State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Iowa by County

Colon & Rectum (All Stages^), 2018-2022

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

Sorted by Recentaapc

Explanation of Column Headers
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 40.3 with a 95% confidence interval from 39.4 to 41.2 and 1,572 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.8 to 0.7.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 36.7 with a 95% confidence interval from 36.6 to 36.7 and 145,073 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.0 to -0.8.

Fayette County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 39.6 with a 95% confidence interval from 29.8 to 51.9 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (9, 96)
• Recent Trend : The trend is because the trend is -12.2 with a 95% confidence interval from -20.4 to -1.6.

Audubon County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 43.0 with a 95% confidence interval from 24.4 to 71.6 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (1, 97)
• Recent Trend : The trend is because the trend is -5.6 with a 95% confidence interval from -20.3 to -2.7.

Page County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 42.5 with a 95% confidence interval from 30.9 to 57.7 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (5, 97)
• Recent Trend : The trend is because the trend is -4.3 with a 95% confidence interval from -9.6 to -2.3.

Winneshiek County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 35.7 with a 95% confidence interval from 25.4 to 48.9 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (11, 97)
• Recent Trend : The trend is because the trend is -3.4 with a 95% confidence interval from -9.2 to -2.2.

Poweshiek County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 43.9 with a 95% confidence interval from 33.2 to 57.5 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (5, 95)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -4.7 to -1.8.

Washington County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 36.8 with a 95% confidence interval from 27.1 to 48.9 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (13, 97)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -4.6 to -1.5.

Plymouth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 46.8 with a 95% confidence interval from 36.9 to 58.7 and 16 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (4, 92)
• Recent Trend : The trend is because the trend is -2.8 with a 95% confidence interval from -3.9 to -1.9.

Webster County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 44.1 with a 95% confidence interval from 35.9 to 53.8 and 22 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (8, 89)
• Recent Trend : The trend is because the trend is -2.8 with a 95% confidence interval from -3.8 to -1.9.

Carroll County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 40.1 with a 95% confidence interval from 30.0 to 52.7 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (7, 96)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -4.0 to -1.5.

Pottawattamie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 39.7 with a 95% confidence interval from 34.6 to 45.4 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (23, 90)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -6.3 to -1.9.

Jones County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 39.5 with a 95% confidence interval from 29.6 to 52.0 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (10, 97)
• Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -4.1 to -1.1.

Cedar County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 35.7 with a 95% confidence interval from 25.4 to 49.1 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (13, 97)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -4.4 to -1.4.

Jefferson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 39.9 with a 95% confidence interval from 28.9 to 54.3 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (6, 97)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -3.9 to -1.2.

Sioux County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 44.7 with a 95% confidence interval from 35.8 to 55.3 and 19 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (6, 92)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -4.0 to -1.2.

Benton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 44.1 with a 95% confidence interval from 34.0 to 56.3 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (5, 94)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -3.9 to -1.2.

Howard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 39.5 with a 95% confidence interval from 24.2 to 61.1 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (3, 97)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -4.1 to -1.0.

Bremer County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 43.5 with a 95% confidence interval from 33.2 to 56.1 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (5, 95)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -3.8 to -1.0.

Buena Vista County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 52.5 with a 95% confidence interval from 39.7 to 68.2 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (2, 87)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -4.2 to -0.7.

Ida County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 36.9 with a 95% confidence interval from 22.5 to 58.6 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (5, 97)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -4.4 to -0.5.

Scott County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 36.6 with a 95% confidence interval from 32.9 to 40.6 and 75 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (45, 91)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -3.2 to -1.5.

Appanoose County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 47.0 with a 95% confidence interval from 34.1 to 64.0 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (2, 95)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -3.5 to -1.1.

Des Moines County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 43.5 with a 95% confidence interval from 35.4 to 52.9 and 22 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (8, 91)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -3.1 to -1.3.

Kossuth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 29.4 with a 95% confidence interval from 19.7 to 42.7 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 96 (26, 97)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -3.7 to -0.9.

Black Hawk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 34.5 with a 95% confidence interval from 30.3 to 39.2 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (48, 95)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.0 to -1.3.

Clayton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 37.0 with a 95% confidence interval from 27.4 to 49.5 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (11, 97)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.8 to -0.5.

Delaware County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 36.4 with a 95% confidence interval from 26.0 to 50.0 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (11, 97)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.9 to -0.4.

Clay County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 39.4 with a 95% confidence interval from 28.9 to 53.0 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (7, 97)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.3 to -0.9.

Dubuque County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 41.5 with a 95% confidence interval from 36.2 to 47.3 and 50 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (19, 86)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.2 to -0.9.

Louisa County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 40.1 with a 95% confidence interval from 27.2 to 57.7 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (5, 97)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.6 to -0.4.

Montgomery County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 37.6 with a 95% confidence interval from 24.4 to 56.2 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (5, 97)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -4.1 to -0.2.

Shelby County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 35.1 with a 95% confidence interval from 24.3 to 50.1 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (10, 97)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.8 to -0.3.

Wright County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 44.7 with a 95% confidence interval from 32.1 to 61.2 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (3, 96)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.4 to -0.8.

Franklin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 44.6 with a 95% confidence interval from 30.0 to 64.6 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (2, 97)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -4.0 to 0.1.

Humboldt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 53.5 with a 95% confidence interval from 37.0 to 75.5 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 93)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -4.3 to 0.2.

Palo Alto County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 26.7 with a 95% confidence interval from 16.1 to 43.0 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 97 (29, 97)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.8 to -0.2.

Wapello County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 39.6 with a 95% confidence interval from 31.4 to 49.3 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (14, 96)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -2.9 to -0.9.

Boone County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 39.0 with a 95% confidence interval from 29.9 to 50.2 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (10, 97)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.3 to -0.4.

Hamilton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 31.3 with a 95% confidence interval from 21.3 to 44.9 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (18, 97)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.4 to -0.5.

Johnson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 35.0 with a 95% confidence interval from 30.7 to 39.8 and 49 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (46, 95)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.0.

Pocahontas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 36.4 with a 95% confidence interval from 21.9 to 58.6 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (4, 97)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.7 to -0.1.

Story County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 35.4 with a 95% confidence interval from 29.9 to 41.7 and 31 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (36, 96)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.8 to -0.8.

Calhoun County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 42.7 with a 95% confidence interval from 28.3 to 62.6 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (3, 97)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.4 to -0.3.

Clinton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 48.5 with a 95% confidence interval from 40.7 to 57.4 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (5, 76)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.5 to -1.0.

Guthrie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 49.4 with a 95% confidence interval from 34.1 to 69.9 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (1, 96)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.4 to -0.1.

Hardin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 36.1 with a 95% confidence interval from 25.5 to 49.9 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (12, 97)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.2 to -0.4.

Jackson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 44.2 with a 95% confidence interval from 33.5 to 57.5 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (5, 95)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.8 to -0.7.

Marshall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 42.4 with a 95% confidence interval from 34.5 to 51.6 and 22 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (10, 92)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.7.

Mills County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 49.2 with a 95% confidence interval from 35.9 to 66.4 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (2, 93)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.4 to -0.1.

Polk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 37.1 with a 95% confidence interval from 34.7 to 39.6 and 188 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (49, 87)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.2 to -1.3.

Allamakee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 47.1 with a 95% confidence interval from 33.6 to 64.4 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (2, 95)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -3.6 to 0.2.

Dickinson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 35.2 with a 95% confidence interval from 25.0 to 48.6 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (11, 97)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -3.0 to -0.3.

Floyd County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 40.2 with a 95% confidence interval from 29.1 to 54.6 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (7, 97)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -3.2 to 0.0.

Harrison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 45.1 with a 95% confidence interval from 32.2 to 61.7 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (3, 96)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -3.3 to -0.1.

Cerro Gordo County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 33.6 with a 95% confidence interval from 27.1 to 41.2 and 22 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (36, 97)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.3.

Muscatine County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 45.3 with a 95% confidence interval from 37.3 to 54.5 and 24 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (7, 87)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.2.

Warren County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 34.7 with a 95% confidence interval from 28.3 to 42.1 and 21 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (35, 97)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.2.

Jasper County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 45.0 with a 95% confidence interval from 36.8 to 54.6 and 23 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (7, 87)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.6.

Keokuk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 42.9 with a 95% confidence interval from 28.2 to 63.0 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (2, 97)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -3.6 to 0.6.

Lee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 43.2 with a 95% confidence interval from 34.8 to 53.1 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (7, 92)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.7.

Lyon County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 40.8 with a 95% confidence interval from 27.2 to 58.9 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (3, 97)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -3.0 to 0.0.

Monona County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 51.2 with a 95% confidence interval from 34.6 to 73.8 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (1, 95)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -3.2 to 0.1.

O'Brien County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 46.4 with a 95% confidence interval from 32.7 to 64.0 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (2, 96)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -3.3 to 0.2.

Cherokee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 48.5 with a 95% confidence interval from 35.2 to 66.2 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (2, 95)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.1 to 0.4.

Fremont County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 54.1 with a 95% confidence interval from 34.3 to 82.4 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (1, 97)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.4 to 0.6.

Mitchell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 58.7 with a 95% confidence interval from 41.6 to 80.9 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 89)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.5 to 0.7.

Winnebago County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 41.9 with a 95% confidence interval from 27.4 to 61.6 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (3, 97)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.2 to 0.5.

Butler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 49.7 with a 95% confidence interval from 36.0 to 67.2 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (2, 93)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.2.

Grundy County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 34.2 with a 95% confidence interval from 23.3 to 49.3 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (10, 97)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.2.

Tama County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 48.1 with a 95% confidence interval from 35.9 to 63.5 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (3, 93)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.0.

Buchanan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 39.9 with a 95% confidence interval from 29.1 to 53.6 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (7, 97)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -3.1 to 0.8.

Crawford County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 49.1 with a 95% confidence interval from 36.3 to 65.1 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (3, 93)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.7 to 0.4.

Lucas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 40.4 with a 95% confidence interval from 25.0 to 62.5 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (3, 97)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -3.2 to 0.7.

Union County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 41.5 with a 95% confidence interval from 28.2 to 59.4 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (4, 97)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.1.

Davis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 48.3 with a 95% confidence interval from 30.8 to 72.3 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (1, 97)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -3.0 to 0.8.

Decatur County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 60.3 with a 95% confidence interval from 38.9 to 89.5 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 95)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -3.1 to 1.0.

Iowa County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 45.5 with a 95% confidence interval from 33.0 to 61.5 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (2, 95)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.8 to 0.7.

Mahaska County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 47.1 with a 95% confidence interval from 35.5 to 61.4 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (3, 94)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.2.

Woodbury County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 48.6 with a 95% confidence interval from 43.0 to 54.7 and 58 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (8, 62)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.1.

Chickasaw County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 46.5 with a 95% confidence interval from 32.2 to 65.6 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (2, 97)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.9 to 1.0.

Dallas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 31.6 with a 95% confidence interval from 26.7 to 37.1 and 31 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (53, 97)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -4.4 to 7.5.

Henry County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 42.6 with a 95% confidence interval from 32.0 to 55.7 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (5, 96)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.2.

Madison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 48.3 with a 95% confidence interval from 35.4 to 64.7 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (3, 94)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.7.

Sac County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 69.0 with a 95% confidence interval from 48.9 to 95.0 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 62)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.8 to 1.2.

Hancock County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 46.8 with a 95% confidence interval from 31.8 to 66.9 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (1, 97)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.2 to 1.0.

Emmet County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 57.0 with a 95% confidence interval from 40.7 to 78.6 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 91)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.5 to 0.9.

Linn County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 34.3 with a 95% confidence interval from 31.1 to 37.6 and 92 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (56, 94)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -2.4 to 4.8.

Marion County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 48.3 with a 95% confidence interval from 39.1 to 59.2 and 21 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (4, 81)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.7.

Osceola County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 57.0 with a 95% confidence interval from 35.1 to 88.2 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 97)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -2.5 to 2.2.

Cass County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 61.3 with a 95% confidence interval from 45.3 to 81.5 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 71)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.3 to 1.6.

Greene County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 70.9 with a 95% confidence interval from 50.3 to 97.6 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 60)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.2 to 2.1.

Monroe County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 69.5 with a 95% confidence interval from 48.7 to 97.4 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 72)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -1.2 to 3.7.

Adair County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 32.6 with a 95% confidence interval from 18.5 to 54.3 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (5, 97)
• Recent Trend :

Adams County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 74.2 with a 95% confidence interval from 40.7 to 124.9 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 96)
• Recent Trend :

Clarke County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 37.6 with a 95% confidence interval from 23.8 to 57.0 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (4, 97)
• Recent Trend :

Ringgold County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 45.2 with a 95% confidence interval from 25.7 to 76.4 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (1, 97)
• Recent Trend :

Van Buren County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 40.9 with a 95% confidence interval from 26.0 to 62.9 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (3, 97)
• Recent Trend :

Worth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 41.3 with a 95% confidence interval from 26.3 to 63.3 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (3, 97)
• Recent Trend :

Taylor County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Wayne County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 8:20 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 (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.

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.

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.

Source: SEER and NPCR data. For more specific information please see the table.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.

Data for United States does not include Puerto Rico.