State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Iowa by County

All Cancer Sites, 2018-2022

White Non-Hispanic, Both Sexes, All Ages

Sorted by Ruralurban

Explanation of Column Headers

Objective - The objective of 122.7 is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

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 150.7 with a 95% confidence interval from 148.9 to 152.4 and 6,044 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.9 to -1.5.

United States (6)

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.3 with a 95% confidence interval from 151.1 to 151.5 and 463,400 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.5 to -1.1.

Adair County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.4 with a 95% confidence interval from 120.1 to 187.4 and 19 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 58 (2, 99)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.6.

Adams County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 116.5 with a 95% confidence interval from 80.9 to 166.6 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 96 (8, 99)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.0.

Allamakee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 156.1 with a 95% confidence interval from 131.4 to 184.9 and 33 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 45 (3, 93)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Appanoose County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 172.1 with a 95% confidence interval from 147.5 to 200.7 and 37 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 15 (1, 83)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.0 to 1.1.

Audubon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 149.2 with a 95% confidence interval from 115.6 to 192.0 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 59 (2, 99)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.6.

Buchanan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.1 with a 95% confidence interval from 141.0 to 185.7 and 44 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 34 (3, 87)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Buena Vista County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 142.4 with a 95% confidence interval from 119.1 to 170.0 and 32 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 73 (8, 99)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.7 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 149.2 with a 95% confidence interval from 126.6 to 175.2 and 35 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 60 (6, 97)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.6.

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 148.7 with a 95% confidence interval from 121.3 to 181.5 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 62 (3, 99)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.1.

Carroll County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.9 with a 95% confidence interval from 122.1 to 160.1 and 48 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 74 (19, 97)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.

Cass County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.9 with a 95% confidence interval from 144.0 to 197.6 and 37 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 21 (1, 89)
• Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -9.1 to -1.1.

Cedar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.2 with a 95% confidence interval from 124.3 to 166.9 and 40 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 67 (12, 97)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.0.

Cerro Gordo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 148.9 with a 95% confidence interval from 135.3 to 163.8 and 101 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 61 (20, 89)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -1.0.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.1 with a 95% confidence interval from 130.3 to 184.3 and 32 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 50 (3, 96)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.4.

Chickasaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.3 with a 95% confidence interval from 137.2 to 195.8 and 30 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 30 (1, 94)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.4.

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 195.3 with a 95% confidence interval from 160.8 to 236.0 and 25 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 4 (1, 75)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.9 to 1.4.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 122.9 with a 95% confidence interval from 103.9 to 144.9 and 32 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 93 (43, 99)
• Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -18.7 to -1.0.

Clayton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.5 with a 95% confidence interval from 147.5 to 194.5 and 49 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 20 (2, 82)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.2.

Clinton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 173.5 with a 95% confidence interval from 159.3 to 188.9 and 116 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 13 (3, 58)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.

Crawford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 133.3 with a 95% confidence interval from 110.2 to 160.9 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 85 (16, 99)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.2.

Davis County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.6 with a 95% confidence interval from 134.3 to 207.0 and 19 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 23 (1, 96)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.2 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 170.2 with a 95% confidence interval from 136.4 to 211.1 and 19 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 18 (1, 94)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.7.

Delaware County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.5 with a 95% confidence interval from 124.5 to 167.4 and 40 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 66 (12, 97)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.3.

Des Moines County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.5 with a 95% confidence interval from 150.2 to 182.1 and 92 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 28 (5, 72)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Dickinson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.5 with a 95% confidence interval from 120.8 to 161.0 and 47 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 77 (19, 98)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.3.

Emmet County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.1 with a 95% confidence interval from 147.2 to 217.2 and 26 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 8 (1, 89)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.7.

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.3 with a 95% confidence interval from 115.4 to 155.9 and 42 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 84 (26, 99)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.7.

Floyd County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.6 with a 95% confidence interval from 137.3 to 185.2 and 39 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 37 (3, 89)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.4.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.4 with a 95% confidence interval from 129.5 to 193.2 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 41 (1, 95)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.

Fremont County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.2 with a 95% confidence interval from 124.6 to 199.7 and 17 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 42 (1, 99)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.5.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 186.7 with a 95% confidence interval from 154.7 to 224.5 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 6 (1, 80)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.8 to 1.0.

Hamilton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.6 with a 95% confidence interval from 114.7 to 159.9 and 32 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 83 (19, 99)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.3 to -0.9.

Hancock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 132.3 with a 95% confidence interval from 108.0 to 161.5 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 86 (18, 99)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.0 to -0.1.

Hardin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 156.3 with a 95% confidence interval from 135.3 to 180.4 and 45 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 44 (5, 93)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.3.

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.3 with a 95% confidence interval from 135.0 to 178.3 and 44 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 48 (5, 92)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.0.

Howard County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 178.4 with a 95% confidence interval from 148.3 to 213.6 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 10 (1, 87)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.6.

Humboldt County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 129.5 with a 95% confidence interval from 104.7 to 159.7 and 20 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 91 (17, 99)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.7.

Ida County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 176.9 with a 95% confidence interval from 143.6 to 217.2 and 21 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 11 (1, 89)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.6 to 0.8.

Iowa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.0 with a 95% confidence interval from 136.7 to 184.5 and 39 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 39 (3, 91)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 153.4 with a 95% confidence interval from 133.6 to 175.8 and 47 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 52 (7, 92)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.3.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.0 with a 95% confidence interval from 121.7 to 170.0 and 35 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 68 (8, 97)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.2.

Keokuk County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.6 with a 95% confidence interval from 131.0 to 193.4 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 36 (2, 97)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.2.

Kossuth County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 131.3 with a 95% confidence interval from 110.9 to 155.1 and 34 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 89 (28, 99)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.7.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.7 with a 95% confidence interval from 146.8 to 180.0 and 82 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 32 (6, 80)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.6.

Louisa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.6 with a 95% confidence interval from 143.0 to 212.3 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 12 (1, 92)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.6.

Lucas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.7 with a 95% confidence interval from 137.3 to 201.7 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 25 (1, 94)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.0.

Lyon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.6 with a 95% confidence interval from 125.6 to 182.0 and 26 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 55 (4, 97)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.4.

Mahaska County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 171.7 with a 95% confidence interval from 150.8 to 195.0 and 52 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 16 (2, 78)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.4.

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.8 with a 95% confidence interval from 150.2 to 185.0 and 77 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 24 (4, 75)
• Recent Trend : The trend is falling because the trend is -0.4 with a 95% confidence interval from -0.7 to -0.1.

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.6 with a 95% confidence interval from 146.5 to 180.4 and 80 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 33 (5, 80)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Mitchell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.5 with a 95% confidence interval from 128.9 to 184.8 and 28 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 51 (3, 96)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.1.

Monona County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 157.2 with a 95% confidence interval from 129.3 to 190.8 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 43 (2, 96)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.4.

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.7 with a 95% confidence interval from 135.6 to 208.7 and 19 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 22 (1, 96)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.7 to 1.1.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 182.2 with a 95% confidence interval from 152.4 to 217.2 and 29 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 7 (1, 82)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.1.

Muscatine County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.8 with a 95% confidence interval from 143.2 to 175.8 and 80 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 40 (7, 82)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.

O'Brien County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.3 with a 95% confidence interval from 122.1 to 172.2 and 33 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 65 (7, 98)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.6 to -0.1.

Osceola County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 148.5 with a 95% confidence interval from 115.5 to 190.5 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 64 (2, 99)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.6.

Page County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.2 with a 95% confidence interval from 133.7 to 180.0 and 40 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 49 (5, 92)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.2.

Palo Alto County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 208.7 with a 95% confidence interval from 174.6 to 248.7 and 30 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 1 (1, 47)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.3 to 0.5.

Plymouth County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 136.5 with a 95% confidence interval from 119.3 to 155.7 and 48 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 82 (27, 99)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.6.

Pocahontas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.2 with a 95% confidence interval from 133.7 to 206.1 and 21 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 26 (1, 96)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -2.0 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 136.8 with a 95% confidence interval from 117.9 to 158.6 and 40 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 81 (23, 99)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.3.

Ringgold County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 202.6 with a 95% confidence interval from 159.5 to 256.6 and 16 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 2 (1, 82)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.1 to 2.1.

Sac County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 142.9 with a 95% confidence interval from 116.8 to 174.3 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 71 (6, 99)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.1.

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 129.9 with a 95% confidence interval from 107.6 to 156.4 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 90 (19, 99)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -11.7 to -0.8.

Sioux County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 109.0 with a 95% confidence interval from 95.2 to 124.5 and 49 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 99 (81, 99)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.7.

Tama County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.8 with a 95% confidence interval from 141.8 to 193.4 and 38 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 27 (2, 90)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.1.

Taylor County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 121.5 with a 95% confidence interval from 91.9 to 160.1 and 12 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 94 (18, 99)
• Recent Trend : The trend is falling because the trend is -10.8 with a 95% confidence interval from -27.4 to -0.6.

Union County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 170.3 with a 95% confidence interval from 142.7 to 202.2 and 30 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 17 (1, 91)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Van Buren County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 202.2 with a 95% confidence interval from 165.5 to 245.8 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 3 (1, 65)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.3.

Wapello County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 190.1 with a 95% confidence interval from 171.8 to 210.1 and 85 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 5 (1, 38)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.2.

Wayne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.0 with a 95% confidence interval from 128.8 to 207.3 and 17 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 31 (1, 99)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.3.

Webster County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.3 with a 95% confidence interval from 143.4 to 176.6 and 81 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 38 (8, 82)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.5.

Winnebago County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.3 with a 95% confidence interval from 126.4 to 183.0 and 26 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 54 (4, 96)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.4.

Winneshiek County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 111.7 with a 95% confidence interval from 95.6 to 130.4 and 37 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 98 (72, 99)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.9.

Worth County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 138.9 with a 95% confidence interval from 109.9 to 174.7 and 16 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 79 (6, 99)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.2 to -0.2.

Wright County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.1 with a 95% confidence interval from 115.9 to 166.7 and 29 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 78 (12, 99)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -7.6 to -1.0.

Benton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 142.8 with a 95% confidence interval from 125.4 to 162.1 and 52 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 72 (16, 96)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.9.

Black Hawk County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 148.6 with a 95% confidence interval from 139.8 to 157.9 and 224 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 63 (31, 82)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.5 to -1.0.

Boone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.8 with a 95% confidence interval from 146.0 to 185.5 and 59 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 29 (4, 80)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.1.

Bremer County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.5 with a 95% confidence interval from 122.0 to 159.1 and 49 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 76 (20, 97)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -4.3 to 5.6.

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 118.5 with a 95% confidence interval from 108.6 to 129.0 and 109 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 95 (79, 99)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.6 to -2.0.

Dubuque County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 143.3 with a 95% confidence interval from 134.2 to 153.0 and 194 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 69 (39, 88)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -5.2 to -0.7.

Grundy County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.7 with a 95% confidence interval from 128.7 to 180.7 and 30 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 53 (5, 97)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.2 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 139.8 with a 95% confidence interval from 114.9 to 169.6 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 75 (8, 99)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Harrison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.6 with a 95% confidence interval from 127.9 to 176.8 and 33 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 57 (5, 96)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.9.

Jasper County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.7 with a 95% confidence interval from 140.7 to 172.0 and 84 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 47 (9, 84)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.4.

Johnson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 116.4 with a 95% confidence interval from 108.2 to 125.2 and 155 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 97 (84, 99)
• Recent Trend : The trend is falling because the trend is -7.4 with a 95% confidence interval from -10.8 to -3.1.

Jones County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 127.3 with a 95% confidence interval from 109.8 to 147.4 and 40 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 92 (38, 99)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.8.

Linn County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 143.0 with a 95% confidence interval from 136.6 to 149.6 and 393 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 70 (47, 84)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.6 to -1.1.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.6 with a 95% confidence interval from 145.1 to 197.3 and 36 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 19 (1, 85)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.7 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 162.0 with a 95% confidence interval from 136.5 to 191.3 and 31 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 35 (2, 93)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.2.

Polk County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 156.1 with a 95% confidence interval from 150.9 to 161.3 and 736 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 46 (26, 62)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -4.0 to -1.2.

Pottawattamie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 178.5 with a 95% confidence interval from 167.5 to 190.0 and 210 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 9 (3, 40)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -2.4 to -0.6.

Scott County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.7 with a 95% confidence interval from 143.1 to 158.7 and 306 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 56 (29, 77)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -6.5 to -1.4.

Story County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 131.5 with a 95% confidence interval from 120.7 to 143.0 and 116 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 88 (53, 96)
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -9.2 to -1.1.

Warren County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 132.2 with a 95% confidence interval from 119.7 to 145.7 and 85 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 87 (47, 97)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.3.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 138.2 with a 95% confidence interval from 119.6 to 159.1 and 44 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 80 (21, 98)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.1 to 0.4.

Woodbury County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 172.4 with a 95% confidence interval from 161.3 to 184.2 and 188 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 14 (5, 50)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.2.

Notes:
Created by statecancerprofiles.cancer.gov on 11/17/2025 5:39 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.
⁶ Hispanic mortality recent trend data for the United States has been excluded for the following states: Louisiana, New Hampshire, and Oklahoma. The data on Hispanic and non-Hispanic mortality for these states may be unreliable for the time period used in the generation of the recent trend (1990 - 2022) and has been excluded from the calculation of the United States recent trend. This was based on the NCHS Policy.

Φ Rural-Urban Continuum Codes provided by the USDA.


Please note that the data comes from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Data for United States does not include Puerto Rico.