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Incidence Rates Table

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Incidence Rate Report for Missouri 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
Missouri 2 N/A 447.6 (444.5, 450.6) N/A 18,024 rising rising trend 0.4 (0.3, 0.5)
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)
Ralls County 2 Rural 353.2 (291.5, 425.4) 112 (36, 115) 27 stable stable trend -16.3 (-33.8, 1.4)
Barry County 2 Rural 387.0 (351.3, 425.8) 107 (56, 114) 98 falling falling trend -5.5 (-9.7, -1.6)
Crawford County 2 Rural 501.5 (451.3, 556.3) 15 (1, 87) 83 stable stable trend -5.3 (-13.9, 0.5)
St. Louis City 2 Urban 393.1 (379.8, 406.8) 105 (84, 110) 708 falling falling trend -4.9 (-9.3, -0.5)
Clinton County 2 Urban 443.0 (393.4, 497.6) 68 (8, 109) 63 stable stable trend -4.2 (-14.6, 1.2)
Wayne County 2 Rural 453.5 (388.0, 528.5) 50 (3, 112) 41 falling falling trend -3.4 (-10.3, -0.6)
McDonald County 2 Rural 401.6 (354.6, 453.4) 101 (25, 114) 56 stable stable trend -1.3 (-7.8, 2.5)
Sullivan County 2 Rural 329.3 (253.0, 423.7) 115 (26, 115) 14 stable stable trend -1.2 (-2.8, 0.3)
Mercer County 2 Rural 372.4 (273.5, 500.8) 108 (4, 115) 10 stable stable trend -1.1 (-4.4, 2.3)
Scotland County 2 Rural 336.9 (250.7, 445.7) 114 (15, 115) 11 stable stable trend -0.9 (-4.0, 2.0)
St. Francois County 2 Rural 508.8 (477.4, 541.8) 12 (3, 50) 211 stable stable trend -0.9 (-2.2, 0.8)
Atchison County 2 Rural 340.5 (259.4, 442.3) 113 (16, 115) 14 stable stable trend -0.7 (-3.6, 1.8)
Newton County 2 Urban 365.3 (338.0, 394.3) 110 (87, 115) 146 stable stable trend -0.5 (-2.0, 1.1)
Audrain County 2 Rural 449.9 (405.1, 498.7) 56 (7, 107) 80 stable stable trend -0.4 (-1.3, 0.5)
Cole County 2 Urban 433.7 (407.1, 461.7) 78 (30, 102) 217 stable stable trend -0.4 (-5.5, 0.4)
DeKalb County 2 Urban 412.8 (342.1, 494.8) 94 (6, 115) 27 stable stable trend -0.4 (-2.6, 1.7)
Andrew County 2 Urban 425.1 (373.4, 482.6) 85 (9, 114) 54 stable stable trend -0.3 (-1.8, 1.2)
Dade County 2 Rural 406.0 (328.7, 498.1) 99 (5, 115) 24 stable stable trend -0.3 (-2.7, 1.9)
Ray County 2 Urban 418.5 (372.7, 468.7) 90 (18, 113) 68 stable stable trend -0.2 (-2.8, 2.3)
Howard County 2 Urban 455.4 (382.1, 539.6) 47 (2, 114) 31 stable stable trend -0.1 (-2.1, 1.9)
Laclede County 2 Rural 413.8 (377.1, 453.4) 93 (30, 111) 101 stable stable trend -0.1 (-0.9, 0.7)
New Madrid County 2 Rural 426.3 (373.5, 485.1) 84 (11, 114) 52 stable stable trend -0.1 (-1.7, 1.5)
Platte County 2 Urban 393.8 (371.9, 416.6) 104 (73, 111) 254 stable stable trend -0.1 (-0.8, 0.7)
Pulaski County 2 Rural 449.3 (409.4, 492.0) 58 (10, 106) 97 stable stable trend -0.1 (-1.4, 1.2)
Chariton County 2 Rural 440.8 (357.4, 539.3) 71 (2, 115) 24 stable stable trend 0.0 (-1.8, 1.8)
St. Charles County 2 Urban 444.2 (432.4, 456.2) 66 (40, 83) 1,146 stable stable trend 0.0 (-0.4, 0.4)
Harrison County 2 Rural 417.7 (341.2, 507.4) 91 (4, 115) 25 stable stable trend 0.1 (-1.7, 1.9)
Lawrence County 2 Rural 405.9 (370.0, 444.6) 100 (34, 113) 102 stable stable trend 0.1 (-1.1, 1.4)
Stone County 2 Rural 421.9 (383.2, 464.1) 87 (23, 111) 120 stable stable trend 0.1 (-1.2, 1.4)
Christian County 2 Urban 419.3 (394.8, 444.9) 89 (45, 107) 232 stable stable trend 0.2 (-0.5, 0.9)
Jackson County 2 Urban 445.5 (436.5, 454.7) 62 (43, 79) 1,978 stable stable trend 0.2 (-0.8, 0.8)
Lewis County 2 Rural 518.5 (437.7, 610.5) 8 (1, 103) 33 stable stable trend 0.2 (-5.8, 2.1)
Maries County 2 Rural 359.9 (294.2, 437.9) 111 (26, 115) 24 stable stable trend 0.2 (-1.4, 1.8)
Mississippi County 2 Rural 455.4 (390.7, 528.7) 48 (3, 111) 40 stable stable trend 0.2 (-1.1, 1.5)
Texas County 2 Rural 436.3 (388.8, 488.4) 76 (12, 111) 73 stable stable trend 0.2 (-0.9, 1.3)
Boone County 2 Urban 449.9 (430.4, 470.0) 57 (27, 87) 427 stable stable trend 0.3 (-0.3, 0.9)
Butler County 2 Rural 474.0 (437.9, 512.4) 31 (6, 89) 141 stable stable trend 0.3 (-0.5, 1.1)
Camden County 2 Rural 400.6 (368.1, 435.6) 102 (50, 113) 150 stable stable trend 0.3 (-0.7, 1.2)
Dent County 2 Rural 483.7 (422.5, 552.1) 27 (2, 103) 53 stable stable trend 0.3 (-1.3, 1.9)
Pettis County 2 Rural 456.9 (420.8, 495.4) 46 (10, 100) 128 stable stable trend 0.3 (-0.7, 1.3)
Phelps County 2 Rural 486.3 (448.2, 527.0) 24 (4, 80) 133 stable stable trend 0.3 (-0.8, 1.5)
Reynolds County 2 Rural 424.4 (337.0, 530.2) 86 (1, 115) 19 stable stable trend 0.3 (-1.6, 2.2)
Saline County 2 Rural 461.9 (412.2, 516.3) 40 (5, 106) 70 stable stable trend 0.3 (-1.2, 1.8)
Scott County 2 Rural 444.3 (407.6, 483.6) 64 (15, 102) 118 stable stable trend 0.3 (-0.5, 1.0)
St. Louis County 2 Urban 457.0 (449.6, 464.4) 45 (35, 67) 3,237 rising rising trend 0.3 (0.1, 0.5)
Wright County 2 Rural 442.2 (389.1, 500.9) 70 (7, 110) 56 stable stable trend 0.3 (-1.0, 1.6)
Benton County 2 Rural 443.3 (392.4, 500.0) 67 (7, 110) 78 stable stable trend 0.4 (-1.1, 1.9)
Clay County 2 Urban 473.2 (457.5, 489.3) 35 (17, 62) 715 stable stable trend 0.4 (-0.1, 1.0)
Grundy County 2 Rural 496.4 (416.5, 587.6) 19 (1, 109) 35 stable stable trend 0.4 (-1.6, 2.2)
Morgan County 2 Rural 439.2 (389.5, 494.1) 72 (9, 110) 69 stable stable trend 0.4 (-0.9, 1.7)
Nodaway County 2 Rural 399.1 (349.4, 454.5) 103 (20, 115) 53 stable stable trend 0.4 (-1.3, 2.2)
Gasconade County 2 Rural 448.4 (392.3, 511.3) 59 (6, 111) 53 stable stable trend 0.5 (-1.1, 2.2)
Holt County 2 Rural 444.2 (334.5, 581.0) 65 (1, 115) 15 stable stable trend 0.5 (-3.2, 4.3)
Howell County 2 Rural 437.2 (401.2, 475.7) 75 (17, 106) 122 stable stable trend 0.5 (-0.4, 1.4)
Jefferson County 2 Urban 473.9 (457.6, 490.7) 32 (16, 62) 686 stable stable trend 0.5 (0.0, 1.1)
Livingston County 2 Rural 496.8 (437.0, 563.1) 18 (1, 101) 53 stable stable trend 0.5 (-1.5, 2.4)
Polk County 2 Urban 457.9 (415.1, 504.1) 44 (7, 103) 94 stable stable trend 0.5 (-0.8, 1.8)
Taney County 2 Rural 426.4 (396.5, 458.2) 83 (27, 107) 174 stable stable trend 0.5 (0.0, 1.0)
Vernon County 2 Rural 370.7 (325.2, 421.4) 109 (57, 115) 53 stable stable trend 0.5 (-0.6, 1.6)
Webster County 2 Urban 421.2 (383.4, 461.7) 88 (22, 111) 97 stable stable trend 0.5 (-0.4, 1.4)
Adair County 2 Rural 415.0 (365.9, 469.0) 92 (19, 114) 58 stable stable trend 0.6 (-1.0, 2.1)
Bollinger County 2 Urban 451.7 (381.6, 531.8) 53 (3, 113) 34 stable stable trend 0.6 (-1.4, 2.5)
Cape Girardeau County 2 Urban 430.9 (404.8, 458.4) 80 (32, 104) 222 rising rising trend 0.6 (0.1, 1.1)
Cass County 2 Urban 462.8 (440.0, 486.5) 39 (17, 79) 333 rising rising trend 0.6 (0.2, 1.1)
Henry County 2 Rural 469.1 (420.6, 522.3) 36 (4, 101) 80 stable stable trend 0.6 (-0.6, 1.9)
Buchanan County 2 Urban 502.0 (474.3, 530.9) 14 (4, 53) 269 stable stable trend 0.7 (-0.3, 1.7)
Johnson County 2 Rural 462.8 (425.9, 502.0) 38 (9, 95) 124 stable stable trend 0.7 (-0.2, 1.5)
Macon County 2 Rural 479.1 (418.5, 546.7) 29 (2, 105) 53 stable stable trend 0.7 (-0.6, 2.1)
Montgomery County 2 Rural 451.5 (383.4, 529.2) 54 (2, 113) 36 stable stable trend 0.7 (-0.8, 2.1)
Daviess County 2 Rural 412.3 (336.0, 501.6) 95 (5, 115) 24 stable stable trend 0.8 (-0.9, 2.6)
Pike County 2 Rural 518.2 (457.8, 585.0) 9 (1, 84) 60 stable stable trend 0.8 (-0.4, 2.0)
Dunklin County 2 Rural 460.1 (416.4, 507.4) 41 (7, 104) 90 stable stable trend 0.9 (-0.4, 2.1)
Lincoln County 2 Urban 483.9 (450.3, 519.4) 26 (6, 78) 165 stable stable trend 0.9 (0.0, 2.1)
Marion County 2 Rural 503.7 (457.2, 553.9) 13 (2, 81) 96 stable stable trend 0.9 (0.0, 1.8)
Perry County 2 Rural 438.8 (388.4, 494.5) 74 (9, 111) 60 stable stable trend 0.9 (-0.8, 2.7)
Washington County 2 Rural 485.1 (434.5, 540.4) 25 (2, 95) 73 stable stable trend 0.9 (-0.6, 2.4)
Callaway County 2 Urban 459.5 (423.6, 497.8) 42 (11, 98) 131 rising rising trend 1.0 (0.2, 1.9)
Franklin County 2 Urban 488.0 (464.2, 512.9) 23 (6, 62) 349 rising rising trend 1.0 (0.2, 1.7)
Linn County 2 Rural 496.2 (427.4, 573.7) 20 (1, 104) 44 stable stable trend 1.0 (-0.5, 2.5)
Madison County 2 Rural 553.5 (482.6, 632.8) 5 (1, 78) 49 stable stable trend 1.0 (-0.4, 2.6)
Randolph County 2 Rural 480.7 (431.4, 534.5) 28 (3, 99) 75 rising rising trend 1.0 (0.1, 1.9)
St. Clair County 2 Rural 412.1 (342.1, 493.8) 96 (6, 115) 30 stable stable trend 1.0 (-0.4, 2.4)
Ste. Genevieve County 2 Rural 430.8 (378.5, 488.9) 81 (9, 112) 55 stable stable trend 1.0 (-0.4, 2.5)
Knox County 2 Rural 516.4 (388.6, 674.9) 10 (1, 114) 14 stable stable trend 1.1 (-1.0, 3.2)
Lafayette County 2 Urban 459.4 (419.2, 502.7) 43 (8, 101) 105 rising rising trend 1.1 (0.2, 2.1)
Stoddard County 2 Rural 473.5 (430.3, 520.2) 33 (4, 95) 99 rising rising trend 1.1 (0.1, 2.1)
Bates County 2 Urban 444.4 (387.7, 507.6) 63 (5, 112) 50 stable stable trend 1.2 (-0.4, 2.8)
Gentry County 2 Rural 491.7 (396.0, 604.5) 22 (1, 112) 21 stable stable trend 1.2 (-0.5, 3.1)
Monroe County 2 Rural 466.5 (389.6, 555.9) 37 (1, 113) 31 stable stable trend 1.2 (-0.5, 2.9)
Carter County 2 Rural 561.4 (450.6, 692.6) 3 (1, 107) 21 stable stable trend 1.3 (-1.7, 4.3)
Cedar County 2 Rural 442.6 (383.4, 509.2) 69 (6, 112) 48 stable stable trend 1.3 (0.0, 2.7)
Warren County 2 Urban 473.5 (433.3, 516.7) 34 (5, 95) 112 rising rising trend 1.3 (0.2, 2.6)
Barton County 2 Rural 439.2 (373.6, 513.8) 73 (4, 114) 37 stable stable trend 1.4 (-0.9, 3.8)
Jasper County 2 Urban 494.6 (471.7, 518.4) 21 (6, 51) 371 rising rising trend 1.4 (0.7, 2.1)
Pemiscot County 2 Rural 407.4 (352.1, 469.3) 98 (20, 114) 42 stable stable trend 1.4 (-0.3, 3.1)
Caldwell County 2 Urban 446.4 (369.1, 536.1) 61 (2, 114) 27 stable stable trend 1.5 (-0.1, 3.2)
Cooper County 2 Urban 509.2 (448.7, 576.2) 11 (1, 89) 58 rising rising trend 1.5 (0.4, 2.6)
Iron County 2 Rural 555.2 (475.6, 645.6) 4 (1, 78) 40 stable stable trend 1.5 (-0.3, 3.3)
Miller County 2 Rural 435.7 (389.9, 485.6) 77 (11, 111) 74 stable stable trend 1.5 (0.0, 3.0)
Ozark County 2 Rural 454.6 (375.3, 547.6) 49 (2, 113) 32 stable stable trend 1.5 (-0.6, 3.6)
Shelby County 2 Rural 499.9 (400.7, 617.5) 16 (1, 113) 21 stable stable trend 1.6 (-0.4, 3.7)
Carroll County 2 Rural 448.3 (375.2, 533.2) 60 (3, 114) 30 stable stable trend 1.7 (-0.4, 3.9)
Moniteau County 2 Urban 477.8 (413.4, 549.7) 30 (2, 105) 43 rising rising trend 1.7 (0.2, 3.2)
Ripley County 2 Rural 567.7 (490.2, 654.9) 2 (1, 67) 43 rising rising trend 1.7 (0.3, 3.1)
Osage County 2 Urban 453.3 (387.4, 527.7) 51 (3, 112) 37 rising rising trend 1.9 (0.8, 3.1)
Oregon County 2 Rural 530.0 (445.4, 627.0) 6 (1, 104) 34 rising rising trend 2.1 (0.4, 3.9)
Schuyler County 2 Rural 389.6 (288.3, 517.6) 106 (2, 115) 11 rising rising trend 2.2 (0.1, 4.5)
Dallas County 2 Urban 451.4 (393.7, 515.6) 55 (5, 112) 52 rising rising trend 2.4 (1.2, 3.7)
Shannon County 2 Rural 518.8 (428.7, 624.1) 7 (1, 107) 28 rising rising trend 2.8 (0.8, 5.0)
Clark County 2 Rural 497.4 (403.0, 608.9) 17 (1, 112) 23 rising rising trend 3.0 (0.5, 5.7)
Hickory County 2 Rural 451.7 (373.4, 544.0) 52 (2, 113) 35 rising rising trend 3.0 (0.9, 5.2)
Putnam County 2 Rural 431.6 (327.9, 559.8) 79 (1, 115) 14 stable stable trend 3.2 (-0.4, 7.0)
Worth County 2 Rural 583.4 (380.8, 855.1) 1 (1, 115) 8 stable stable trend 4.2 (-1.2, 10.3)
Greene County 2 Urban 428.4 (414.7, 442.4) 82 (53, 97) 805 rising rising trend 5.6 (2.2, 7.7)
Douglas County 2 Rural 407.9 (344.9, 480.2) 97 (8, 115) 37 rising rising trend 7.2 (2.4, 21.5)

Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 9:14 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.

2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).

Data for United States does not include Puerto Rico.

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