State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Iowa by County

All Cancer Sites (All Stages^), 2017-2021

White Non-Hispanic, Both Sexes, All Ages

Sorted by Count

Explanation of Column Headers

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

Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Recent Trends - This is an interpretation of the AAPC/APC:

• Rising when 95% confidence interval of AAPC/APC is above 0.
• Stable when 95% confidence interval of AAPC/APC includes 0.
• Falling when 95% confidence interval of AAPC/APC is below 0.

AAPC/APC (95% Confidence Interval) - the change in rate over time

• Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
• Annual Percent Change - APCs calculated in SEER*Stat.

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

Iowa⁷

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 495.0 with a 95% confidence interval from 491.7 to 498.4 and 18,491 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 0.1 with a 95% confidence interval from 0.1 to 0.2.

US (SEER+NPCR)§¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 463.1 with a 95% confidence interval from 462.7 to 463.4 and 1,300,948 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.4 with a 95% confidence interval from -0.5 to -0.2.

Adams County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 459.4 with a 95% confidence interval from 378.5 to 554.7 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : 87 (1, 99)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.2 to 1.9.

Ringgold County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 524.3 with a 95% confidence interval from 449.6 to 609.8 and 40 average annual cases over 2017-2021.
• CI*Rank ⋔ : 19 (1, 98)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.2 to 1.9.

Audubon County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 444.9 with a 95% confidence interval from 381.4 to 517.5 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : 94 (8, 99)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.4.

Osceola County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 464.3 with a 95% confidence interval from 400.0 to 537.5 and 43 average annual cases over 2017-2021.
• CI*Rank ⋔ : 82 (3, 99)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.1.

Taylor County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 480.0 with a 95% confidence interval from 413.9 to 555.1 and 43 average annual cases over 2017-2021.
• CI*Rank ⋔ : 68 (1, 99)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.2 to 1.4.

Wayne County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 477.0 with a 95% confidence interval from 412.2 to 550.1 and 45 average annual cases over 2017-2021.
• CI*Rank ⋔ : 74 (2, 99)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.7.

Adair County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 403.1 with a 95% confidence interval from 348.4 to 464.9 and 46 average annual cases over 2017-2021.
• CI*Rank ⋔ : 99 (43, 99)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.5 to 1.0.

Fremont County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 502.6 with a 95% confidence interval from 437.3 to 576.0 and 50 average annual cases over 2017-2021.
• CI*Rank ⋔ : 45 (1, 99)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.2 to 1.0.

Van Buren County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 465.1 with a 95% confidence interval from 406.9 to 530.3 and 51 average annual cases over 2017-2021.
• CI*Rank ⋔ : 80 (4, 99)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.4 to 1.0.

Davis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 464.5 with a 95% confidence interval from 406.9 to 528.2 and 51 average annual cases over 2017-2021.
• CI*Rank ⋔ : 81 (5, 99)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.7 to 1.1.

Ida County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 510.4 with a 95% confidence interval from 445.3 to 583.4 and 52 average annual cases over 2017-2021.
• CI*Rank ⋔ : 40 (1, 98)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from 0.0 to 1.5.

Worth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 511.9 with a 95% confidence interval from 449.4 to 581.6 and 54 average annual cases over 2017-2021.
• CI*Rank ⋔ : 37 (1, 97)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.3 to 1.6.

Decatur County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 545.3 with a 95% confidence interval from 477.5 to 620.6 and 54 average annual cases over 2017-2021.
• CI*Rank ⋔ : 6 (1, 93)
• Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.1 to 1.4.

Clarke County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 486.6 with a 95% confidence interval from 426.7 to 553.2 and 55 average annual cases over 2017-2021.
• CI*Rank ⋔ : 62 (2, 99)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.3 to 1.4.

Monroe County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 540.5 with a 95% confidence interval from 475.9 to 612.2 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : 9 (1, 93)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.1 to 1.0.

Pocahontas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 527.9 with a 95% confidence interval from 463.0 to 600.6 and 58 average annual cases over 2017-2021.
• CI*Rank ⋔ : 16 (1, 96)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.6 to 0.7.

Lucas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 462.9 with a 95% confidence interval from 407.8 to 524.1 and 59 average annual cases over 2017-2021.
• CI*Rank ⋔ : 84 (6, 99)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.4.

Louisa County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 491.4 with a 95% confidence interval from 436.8 to 551.8 and 67 average annual cases over 2017-2021.
• CI*Rank ⋔ : 56 (2, 98)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.8 to 1.2.

Winnebago County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 459.9 with a 95% confidence interval from 408.8 to 516.3 and 69 average annual cases over 2017-2021.
• CI*Rank ⋔ : 86 (10, 99)
• Recent Trend : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.1 to 1.5.

Greene County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 521.7 with a 95% confidence interval from 464.7 to 584.8 and 70 average annual cases over 2017-2021.
• CI*Rank ⋔ : 25 (1, 95)
• Recent Trend : The trend is rising because the trend is 1.1 with a 95% confidence interval from 0.2 to 2.1.

Humboldt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 510.5 with a 95% confidence interval from 454.9 to 571.7 and 70 average annual cases over 2017-2021.
• CI*Rank ⋔ : 38 (1, 97)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.8.

Emmet County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 513.1 with a 95% confidence interval from 457.1 to 575.2 and 71 average annual cases over 2017-2021.
• CI*Rank ⋔ : 36 (1, 96)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.2 to 1.0.

Monona County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 523.8 with a 95% confidence interval from 466.0 to 587.7 and 71 average annual cases over 2017-2021.
• CI*Rank ⋔ : 20 (1, 93)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.2 to 1.0.

Howard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 538.2 with a 95% confidence interval from 480.4 to 601.6 and 72 average annual cases over 2017-2021.
• CI*Rank ⋔ : 10 (1, 89)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.4 to 1.5.

Calhoun County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 500.1 with a 95% confidence interval from 445.6 to 560.0 and 73 average annual cases over 2017-2021.
• CI*Rank ⋔ : 48 (2, 97)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from 0.0 to 1.3.

Mitchell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 507.9 with a 95% confidence interval from 452.7 to 568.2 and 73 average annual cases over 2017-2021.
• CI*Rank ⋔ : 42 (1, 97)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.6 to 0.9.

Guthrie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 460.1 with a 95% confidence interval from 410.7 to 514.6 and 73 average annual cases over 2017-2021.
• CI*Rank ⋔ : 85 (10, 99)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.3.

Keokuk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 524.4 with a 95% confidence interval from 468.0 to 586.2 and 73 average annual cases over 2017-2021.
• CI*Rank ⋔ : 18 (1, 94)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.5 to 0.9.

Sac County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 481.0 with a 95% confidence interval from 427.8 to 539.6 and 73 average annual cases over 2017-2021.
• CI*Rank ⋔ : 66 (4, 99)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -5.8 to 0.1.

Palo Alto County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 595.9 with a 95% confidence interval from 531.9 to 666.1 and 74 average annual cases over 2017-2021.
• CI*Rank ⋔ : 1 (1, 57)
• Recent Trend : The trend is stable because the trend is -9.2 with a 95% confidence interval from -22.8 to 2.7.

Hancock County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 456.3 with a 95% confidence interval from 407.1 to 510.5 and 74 average annual cases over 2017-2021.
• CI*Rank ⋔ : 91 (12, 99)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.4 to 0.0.

Lyon County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 486.7 with a 95% confidence interval from 436.1 to 541.8 and 75 average annual cases over 2017-2021.
• CI*Rank ⋔ : 61 (3, 98)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.2 to 0.9.

Franklin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 544.5 with a 95% confidence interval from 486.9 to 607.9 and 78 average annual cases over 2017-2021.
• CI*Rank ⋔ : 7 (1, 86)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.5 to 1.6.

Montgomery County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 542.8 with a 95% confidence interval from 486.7 to 604.2 and 79 average annual cases over 2017-2021.
• CI*Rank ⋔ : 8 (1, 86)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from 0.0 to 1.4.

Wright County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 427.9 with a 95% confidence interval from 382.9 to 477.4 and 80 average annual cases over 2017-2021.
• CI*Rank ⋔ : 96 (38, 99)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Union County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 496.1 with a 95% confidence interval from 446.8 to 549.9 and 83 average annual cases over 2017-2021.
• CI*Rank ⋔ : 53 (3, 97)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.7 to 3.2.

Shelby County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 464.2 with a 95% confidence interval from 416.8 to 516.2 and 83 average annual cases over 2017-2021.
• CI*Rank ⋔ : 83 (11, 99)
• Recent Trend : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.1 to 1.3.

Buena Vista County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 423.9 with a 95% confidence interval from 380.7 to 471.3 and 87 average annual cases over 2017-2021.
• CI*Rank ⋔ : 97 (47, 99)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.0.

Hamilton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 421.7 with a 95% confidence interval from 380.0 to 467.2 and 87 average annual cases over 2017-2021.
• CI*Rank ⋔ : 98 (51, 99)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.4.

Chickasaw County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 523.8 with a 95% confidence interval from 472.7 to 579.2 and 89 average annual cases over 2017-2021.
• CI*Rank ⋔ : 21 (1, 92)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from 0.0 to 1.4.

Grundy County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 498.5 with a 95% confidence interval from 451.4 to 549.8 and 89 average annual cases over 2017-2021.
• CI*Rank ⋔ : 50 (3, 96)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.1.

Allamakee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 434.9 with a 95% confidence interval from 392.4 to 481.2 and 91 average annual cases over 2017-2021.
• CI*Rank ⋔ : 95 (38, 99)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.9.

Crawford County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 489.8 with a 95% confidence interval from 441.3 to 543.0 and 92 average annual cases over 2017-2021.
• CI*Rank ⋔ : 59 (3, 97)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.3 to 0.8.

O'Brien County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 482.5 with a 95% confidence interval from 436.3 to 532.8 and 95 average annual cases over 2017-2021.
• CI*Rank ⋔ : 65 (6, 98)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.4.

Mills County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 500.4 with a 95% confidence interval from 454.5 to 549.9 and 97 average annual cases over 2017-2021.
• CI*Rank ⋔ : 46 (3, 95)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.4 to 0.9.

Cherokee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 558.2 with a 95% confidence interval from 505.0 to 616.1 and 98 average annual cases over 2017-2021.
• CI*Rank ⋔ : 4 (1, 73)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.4 to 1.1.

Kossuth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 450.2 with a 95% confidence interval from 408.2 to 495.7 and 104 average annual cases over 2017-2021.
• CI*Rank ⋔ : 93 (22, 99)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.6.

Appanoose County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 562.9 with a 95% confidence interval from 512.8 to 617.1 and 107 average annual cases over 2017-2021.
• CI*Rank ⋔ : 3 (1, 69)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.2 to 1.3.

Madison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 529.0 with a 95% confidence interval from 483.9 to 577.4 and 107 average annual cases over 2017-2021.
• CI*Rank ⋔ : 14 (1, 84)
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 0.3 to 11.8.

Jefferson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 468.0 with a 95% confidence interval from 424.4 to 515.5 and 109 average annual cases over 2017-2021.
• CI*Rank ⋔ : 79 (11, 99)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.4 to 0.9.

Harrison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 550.7 with a 95% confidence interval from 503.6 to 601.5 and 111 average annual cases over 2017-2021.
• CI*Rank ⋔ : 5 (1, 74)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.2 to 1.0.

Cass County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 579.1 with a 95% confidence interval from 527.9 to 634.4 and 112 average annual cases over 2017-2021.
• CI*Rank ⋔ : 2 (1, 51)
• Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.2 to 1.6.

Butler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 517.1 with a 95% confidence interval from 472.3 to 565.5 and 112 average annual cases over 2017-2021.
• CI*Rank ⋔ : 28 (2, 89)
• Recent Trend : The trend is rising because the trend is 1.4 with a 95% confidence interval from 0.5 to 4.1.

Tama County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 523.0 with a 95% confidence interval from 477.4 to 572.2 and 112 average annual cases over 2017-2021.
• CI*Rank ⋔ : 22 (1, 87)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from 0.0 to 1.0.

Floyd County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 515.4 with a 95% confidence interval from 470.8 to 563.6 and 114 average annual cases over 2017-2021.
• CI*Rank ⋔ : 33 (1, 89)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.2 to 1.0.

Iowa County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 509.7 with a 95% confidence interval from 466.6 to 556.1 and 114 average annual cases over 2017-2021.
• CI*Rank ⋔ : 41 (2, 92)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.9.

Poweshiek County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 458.6 with a 95% confidence interval from 419.7 to 500.5 and 118 average annual cases over 2017-2021.
• CI*Rank ⋔ : 88 (19, 99)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.7.

Delaware County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 473.5 with a 95% confidence interval from 433.8 to 516.2 and 119 average annual cases over 2017-2021.
• CI*Rank ⋔ : 75 (12, 98)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.2 to 1.2.

Page County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 513.5 with a 95% confidence interval from 470.5 to 560.0 and 119 average annual cases over 2017-2021.
• CI*Rank ⋔ : 35 (2, 89)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -8.7 to 0.6.

Hardin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 485.7 with a 95% confidence interval from 444.6 to 530.0 and 121 average annual cases over 2017-2021.
• CI*Rank ⋔ : 63 (7, 97)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.3 to 0.9.

Henry County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 477.7 with a 95% confidence interval from 439.1 to 519.0 and 124 average annual cases over 2017-2021.
• CI*Rank ⋔ : 73 (12, 98)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.2 to 0.8.

Clay County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 528.2 with a 95% confidence interval from 485.2 to 574.5 and 125 average annual cases over 2017-2021.
• CI*Rank ⋔ : 15 (1, 84)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.3 to 0.7.

Cedar County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 493.8 with a 95% confidence interval from 453.9 to 536.6 and 126 average annual cases over 2017-2021.
• CI*Rank ⋔ : 55 (6, 96)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -4.1 to 0.3.

Clayton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 479.1 with a 95% confidence interval from 439.3 to 521.8 and 128 average annual cases over 2017-2021.
• CI*Rank ⋔ : 71 (11, 97)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.4.

Carroll County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 457.3 with a 95% confidence interval from 420.9 to 496.3 and 133 average annual cases over 2017-2021.
• CI*Rank ⋔ : 90 (29, 99)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.5.

Winneshiek County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 471.0 with a 95% confidence interval from 433.0 to 511.8 and 135 average annual cases over 2017-2021.
• CI*Rank ⋔ : 77 (12, 98)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.7.

Fayette County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 468.3 with a 95% confidence interval from 431.2 to 508.2 and 136 average annual cases over 2017-2021.
• CI*Rank ⋔ : 78 (14, 98)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.4.

Buchanan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 516.2 with a 95% confidence interval from 477.0 to 558.0 and 137 average annual cases over 2017-2021.
• CI*Rank ⋔ : 31 (2, 88)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.5.

Mahaska County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 497.4 with a 95% confidence interval from 459.7 to 537.6 and 140 average annual cases over 2017-2021.
• CI*Rank ⋔ : 52 (6, 93)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.6.

Washington County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 479.4 with a 95% confidence interval from 442.8 to 518.5 and 141 average annual cases over 2017-2021.
• CI*Rank ⋔ : 70 (13, 97)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from 0.0 to 1.1.

Jones County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 494.1 with a 95% confidence interval from 456.9 to 533.8 and 145 average annual cases over 2017-2021.
• CI*Rank ⋔ : 54 (7, 94)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.4.

Jackson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 517.5 with a 95% confidence interval from 478.0 to 559.7 and 145 average annual cases over 2017-2021.
• CI*Rank ⋔ : 27 (2, 87)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.2 to 0.8.

Dickinson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 522.7 with a 95% confidence interval from 482.1 to 566.3 and 153 average annual cases over 2017-2021.
• CI*Rank ⋔ : 23 (2, 83)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from 0.0 to 1.0.

Bremer County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 488.4 with a 95% confidence interval from 453.8 to 525.2 and 160 average annual cases over 2017-2021.
• CI*Rank ⋔ : 60 (11, 94)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.6.

Plymouth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 507.2 with a 95% confidence interval from 471.3 to 545.3 and 165 average annual cases over 2017-2021.
• CI*Rank ⋔ : 43 (5, 88)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.4.

Benton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 516.6 with a 95% confidence interval from 481.4 to 553.9 and 176 average annual cases over 2017-2021.
• CI*Rank ⋔ : 29 (3, 83)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.3 to 0.7.

Boone County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 515.6 with a 95% confidence interval from 481.3 to 551.9 and 184 average annual cases over 2017-2021.
• CI*Rank ⋔ : 32 (3, 82)
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -0.1 to 7.0.

Sioux County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 498.1 with a 95% confidence interval from 465.6 to 532.2 and 194 average annual cases over 2017-2021.
• CI*Rank ⋔ : 51 (6, 91)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.5.

Marion County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 516.5 with a 95% confidence interval from 485.3 to 549.3 and 222 average annual cases over 2017-2021.
• CI*Rank ⋔ : 30 (4, 79)
• Recent Trend : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.3 to 1.1.

Wapello County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 530.9 with a 95% confidence interval from 499.0 to 564.5 and 228 average annual cases over 2017-2021.
• CI*Rank ⋔ : 11 (2, 69)
• Recent Trend : The trend is rising because the trend is 0.4 with a 95% confidence interval from 0.1 to 0.8.

Webster County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 490.6 with a 95% confidence interval from 461.1 to 521.7 and 232 average annual cases over 2017-2021.
• CI*Rank ⋔ : 57 (13, 92)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.1.

Jasper County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 477.9 with a 95% confidence interval from 450.1 to 507.2 and 239 average annual cases over 2017-2021.
• CI*Rank ⋔ : 72 (22, 94)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.5.

Lee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 519.1 with a 95% confidence interval from 488.3 to 551.5 and 240 average annual cases over 2017-2021.
• CI*Rank ⋔ : 26 (4, 77)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.1 to 0.8.

Muscatine County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 498.6 with a 95% confidence interval from 469.4 to 529.2 and 240 average annual cases over 2017-2021.
• CI*Rank ⋔ : 49 (9, 87)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.2 to 0.6.

Marshall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 527.5 with a 95% confidence interval from 496.3 to 560.5 and 244 average annual cases over 2017-2021.
• CI*Rank ⋔ : 17 (2, 70)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from 0.0 to 0.6.

Des Moines County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 510.5 with a 95% confidence interval from 482.1 to 540.3 and 268 average annual cases over 2017-2021.
• CI*Rank ⋔ : 39 (6, 81)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.8.

Warren County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 472.6 with a 95% confidence interval from 447.9 to 498.3 and 289 average annual cases over 2017-2021.
• CI*Rank ⋔ : 76 (33, 95)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.7.

Cerro Gordo County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 529.0 with a 95% confidence interval from 501.7 to 557.6 and 329 average annual cases over 2017-2021.
• CI*Rank ⋔ : 13 (3, 66)
• Recent Trend : The trend is rising because the trend is 0.6 with a 95% confidence interval from 0.3 to 1.0.

Clinton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 529.5 with a 95% confidence interval from 503.0 to 557.1 and 332 average annual cases over 2017-2021.
• CI*Rank ⋔ : 12 (3, 63)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.1 to 0.6.

Story County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 458.4 with a 95% confidence interval from 437.2 to 480.4 and 379 average annual cases over 2017-2021.
• CI*Rank ⋔ : 89 (49, 96)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.4.

Dallas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 452.2 with a 95% confidence interval from 432.2 to 472.9 and 396 average annual cases over 2017-2021.
• CI*Rank ⋔ : 92 (62, 97)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.0.

Woodbury County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 522.2 with a 95% confidence interval from 501.9 to 543.1 and 544 average annual cases over 2017-2021.
• CI*Rank ⋔ : 24 (6, 60)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -3.7 to 2.2.

Pottawattamie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 490.4 with a 95% confidence interval from 471.7 to 509.8 and 561 average annual cases over 2017-2021.
• CI*Rank ⋔ : 58 (25, 83)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.3.

Dubuque County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 479.8 with a 95% confidence interval from 461.7 to 498.5 and 584 average annual cases over 2017-2021.
• CI*Rank ⋔ : 69 (35, 89)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.3 to 1.0.

Johnson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 480.5 with a 95% confidence interval from 462.9 to 498.6 and 604 average annual cases over 2017-2021.
• CI*Rank ⋔ : 67 (35, 88)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.3 to 0.1.

Black Hawk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 514.7 with a 95% confidence interval from 497.3 to 532.7 and 727 average annual cases over 2017-2021.
• CI*Rank ⋔ : 34 (11, 64)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.3 to 1.4.

Scott County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 500.1 with a 95% confidence interval from 485.5 to 515.1 and 958 average annual cases over 2017-2021.
• CI*Rank ⋔ : 47 (22, 71)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.3.

Linn County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 503.9 with a 95% confidence interval from 491.4 to 516.7 and 1,299 average annual cases over 2017-2021.
• CI*Rank ⋔ : 44 (20, 65)
• Recent Trend : The trend is rising because the trend is 1.1 with a 95% confidence interval from 0.6 to 2.2.

Polk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 484.5 with a 95% confidence interval from 475.3 to 493.8 and 2,223 average annual cases over 2017-2021.
• CI*Rank ⋔ : 64 (44, 78)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.2.

Notes:
Created by statecancerprofiles.cancer.gov on 07/13/2025 2:41 am.

State Cancer Registries may provide more current or more local data.
† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.
Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage in the Surveillance, Epidemiology, and End Results (SEER) Summary/Historic Combined Summary Stage (2004+).
Φ Rural-Urban Continuum Codes provided by the USDA.
Source: SEER and NPCR data. For more specific information please see the table.

Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.