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, Ages <65

Sorted by Count

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? : Yes
• Rate : The death rate is 43.6 with a 95% confidence interval from 42.5 to 44.6 and 1,494 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.7 to -1.7.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 44.0 with a 95% confidence interval from 43.9 to 44.1 and 158,490 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.8 to -1.3.

Osceola County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 39.0 with a 95% confidence interval from 21.1 to 68.9 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 78 (3, 95)
• Recent Trend :

Worth County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 32.8 with a 95% confidence interval from 18.2 to 56.9 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 87 (8, 95)
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -6.8 to 1.8.

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 38.0 with a 95% confidence interval from 21.7 to 63.5 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 81 (4, 95)
• Recent Trend : The trend is falling because the trend is -14.3 with a 95% confidence interval from -35.9 to -3.6.

Ringgold County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 66.8 with a 95% confidence interval from 39.5 to 109.3 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 94)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.6 to 4.2.

Van Buren County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 50.6 with a 95% confidence interval from 29.3 to 82.3 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (1, 95)
• Recent Trend :

Audubon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 62.4 with a 95% confidence interval from 35.9 to 102.7 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 94)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.8 to 2.8.

Decatur County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 54.4 with a 95% confidence interval from 32.9 to 85.9 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (1, 95)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.6 to 4.1.

Wayne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 60.0 with a 95% confidence interval from 35.2 to 96.7 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 95)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.8 to 1.9.

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 42.0 with a 95% confidence interval from 25.4 to 66.3 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (2, 95)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -5.8 to 1.9.

Fremont County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 53.5 with a 95% confidence interval from 31.5 to 86.9 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (1, 95)
• Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -1.7 to 13.9.

Pocahontas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 50.4 with a 95% confidence interval from 29.6 to 82.0 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (1, 95)
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -6.8 to 1.9.

Adair County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 49.1 with a 95% confidence interval from 29.9 to 77.8 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (1, 95)
• Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -29.4 to 1.8.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 44.0 with a 95% confidence interval from 27.3 to 68.2 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (2, 95)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -2.0 to 4.7.

Hancock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 42.5 with a 95% confidence interval from 26.1 to 66.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (2, 95)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -6.1 to -0.5.

Howard County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 46.1 with a 95% confidence interval from 28.5 to 71.3 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (2, 95)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.2 to 0.6.

Humboldt County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 43.7 with a 95% confidence interval from 27.3 to 67.4 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (3, 95)
• Recent Trend :

Lucas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 40.4 with a 95% confidence interval from 25.3 to 63.3 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 74 (4, 95)
• Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -5.5 to 0.2.

Mitchell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 39.7 with a 95% confidence interval from 24.7 to 61.4 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 77 (5, 95)
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -4.8 to 0.1.

Sac County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 41.0 with a 95% confidence interval from 25.0 to 64.6 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 70 (3, 95)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -6.1 to 1.5.

Winnebago County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 42.6 with a 95% confidence interval from 26.6 to 65.7 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (3, 95)
• Recent Trend :

Grundy County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 38.6 with a 95% confidence interval from 24.5 to 58.6 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 80 (7, 95)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -4.5 to 2.7.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 28.2 with a 95% confidence interval from 18.2 to 42.3 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 94 (35, 95)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -5.9 to -0.1.

Lyon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 45.1 with a 95% confidence interval from 29.4 to 66.5 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (2, 95)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.6 to 3.1.

Wright County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 42.7 with a 95% confidence interval from 27.4 to 63.9 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (3, 95)
• Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -6.3 to 0.2.

Davis County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 68.8 with a 95% confidence interval from 44.8 to 101.3 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 89)
• Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -0.4 to 5.0.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 58.4 with a 95% confidence interval from 37.4 to 87.9 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 92)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -4.8 to 2.3.

Guthrie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 45.9 with a 95% confidence interval from 29.4 to 69.4 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (2, 95)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.2 to 2.1.

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 40.9 with a 95% confidence interval from 26.4 to 61.5 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 72 (5, 95)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -4.0 to 16.2.

Allamakee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 45.9 with a 95% confidence interval from 29.8 to 67.6 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (2, 95)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -3.5 to 3.0.

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 56.1 with a 95% confidence interval from 37.1 to 82.4 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 92)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -6.4 to 2.0.

Louisa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 53.0 with a 95% confidence interval from 34.8 to 78.1 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (1, 94)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -3.4 to 2.9.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 49.6 with a 95% confidence interval from 32.3 to 73.5 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (1, 94)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.8 to 2.6.

Keokuk County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 59.6 with a 95% confidence interval from 39.4 to 87.1 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 91)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -10.2 to 14.9.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 40.9 with a 95% confidence interval from 27.4 to 59.4 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 71 (5, 95)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.2 to 2.0.

Kossuth County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 45.8 with a 95% confidence interval from 30.5 to 66.5 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (3, 94)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -3.3 to 1.8.

Union County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 54.6 with a 95% confidence interval from 36.7 to 78.6 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (1, 93)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.9 to 1.9.

Winneshiek County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 30.1 with a 95% confidence interval from 19.9 to 44.2 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 92 (34, 95)
• Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -6.4 to 0.2.

Poweshiek County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 29.5 with a 95% confidence interval from 20.1 to 42.5 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 93 (37, 95)
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -5.2 to 0.3.

Appanoose County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 47.2 with a 95% confidence interval from 32.3 to 67.8 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (2, 94)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.7 to -0.1.

Buena Vista County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 34.1 with a 95% confidence interval from 23.3 to 48.3 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 86 (20, 95)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.8 to 0.4.

O'Brien County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 48.0 with a 95% confidence interval from 32.7 to 68.4 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (2, 94)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.9 to -0.6.

Chickasaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 56.1 with a 95% confidence interval from 37.9 to 80.5 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 91)
• Recent Trend : The trend is stable because the trend is 10.4 with a 95% confidence interval from -2.2 to 42.6.

Emmet County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 71.8 with a 95% confidence interval from 48.9 to 102.7 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 80)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.7 to 3.8.

Harrison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 42.3 with a 95% confidence interval from 28.9 to 60.3 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (5, 95)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.7 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 47.9 with a 95% confidence interval from 33.1 to 67.6 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (2, 94)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.0 to 1.2.

Crawford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 42.9 with a 95% confidence interval from 29.8 to 60.2 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (5, 94)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -3.2 to 1.7.

Mills County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 49.8 with a 95% confidence interval from 34.6 to 70.0 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (1, 93)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -4.0 to 2.2.

Palo Alto County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 80.6 with a 95% confidence interval from 55.9 to 113.3 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 60)
• Recent Trend : The trend is rising because the trend is 6.6 with a 95% confidence interval from 2.4 to 23.6.

Sioux County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 23.7 with a 95% confidence interval from 16.7 to 32.8 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 95 (74, 95)
• Recent Trend : The trend is falling because the trend is -9.4 with a 95% confidence interval from -30.2 to -3.8.

Cedar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 37.3 with a 95% confidence interval from 26.2 to 52.1 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 83 (14, 95)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.8 to 0.5.

Hamilton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 41.9 with a 95% confidence interval from 29.4 to 58.8 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (7, 95)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.8 to 0.7.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 61.8 with a 95% confidence interval from 43.2 to 86.9 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 87)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.0 to 1.3.

Cass County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 59.9 with a 95% confidence interval from 42.0 to 83.5 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 88)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.7 to 2.8.

Jones County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 37.4 with a 95% confidence interval from 26.6 to 51.6 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 82 (16, 95)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.8 to -0.8.

Page County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 48.7 with a 95% confidence interval from 34.7 to 67.3 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (2, 92)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.0 to 1.2.

Delaware County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 40.9 with a 95% confidence interval from 28.7 to 57.0 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 73 (9, 95)
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -5.1 to 0.2.

Dickinson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 41.9 with a 95% confidence interval from 29.6 to 58.4 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (7, 95)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.9 to -0.1.

Buchanan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 43.3 with a 95% confidence interval from 31.3 to 58.8 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (6, 94)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.2 to 1.1.

Bremer County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 42.9 with a 95% confidence interval from 31.5 to 57.4 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (7, 93)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -2.2 to 3.2.

Carroll County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 36.9 with a 95% confidence interval from 26.7 to 50.2 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 85 (18, 95)
• Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -5.5 to 0.5.

Floyd County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 56.9 with a 95% confidence interval from 41.4 to 76.9 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 85)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.2 to 2.2.

Hardin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 48.9 with a 95% confidence interval from 35.4 to 66.7 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (3, 92)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.8 to 0.3.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 50.6 with a 95% confidence interval from 37.2 to 67.7 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (3, 91)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.9 to 2.0.

Tama County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 55.7 with a 95% confidence interval from 40.7 to 75.0 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (1, 87)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.4 to 3.9.

Iowa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 50.6 with a 95% confidence interval from 36.9 to 68.4 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (2, 91)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.4 to 1.4.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 41.4 with a 95% confidence interval from 30.3 to 55.5 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 68 (9, 95)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.1 to 1.6.

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 44.8 with a 95% confidence interval from 33.2 to 59.7 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (5, 94)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.3 to 2.5.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 44.0 with a 95% confidence interval from 32.1 to 59.3 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (6, 94)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.8 to -0.1.

Plymouth County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 38.8 with a 95% confidence interval from 28.8 to 51.5 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 79 (16, 95)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.8 to 0.3.

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 51.8 with a 95% confidence interval from 37.9 to 69.5 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (2, 90)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.7 to 0.4.

Clayton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 58.8 with a 95% confidence interval from 43.2 to 78.7 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 81)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.2 to 1.5.

Mahaska County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 53.6 with a 95% confidence interval from 40.6 to 69.8 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (2, 85)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.0 to 0.4.

Benton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 46.7 with a 95% confidence interval from 35.6 to 60.4 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (5, 90)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.6 to 0.6.

Boone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 55.0 with a 95% confidence interval from 43.3 to 69.4 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (2, 80)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.6 to 1.3.

Webster County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 44.7 with a 95% confidence interval from 35.0 to 56.2 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (9, 92)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.3 to 0.8.

Jasper County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 42.8 with a 95% confidence interval from 34.2 to 53.2 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (12, 91)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.0 to 0.5.

Warren County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 32.8 with a 95% confidence interval from 26.2 to 40.6 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 88 (50, 95)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -4.1 to -1.1.

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 40.2 with a 95% confidence interval from 32.1 to 49.9 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 76 (18, 92)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -4.2 to -1.0.

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 49.7 with a 95% confidence interval from 39.7 to 61.6 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (5, 84)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.2 to -0.3.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 49.2 with a 95% confidence interval from 39.4 to 61.0 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (6, 82)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.2 to -0.6.

Cerro Gordo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 44.7 with a 95% confidence interval from 35.9 to 55.1 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (12, 89)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -3.0 to -0.1.

Muscatine County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 50.7 with a 95% confidence interval from 41.5 to 61.4 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (5, 79)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.2 to -0.2.

Wapello County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 56.8 with a 95% confidence interval from 46.6 to 68.8 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (2, 68)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.6.

Story County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 32.0 with a 95% confidence interval from 26.3 to 38.6 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 90 (56, 95)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.6 to -0.5.

Des Moines County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 57.2 with a 95% confidence interval from 47.1 to 68.9 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (2, 64)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.0 to 1.3.

Clinton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 47.3 with a 95% confidence interval from 39.0 to 57.0 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (9, 83)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.6 to 0.4.

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 32.2 with a 95% confidence interval from 27.4 to 37.6 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 89 (62, 95)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.0 to -1.0.

Dubuque County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 37.2 with a 95% confidence interval from 31.9 to 43.2 and 39 average annual counts over 2019-2023.
• CI*Rank ⋔ : 84 (42, 91)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.4 to -1.2.

Johnson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 31.4 with a 95% confidence interval from 27.1 to 36.1 and 41 average annual counts over 2019-2023.
• CI*Rank ⋔ : 91 (67, 94)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.4 to -1.4.

Woodbury County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 51.1 with a 95% confidence interval from 45.0 to 57.9 and 54 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (10, 64)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.3 to 1.0.

Pottawattamie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 50.9 with a 95% confidence interval from 44.7 to 57.9 and 54 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (9, 65)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.6.

Black Hawk County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 44.9 with a 95% confidence interval from 39.6 to 50.7 and 57 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (21, 79)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.4 to -0.4.

Scott County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 41.4 with a 95% confidence interval from 37.3 to 45.8 and 80 average annual counts over 2019-2023.
• CI*Rank ⋔ : 69 (34, 81)
• Recent Trend : The trend is falling because the trend is -6.4 with a 95% confidence interval from -15.4 to -2.4.

Linn County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 40.3 with a 95% confidence interval from 36.8 to 44.2 and 100 average annual counts over 2019-2023.
• CI*Rank ⋔ : 75 (43, 82)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.6.

Polk County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 45.1 with a 95% confidence interval from 42.5 to 47.9 and 228 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (31, 67)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.5.

Adams County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Ida County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Monona County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Taylor County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 8:09 am.

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 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.