Interpretation of Incidence Rates Data
Incidence Rate Report for Iowa by County
Breast (in situ) (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by Name
Explanation of Column HeadersIncidence 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 30.0 with a 95% confidence interval from 28.9 to 31.2 and 566 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.3 to 1.1.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 29.8 with a 95% confidence interval from 29.7 to 29.9 and 60,125 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from -0.3 to 3.5.
Allamakee County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 47.2 with a 95% confidence interval from 31.5 to 70.1 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 29)
- Recent Trend :
Benton County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 30.3 with a 95% confidence interval from 18.5 to 46.8 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (2, 37)
- Recent Trend :
Black Hawk County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 33.0 with a 95% confidence interval from 27.2 to 39.7 and 25 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (5, 30)
- Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -0.8 to 3.2.
Boone County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 24.3 with a 95% confidence interval from 14.8 to 38.1 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (6, 37)
- Recent Trend :
Bremer County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 38.1 with a 95% confidence interval from 25.1 to 55.7 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 35)
- Recent Trend :
Carroll County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 31.8 with a 95% confidence interval from 19.0 to 50.4 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (1, 37)
- Recent Trend : The trend is because the trend is 1.8 with a 95% confidence interval from -1.6 to 5.8.
Cedar County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 32.3 with a 95% confidence interval from 18.9 to 51.9 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (1, 37)
- Recent Trend :
Cerro Gordo County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 22.8 with a 95% confidence interval from 15.2 to 33.0 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (12, 37)
- Recent Trend : The trend is because the trend is -4.7 with a 95% confidence interval from -12.2 to -1.3.
Clayton County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 31.0 with a 95% confidence interval from 16.9 to 52.5 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (1, 37)
- Recent Trend :
Clinton County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 38.8 with a 95% confidence interval from 28.8 to 51.1 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 30)
- Recent Trend : The trend is because the trend is 4.7 with a 95% confidence interval from 3.0 to 7.3.
Dallas County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 26.0 with a 95% confidence interval from 20.1 to 33.0 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (13, 37)
- Recent Trend :
Delaware County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 37.6 with a 95% confidence interval from 22.2 to 59.9 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 37)
- Recent Trend :
Des Moines County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 24.7 with a 95% confidence interval from 16.5 to 35.7 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (9, 37)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.9 to 2.9.
Dubuque County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 35.2 with a 95% confidence interval from 28.4 to 43.1 and 22 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (3, 29)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.7 to 1.7.
Fayette County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 31.8 with a 95% confidence interval from 20.4 to 48.5 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (2, 37)
- Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -1.3 to 4.9.
Grundy County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 50.3 with a 95% confidence interval from 31.6 to 77.5 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 31)
- Recent Trend :
Jasper County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 25.5 with a 95% confidence interval from 16.4 to 37.8 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (7, 37)
- Recent Trend : The trend is because the trend is 2.2 with a 95% confidence interval from 0.2 to 4.6.
Jefferson County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 29.1 with a 95% confidence interval from 15.1 to 51.6 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (1, 37)
- Recent Trend :
Johnson County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 43.0 with a 95% confidence interval from 36.1 to 50.7 and 30 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 18)
- Recent Trend : The trend is because the trend is 1.8 with a 95% confidence interval from 0.3 to 3.8.
Jones County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 43.0 with a 95% confidence interval from 28.0 to 63.7 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 33)
- Recent Trend :
Lee County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 36.7 with a 95% confidence interval from 25.5 to 51.4 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 34)
- Recent Trend :
Linn County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 40.4 with a 95% confidence interval from 35.6 to 45.7 and 55 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (2, 18)
- Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from 0.5 to 3.1.
Madison County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 39.4 with a 95% confidence interval from 22.9 to 63.3 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 37)
- Recent Trend :
Marion County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 29.7 with a 95% confidence interval from 20.1 to 42.7 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (3, 37)
- Recent Trend : The trend is because the trend is 2.1 with a 95% confidence interval from 0.0 to 5.2.
Marshall County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 25.7 with a 95% confidence interval from 16.9 to 37.5 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (7, 37)
- Recent Trend : The trend is because the trend is 2.6 with a 95% confidence interval from 0.0 to 5.9.
Muscatine County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 23.4 with a 95% confidence interval from 15.5 to 34.0 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (11, 37)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.3 to 2.1.
O'Brien County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 42.1 with a 95% confidence interval from 24.3 to 68.5 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 37)
- Recent Trend :
Plymouth County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 32.7 with a 95% confidence interval from 20.3 to 49.8 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (1, 37)
- Recent Trend :
Polk County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 31.3 with a 95% confidence interval from 28.3 to 34.5 and 84 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (12, 28)
- Recent Trend : The trend is because the trend is 2.4 with a 95% confidence interval from -1.0 to 10.2.
Pottawattamie County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 21.6 with a 95% confidence interval from 16.6 to 27.7 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (22, 37)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.8 to 3.1.
Scott County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 35.6 with a 95% confidence interval from 30.5 to 41.3 and 37 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (4, 26)
- Recent Trend : The trend is because the trend is 3.1 with a 95% confidence interval from 2.1 to 4.5.
Sioux County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 38.9 with a 95% confidence interval from 26.7 to 54.6 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 33)
- Recent Trend : The trend is because the trend is 3.3 with a 95% confidence interval from 1.5 to 5.8.
Story County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 31.8 with a 95% confidence interval from 24.1 to 41.1 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (4, 34)
- Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from -0.3 to 4.1.
Warren County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 34.1 with a 95% confidence interval from 25.2 to 45.2 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (2, 34)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.8 to 2.2.
Washington County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 23.5 with a 95% confidence interval from 13.7 to 38.3 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (6, 37)
- Recent Trend :
Webster County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 24.4 with a 95% confidence interval from 15.1 to 37.3 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (7, 37)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.3 to 3.4.
Woodbury County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 19.4 with a 95% confidence interval from 14.5 to 25.5 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (24, 37)
- Recent Trend : The trend is because the trend is -3.8 with a 95% confidence interval from -11.0 to -0.5.
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 5:19 pm.
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.
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.
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 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.


