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 65+

Sorted by CI*Rank

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

Foster County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,211.3 with a 95% confidence interval from 872.5 to 1,633.4 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 34)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.4 to 1.8.

Rolette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,194.0 with a 95% confidence interval from 945.0 to 1,488.5 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 20)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.1 to 0.6.

Eddy County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,131.9 with a 95% confidence interval from 753.9 to 1,631.7 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 42)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -2.0 to 3.7.

Sargent County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,097.7 with a 95% confidence interval from 803.3 to 1,464.4 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 37)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.1 to 1.2.

McHenry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 995.6 with a 95% confidence interval from 741.0 to 1,308.5 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 41)
• Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -0.7 to 4.3.

Pierce County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 957.9 with a 95% confidence interval from 687.4 to 1,297.2 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 43)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.9 to 1.5.

Barnes County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 953.5 with a 95% confidence interval from 787.4 to 1,144.0 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 34)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.1 to 0.8.

Dickey County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 950.9 with a 95% confidence interval from 694.7 to 1,270.2 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 42)
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.9 to 3.5.

Ramsey County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 935.1 with a 95% confidence interval from 769.0 to 1,126.0 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (2, 36)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.3.

Pembina County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 899.3 with a 95% confidence interval from 705.4 to 1,129.7 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 40)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.5 to 1.8.

Morton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 897.3 with a 95% confidence interval from 786.5 to 1,019.4 and 48 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (4, 32)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.3 to 0.0.

Hettinger County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 897.3 with a 95% confidence interval from 583.0 to 1,319.2 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (1, 45)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.4 to 2.4.

Walsh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 892.0 with a 95% confidence interval from 725.2 to 1,085.1 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (2, 38)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.1.

Burke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 848.8 with a 95% confidence interval from 500.1 to 1,341.7 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (1, 45)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.4 to 2.5.

Grand Forks County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 833.8 with a 95% confidence interval from 754.2 to 919.5 and 82 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (7, 34)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.5 to -0.8.

Divide County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 830.0 with a 95% confidence interval from 514.9 to 1,263.3 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 45)
• Recent Trend :

Dunn County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 826.4 with a 95% confidence interval from 531.7 to 1,219.9 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (1, 45)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -3.7 to 3.0.

Stark County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 821.7 with a 95% confidence interval from 704.0 to 953.1 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (6, 39)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.7 to -0.2.

Stutsman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 807.9 with a 95% confidence interval from 687.4 to 943.0 and 33 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (6, 39)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.2.

Bowman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 807.7 with a 95% confidence interval from 533.1 to 1,172.5 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (1, 45)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.4 to 1.0.

Cass County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 803.4 with a 95% confidence interval from 750.7 to 858.7 and 180 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (11, 33)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.3 to -0.9.

Ransom County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 802.0 with a 95% confidence interval from 583.8 to 1,072.3 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (2, 45)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.3 to -0.5.

Benson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 801.2 with a 95% confidence interval from 551.2 to 1,127.9 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (1, 45)
• Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -27.5 to 0.0.

McIntosh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 797.3 with a 95% confidence interval from 541.2 to 1,131.3 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (1, 45)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.3 to 0.8.

Mountrail County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 793.4 with a 95% confidence interval from 567.1 to 1,081.0 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (2, 45)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.8 to 1.0.

Cavalier County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 787.5 with a 95% confidence interval from 564.3 to 1,069.6 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (2, 45)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.2 to 1.0.

Ward County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 783.1 with a 95% confidence interval from 704.1 to 868.5 and 73 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (11, 38)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.8 to -0.7.

Burleigh County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 766.1 with a 95% confidence interval from 707.5 to 828.2 and 130 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (15, 37)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.5.

Mercer County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 763.6 with a 95% confidence interval from 586.8 to 976.1 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (5, 44)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.9 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 757.5 with a 95% confidence interval from 632.6 to 899.5 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (8, 42)
• Recent Trend : The trend is falling because the trend is -6.3 with a 95% confidence interval from -16.2 to -2.1.

Renville County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 738.1 with a 95% confidence interval from 424.6 to 1,191.3 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (1, 45)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.5 to 2.2.

Traill County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 734.6 with a 95% confidence interval from 558.8 to 947.9 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (6, 45)
• Recent Trend : The trend is falling because the trend is -15.5 with a 95% confidence interval from -29.4 to -1.5.

McKenzie County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 728.5 with a 95% confidence interval from 530.3 to 976.4 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (4, 45)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.7 to -0.7.

Bottineau County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 724.1 with a 95% confidence interval from 545.0 to 943.3 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (6, 45)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.1 to 0.9.

Nelson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 713.8 with a 95% confidence interval from 474.8 to 1,029.0 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (3, 45)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.4 to 1.1.

Richland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 684.0 with a 95% confidence interval from 560.5 to 826.4 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (13, 45)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.7 to 0.3.

Griggs County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 684.0 with a 95% confidence interval from 441.1 to 1,011.7 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (4, 45)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.9 to 1.6.

Wells County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 670.6 with a 95% confidence interval from 472.0 to 923.4 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (6, 45)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.3 to 1.4.

Towner County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 668.6 with a 95% confidence interval from 394.2 to 1,059.4 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (3, 45)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -5.4 to 0.9.

Grant County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 619.7 with a 95% confidence interval from 391.6 to 932.9 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (6, 45)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -6.5 to -0.8.

Adams County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 617.3 with a 95% confidence interval from 372.8 to 958.5 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (4, 45)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.3 to 1.0.

Kidder County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 610.3 with a 95% confidence interval from 370.0 to 948.8 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (5, 45)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -5.5 to 2.3.

McLean County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 594.4 with a 95% confidence interval from 462.1 to 752.7 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (20, 45)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -4.9 to -2.1.

Emmons County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 581.3 with a 95% confidence interval from 384.9 to 842.2 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (10, 45)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.2 to 0.4.

LaMoure County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 566.9 with a 95% confidence interval from 385.0 to 803.8 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (12, 45)
• Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -3.0 to 22.1.

Billings County

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

Golden Valley 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 : *

Sioux 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 : *

Steele 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 8:51 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+).

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

The US Population Data File is used with mortality data.

⋔ 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.

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.