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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), Both Sexes, Ages <65

Sorted by Name

County
 sort alphabetically by name descending
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
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Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Iowa 7 N/A 245.1 (242.5, 247.6) N/A 7,806 rising rising trend 0.5 (0.4, 0.6)
US (SEER+NPCR) 1 N/A 223.5 (223.3, 223.8) N/A 753,674 falling falling trend -0.2 (-0.3, -0.1)
Adair County 7 Rural 201.0 (157.0, 254.5) 96 (10, 99) 17 stable stable trend 0.5 (-0.6, 1.6)
Adams County 7 Rural 311.4 (228.7, 415.7) 2 (1, 97) 12 rising rising trend 2.5 (0.8, 4.4)
Allamakee County 7 Rural 225.7 (189.4, 267.3) 80 (7, 99) 33 stable stable trend 0.8 (-0.5, 2.1)
Appanoose County 7 Rural 254.6 (214.9, 300.0) 32 (1, 96) 35 stable stable trend 0.6 (-0.2, 1.6)
Audubon County 7 Rural 209.5 (158.2, 273.7) 94 (3, 99) 14 stable stable trend -0.5 (-1.6, 0.6)
Benton County 7 Urban 275.1 (246.2, 306.7) 10 (1, 73) 77 rising rising trend 0.9 (0.3, 1.6)
Black Hawk County 7 Urban 246.9 (234.0, 260.3) 48 (17, 78) 303 stable stable trend 0.3 (0.0, 0.5)
Boone County 7 Urban 248.0 (221.8, 276.7) 45 (6, 91) 74 stable stable trend 0.5 (-0.1, 1.1)
Bremer County 7 Urban 240.0 (211.5, 271.4) 62 (7, 95) 55 stable stable trend 0.6 (-0.1, 1.3)
Buchanan County 7 Rural 239.7 (209.9, 272.8) 63 (7, 96) 52 stable stable trend 0.1 (-0.7, 1.0)
Buena Vista County 7 Rural 192.3 (164.8, 223.2) 97 (53, 99) 39 falling falling trend -1.0 (-1.5, -0.4)
Butler County 7 Rural 275.1 (236.5, 318.6) 11 (1, 90) 42 rising rising trend 2.2 (1.1, 6.5)
Calhoun County 7 Rural 262.7 (216.1, 316.8) 21 (1, 96) 26 rising rising trend 1.6 (0.6, 2.8)
Carroll County 7 Rural 238.7 (208.3, 272.5) 65 (7, 97) 52 stable stable trend 0.8 (0.0, 1.7)
Cass County 7 Rural 308.0 (263.3, 358.5) 3 (1, 68) 40 rising rising trend 1.7 (0.9, 2.6)
Cedar County 7 Rural 258.8 (225.7, 295.7) 24 (2, 91) 51 stable stable trend 0.9 (0.0, 1.8)
Cerro Gordo County 7 Rural 240.2 (218.7, 263.3) 61 (13, 92) 110 stable stable trend -3.9 (-8.9, 0.5)
Cherokee County 7 Rural 273.4 (229.8, 323.3) 13 (1, 92) 34 stable stable trend 0.6 (-0.5, 1.9)
Chickasaw County 7 Rural 285.5 (241.6, 335.4) 4 (1, 84) 36 stable stable trend 1.0 (-0.1, 2.1)
Clarke County 7 Rural 223.6 (181.3, 273.1) 85 (4, 99) 22 stable stable trend 0.2 (-1.0, 1.6)
Clay County 7 Rural 230.0 (197.2, 267.0) 75 (9, 98) 41 stable stable trend 0.5 (0.0, 1.2)
Clayton County 7 Rural 240.6 (206.6, 278.8) 59 (5, 97) 44 stable stable trend 0.1 (-0.6, 0.8)
Clinton County 7 Rural 270.3 (248.9, 293.2) 16 (3, 68) 136 rising rising trend 0.9 (0.5, 1.3)
Crawford County 7 Rural 223.9 (191.6, 260.4) 83 (10, 99) 38 stable stable trend 0.7 (-0.1, 1.6)
Dallas County 7 Urban 218.8 (205.4, 232.9) 88 (55, 95) 201 stable stable trend -0.3 (-0.8, 0.4)
Davis County 7 Rural 257.7 (208.5, 315.1) 25 (1, 97) 21 rising rising trend 1.3 (0.1, 2.6)
Decatur County 7 Rural 271.4 (216.7, 336.1) 15 (1, 97) 20 stable stable trend 0.7 (-0.2, 1.7)
Delaware County 7 Rural 233.2 (200.8, 269.5) 72 (7, 98) 45 rising rising trend 1.0 (0.3, 1.8)
Des Moines County 7 Rural 261.4 (238.6, 285.8) 23 (3, 77) 110 rising rising trend 1.0 (0.5, 1.5)
Dickinson County 7 Rural 261.9 (227.2, 300.8) 22 (1, 90) 50 rising rising trend 1.2 (0.6, 1.9)
Dubuque County 7 Urban 247.4 (232.7, 262.8) 47 (14, 80) 237 stable stable trend 0.2 (-0.1, 0.6)
Emmet County 7 Rural 223.7 (181.5, 273.5) 84 (5, 99) 23 stable stable trend 0.4 (-0.9, 1.9)
Fayette County 7 Rural 242.2 (210.8, 277.3) 55 (5, 96) 51 rising rising trend 0.9 (0.2, 3.7)
Floyd County 7 Rural 266.4 (229.0, 308.5) 19 (1, 91) 42 rising rising trend 0.9 (0.2, 1.7)
Franklin County 7 Rural 230.9 (188.9, 280.0) 73 (3, 99) 25 stable stable trend 0.9 (0.0, 1.9)
Fremont County 7 Rural 270.3 (214.3, 337.3) 17 (1, 98) 19 stable stable trend 0.4 (-0.5, 1.5)
Greene County 7 Rural 279.8 (229.8, 338.0) 8 (1, 94) 26 rising rising trend 1.7 (0.2, 3.4)
Grundy County 7 Urban 244.3 (205.7, 288.5) 52 (3, 97) 32 stable stable trend 0.2 (-1.0, 1.5)
Guthrie County 7 Urban 250.7 (208.8, 299.2) 41 (1, 97) 30 stable stable trend 0.2 (-0.7, 1.0)
Hamilton County 7 Rural 233.8 (198.3, 274.1) 71 (4, 98) 35 stable stable trend 0.6 (-0.2, 1.4)
Hancock County 7 Rural 237.8 (195.7, 286.7) 66 (3, 98) 26 stable stable trend 0.7 (-0.3, 1.8)
Hardin County 7 Rural 243.0 (208.8, 281.6) 54 (3, 96) 43 stable stable trend 0.8 (-0.1, 1.8)
Harrison County 7 Urban 252.3 (215.9, 293.4) 36 (1, 95) 40 stable stable trend 0.9 (-0.1, 2.0)
Henry County 7 Rural 227.2 (198.1, 259.6) 78 (12, 98) 49 stable stable trend 0.5 (-0.4, 1.5)
Howard County 7 Rural 257.2 (210.0, 312.2) 27 (1, 97) 24 stable stable trend 0.6 (-0.3, 1.6)
Humboldt County 7 Rural 272.4 (226.3, 325.9) 14 (1, 95) 29 rising rising trend 0.9 (0.1, 1.8)
Ida County 7 Rural 212.4 (163.7, 271.8) 91 (4, 99) 15 stable stable trend 0.8 (-0.6, 2.3)
Iowa County 7 Rural 273.4 (238.6, 312.3) 12 (1, 86) 52 stable stable trend 0.0 (-1.0, 1.2)
Jackson County 7 Rural 283.1 (249.1, 320.6) 6 (1, 74) 60 stable stable trend 1.0 (-0.1, 2.1)
Jasper County 7 Urban 255.6 (232.9, 279.9) 30 (5, 82) 104 rising rising trend 0.9 (0.3, 3.1)
Jefferson County 7 Rural 247.6 (211.4, 288.6) 46 (3, 96) 39 rising rising trend 1.7 (0.4, 7.0)
Johnson County 7 Urban 249.0 (236.5, 262.0) 43 (16, 75) 312 rising rising trend 0.5 (0.2, 0.9)
Jones County 7 Urban 225.8 (197.6, 257.2) 79 (12, 98) 52 stable stable trend 0.0 (-0.6, 0.7)
Keokuk County 7 Rural 284.9 (236.8, 340.4) 5 (1, 91) 29 rising rising trend 1.4 (0.4, 2.6)
Kossuth County 7 Rural 218.5 (184.3, 257.6) 89 (12, 99) 36 stable stable trend 0.2 (-0.8, 1.3)
Lee County 7 Rural 251.0 (226.6, 277.5) 39 (6, 90) 90 rising rising trend 0.9 (0.5, 1.5)
Linn County 7 Urban 265.4 (255.7, 275.3) 20 (9, 48) 611 rising rising trend 0.5 (0.3, 0.8)
Louisa County 7 Rural 244.8 (204.3, 291.6) 51 (2, 98) 30 stable stable trend 0.4 (-0.7, 1.7)
Lucas County 7 Rural 237.6 (191.9, 291.6) 67 (2, 99) 22 stable stable trend 0.1 (-1.0, 1.3)
Lyon County 7 Rural 250.3 (208.5, 298.1) 42 (2, 97) 28 rising rising trend 1.2 (0.1, 2.4)
Madison County 7 Urban 255.0 (221.5, 292.4) 31 (2, 94) 45 rising rising trend 0.8 (0.1, 1.6)
Mahaska County 7 Rural 243.5 (213.8, 276.3) 53 (5, 95) 55 stable stable trend 0.2 (-0.6, 1.1)
Marion County 7 Rural 251.4 (226.7, 278.3) 38 (6, 88) 84 rising rising trend 0.8 (0.3, 1.3)
Marshall County 7 Rural 230.1 (208.8, 253.0) 74 (21, 95) 96 stable stable trend 0.3 (-0.3, 0.9)
Mills County 7 Urban 250.7 (214.6, 291.5) 40 (2, 95) 39 stable stable trend 0.4 (-0.4, 1.4)
Mitchell County 7 Rural 281.7 (234.7, 335.6) 7 (1, 90) 30 rising rising trend 1.2 (0.4, 2.1)
Monona County 7 Rural 252.3 (204.1, 309.0) 37 (1, 97) 23 rising rising trend 1.0 (0.1, 2.0)
Monroe County 7 Rural 221.0 (174.1, 277.4) 87 (4, 99) 17 stable stable trend -0.1 (-2.7, 0.9)
Montgomery County 7 Rural 240.6 (197.5, 290.7) 58 (2, 98) 26 rising rising trend 1.0 (0.1, 1.9)
Muscatine County 7 Rural 257.5 (235.8, 280.8) 26 (6, 81) 114 rising rising trend 0.6 (0.1, 1.1)
O'Brien County 7 Rural 254.1 (214.2, 299.3) 34 (2, 96) 33 stable stable trend 0.3 (-0.6, 1.4)
Osceola County 7 Rural 256.9 (201.7, 323.7) 28 (1, 98) 18 rising rising trend 1.3 (0.1, 2.6)
Page County 7 Rural 240.2 (205.9, 279.2) 60 (4, 97) 40 stable stable trend 0.8 (-0.1, 1.8)
Palo Alto County 7 Rural 313.7 (260.7, 374.7) 1 (1, 76) 29 rising rising trend 1.3 (0.3, 2.5)
Plymouth County 7 Rural 255.9 (227.2, 287.2) 29 (3, 90) 65 stable stable trend 0.5 (-0.1, 1.2)
Pocahontas County 7 Rural 267.1 (212.1, 332.8) 18 (1, 98) 21 stable stable trend 0.4 (-0.9, 1.8)
Polk County 7 Urban 237.2 (231.0, 243.6) 69 (42, 79) 1,139 stable stable trend 0.0 (-0.1, 0.3)
Pottawattamie County 7 Urban 239.4 (225.2, 254.4) 64 (22, 86) 238 stable stable trend 0.4 (0.0, 0.7)
Poweshiek County 7 Rural 246.8 (213.7, 283.8) 49 (3, 96) 46 stable stable trend 0.7 (0.0, 1.4)
Ringgold County 7 Rural 225.7 (169.0, 297.5) 81 (1, 99) 13 stable stable trend 1.2 (-0.4, 3.1)
Sac County 7 Rural 228.0 (184.7, 279.0) 77 (4, 99) 24 stable stable trend 0.6 (-0.5, 1.8)
Scott County 7 Urban 254.4 (243.6, 265.6) 33 (14, 66) 451 stable stable trend 0.1 (-1.7, 0.5)
Shelby County 7 Rural 210.5 (172.3, 255.1) 93 (10, 99) 27 stable stable trend 0.9 (-0.2, 2.2)
Sioux County 7 Rural 237.3 (213.0, 263.7) 68 (11, 95) 76 stable stable trend 0.6 (-0.1, 1.4)
Story County 7 Urban 215.8 (200.3, 232.2) 90 (52, 97) 158 stable stable trend 0.2 (-0.2, 0.6)
Tama County 7 Rural 278.2 (241.5, 319.1) 9 (1, 82) 48 rising rising trend 0.9 (0.2, 1.7)
Taylor County 7 Rural 172.0 (125.9, 230.5) 99 (24, 99) 11 stable stable trend -21.1 (-37.4, 0.1)
Union County 7 Rural 225.6 (187.6, 269.3) 82 (6, 99) 28 stable stable trend 0.5 (-0.4, 1.5)
Van Buren County 7 Rural 202.0 (156.4, 257.6) 95 (10, 99) 16 stable stable trend -0.2 (-1.5, 1.2)
Wapello County 7 Rural 246.0 (222.7, 271.1) 50 (9, 91) 91 stable stable trend 0.2 (-0.4, 0.9)
Warren County 7 Urban 236.3 (217.7, 256.2) 70 (20, 92) 127 stable stable trend 0.3 (0.0, 0.8)
Washington County 7 Urban 253.3 (223.1, 286.5) 35 (3, 90) 58 rising rising trend 1.0 (0.2, 1.9)
Wayne County 7 Rural 177.7 (131.2, 236.0) 98 (21, 99) 12 stable stable trend -0.5 (-2.0, 1.0)
Webster County 7 Rural 240.8 (217.6, 265.8) 57 (11, 92) 92 stable stable trend 0.2 (-0.3, 0.7)
Winnebago County 7 Rural 221.9 (180.2, 270.7) 86 (5, 99) 23 stable stable trend 0.6 (-0.5, 1.9)
Winneshiek County 7 Rural 242.0 (210.2, 277.5) 56 (5, 95) 52 stable stable trend 0.3 (-0.5, 1.1)
Woodbury County 7 Urban 248.2 (234.2, 262.8) 44 (16, 76) 252 rising rising trend 0.8 (0.3, 1.3)
Worth County 7 Rural 229.0 (182.2, 285.1) 76 (2, 99) 19 stable stable trend 0.3 (-1.2, 2.0)
Wright County 7 Rural 211.0 (175.0, 252.5) 92 (16, 99) 28 stable stable trend -0.3 (-1.4, 0.8)

Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 2:40 pm.

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 for United States does not include Puerto Rico.

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