State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for North Dakota by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Both Sexes, Ages 50+

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

North Dakota

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 458.4 with a 95% confidence interval from 446.8 to 470.2 and 1,233 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 -1.7 to -1.2.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 488.7 with a 95% confidence interval from 488.1 to 489.2 and 576,743 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 -1.7 to -1.3.

Golden Valley County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 336.9 with a 95% confidence interval from 187.6 to 562.5 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (3, 48)
• Recent Trend :

Steele County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 369.8 with a 95% confidence interval from 213.8 to 599.2 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (2, 48)
• Recent Trend :

Renville County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 418.7 with a 95% confidence interval from 259.3 to 641.6 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (2, 48)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.8 to 1.8.

Towner County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 400.1 with a 95% confidence interval from 252.6 to 604.2 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (2, 48)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.3 to 1.2.

Sioux County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 491.8 with a 95% confidence interval from 307.9 to 753.8 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 48)
• Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -6.7 to 1.8.

Kidder County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 390.9 with a 95% confidence interval from 246.4 to 590.7 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (2, 48)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -5.3 to 1.8.

Divide County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 472.6 with a 95% confidence interval from 300.3 to 708.7 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (1, 48)
• Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from 0.0 to 18.8.

Adams County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 414.8 with a 95% confidence interval from 263.8 to 622.9 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (2, 48)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.1 to 1.0.

Burke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 648.8 with a 95% confidence interval from 417.7 to 956.4 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 47)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.3 to 3.3.

Griggs County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 343.0 with a 95% confidence interval from 225.2 to 508.3 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (8, 48)
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -5.3 to 0.7.

Hettinger County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 461.2 with a 95% confidence interval from 307.3 to 669.1 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (1, 48)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.7 to 1.0.

Grant County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 436.5 with a 95% confidence interval from 283.4 to 642.4 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (2, 48)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -5.4 to 0.8.

Dunn County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 426.5 with a 95% confidence interval from 282.9 to 615.3 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (2, 48)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.6 to 2.3.

Bowman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 442.3 with a 95% confidence interval from 299.6 to 632.0 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (2, 48)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.3 to 0.3.

Eddy County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 571.8 with a 95% confidence interval from 389.2 to 813.7 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 47)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.3 to 2.0.

Nelson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 389.5 with a 95% confidence interval from 271.0 to 545.7 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (5, 48)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.0 to 0.8.

Emmons County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 394.9 with a 95% confidence interval from 277.1 to 547.5 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (4, 48)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.2 to 0.2.

LaMoure County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 352.1 with a 95% confidence interval from 245.8 to 489.3 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (10, 48)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -5.8 to -2.0.

McIntosh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 448.4 with a 95% confidence interval from 314.7 to 624.0 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (2, 48)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.6 to 0.6.

Foster County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 584.0 with a 95% confidence interval from 425.5 to 782.7 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 45)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.9 to 0.7.

Wells County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 403.3 with a 95% confidence interval from 294.5 to 540.0 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (5, 48)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.2 to 1.2.

Cavalier County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 448.9 with a 95% confidence interval from 327.7 to 602.1 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (2, 48)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.3 to 0.3.

Benson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 503.1 with a 95% confidence interval from 369.9 to 670.0 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (1, 47)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -3.1 to 1.6.

Pierce County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 518.6 with a 95% confidence interval from 383.4 to 687.1 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 46)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.4 to 0.6.

Sargent County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 608.1 with a 95% confidence interval from 456.9 to 794.4 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 40)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.4 to 0.6.

Dickey County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 544.5 with a 95% confidence interval from 410.9 to 708.2 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 44)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.4 to 2.5.

Ransom County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 445.0 with a 95% confidence interval from 334.4 to 580.3 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (3, 48)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.3 to -0.7.

McHenry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 535.4 with a 95% confidence interval from 408.7 to 689.4 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 44)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.7 to 3.0.

McKenzie County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 403.7 with a 95% confidence interval from 306.4 to 521.6 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (6, 48)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.4 to -1.2.

Mountrail County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 489.2 with a 95% confidence interval from 371.9 to 631.9 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (2, 46)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.9 to 1.2.

Bottineau County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 423.0 with a 95% confidence interval from 326.4 to 540.1 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (5, 48)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.3 to 1.8.

Traill County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 444.6 with a 95% confidence interval from 349.0 to 558.5 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (4, 47)
• Recent Trend : The trend is falling because the trend is -17.7 with a 95% confidence interval from -29.0 to -0.6.

Mercer County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 443.3 with a 95% confidence interval from 350.8 to 552.8 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (4, 47)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.9 to 0.8.

McLean County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 410.4 with a 95% confidence interval from 328.8 to 506.0 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (8, 48)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.0 to -1.1.

Pembina County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 523.3 with a 95% confidence interval from 422.7 to 641.9 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (2, 41)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.7 to 1.0.

Walsh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 500.5 with a 95% confidence interval from 415.0 to 598.5 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (2, 42)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.3 to 0.9.

Ramsey County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 495.9 with a 95% confidence interval from 411.9 to 592.1 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (3, 42)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.1 to -0.3.

Rolette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 744.6 with a 95% confidence interval from 616.1 to 892.1 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 9)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.2.

Barnes County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 514.8 with a 95% confidence interval from 430.5 to 611.2 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (2, 40)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.1.

Richland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 411.6 with a 95% confidence interval from 344.3 to 488.3 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (11, 47)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.7 to 0.5.

Williams County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 432.4 with a 95% confidence interval from 370.6 to 501.4 and 37 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (9, 46)
• Recent Trend : The trend is falling because the trend is -5.2 with a 95% confidence interval from -15.8 to -1.5.

Stutsman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 483.2 with a 95% confidence interval from 419.4 to 553.9 and 43 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (4, 40)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.2 to -0.1.

Stark County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 447.7 with a 95% confidence interval from 389.2 to 512.4 and 44 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (8, 44)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.8 to -0.7.

Morton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 507.8 with a 95% confidence interval from 451.2 to 569.5 and 61 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (4, 33)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.2.

Ward County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 459.4 with a 95% confidence interval from 418.3 to 503.4 and 94 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (9, 39)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.7 to -0.9.

Grand Forks County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 470.4 with a 95% confidence interval from 429.6 to 514.1 and 101 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (8, 37)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.4 to -1.0.

Burleigh County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 430.0 with a 95% confidence interval from 400.1 to 461.5 and 160 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (17, 41)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.6.

Cass County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 459.9 with a 95% confidence interval from 433.2 to 487.7 and 231 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (12, 36)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.3 to -1.0.

Billings County

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

Logan County

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

Oliver County

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

Sheridan County

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

Slope 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 03/26/2026 11:11 pm.

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

† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+).

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

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.