2023.
CI*Rank ⋔ : 42 (2, 94)
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.0 to 0.0.

Lucas County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 133.3 with a 95% confidence interval from 96.6 to 181.9 and 9 average annual counts over 2019-2023.
CI*Rank ⋔ : 41 (1, 98)
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.4 to 0.6.

Boone County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 134.0 with a 95% confidence interval from 111.6 to 160.2 and 27 average annual counts over 2019-2023.
CI*Rank ⋔ : 40 (3, 90)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.7.

Washington County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 134.4 with a 95% confidence interval from 110.6 to 162.4 and 24 average annual counts over 2019-2023.
CI*Rank ⋔ : 39 (4, 91)
Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.5.

Keokuk County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 135.3 with a 95% confidence interval from 99.2 to 181.9 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 38 (1, 98)
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.3 to 2.3.

Muscatine 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 117.6 to 156.6 and 41 average annual counts over 2019-2023.
CI*Rank ⋔ : 37 (5, 81)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.8 to -0.2.

Mills County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 136.6 with a 95% confidence interval from 105.9 to 174.4 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 36 (1, 95)
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -3.7 to 0.0.

Cherokee 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 107.7 to 174.5 and 16 average annual counts over 2019-2023.
CI*Rank ⋔ : 35 (1, 94)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.9 to 0.8.

Polk County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 137.4 with a 95% confidence interval from 131.3 to 143.7 and 395 average annual counts over 2019-2023.
CI*Rank ⋔ : 34 (18, 54)
Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.6.

Floyd County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 137.8 with a 95% confidence interval from 109.3 to 172.5 and 18 average annual counts over 2019-2023.
CI*Rank ⋔ : 33 (1, 93)
Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.4 to 2.0.

Ida County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 138.7 with a 95% confidence interval from 100.2 to 190.7 and 9 average annual counts over 2019-2023.
CI*Rank ⋔ : 32 (1, 98)
Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.8 to 0.6.

Grundy County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 139.7 with a 95% confidence interval from 107.5 to 179.8 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 31 (1, 94)
Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.4 to 2.7.

Chickasaw County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 140.0 with a 95% confidence interval from 104.8 to 184.3 and 12 average annual counts over 2019-2023.
CI*Rank ⋔ : 30 (1, 97)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.8 to 0.7.

Mitchell 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 107.8 to 181.6 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 29 (1, 94)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.8 to 2.1.

Jasper 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 120.7 to 162.8 and 40 average annual counts over 2019-2023.
CI*Rank ⋔ : 28 (3, 80)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.2.

Marion 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 121.2 to 164.6 and 37 average annual counts over 2019-2023.
CI*Rank ⋔ : 27 (3, 79)
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.8 to 1.7.

Clinton County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 141.8 with a 95% confidence interval from 124.8 to 160.9 and 53 average annual counts over 2019-2023.
CI*Rank ⋔ : 26 (5, 74)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.2.

Greene County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 141.9 with a 95% confidence interval from 105.4 to 189.7 and 12 average annual counts over 2019-2023.
CI*Rank ⋔ : 25 (1, 97)
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.4 to 2.0.

Lee County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 143.2 with a 95% confidence interval from 122.8 to 166.5 and 39 average annual counts over 2019-2023.
CI*Rank ⋔ : 24 (3, 77)
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.4 to 0.5.

Sac County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 143.5 with a 95% confidence interval from 108.1 to 189.0 and 13 average annual counts over 2019-2023.
CI*Rank ⋔ : 23 (1, 96)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.8 to 0.4.

Henry County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 143.5 with a 95% confidence interval from 117.4 to 174.6 and 22 average annual counts over 2019-2023.
CI*Rank ⋔ : 22 (1, 88)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.4 to 0.8.

Pottawattamie County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 145.6 with a 95% confidence interval from 132.8 to 159.5 and 100 average annual counts over 2019-2023.
CI*Rank ⋔ : 21 (6, 57)
Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.3.

Buchanan 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 119.1 to 177.6 and 21 average annual counts over 2019-2023.
CI*Rank ⋔ : 20 (1, 84)
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.1 to 1.6.

Fremont 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 102.6 to 205.8 and 8 average annual counts over 2019-2023.
CI*Rank ⋔ : 19 (1, 99)
Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -2.0 to 16.0.

Des Moines County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 146.5 with a 95% confidence interval from 127.2 to 168.2 and 45 average annual counts over 2019-2023.
CI*Rank ⋔ : 18 (2, 70)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.1 to 0.9.

Clarke County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 148.0 with a 95% confidence interval from 108.3 to 198.7 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 17 (1, 96)
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -3.3 to 2.0.

Cass County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 149.1 with a 95% confidence interval from 117.9 to 187.5 and 18 average annual counts over 2019-2023.
CI*Rank ⋔ : 16 (1, 89)
Recent Trend : The trend is stable because the trend is 3.7 with a 95% confidence interval from -4.4 to 13.6.

Franklin County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 149.2 with a 95% confidence interval from 113.1 to 195.2 and 12 average annual counts over 2019-2023.
CI*Rank ⋔ : 15 (1, 95)
Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -1.0 to 3.2.

Allamakee County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 150.5 with a 95% confidence interval from 118.3 to 190.1 and 17 average annual counts over 2019-2023.
CI*Rank ⋔ : 14 (1, 88)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.3 to 1.1.

Ringgold County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 151.4 with a 95% confidence interval from 100.2 to 225.0 and 6 average annual counts over 2019-2023.
CI*Rank ⋔ : 13 (1, 99)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -4.0 to 2.1.

Adair County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 151.5 with a 95% confidence interval from 109.3 to 207.2 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 12 (1, 96)
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.0.

Appanoose County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 152.3 with a 95% confidence interval from 120.4 to 191.8 and 17 average annual counts over 2019-2023.
CI*Rank ⋔ : 11 (1, 86)
Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.5 to 2.9.

Jefferson County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 155.0 with a 95% confidence interval from 124.4 to 192.2 and 21 average annual counts over 2019-2023.
CI*Rank ⋔ : 10 (1, 83)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.3.

Tama 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 124.0 to 192.5 and 19 average annual counts over 2019-2023.
CI*Rank ⋔ : 9 (1, 81)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.0 to 0.9.

Woodbury County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 156.7 with a 95% confidence interval from 143.2 to 171.2 and 103 average annual counts over 2019-2023.
CI*Rank ⋔ : 8 (2, 40)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.6.

Clayton County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 157.1 with a 95% confidence interval from 126.8 to 193.3 and 22 average annual counts over 2019-2023.
CI*Rank ⋔ : 7 (1, 79)
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.5 to 0.9.

Louisa County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 160.1 with a 95% confidence interval from 121.8 to 208.2 and 13 average annual counts over 2019-2023.
CI*Rank ⋔ : 6 (1, 88)
Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.3 to 0.8.

Howard County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 160.2 with a 95% confidence interval from 121.6 to 209.2 and 12 average annual counts over 2019-2023.
CI*Rank ⋔ : 5 (1, 87)
Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.5 to 1.9.

Wapello County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 162.6 with a 95% confidence interval from 140.8 to 187.1 and 42 average annual counts over 2019-2023.
CI*Rank ⋔ : 4 (1, 53)
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.1.

Mahaska County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 164.9 with a 95% confidence interval from 137.7 to 196.5 and 28 average annual counts over 2019-2023.
CI*Rank ⋔ : 3 (1, 63)
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.8 to 1.7.

Van Buren County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 170.6 with a 95% confidence interval from 122.8 to 233.0 and 9 average annual counts over 2019-2023.
CI*Rank ⋔ : 2 (1, 93)
Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.0 to 3.2.

Palo Alto County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 182.4 with a 95% confidence interval from 138.3 to 237.8 and 13 average annual counts over 2019-2023.
CI*Rank ⋔ : 1 (1, 75)
Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.2 to 3.7.

Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 12:43 pm.

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

Trend
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.

† 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.

State Cancer Profiles