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), Both Sexes, Ages 50+

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 504.1 with a 95% confidence interval from 498.3 to 509.8 and 6,065 average annual counts over 2019-2023.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.0.

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.

Sioux County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 370.3 with a 95% confidence interval from 323.5 to 422.0 and 47 average annual counts over 2019-2023.
CI*Rank ⋔ : 99 (77, 99)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.2 to -0.8.

Johnson County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 378.6 with a 95% confidence interval from 352.2 to 406.3 and 158 average annual counts over 2019-2023.
CI*Rank ⋔ : 98 (84, 99)
Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -3.1 to -2.1.

Dallas County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 390.5 with a 95% confidence interval from 358.1 to 424.9 and 110 average annual counts over 2019-2023.
CI*Rank ⋔ : 97 (78, 99)
Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.9 to -1.6.

Winneshiek County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 396.6 with a 95% confidence interval from 341.2 to 458.6 and 37 average annual counts over 2019-2023.
CI*Rank ⋔ : 96 (55, 99)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.6.

Clay County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 409.3 with a 95% confidence interval from 346.5 to 480.4 and 31 average annual counts over 2019-2023.
CI*Rank ⋔ : 95 (44, 99)
Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -11.4 to -2.5.

Buena Vista County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 417.9 with a 95% confidence interval from 353.1 to 491.2 and 31 average annual counts over 2019-2023.
CI*Rank ⋔ : 94 (38, 99)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.7 to -0.3.

Story County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 419.8 with a 95% confidence interval from 385.2 to 456.7 and 111 average annual counts over 2019-2023.
CI*Rank ⋔ : 93 (63, 99)
Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -9.1 to -1.8.

Kossuth County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 424.1 with a 95% confidence interval from 357.8 to 499.0 and 32 average annual counts over 2019-2023.
CI*Rank ⋔ : 92 (35, 99)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.1.

Adams County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 428.9 with a 95% confidence interval from 300.7 to 593.5 and 7 average annual counts over 2019-2023.
CI*Rank ⋔ : 91 (2, 99)
Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -6.4 to 0.0.

Jones County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 437.2 with a 95% confidence interval from 378.1 to 503.0 and 40 average annual counts over 2019-2023.
CI*Rank ⋔ : 90 (32, 99)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.6.

Davis County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 437.5 with a 95% confidence interval from 343.0 to 550.0 and 15 average annual counts over 2019-2023.
CI*Rank ⋔ : 89 (11, 99)
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.5.

Taylor County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 438.6 with a 95% confidence interval from 334.1 to 565.9 and 12 average annual counts over 2019-2023.
CI*Rank ⋔ : 88 (5, 99)
Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -16.6 to -1.0.

Bremer County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 441.4 with a 95% confidence interval from 385.0 to 503.8 and 45 average annual counts over 2019-2023.
CI*Rank ⋔ : 87 (29, 99)
Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.5 to 3.6.

Hancock 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 367.3 to 540.5 and 23 average annual counts over 2019-2023.
CI*Rank ⋔ : 86 (13, 99)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -7.4 to 8.1.

Lyon County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 447.9 with a 95% confidence interval from 365.9 to 543.0 and 22 average annual counts over 2019-2023.
CI*Rank ⋔ : 85 (12, 99)
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.1.

Fayette County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 448.0 with a 95% confidence interval from 388.6 to 514.1 and 42 average annual counts over 2019-2023.
CI*Rank ⋔ : 84 (26, 99)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.4 to -0.6.

Sac 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 367.2 to 542.5 and 22 average annual counts over 2019-2023.
CI*Rank ⋔ : 83 (13, 99)
Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.0 to 0.4.

Jefferson County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 449.8 with a 95% confidence interval from 382.1 to 526.1 and 34 average annual counts over 2019-2023.
CI*Rank ⋔ : 82 (22, 99)
Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -9.8 to -0.7.

Wright County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 451.7 with a 95% confidence interval from 375.9 to 538.6 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 81 (16, 99)
Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.1 to -1.0.

Plymouth County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 455.1 with a 95% confidence interval from 398.1 to 518.1 and 47 average annual counts over 2019-2023.
CI*Rank ⋔ : 80 (27, 98)
Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.2 to -0.3.

Benton County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 456.4 with a 95% confidence interval from 400.5 to 517.9 and 49 average annual counts over 2019-2023.
CI*Rank ⋔ : 79 (29, 98)
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.0.

Dickinson County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 456.7 with a 95% confidence interval from 397.4 to 522.6 and 45 average annual counts over 2019-2023.
CI*Rank ⋔ : 78 (23, 99)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.2.

Worth County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 457.2 with a 95% confidence interval from 360.0 to 572.8 and 15 average annual counts over 2019-2023.
CI*Rank ⋔ : 77 (4, 99)
Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.3 to 0.2.

Butler County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 458.2 with a 95% confidence interval from 388.6 to 536.8 and 31 average annual counts over 2019-2023.
CI*Rank ⋔ : 76 (17, 99)
Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.3 to -0.1.

Crawford County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 458.7 with a 95% confidence interval from 386.4 to 540.8 and 29 average annual counts over 2019-2023.
CI*Rank ⋔ : 75 (14, 99)
Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.0 to -0.9.

Warren County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 460.6 with a 95% confidence interval from 417.8 to 506.6 and 86 average annual counts over 2019-2023.
CI*Rank ⋔ : 74 (34, 96)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.3.

Shelby County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 462.1 with a 95% confidence interval from 384.7 to 550.4 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 73 (12, 99)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.5 to -0.3.

Mills County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 462.8 with a 95% confidence interval from 386.6 to 549.7 and 27 average annual counts over 2019-2023.
CI*Rank ⋔ : 72 (11, 99)
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.9 to 0.4.

Cedar County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 468.1 with a 95% confidence interval from 402.1 to 541.7 and 37 average annual counts over 2019-2023.
CI*Rank ⋔ : 71 (16, 99)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.6 to -0.4.

Audubon County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 468.5 with a 95% confidence interval from 363.0 to 595.8 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 70 (3, 99)
Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.5 to -0.2.

Carroll County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 472.5 with a 95% confidence interval from 412.0 to 539.6 and 45 average annual counts over 2019-2023.
CI*Rank ⋔ : 69 (20, 97)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.5 to -0.3.

Linn County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 472.8 with a 95% confidence interval from 451.8 to 494.5 and 389 average annual counts over 2019-2023.
CI*Rank ⋔ : 68 (48, 84)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -1.1.

Dubuque County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 474.2 with a 95% confidence interval from 443.9 to 506.1 and 187 average annual counts over 2019-2023.
CI*Rank ⋔ : 67 (38, 89)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.0 to -1.0.

Humboldt County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 475.7 with a 95% confidence interval from 385.0 to 581.4 and 20 average annual counts over 2019-2023.
CI*Rank ⋔ : 66 (5, 99)
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.4 to 0.4.

Hamilton County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 476.4 with a 95% confidence interval from 403.3 to 558.9 and 31 average annual counts over 2019-2023.
CI*Rank ⋔ : 65 (9, 98)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.6 to -0.4.

Washington County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 476.5 with a 95% confidence interval from 416.6 to 542.8 and 46 average annual counts over 2019-2023.
CI*Rank ⋔ : 64 (16, 96)
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.6 to 1.7.

Delaware County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 479.5 with a 95% confidence interval from 413.3 to 553.3 and 38 average annual counts over 2019-2023.
CI*Rank ⋔ : 63 (13, 97)
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.1.

Cerro Gordo County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 481.3 with a 95% confidence interval from 439.2 to 526.4 and 100 average annual counts over 2019-2023.
CI*Rank ⋔ : 62 (26, 91)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.7.

Guthrie County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 488.1 with a 95% confidence interval from 404.8 to 583.6 and 25 average annual counts over 2019-2023.
CI*Rank ⋔ : 61 (5, 99)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.4 to 0.2.

Adair County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 489.7 with a 95% confidence interval from 393.1 to 603.4 and 18 average annual counts over 2019-2023.
CI*Rank ⋔ : 60 (3, 99)
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.4 to 0.4.

Monona County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 490.7 with a 95% confidence interval from 402.1 to 593.6 and 22 average annual counts over 2019-2023.
CI*Rank ⋔ : 59 (4, 99)
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.0 to 0.0.

Keokuk County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 492.9 with a 95% confidence interval from 402.7 to 597.3 and 22 average annual counts over 2019-2023.
CI*Rank ⋔ : 58 (3, 99)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.0 to 0.9.

O'Brien County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 493.3 with a 95% confidence interval from 416.0 to 580.7 and 31 average annual counts over 2019-2023.
CI*Rank ⋔ : 57 (6, 98)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.9 to -0.3.

Allamakee County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 495.0 with a 95% confidence interval from 419.5 to 580.2 and 31 average annual counts over 2019-2023.
CI*Rank ⋔ : 56 (7, 97)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.7 to -0.1.

Cherokee County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 496.7 with a 95% confidence interval from 418.1 to 586.0 and 30 average annual counts over 2019-2023.
CI*Rank ⋔ : 55 (5, 98)
Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.5 to 0.1.

Poweshiek County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 499.0 with a 95% confidence interval from 433.1 to 572.3 and 42 average annual counts over 2019-2023.
CI*Rank ⋔ : 54 (8, 94)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.7.

Union County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 499.6 with a 95% confidence interval from 416.8 to 594.3 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 53 (4, 98)
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.9 to 0.2.

Muscatine 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 452.0 to 552.9 and 80 average annual counts over 2019-2023.
CI*Rank ⋔ : 52 (14, 88)
Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.5 to -0.6.

Wayne County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 509.6 with a 95% confidence interval from 398.1 to 642.9 and 15 average annual counts over 2019-2023.
CI*Rank ⋔ : 51 (1, 99)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.3 to 1.1.

Hardin County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 510.2 with a 95% confidence interval from 441.8 to 586.3 and 42 average annual counts over 2019-2023.
CI*Rank ⋔ : 50 (5, 93)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.2 to -0.1.

Jasper County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 516.1 with a 95% confidence interval from 466.6 to 569.3 and 81 average annual counts over 2019-2023.
CI*Rank ⋔ : 49 (11, 84)
Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.4.

Scott County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 516.3 with a 95% confidence interval from 491.2 to 542.3 and 326 average annual counts over 2019-2023.
CI*Rank ⋔ : 48 (23, 69)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -1.0.

Black Hawk County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 522.5 with a 95% confidence interval from 493.2 to 553.1 and 245 average annual counts over 2019-2023.
CI*Rank ⋔ : 47 (17, 70)
Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.6.

Mitchell County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 524.7 with a 95% confidence interval from 436.8 to 625.2 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 46 (2, 96)
Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.5 to 1.7.

Calhoun County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 525.0 with a 95% confidence interval from 433.7 to 630.0 and 24 average annual counts over 2019-2023.
CI*Rank ⋔ : 45 (2, 97)
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.8 to 1.0.

Iowa County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 528.4 with a 95% confidence interval from 454.4 to 611.2 and 37 average annual counts over 2019-2023.
CI*Rank ⋔ : 44 (3, 91)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.1 to 0.4.

Fremont County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 530.1 with a 95% confidence interval from 423.7 to 656.0 and 17 average annual counts over 2019-2023.
CI*Rank ⋔ : 43 (1, 99)
Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -7.6 to 13.5.

Jackson County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 531.1 with a 95% confidence interval from 464.2 to 605.0 and 46 average annual counts over 2019-2023.
CI*Rank ⋔ : 42 (4, 88)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.0 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 531.9 with a 95% confidence interval from 480.4 to 587.4 and 81 average annual counts over 2019-2023.
CI*Rank ⋔ : 41 (6, 79)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.4.

Tama County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 535.5 with a 95% confidence interval from 461.5 to 618.1 and 38 average annual counts over 2019-2023.
CI*Rank ⋔ : 40 (2, 89)
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.2.

Chickasaw County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 536.8 with a 95% confidence interval from 452.6 to 632.2 and 29 average annual counts over 2019-2023.
CI*Rank ⋔ : 39 (2, 92)
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.6 to 0.7.

Louisa County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 536.9 with a 95% confidence interval from 443.3 to 644.3 and 23 average annual counts over 2019-2023.
CI*Rank ⋔ : 38 (1, 96)
Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.8 to -0.5.

Floyd County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 537.8 with a 95% confidence interval from 463.9 to 620.1 and 38 average annual counts over 2019-2023.
CI*Rank ⋔ : 37 (3, 90)
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.1 to 1.0.

Winnebago County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 538.5 with a 95% confidence interval from 447.8 to 642.5 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 36 (1, 95)
Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.8 to 1.4.

Henry County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 539.2 with a 95% confidence interval from 471.3 to 614.3 and 46 average annual counts over 2019-2023.
CI*Rank ⋔ : 35 (3, 86)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.7.

Polk County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 539.3 with a 95% confidence interval from 522.1 to 556.8 and 782 average annual counts over 2019-2023.
CI*Rank ⋔ : 34 (20, 53)
Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.8.

Marshall County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 541.5 with a 95% confidence interval from 490.2 to 596.7 and 83 average annual counts over 2019-2023.
CI*Rank ⋔ : 33 (6, 76)
Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.2 to -0.4.

Harrison County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 542.0 with a 95% confidence interval from 461.8 to 632.2 and 33 average annual counts over 2019-2023.
CI*Rank ⋔ : 32 (2, 92)
Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.0 to -0.5.

Woodbury County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 544.3 with a 95% confidence interval from 509.5 to 580.8 and 187 average annual counts over 2019-2023.
CI*Rank ⋔ : 31 (9, 60)
Recent Trend : The trend is falling because the trend is -5.1 with a 95% confidence interval from -9.6 to -0.9.

Decatur County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 546.0 with a 95% confidence interval from 433.2 to 679.2 and 17 average annual counts over 2019-2023.
CI*Rank ⋔ : 30 (1, 99)
Recent Trend : The trend is falling because the trend is -4.9 with a 95% confidence interval from -21.4 to -0.9.

Page County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 546.7 with a 95% confidence interval from 472.5 to 629.4 and 40 average annual counts over 2019-2023.
CI*Rank ⋔ : 29 (2, 86)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.4.

Osceola County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 547.3 with a 95% confidence interval from 431.2 to 685.1 and 15 average annual counts over 2019-2023.
CI*Rank ⋔ : 28 (1, 98)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.3.

Grundy County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 549.3 with a 95% confidence interval from 463.6 to 646.3 and 29 average annual counts over 2019-2023.
CI*Rank ⋔ : 27 (1, 92)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.9 to 0.8.

Appanoose County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 554.2 with a 95% confidence interval from 471.7 to 647.2 and 33 average annual counts over 2019-2023.
CI*Rank ⋔ : 26 (1, 90)
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.7 to 1.3.

Boone County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 556.0 with a 95% confidence interval from 493.2 to 624.6 and 59 average annual counts over 2019-2023.
CI*Rank ⋔ : 25 (3, 77)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.3.

Lee County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 559.1 with a 95% confidence interval from 506.1 to 616.3 and 84 average annual counts over 2019-2023.
CI*Rank ⋔ : 24 (3, 66)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.4.

Lucas County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 559.2 with a 95% confidence interval from 459.1 to 674.9 and 22 average annual counts over 2019-2023.
CI*Rank ⋔ : 23 (1, 94)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.8.

Cass County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 559.2 with a 95% confidence interval from 478.1 to 650.4 and 35 average annual counts over 2019-2023.
CI*Rank ⋔ : 22 (1, 85)
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -15.9 to 0.6.

Montgomery County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 560.2 with a 95% confidence interval from 466.8 to 666.9 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 21 (1, 92)
Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.8 to 1.5.

Buchanan County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 562.4 with a 95% confidence interval from 488.6 to 644.1 and 43 average annual counts over 2019-2023.
CI*Rank ⋔ : 20 (2, 81)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.6 to 0.6.

Emmet County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 562.7 with a 95% confidence interval from 466.1 to 673.7 and 25 average annual counts over 2019-2023.
CI*Rank ⋔ : 19 (1, 93)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.6 to 0.9.

Clayton County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 563.4 with a 95% confidence interval from 493.1 to 641.0 and 49 average annual counts over 2019-2023.
CI*Rank ⋔ : 18 (2, 77)
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Marion County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 568.1 with a 95% confidence interval from 512.7 to 627.9 and 78 average annual counts over 2019-2023.
CI*Rank ⋔ : 17 (2, 66)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.3.

Howard County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 570.9 with a 95% confidence interval from 471.4 to 685.5 and 24 average annual counts over 2019-2023.
CI*Rank ⋔ : 16 (1, 93)
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.6 to 1.1.

Clinton County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 573.7 with a 95% confidence interval from 526.6 to 623.8 and 112 average annual counts over 2019-2023.
CI*Rank ⋔ : 15 (3, 58)
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.1.

Mahaska County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 581.6 with a 95% confidence interval from 512.0 to 658.1 and 52 average annual counts over 2019-2023.
CI*Rank ⋔ : 14 (1, 68)
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.9 to 0.9.

Ida County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 582.0 with a 95% confidence interval from 470.0 to 713.3 and 19 average annual counts over 2019-2023.
CI*Rank ⋔ : 13 (1, 92)
Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.2 to 1.4.

Greene County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 586.5 with a 95% confidence interval from 486.8 to 700.9 and 25 average annual counts over 2019-2023.
CI*Rank ⋔ : 12 (1, 88)
Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.9 to 1.1.

Pocahontas County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 588.1 with a 95% confidence interval from 480.8 to 713.0 and 21 average annual counts over 2019-2023.
CI*Rank ⋔ : 11 (1, 90)
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.2 to 1.3.

Des Moines County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 589.6 with a 95% confidence interval from 537.5 to 645.3 and 97 average annual counts over 2019-2023.
CI*Rank ⋔ : 10 (2, 52)
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.1.

Pottawattamie County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 592.3 with a 95% confidence interval from 556.4 to 629.9 and 209 average annual counts over 2019-2023.
CI*Rank ⋔ : 9 (3, 39)
Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.5.

Franklin County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 593.7 with a 95% confidence interval from 495.9 to 705.4 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 8 (1, 81)
Recent Trend : The trend is rising because the trend is 13.7 with a 95% confidence interval from 0.6 to 24.6.

Madison County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 599.1 with a 95% confidence interval from 513.5 to 694.9 and 36 average annual counts over 2019-2023.
CI*Rank ⋔ : 7 (1, 76)
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.5 to 1.7.

Monroe County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 606.0 with a 95% confidence interval from 489.7 to 741.8 and 19 average annual counts over 2019-2023.
CI*Rank ⋔ : 6 (1, 90)
Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.7 to 1.5.

Van Buren County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 612.6 with a 95% confidence interval from 497.6 to 746.5 and 20 average annual counts over 2019-2023.
CI*Rank ⋔ : 5 (1, 86)
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.2 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 630.5 with a 95% confidence interval from 571.1 to 694.5 and 84 average annual counts over 2019-2023.
CI*Rank ⋔ : 4 (1, 38)
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.1.

Clarke County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 646.0 with a 95% confidence interval from 535.2 to 772.9 and 24 average annual counts over 2019-2023.
CI*Rank ⋔ : 3 (1, 69)
Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.8 to 2.2.

Ringgold County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 664.3 with a 95% confidence interval from 515.1 to 843.0 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 2 (1, 88)
Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.6 to 2.9.

Palo Alto County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 704.9 with a 95% confidence interval from 589.1 to 836.6 and 28 average annual counts over 2019-2023.
CI*Rank ⋔ : 1 (1, 47)
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -4.2 to 14.9.

Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 11:11 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