Interpretation of Death Rates Data
Death Rate Report for Massachusetts by County
All Cancer Sites, 2019-2023
White Non-Hispanic, Both Sexes, All Ages
Sorted by CI*Rank
Explanation of Column HeadersDeath 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
Massachusetts
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 139.6 with a 95% confidence interval from 138.4 to 140.8 and 10,789 average annual counts over 2019-2023.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -2.0 to -1.8.
United States
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 151.2 with a 95% confidence interval from 151.0 to 151.4 and 464,032 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 -1.3 to -1.0.
Hampden County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 153.9 with a 95% confidence interval from 148.8 to 159.2 and 750 average annual counts over 2019-2023.
- CI*Rank ⋔ : 1 (1, 4)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -1.7 to -1.1.
Bristol County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 151.2 with a 95% confidence interval from 147.1 to 155.5 and 1,055 average annual counts over 2019-2023.
- CI*Rank ⋔ : 2 (1, 4)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -1.8 to -1.3.
Plymouth County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 150.7 with a 95% confidence interval from 146.5 to 155.0 and 1,017 average annual counts over 2019-2023.
- CI*Rank ⋔ : 3 (1, 4)
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -2.1 to -1.6.
Berkshire County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 146.5 with a 95% confidence interval from 138.9 to 154.4 and 315 average annual counts over 2019-2023.
- CI*Rank ⋔ : 4 (1, 7)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.1 to 1.1.
Worcester 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 140.7 to 147.7 and 1,380 average annual counts over 2019-2023.
- CI*Rank ⋔ : 5 (3, 6)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -1.6 to 1.2.
Norfolk County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 139.4 with a 95% confidence interval from 135.7 to 143.2 and 1,144 average annual counts over 2019-2023.
- CI*Rank ⋔ : 6 (5, 9)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -2.1 to -1.7.
Essex County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 137.0 with a 95% confidence interval from 133.5 to 140.5 and 1,272 average annual counts over 2019-2023.
- CI*Rank ⋔ : 7 (6, 10)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -2.4 to -1.9.
Hampshire 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 128.0 to 143.1 and 274 average annual counts over 2019-2023.
- CI*Rank ⋔ : 8 (4, 12)
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.3.
Suffolk County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 135.2 with a 95% confidence interval from 130.2 to 140.5 and 557 average annual counts over 2019-2023.
- CI*Rank ⋔ : 9 (6, 11)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -4.0 to 1.7.
Middlesex County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 131.6 with a 95% confidence interval from 129.1 to 134.2 and 2,212 average annual counts over 2019-2023.
- CI*Rank ⋔ : 10 (8, 12)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -2.2 to -2.0.
Barnstable County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 128.2 with a 95% confidence interval from 123.2 to 133.3 and 618 average annual counts over 2019-2023.
- CI*Rank ⋔ : 11 (8, 13)
- Recent Trend : The trend is falling
because the trend is -2.0 with a 95% confidence interval from -2.3 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 123.4 with a 95% confidence interval from 113.8 to 133.7 and 137 average annual counts over 2019-2023.
- CI*Rank ⋔ : 12 (8, 14)
- Recent Trend : The trend is falling
because the trend is -2.0 with a 95% confidence interval from -2.6 to -1.4.
Nantucket County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 113.8 with a 95% confidence interval from 90.4 to 142.3 and 17 average annual counts over 2019-2023.
- CI*Rank ⋔ : 13 (4, 14)
- Recent Trend : The trend is falling
because the trend is -3.7 with a 95% confidence interval from -5.2 to -2.3.
Dukes County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 111.1 with a 95% confidence interval from 94.9 to 130.0 and 37 average annual counts over 2019-2023.
- CI*Rank ⋔ : 14 (9, 14)
- Recent Trend : The trend is falling
because the trend is -3.1 with a 95% confidence interval from -4.0 to -2.2.
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 1:13 pm.
State Cancer Registries may provide more current or more local data.
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.


