Death Rates Table
Death Rate Report for Missouri by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Female, All Ages
Sorted by CI*Rank
County
|
2023 Rural-Urban Continuum Codes Φ
|
Met Healthy People Objective of 122.7? |
Age-Adjusted Death Rate † deaths per 100,000 (95% Confidence Interval)
|
CI*Rank ⋔ (95% Confidence Interval) 
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Death Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|---|
| Missouri | N/A | No | 139.5 (137.9, 141.1) | N/A | 6,117 |
falling 
|
-1.0 (-1.1, -0.9) |
| United States | N/A | No | 126.3 (126.1, 126.6) | N/A | 287,034 |
falling
|
-1.1 (-1.2, -1.0) |
| Ripley County | Rural | No | 235.3 (186.9, 293.5) | 1 (1, 38) | 18 |
rising 
|
1.9 (0.1, 3.8) |
| Gentry County | Rural | No | 214.9 (157.4, 288.5) | 2 (1, 97) | 10 |
stable 
|
0.7 (-0.9, 2.4) |
| Shannon County | Rural | No | 209.0 (156.7, 276.0) | 3 (1, 94) | 12 |
stable
|
0.4 (-2.1, 2.9) |
| Madison County | Rural | No | 209.0 (168.8, 257.2) | 4 (1, 69) | 20 |
stable
|
0.5 (-1.1, 2.2) |
| Pemiscot County | Rural | No | 201.0 (164.1, 244.2) | 5 (1, 72) | 22 |
stable
|
1.3 (-0.2, 2.9) |
| New Madrid County | Rural | No | 200.2 (166.7, 239.4) | 6 (1, 57) | 26 |
stable
|
0.5 (-0.7, 1.8) |
| Iron County | Rural | No | 193.4 (151.6, 245.3) | 7 (1, 93) | 15 |
stable
|
-0.5 (-2.0, 0.9) |
| Laclede County | Rural | No | 186.8 (163.4, 212.9) | 8 (1, 53) | 48 |
rising
|
2.8 (0.2, 12.8) |
| Washington County | Rural | No | 186.6 (156.3, 221.6) | 9 (1, 71) | 28 |
stable
|
-0.2 (-1.9, 1.5) |
| Macon County | Rural | No | 186.4 (151.1, 228.4) | 10 (1, 88) | 22 |
stable
|
3.3 (-9.6, 18.5) |
| Ozark County | Rural | No | 183.1 (142.6, 235.2) | 11 (1, 103) | 16 |
stable
|
-0.3 (-1.8, 1.2) |
| Ray County | Urban | No | 181.6 (153.7, 213.8) | 12 (1, 79) | 31 |
stable
|
-0.1 (-1.5, 1.5) |
| Dent County | Rural | No | 180.2 (145.7, 221.7) | 13 (1, 100) | 21 |
stable
|
-0.9 (-2.3, 0.4) |
| Benton County | Rural | No | 178.0 (150.8, 210.3) | 14 (2, 80) | 36 |
stable
|
-0.2 (-1.4, 1.1) |
| Douglas County | Rural | No | 177.3 (141.8, 221.1) | 15 (1, 103) | 18 |
stable
|
4.6 (-0.3, 20.8) |
| Dunklin County | Rural | No | 177.3 (152.0, 205.9) | 16 (2, 75) | 37 |
stable
|
-0.3 (-1.6, 0.9) |
| Oregon County | Rural | No | 176.9 (133.8, 231.5) | 17 (1, 111) | 12 |
stable
|
-0.3 (-2.1, 1.4) |
| St. Francois County | Rural | No | 176.3 (159.0, 195.3) | 18 (3, 58) | 79 |
stable
|
0.1 (-0.8, 1.0) |
| Linn County | Rural | No | 175.0 (136.1, 222.5) | 19 (1, 105) | 16 |
stable
|
0.3 (-2.1, 2.7) |
| Lawrence County | Rural | No | 171.3 (149.2, 196.0) | 20 (3, 79) | 45 |
stable
|
0.2 (-0.8, 1.3) |
| Buchanan County | Urban | No | 171.0 (155.9, 187.3) | 21 (7, 59) | 99 |
stable
|
-0.4 (-1.1, 0.3) |
| McDonald County | Rural | No | 170.8 (141.2, 205.0) | 22 (2, 99) | 24 |
stable
|
-0.9 (-3.0, 1.3) |
| Clinton County | Urban | No | 170.2 (141.2, 204.0) | 23 (2, 98) | 25 |
stable
|
0.1 (-1.6, 1.8) |
| Hickory County | Rural | No | 169.7 (128.1, 223.9) | 24 (1, 112) | 14 |
stable
|
0.6 (-1.6, 2.8) |
| Randolph County | Rural | No | 169.1 (142.1, 200.3) | 25 (3, 97) | 28 |
stable
|
-0.5 (-1.7, 0.8) |
| Crawford County | Rural | No | 168.0 (141.0, 199.2) | 26 (3, 96) | 30 |
stable
|
0.3 (-1.1, 1.7) |
| Lincoln County | Urban | No | 166.6 (147.5, 187.6) | 27 (6, 78) | 58 |
stable
|
-0.3 (-1.3, 0.8) |
| Butler County | Rural | No | 164.1 (144.6, 185.9) | 28 (5, 83) | 53 |
stable
|
-0.4 (-1.2, 0.4) |
| Stoddard County | Rural | No | 162.8 (139.4, 189.5) | 29 (5, 97) | 37 |
stable
|
-0.3 (-2.1, 1.5) |
| Saline County | Rural | No | 161.8 (134.4, 193.7) | 30 (4, 105) | 26 |
stable
|
-0.6 (-2.2, 0.9) |
| Pettis County | Rural | No | 161.5 (141.3, 184.0) | 31 (6, 91) | 48 |
stable
|
-0.5 (-1.5, 0.6) |
| Atchison County | Rural | No | 161.2 (111.3, 230.8) | 32 (1, 114) | 7 |
stable
|
0.0 (-3.5, 3.3) |
| Grundy County | Rural | No | 160.6 (121.8, 209.5) | 33 (1, 113) | 13 |
rising
|
12.3 (0.1, 28.9) |
| Polk County | Urban | No | 159.4 (136.4, 185.5) | 34 (5, 97) | 36 |
stable
|
-0.4 (-2.2, 1.5) |
| Warren County | Urban | No | 159.0 (137.0, 183.7) | 35 (6, 98) | 40 |
stable
|
-0.3 (-1.7, 1.3) |
| Dade County | Rural | No | 157.7 (114.9, 214.2) | 36 (1, 114) | 10 |
stable
|
-0.9 (-3.3, 1.3) |
| Pulaski County | Rural | No | 157.3 (134.2, 183.3) | 37 (6, 103) | 33 |
stable
|
-1.2 (-2.3, 0.0) |
| Bollinger County | Urban | No | 156.3 (119.5, 202.4) | 38 (2, 112) | 13 |
stable
|
0.2 (-1.7, 2.1) |
| Scotland County | Rural | No | 156.1 (100.9, 233.7) | 39 (1, 114) | 5 |
stable
|
0.4 (-3.0, 3.7) |
| Lafayette County | Urban | No | 155.7 (134.0, 180.4) | 40 (8, 99) | 39 |
stable
|
-0.5 (-1.6, 0.7) |
| Vernon County | Rural | No | 154.7 (127.6, 186.6) | 41 (5, 109) | 24 |
stable
|
-0.3 (-2.0, 1.5) |
| Schuyler County | Rural | No | 154.6 (94.7, 241.6) | 42 (1, 114) | 4 |
stable
|
1.3 (-1.1, 3.8) |
| Newton County | Urban | No | 153.6 (137.0, 171.9) | 43 (13, 94) | 66 |
falling
|
-7.2 (-12.4, -1.7) |
| Wright County | Rural | No | 153.6 (124.6, 188.0) | 44 (5, 111) | 21 |
stable
|
0.4 (-1.3, 2.1) |
| Cedar County | Rural | No | 153.0 (122.1, 190.6) | 45 (4, 111) | 19 |
stable
|
-0.8 (-2.7, 1.0) |
| Howell County | Rural | No | 150.9 (131.8, 172.4) | 46 (11, 100) | 47 |
stable
|
-0.5 (-1.5, 0.5) |
| Callaway County | Urban | No | 150.3 (131.0, 172.1) | 47 (15, 101) | 45 |
stable
|
-0.6 (-1.2, 0.1) |
| Montgomery County | Rural | No | 149.8 (115.5, 192.8) | 48 (4, 113) | 14 |
falling
|
-14.3 (-30.3, -0.1) |
| Texas County | Rural | No | 149.6 (125.7, 177.6) | 49 (8, 108) | 30 |
stable
|
-0.3 (-1.4, 0.7) |
| Jefferson County | Urban | No | 149.5 (140.5, 158.9) | 50 (29, 83) | 220 |
falling
|
-1.2 (-1.7, -0.7) |
| Ralls County | Rural | No | 149.4 (113.8, 194.7) | 51 (3, 114) | 13 |
stable
|
0.4 (-1.8, 2.9) |
| Reynolds County | Rural | No | 149.4 (103.6, 212.6) | 52 (1, 114) | 7 |
stable
|
-1.0 (-3.9, 1.9) |
| Jasper County | Urban | No | 148.5 (136.6, 161.2) | 53 (24, 89) | 120 |
stable
|
-0.4 (-1.0, 0.3) |
| Cooper County | Urban | No | 148.1 (117.0, 185.5) | 54 (4, 112) | 17 |
stable
|
-0.6 (-2.3, 1.2) |
| Phelps County | Rural | No | 147.6 (128.0, 169.6) | 55 (14, 105) | 43 |
stable
|
-0.8 (-2.2, 0.6) |
| Livingston County | Rural | No | 146.2 (116.1, 182.5) | 56 (6, 113) | 17 |
stable
|
0.2 (-1.3, 1.8) |
| Andrew County | Urban | No | 146.0 (118.8, 178.6) | 57 (6, 112) | 20 |
stable
|
-1.5 (-3.8, 0.7) |
| Maries County | Rural | No | 145.6 (107.5, 195.5) | 58 (3, 114) | 10 |
falling
|
-2.5 (-5.1, -0.1) |
| Morgan County | Rural | No | 145.1 (120.0, 174.8) | 59 (10, 111) | 26 |
stable
|
-1.2 (-3.0, 0.5) |
| Marion County | Rural | No | 144.8 (121.8, 171.2) | 60 (14, 111) | 30 |
falling
|
-1.7 (-3.1, -0.4) |
| Barry County | Rural | No | 144.8 (124.7, 167.6) | 61 (16, 108) | 40 |
stable
|
-0.7 (-1.7, 0.1) |
| Ste. Genevieve County | Rural | No | 143.5 (115.5, 177.1) | 62 (7, 113) | 19 |
stable
|
-0.6 (-2.4, 1.2) |
| DeKalb County | Urban | No | 143.5 (106.8, 190.6) | 63 (2, 114) | 11 |
stable
|
2.4 (-1.3, 19.2) |
| Mississippi County | Rural | No | 143.4 (109.3, 186.0) | 64 (5, 114) | 13 |
stable
|
-1.7 (-3.9, 0.2) |
| St. Louis City | Urban | No | 142.6 (134.7, 150.8) | 65 (40, 90) | 262 |
falling
|
-2.8 (-7.0, -2.0) |
| Chariton County | Rural | No | 142.1 (97.3, 202.1) | 66 (2, 114) | 8 |
stable
|
-0.3 (-3.4, 2.6) |
| Webster County | Urban | No | 141.1 (120.5, 164.5) | 67 (18, 110) | 34 |
stable
|
0.3 (-0.8, 1.6) |
| Audrain County | Rural | No | 140.6 (117.6, 167.3) | 68 (14, 112) | 27 |
stable
|
0.0 (-1.3, 1.2) |
| Moniteau County | Urban | No | 140.6 (109.8, 178.2) | 69 (8, 113) | 14 |
stable
|
-0.3 (-2.6, 2.2) |
| St. Clair County | Rural | No | 140.4 (104.1, 187.7) | 70 (4, 114) | 11 |
stable
|
-1.1 (-2.6, 0.2) |
| Pike County | Rural | No | 140.3 (112.1, 174.4) | 71 (10, 114) | 18 |
stable
|
-0.8 (-2.9, 1.2) |
| Carter County | Rural | No | 139.6 (93.1, 205.0) | 72 (1, 114) | 6 |
stable
|
-1.6 (-4.3, 1.0) |
| Franklin County | Urban | No | 138.8 (126.9, 151.7) | 73 (36, 104) | 107 |
falling
|
-1.0 (-1.7, -0.2) |
| Christian County | Urban | No | 138.5 (125.2, 152.9) | 74 (35, 105) | 82 |
falling
|
-1.0 (-1.7, -0.2) |
| Gasconade County | Rural | No | 138.2 (110.9, 171.9) | 75 (10, 113) | 18 |
stable
|
-0.6 (-1.7, 0.6) |
| Scott County | Rural | No | 138.1 (118.8, 159.9) | 76 (20, 110) | 39 |
stable
|
-3.7 (-7.2, 1.0) |
| Adair County | Rural | No | 138.0 (112.7, 167.8) | 77 (12, 113) | 21 |
stable
|
-0.4 (-1.8, 1.0) |
| Taney County | Rural | No | 137.5 (122.1, 154.6) | 78 (33, 107) | 62 |
falling
|
-1.1 (-1.9, -0.2) |
| Jackson County | Urban | No | 137.5 (132.7, 142.4) | 79 (55, 91) | 654 |
falling
|
-1.3 (-1.6, -1.1) |
| Wayne County | Rural | No | 136.8 (106.3, 176.0) | 80 (8, 114) | 14 |
stable
|
-1.1 (-3.1, 0.8) |
| Perry County | Rural | No | 136.7 (110.2, 168.5) | 81 (12, 113) | 20 |
stable
|
-0.3 (-2.4, 1.9) |
| Clay County | Urban | No | 136.0 (127.9, 144.5) | 82 (50, 99) | 216 |
falling
|
-1.4 (-1.9, -0.9) |
| Clark County | Rural | No | 135.9 (96.3, 190.4) | 83 (3, 114) | 7 |
stable
|
-0.2 (-3.3, 2.9) |
| Bates County | Urban | No | 135.5 (107.3, 169.9) | 84 (11, 114) | 17 |
stable
|
-1.0 (-3.4, 1.2) |
| Shelby County | Rural | No | 134.3 (93.3, 191.5) | 85 (3, 114) | 7 |
falling
|
-2.5 (-4.5, -0.7) |
| Lewis County | Rural | No | 133.7 (97.8, 180.1) | 86 (6, 114) | 10 |
stable
|
-1.4 (-4.2, 1.1) |
| Miller County | Rural | No | 132.6 (109.7, 159.4) | 87 (18, 113) | 25 |
stable
|
-1.3 (-2.9, 0.1) |
| Caldwell County | Urban | No | 132.2 (93.6, 183.1) | 88 (4, 114) | 8 |
stable
|
-0.5 (-3.7, 2.6) |
| St. Louis County | Urban | No | 132.2 (128.5, 136.0) | 89 (68, 97) | 1,035 |
falling
|
-1.2 (-1.4, -1.0) |
| Cass County | Urban | No | 132.1 (120.7, 144.4) | 90 (47, 108) | 103 |
falling
|
-1.2 (-2.0, -0.5) |
| Johnson County | Rural | No | 131.8 (113.2, 152.7) | 91 (30, 112) | 37 |
falling
|
-3.6 (-12.8, -1.5) |
| Henry County | Rural | No | 131.6 (109.0, 158.5) | 92 (22, 113) | 26 |
stable
|
-1.3 (-3.1, 0.5) |
| Nodaway County | Rural | No | 127.9 (102.4, 158.6) | 93 (21, 114) | 19 |
stable
|
-0.8 (-2.2, 0.6) |
| Daviess County | Rural | No | 127.2 (88.6, 178.4) | 94 (6, 114) | 8 |
stable
|
-1.6 (-4.1, 0.7) |
| Stone County | Rural | No | 127.2 (108.2, 149.3) | 95 (34, 113) | 40 |
stable
|
-0.8 (-2.0, 0.5) |
| Camden County | Rural | No | 126.4 (110.5, 144.5) | 96 (45, 113) | 53 |
stable
|
-0.5 (-1.6, 0.7) |
| Barton County | Rural | No | 126.2 (93.9, 167.3) | 97 (9, 114) | 11 |
stable
|
0.1 (-2.0, 2.3) |
| Dallas County | Urban | No | 125.9 (99.9, 157.5) | 98 (22, 114) | 17 |
falling
|
-1.9 (-3.1, -0.7) |
| Mercer County | Rural | No | 125.1 (73.0, 207.2) | 99 (2, 114) | 3 |
stable
|
-0.3 (-3.7, 2.9) |
| Osage County | Urban | No | 124.9 (92.1, 166.1) | 100 (9, 114) | 10 |
stable
|
0.0 (-1.4, 1.6) |
| Monroe County | Rural | No | 124.4 (90.1, 170.5) | 101 (9, 114) | 10 |
stable
|
-1.2 (-3.5, 1.1) |
| Putnam County | Rural | No | 123.5 (78.7, 190.4) | 102 (2, 114) | 5 |
stable
|
-0.6 (-3.4, 2.2) |
| Sullivan County | Rural | Yes | 121.5 (80.9, 179.4) | 103 (5, 114) | 5 |
stable
|
-1.9 (-4.6, 0.5) |
| Greene County | Urban | Yes | 120.9 (114.2, 127.9) | 104 (81, 110) | 255 |
falling
|
-1.4 (-1.9, -1.0) |
| St. Charles County | Urban | Yes | 120.9 (115.0, 126.9) | 105 (83, 111) | 336 |
falling
|
-1.5 (-2.0, -0.9) |
| Cape Girardeau County | Urban | Yes | 120.5 (107.7, 134.5) | 106 (62, 113) | 69 |
falling
|
-4.2 (-10.5, -1.4) |
| Boone County | Urban | Yes | 119.8 (110.2, 130.0) | 107 (73, 112) | 120 |
falling
|
-1.7 (-2.5, -1.0) |
| Carroll County | Rural | Yes | 119.8 (87.4, 163.2) | 108 (17, 114) | 9 |
stable
|
-1.2 (-3.4, 0.9) |
| Cole County | Urban | Yes | 118.4 (105.5, 132.7) | 109 (66, 114) | 65 |
falling
|
-2.0 (-2.9, -1.2) |
| Holt County | Rural | Yes | 117.8 (75.4, 183.7) | 110 (5, 114) | 5 |
|
|
| Howard County | Urban | Yes | 114.7 (82.5, 157.2) | 111 (16, 114) | 8 |
falling
|
-3.3 (-5.0, -1.8) |
| Knox County | Rural | Yes | 112.5 (61.5, 193.7) | 112 (2, 114) | 3 |
stable
|
-1.0 (-4.9, 2.4) |
| Harrison County | Rural | Yes | 110.2 (76.9, 155.6) | 113 (23, 114) | 8 |
stable
|
-0.6 (-3.5, 2.1) |
| Platte County | Urban | Yes | 106.7 (96.0, 118.4) | 114 (90, 114) | 74 |
falling
|
-2.1 (-3.0, -1.1) |
| Worth County | Rural | *** |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 9:45 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.
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 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.