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Death Rate Report for Missouri by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Both Sexes, Ages 65+

Sorted by Recentaapc

County
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2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Met Healthy People Objective of 122.7?
Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank ⋔
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
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Recent Trend
Recent 5-Year Trend in Death Rates
(95% Confidence Interval)
 sort by trend descending
Missouri N/A No 930.1 (921.7, 938.6) N/A 9,541 falling falling trend -1.0 (-1.1, -1.0)
United States N/A No 846.2 (845.1, 847.3) N/A 447,280 falling falling trend -1.4 (-1.7, -1.3)
Bates County Urban No 844.6 (704.3, 1,004.8) 105 (24, 115) 25 falling falling trend -14.9 (-24.3, -3.7)
Pemiscot County Rural No 1,003.9 (837.6, 1,193.5) 53 (4, 113) 26 falling falling trend -6.6 (-19.2, -1.4)
Pike County Rural No 910.2 (767.3, 1,072.1) 86 (15, 115) 29 falling falling trend -4.8 (-12.3, -1.3)
St. Louis City Urban No 917.2 (874.7, 961.2) 82 (56, 101) 372 falling falling trend -2.4 (-3.0, -2.1)
Scotland County Rural No 764.6 (525.8, 1,073.3) 114 (7, 115) 6 falling falling trend -2.2 (-4.3, -0.3)
Clay County Urban No 883.2 (839.3, 928.8) 95 (64, 107) 311 falling falling trend -2.0 (-3.9, -1.5)
Cole County Urban No 795.1 (727.4, 867.4) 112 (80, 115) 104 falling falling trend -2.0 (-2.6, -1.4)
Lewis County Rural No 959.5 (769.6, 1,182.0) 69 (4, 115) 17 stable stable trend -1.8 (-3.7, 0.1)
Clark County Rural No 954.7 (735.5, 1,218.5) 72 (3, 115) 13 falling falling trend -1.7 (-3.8, -0.7)
Howard County Urban No 885.6 (700.7, 1,103.8) 93 (9, 115) 16 stable stable trend -1.7 (-3.6, 0.0)
Jefferson County Urban No 1,008.0 (958.4, 1,059.5) 49 (27, 78) 331 falling falling trend -1.7 (-4.5, -1.2)
Cedar County Rural No 912.5 (771.9, 1,071.2) 85 (15, 115) 30 falling falling trend -1.6 (-2.8, -0.4)
Maries County Rural No 1,014.1 (813.4, 1,249.2) 47 (2, 115) 17 stable stable trend -1.6 (-3.6, 0.3)
Platte County Urban No 786.8 (725.4, 852.1) 113 (85, 115) 124 falling falling trend -1.6 (-2.2, -1.0)
St. Charles County Urban No 831.5 (799.5, 864.4) 108 (84, 112) 520 falling falling trend -1.6 (-1.9, -1.2)
Dade County Rural No 966.7 (771.6, 1,195.7) 65 (4, 115) 17 falling falling trend -1.5 (-3.0, -0.1)
Boone County Urban No 848.2 (794.5, 904.4) 103 (70, 113) 193 falling falling trend -1.4 (-1.9, -0.8)
Cape Girardeau County Urban No 798.7 (733.5, 868.1) 111 (78, 115) 112 falling falling trend -1.4 (-2.0, -0.7)
Daviess County Rural No 923.5 (727.8, 1,155.6) 80 (4, 115) 15 stable stable trend -1.4 (-3.5, 0.6)
Gasconade County Rural No 852.0 (716.9, 1,005.0) 102 (27, 115) 28 falling falling trend -1.4 (-2.7, -0.2)
Greene County Urban No 836.7 (800.7, 873.9) 107 (81, 112) 411 falling falling trend -1.4 (-1.7, -1.1)
Grundy County Rural No 883.5 (713.7, 1,080.9) 94 (14, 115) 19 stable stable trend -1.4 (-3.5, 0.3)
Schuyler County Rural No 818.5 (555.0, 1,163.2) 109 (3, 115) 6 stable stable trend -1.4 (-3.0, 0.1)
Stone County Rural No 763.0 (683.6, 849.2) 115 (83, 115) 70 falling falling trend -1.4 (-2.6, -0.2)
Jackson County Urban No 894.4 (868.8, 920.7) 90 (69, 100) 942 falling falling trend -1.3 (-1.5, -1.1)
Reynolds County Rural No 1,089.3 (859.0, 1,362.0) 27 (1, 114) 15 stable stable trend -1.3 (-3.2, 0.7)
Shelby County Rural No 1,041.6 (803.4, 1,327.5) 38 (1, 115) 13 stable stable trend -1.3 (-2.9, 0.2)
Audrain County Rural No 1,004.6 (875.5, 1,147.2) 51 (6, 107) 44 stable stable trend -1.2 (-7.6, 0.3)
Cass County Urban No 918.0 (856.6, 982.6) 81 (46, 105) 168 falling falling trend -1.2 (-1.8, -0.5)
Monroe County Rural No 882.0 (709.2, 1,084.1) 96 (11, 115) 18 stable stable trend -1.2 (-2.6, 0.3)
Scott County Rural No 894.7 (796.1, 1,002.2) 89 (33, 113) 60 stable stable trend -1.2 (-2.4, 0.0)
Douglas County Rural No 1,078.3 (910.0, 1,268.8) 30 (2, 108) 29 stable stable trend -1.1 (-3.0, 0.8)
Franklin County Urban No 952.7 (889.7, 1,019.0) 73 (35, 99) 173 falling falling trend -1.1 (-1.7, -0.5)
St. Louis County Urban No 876.7 (857.2, 896.5) 98 (75, 103) 1,565 falling falling trend -1.1 (-1.3, -0.9)
Taney County Rural No 899.1 (823.4, 980.0) 88 (44, 110) 106 falling falling trend -1.1 (-1.7, -0.4)
Knox County Rural No 1,002.7 (715.0, 1,368.0) 54 (1, 115) 8 stable stable trend -1.0 (-3.8, 1.3)
Marion County Rural No 1,002.0 (881.3, 1,134.6) 55 (8, 109) 50 stable stable trend -1.0 (-2.1, 0.0)
Perry County Rural No 924.3 (789.0, 1,076.0) 79 (13, 115) 33 stable stable trend -1.0 (-2.6, 0.7)
Phelps County Rural No 874.7 (781.7, 975.6) 99 (42, 114) 65 stable stable trend -1.0 (-2.3, 0.3)
Polk County Urban No 855.4 (751.4, 969.8) 101 (43, 115) 49 stable stable trend -1.0 (-2.1, 0.2)
Pulaski County Rural No 1,027.2 (900.3, 1,167.1) 43 (7, 105) 49 stable stable trend -1.0 (-2.4, 0.4)
Ste. Genevieve County Rural No 857.3 (725.4, 1,006.1) 100 (26, 115) 30 stable stable trend -1.0 (-2.4, 0.5)
Warren County Urban No 927.1 (820.2, 1,044.1) 76 (24, 112) 56 stable stable trend -1.0 (-2.1, 0.3)
Andrew County Urban No 1,048.9 (899.0, 1,216.6) 36 (4, 106) 35 stable stable trend -0.9 (-2.3, 0.7)
Barton County Rural No 838.9 (680.6, 1,023.0) 106 (20, 115) 19 stable stable trend -0.9 (-2.4, 0.5)
Cooper County Urban No 886.4 (744.2, 1,047.7) 92 (22, 115) 27 stable stable trend -0.9 (-2.2, 0.3)
Henry County Rural No 965.6 (845.2, 1,098.4) 66 (11, 110) 46 stable stable trend -0.9 (-1.9, 0.2)
Hickory County Rural No 876.8 (726.7, 1,048.7) 97 (15, 115) 24 stable stable trend -0.9 (-2.5, 0.7)
Buchanan County Urban No 1,051.0 (974.6, 1,131.9) 34 (10, 77) 142 stable stable trend -0.8 (-1.7, 0.0)
Callaway County Urban No 978.4 (877.8, 1,087.2) 62 (17, 107) 71 stable stable trend -0.8 (-1.6, 0.2)
Macon County Rural No 1,023.7 (873.3, 1,192.4) 44 (5, 111) 33 stable stable trend -0.8 (-1.9, 0.3)
Mississippi County Rural No 1,040.9 (858.3, 1,251.1) 39 (2, 113) 23 stable stable trend -0.8 (-2.3, 0.7)
Newton County Urban No 996.3 (912.6, 1,085.6) 58 (17, 96) 105 stable stable trend -0.8 (-1.6, 0.0)
Vernon County Rural No 956.0 (822.1, 1,105.2) 70 (10, 113) 37 stable stable trend -0.8 (-1.9, 0.3)
Barry County Rural No 1,008.7 (905.7, 1,120.3) 48 (10, 102) 71 stable stable trend -0.7 (-1.6, 0.2)
Dallas County Urban No 1,044.8 (894.6, 1,213.1) 37 (4, 108) 35 stable stable trend -0.7 (-1.7, 0.3)
McDonald County Rural No 1,114.2 (956.0, 1,291.4) 21 (2, 99) 37 stable stable trend -0.7 (-2.2, 0.7)
Miller County Rural No 999.9 (874.7, 1,138.0) 56 (8, 109) 46 stable stable trend -0.7 (-1.7, 0.2)
Nodaway County Rural No 798.9 (674.1, 940.0) 110 (44, 115) 29 stable stable trend -0.7 (-1.9, 0.6)
Johnson County Rural No 1,007.5 (901.1, 1,122.9) 50 (12, 102) 67 stable stable trend -0.6 (-1.3, 0.1)
Montgomery County Rural No 1,188.8 (993.4, 1,411.0) 8 (1, 91) 26 stable stable trend -0.6 (-2.0, 0.8)
Pettis County Rural No 1,034.8 (931.1, 1,146.7) 40 (8, 93) 74 stable stable trend -0.6 (-1.7, 0.4)
Ralls County Rural No 1,017.0 (836.6, 1,225.1) 45 (3, 113) 22 stable stable trend -0.6 (-2.3, 1.2)
Wright County Rural No 937.9 (797.8, 1,095.5) 75 (12, 114) 32 stable stable trend -0.6 (-1.5, 0.3)
Benton County Rural No 1,103.0 (983.9, 1,232.5) 23 (4, 86) 64 stable stable trend -0.5 (-1.7, 0.8)
Butler County Rural No 1,109.2 (1,005.9, 1,220.3) 22 (4, 72) 85 stable stable trend -0.5 (-1.8, 0.7)
Camden County Rural No 890.2 (812.6, 973.3) 91 (45, 112) 102 stable stable trend -0.5 (-1.1, 0.2)
Iron County Rural No 1,167.7 (965.1, 1,400.3) 10 (1, 102) 23 stable stable trend -0.5 (-1.7, 0.8)
Lincoln County Urban No 1,049.2 (947.7, 1,158.6) 35 (8, 86) 82 stable stable trend -0.5 (-1.4, 0.5)
Moniteau County Urban No 987.2 (818.1, 1,180.9) 60 (4, 114) 24 stable stable trend -0.5 (-2.4, 1.5)
Morgan County Rural No 1,004.4 (880.7, 1,140.7) 52 (9, 108) 48 stable stable trend -0.5 (-1.6, 0.6)
Putnam County Rural No 967.6 (721.5, 1,269.8) 64 (2, 115) 10 stable stable trend -0.5 (-3.0, 2.0)
Stoddard County Rural No 1,130.6 (1,010.1, 1,261.4) 17 (3, 82) 64 stable stable trend -0.5 (-1.5, 0.5)
Washington County Rural No 1,233.7 (1,076.9, 1,407.3) 6 (1, 66) 47 stable stable trend -0.5 (-1.7, 0.8)
Caldwell County Urban No 925.9 (731.8, 1,155.2) 77 (6, 115) 15 stable stable trend -0.4 (-2.3, 1.6)
Lafayette County Urban No 1,033.5 (921.7, 1,155.0) 42 (8, 99) 62 stable stable trend -0.4 (-1.3, 0.6)
Saline County Rural No 1,087.6 (947.2, 1,242.9) 28 (3, 98) 43 stable stable trend -0.3 (-1.6, 1.0)
St. Francois County Rural No 1,154.4 (1,065.0, 1,249.3) 12 (3, 55) 125 stable stable trend -0.3 (-1.0, 0.4)
Atchison County Rural No 1,146.9 (902.1, 1,437.5) 14 (1, 113) 15 stable stable trend -0.2 (-2.9, 2.6)
Dent County Rural No 1,096.3 (936.1, 1,275.9) 25 (3, 100) 33 stable stable trend -0.2 (-1.3, 1.0)
Dunklin County Rural No 1,119.4 (992.3, 1,258.2) 19 (3, 80) 56 stable stable trend -0.2 (-1.0, 0.6)
Jasper County Urban No 986.6 (923.5, 1,052.8) 61 (26, 90) 185 stable stable trend -0.2 (-0.8, 0.3)
Randolph County Rural No 1,175.9 (1,030.2, 1,336.3) 9 (1, 69) 47 stable stable trend -0.2 (-0.9, 0.4)
Sullivan County Rural No 989.4 (752.0, 1,277.5) 59 (2, 115) 11 stable stable trend -0.2 (-2.3, 1.7)
Adair County Rural No 1,060.3 (918.0, 1,218.4) 33 (4, 102) 40 stable stable trend -0.1 (-1.0, 1.0)
Ray County Urban No 1,141.1 (1,000.2, 1,296.3) 15 (2, 84) 48 stable stable trend -0.1 (-1.4, 1.2)
Webster County Urban No 944.9 (834.9, 1,065.4) 74 (19, 112) 54 stable stable trend -0.1 (-1.1, 1.0)
Bollinger County Urban No 1,086.3 (895.7, 1,305.7) 29 (1, 111) 23 stable stable trend 0.0 (-1.6, 1.6)
Carroll County Rural No 904.3 (719.9, 1,121.3) 87 (7, 115) 16 stable stable trend 0.0 (-1.9, 1.9)
Chariton County Rural No 996.4 (800.5, 1,225.3) 57 (3, 115) 18 stable stable trend 0.0 (-1.4, 1.4)
Howell County Rural No 1,070.0 (968.3, 1,179.3) 32 (6, 87) 82 stable stable trend 0.0 (-0.8, 0.8)
Laclede County Rural No 1,116.8 (1,001.0, 1,242.4) 20 (3, 78) 69 stable stable trend 0.0 (-0.9, 0.9)
Osage County Urban No 915.2 (743.1, 1,115.0) 83 (6, 115) 20 stable stable trend 0.1 (-1.4, 1.6)
Texas County Rural No 964.7 (847.6, 1,093.3) 67 (14, 111) 49 stable stable trend 0.1 (-1.1, 1.4)
Crawford County Rural No 1,097.9 (962.5, 1,247.1) 24 (3, 91) 48 stable stable trend 0.2 (-0.9, 1.2)
Harrison County Rural No 961.9 (770.9, 1,185.4) 68 (5, 115) 17 stable stable trend 0.2 (-13.4, 9.2)
Madison County Rural No 1,198.6 (1,008.4, 1,414.3) 7 (1, 92) 28 stable stable trend 0.2 (-1.2, 1.6)
Clinton County Urban No 1,095.1 (950.3, 1,255.6) 26 (2, 93) 41 stable stable trend 0.3 (-0.7, 1.3)
Linn County Rural No 1,072.0 (894.9, 1,273.7) 31 (2, 108) 26 stable stable trend 0.3 (-1.6, 2.1)
Livingston County Rural No 973.9 (818.5, 1,149.7) 63 (7, 114) 28 stable stable trend 0.3 (-0.8, 1.5)
Oregon County Rural No 1,151.5 (947.1, 1,386.9) 13 (1, 106) 22 stable stable trend 0.3 (-0.9, 1.6)
Worth County Rural No 925.6 (598.7, 1,369.0) 78 (1, 115) 5 stable stable trend 0.4 (-2.7, 3.5)
Christian County Urban No 912.6 (842.1, 987.6) 84 (43, 109) 126 stable stable trend 0.5 (-2.2, 5.9)
Mercer County Rural No 955.9 (666.2, 1,326.4) 71 (1, 115) 7 stable stable trend 0.5 (-2.1, 3.1)
Carter County Rural No 1,410.2 (1,097.9, 1,783.6) 2 (1, 77) 14 stable stable trend 0.6 (-0.8, 2.0)
Holt County Rural No 846.9 (617.6, 1,132.3) 104 (5, 115) 9 stable stable trend 0.7 (-1.8, 3.2)
New Madrid County Rural No 1,324.4 (1,146.1, 1,522.8) 3 (1, 43) 40 stable stable trend 0.7 (-0.1, 1.6)
Ripley County Rural No 1,296.1 (1,086.4, 1,534.8) 4 (1, 66) 27 stable stable trend 0.9 (-0.7, 2.4)
St. Clair County Rural No 1,015.0 (843.3, 1,211.4) 46 (3, 113) 24 stable stable trend 1.0 (-5.1, 10.6)
Gentry County Rural No 1,426.8 (1,130.2, 1,776.6) 1 (1, 79) 16 stable stable trend 1.2 (-1.2, 3.4)
Ozark County Rural No 1,135.2 (951.8, 1,344.0) 16 (1, 99) 27 stable stable trend 1.8 (-12.5, 17.1)
Lawrence County Rural No 1,127.0 (1,015.8, 1,246.9) 18 (4, 69) 75 rising rising trend 3.0 (0.6, 9.1)
DeKalb County Urban No 1,034.3 (845.9, 1,251.5) 41 (2, 113) 21 stable stable trend 4.9 (-0.9, 24.4)
Wayne County Rural No 1,164.1 (984.9, 1,366.6) 11 (1, 91) 30 rising rising trend 8.7 (1.6, 19.0)
Shannon County Rural No 1,277.6 (1,033.4, 1,563.0) 5 (1, 87) 19 rising rising trend 13.1 (0.9, 23.2)

Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 1:10 am.

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.

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