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Incidence Rates Table

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Incidence Rate Report for Iowa by County

All Cancer Sites (All Stages^), 2018-2022

All Races (includes Hispanic), Female, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Iowa 7 N/A 466.9 (462.5, 471.3) N/A 9,520 rising rising trend 0.5 (0.4, 0.6)
US (SEER+NPCR) 1 N/A 424.8 (424.4, 425.2) N/A 891,437 falling falling trend -0.6 (-1.1, -0.1)
Palo Alto County 7 Rural 478.0 (398.8, 569.1) 29 (1, 97) 31 stable stable trend -8.9 (-20.0, 0.0)
Montgomery County 7 Rural 436.8 (366.7, 517.0) 73 (3, 99) 32 stable stable trend -8.2 (-14.2, 0.4)
Cerro Gordo County 7 Rural 458.9 (423.8, 496.3) 55 (12, 87) 155 stable stable trend -4.1 (-9.1, 0.4)
Ida County 7 Rural 378.6 (300.1, 472.6) 94 (8, 99) 20 stable stable trend -1.1 (-17.2, 0.5)
Audubon County 7 Rural 370.1 (289.6, 468.6) 97 (10, 99) 18 stable stable trend -0.6 (-1.6, 0.3)
Buena Vista County 7 Rural 339.0 (291.4, 392.3) 99 (79, 99) 41 stable stable trend -0.6 (-1.6, 0.4)
Wayne County 7 Rural 376.1 (296.9, 471.6) 96 (8, 99) 18 stable stable trend -0.5 (-1.7, 0.6)
Fremont County 7 Rural 415.1 (330.3, 516.7) 88 (2, 99) 20 stable stable trend -0.4 (-1.2, 0.5)
Taylor County 7 Rural 374.8 (291.9, 475.8) 95 (11, 99) 17 stable stable trend -0.4 (-1.5, 0.6)
Webster County 7 Rural 428.3 (390.3, 469.2) 82 (23, 96) 109 stable stable trend -0.2 (-0.5, 0.2)
Cedar County 7 Rural 462.5 (408.3, 522.5) 53 (3, 94) 60 stable stable trend -0.1 (-1.0, 0.5)
Dallas County 7 Urban 426.7 (401.8, 452.7) 84 (39, 93) 225 stable stable trend -0.1 (-0.4, 0.3)
Marshall County 7 Rural 422.4 (386.6, 460.8) 85 (30, 96) 113 stable stable trend -0.1 (-4.7, 0.7)
Wright County 7 Rural 449.7 (386.0, 521.5) 61 (3, 97) 42 stable stable trend -0.1 (-1.0, 0.8)
Clay County 7 Rural 467.3 (410.3, 530.4) 44 (3, 93) 57 stable stable trend 0.0 (-0.6, 0.6)
Hancock County 7 Rural 382.5 (317.5, 457.6) 93 (18, 99) 30 stable stable trend 0.0 (-0.9, 0.9)
Union County 7 Rural 405.2 (344.7, 474.1) 89 (12, 99) 36 stable stable trend 0.0 (-0.8, 0.8)
Clayton County 7 Rural 444.5 (389.2, 506.1) 67 (6, 96) 59 stable stable trend 0.1 (-0.5, 0.7)
Guthrie County 7 Urban 420.5 (353.9, 497.2) 87 (6, 99) 34 stable stable trend 0.1 (-0.7, 1.0)
O'Brien County 7 Rural 446.1 (380.9, 519.5) 66 (4, 98) 42 stable stable trend 0.1 (-0.8, 0.9)
Boone County 7 Urban 462.8 (417.9, 511.7) 51 (7, 91) 87 stable stable trend 0.2 (-0.4, 0.8)
Cherokee County 7 Rural 502.9 (431.2, 583.9) 15 (1, 91) 46 stable stable trend 0.2 (-0.9, 1.3)
Dubuque County 7 Urban 468.1 (443.4, 493.8) 42 (15, 75) 306 stable stable trend 0.2 (-0.1, 0.5)
Kossuth County 7 Rural 404.0 (348.8, 466.2) 90 (20, 99) 48 stable stable trend 0.2 (-0.6, 1.1)
Pottawattamie County 7 Urban 448.0 (423.8, 473.3) 62 (27, 86) 282 stable stable trend 0.2 (-0.1, 0.6)
Sac County 7 Rural 473.2 (398.3, 559.2) 37 (1, 97) 37 stable stable trend 0.2 (-0.6, 0.9)
Winneshiek County 7 Rural 400.8 (351.1, 456.0) 91 (27, 99) 58 stable stable trend 0.2 (-0.5, 1.0)
Adair County 7 Rural 348.8 (279.4, 431.9) 98 (34, 99) 21 stable stable trend 0.3 (-0.9, 1.4)
Black Hawk County 7 Urban 474.6 (452.4, 497.5) 33 (14, 69) 383 rising rising trend 0.3 (0.1, 0.6)
Carroll County 7 Rural 428.7 (378.8, 483.7) 81 (14, 98) 64 stable stable trend 0.3 (-0.3, 1.0)
Henry County 7 Rural 429.0 (378.5, 484.7) 79 (13, 97) 59 stable stable trend 0.3 (-0.5, 1.3)
Jefferson County 7 Rural 465.2 (405.7, 531.9) 48 (3, 95) 56 stable stable trend 0.3 (-0.5, 1.2)
Louisa County 7 Rural 492.7 (420.7, 574.5) 19 (1, 93) 38 stable stable trend 0.3 (-0.8, 1.4)
Muscatine County 7 Rural 469.0 (431.8, 508.8) 39 (8, 86) 127 stable stable trend 0.3 (-0.1, 0.8)
Pocahontas County 7 Rural 524.8 (429.8, 635.6) 8 (1, 94) 28 stable stable trend 0.3 (-1.0, 1.6)
Shelby County 7 Rural 433.1 (367.8, 507.5) 76 (6, 99) 39 stable stable trend 0.3 (-6.5, 1.8)
Buchanan County 7 Rural 461.0 (409.2, 517.9) 54 (4, 94) 63 stable stable trend 0.4 (-0.2, 1.0)
Crawford County 7 Rural 436.0 (378.7, 499.9) 75 (9, 98) 46 stable stable trend 0.4 (-0.3, 1.3)
Davis County 7 Rural 471.2 (389.3, 565.6) 36 (1, 97) 26 stable stable trend 0.4 (-0.8, 1.7)
Johnson County 7 Urban 466.6 (444.3, 489.7) 45 (18, 77) 350 rising rising trend 0.4 (0.1, 0.8)
Mahaska County 7 Rural 466.2 (415.6, 521.6) 47 (3, 92) 69 stable stable trend 0.4 (-0.1, 1.0)
Mills County 7 Urban 450.1 (389.5, 518.1) 60 (3, 97) 45 stable stable trend 0.4 (-0.6, 1.4)
Polk County 7 Urban 480.4 (468.6, 492.4) 25 (17, 55) 1,319 rising rising trend 0.4 (0.2, 0.7)
Scott County 7 Urban 500.7 (481.5, 520.4) 18 (7, 47) 552 rising rising trend 0.4 (0.1, 0.8)
Bremer County 7 Urban 456.4 (409.4, 507.5) 58 (6, 93) 78 stable stable trend 0.5 (-0.2, 1.1)
Floyd County 7 Rural 463.3 (404.3, 529.0) 50 (2, 95) 53 stable stable trend 0.5 (-0.5, 1.5)
Grundy County 7 Urban 477.5 (410.8, 552.6) 27 (1, 94) 43 stable stable trend 0.5 (-0.4, 1.3)
Madison County 7 Urban 475.4 (416.6, 540.7) 35 (2, 92) 50 stable stable trend 0.5 (-0.2, 1.4)
Mitchell County 7 Rural 468.1 (394.2, 552.3) 43 (1, 97) 35 stable stable trend 0.5 (-0.5, 1.5)
Poweshiek County 7 Rural 456.9 (402.7, 516.7) 57 (4, 95) 61 stable stable trend 0.5 (-0.1, 1.2)
Story County 7 Urban 439.6 (411.6, 468.9) 72 (29, 91) 201 rising rising trend 0.5 (0.1, 0.8)
Woodbury County 7 Urban 488.4 (463.3, 514.5) 23 (7, 64) 301 rising rising trend 0.5 (0.1, 0.9)
Butler County 7 Rural 427.8 (369.6, 493.2) 83 (11, 98) 46 stable stable trend 0.6 (-0.1, 1.4)
Cass County 7 Rural 524.4 (456.0, 600.8) 9 (1, 81) 53 stable stable trend 0.6 (-0.2, 1.5)
Clinton County 7 Rural 501.1 (465.7, 538.7) 16 (3, 64) 167 rising rising trend 0.6 (0.3, 0.9)
Iowa County 7 Rural 521.7 (459.8, 589.9) 11 (1, 80) 59 stable stable trend 0.6 (-0.2, 1.5)
Linn County 7 Urban 475.9 (459.6, 492.7) 32 (17, 62) 684 rising rising trend 0.6 (0.4, 0.9)
Monroe County 7 Rural 457.4 (377.0, 551.3) 56 (1, 98) 25 stable stable trend 0.6 (-0.2, 1.5)
Page County 7 Rural 478.8 (419.0, 545.7) 30 (1, 94) 57 stable stable trend 0.6 (-0.1, 1.3)
Plymouth County 7 Rural 468.2 (420.0, 520.6) 40 (4, 91) 78 stable stable trend 0.6 (0.0, 1.1)
Warren County 7 Urban 435.4 (403.2, 469.6) 74 (23, 93) 144 rising rising trend 0.6 (0.1, 1.2)
Allamakee County 7 Rural 448.4 (387.0, 517.5) 63 (4, 97) 46 stable stable trend 0.7 (-0.4, 1.9)
Appanoose County 7 Rural 537.4 (467.4, 615.8) 4 (1, 79) 51 stable stable trend 0.7 (-0.1, 1.7)
Delaware County 7 Rural 440.9 (386.8, 501.0) 69 (6, 97) 56 rising rising trend 0.7 (0.1, 1.3)
Des Moines County 7 Rural 488.2 (450.1, 529.0) 22 (4, 78) 136 rising rising trend 0.7 (0.3, 1.2)
Dickinson County 7 Rural 467.3 (412.6, 528.1) 41 (3, 92) 69 stable stable trend 0.7 (0.0, 1.5)
Fayette County 7 Rural 474.4 (422.0, 532.1) 34 (3, 91) 72 stable stable trend 0.7 (-0.1, 1.4)
Humboldt County 7 Rural 461.8 (388.6, 545.8) 52 (1, 98) 33 stable stable trend 0.7 (-0.1, 1.4)
Jackson County 7 Rural 532.4 (474.1, 596.4) 6 (1, 66) 72 rising rising trend 0.7 (0.1, 1.4)
Lee County 7 Rural 445.6 (406.0, 488.3) 65 (13, 93) 109 rising rising trend 0.7 (0.3, 1.2)
Lucas County 7 Rural 479.8 (398.8, 573.5) 26 (1, 97) 29 stable stable trend 0.7 (-0.3, 1.8)
Wapello County 7 Rural 491.6 (450.5, 535.5) 20 (3, 75) 117 rising rising trend 0.7 (0.3, 1.1)
Chickasaw County 7 Rural 524.9 (450.8, 608.2) 10 (1, 89) 43 rising rising trend 0.8 (0.1, 1.7)
Decatur County 7 Rural 464.6 (380.7, 562.8) 49 (1, 98) 26 rising rising trend 0.8 (0.1, 1.7)
Howard County 7 Rural 538.9 (454.6, 634.7) 3 (1, 87) 35 stable stable trend 0.8 (-0.3, 2.1)
Jones County 7 Urban 477.5 (424.8, 535.4) 31 (2, 92) 69 rising rising trend 0.8 (0.3, 1.4)
Sioux County 7 Rural 454.6 (412.1, 500.3) 59 (9, 91) 93 rising rising trend 0.8 (0.2, 1.5)
Emmet County 7 Rural 423.2 (353.5, 504.1) 86 (5, 99) 31 stable stable trend 0.9 (-0.2, 2.0)
Hamilton County 7 Rural 440.9 (379.7, 509.5) 71 (4, 98) 44 stable stable trend 0.9 (0.0, 1.8)
Hardin County 7 Rural 428.8 (374.4, 489.4) 80 (9, 98) 55 stable stable trend 0.9 (0.0, 1.8)
Harrison County 7 Urban 487.8 (425.5, 557.3) 24 (1, 92) 50 rising rising trend 0.9 (0.2, 1.8)
Ringgold County 7 Rural 431.1 (332.2, 553.3) 78 (1, 99) 16 stable stable trend 0.9 (0.0, 1.8)
Tama County 7 Rural 527.1 (464.0, 596.7) 7 (1, 78) 58 rising rising trend 0.9 (0.2, 1.6)
Van Buren County 7 Rural 446.8 (364.4, 543.9) 64 (1, 99) 24 stable stable trend 0.9 (0.0, 1.9)
Clarke County 7 Rural 442.7 (368.6, 528.1) 68 (2, 99) 28 rising rising trend 1.0 (0.3, 1.8)
Franklin County 7 Rural 472.0 (399.3, 555.0) 38 (1, 97) 35 rising rising trend 1.0 (0.1, 2.0)
Marion County 7 Rural 490.7 (448.6, 535.9) 21 (3, 78) 112 rising rising trend 1.0 (0.5, 1.6)
Osceola County 7 Rural 533.7 (437.0, 647.5) 5 (1, 94) 25 stable stable trend 1.0 (-0.6, 2.6)
Calhoun County 7 Rural 429.9 (359.0, 511.8) 77 (3, 99) 32 rising rising trend 1.1 (0.3, 1.9)
Washington County 7 Urban 539.2 (485.0, 598.0) 2 (1, 64) 83 rising rising trend 1.1 (0.4, 1.9)
Worth County 7 Rural 467.4 (384.8, 564.2) 46 (1, 98) 25 stable stable trend 1.1 (-0.1, 2.3)
Greene County 7 Rural 440.5 (366.5, 526.4) 70 (2, 99) 31 stable stable trend 1.2 (-0.1, 2.5)
Lyon County 7 Rural 478.0 (405.8, 559.5) 28 (1, 96) 36 rising rising trend 1.2 (0.2, 2.2)
Monona County 7 Rural 507.3 (424.7, 602.1) 14 (1, 94) 34 rising rising trend 1.2 (0.5, 1.9)
Jasper County 7 Urban 518.8 (477.8, 562.5) 12 (1, 55) 134 rising rising trend 1.3 (0.7, 3.5)
Keokuk County 7 Rural 502.8 (424.1, 592.6) 17 (1, 94) 34 rising rising trend 1.4 (0.6, 2.3)
Winnebago County 7 Rural 389.2 (322.5, 466.2) 92 (15, 99) 30 rising rising trend 1.4 (0.5, 2.3)
Adams County 7 Rural 569.5 (434.8, 735.3) 1 (1, 96) 16 rising rising trend 1.7 (0.4, 3.1)
Benton County 7 Urban 515.1 (465.4, 569.0) 13 (1, 74) 88 rising rising trend 2.7 (0.9, 7.0)

Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 2:52 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.


† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (SEER areas use 20 age groups and NPCR areas use 19 age groups). 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.

‡ Incidence data come from different sources. 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.

Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.

⋔ 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. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.

7 Source: SEER November 2024 submission.

Data for United States does not include Puerto Rico.

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