Interpretation of Incidence Rates Data
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
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 245.1 with a 95% confidence interval from 242.5 to 247.6 and 7,806 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from 0.4 to 0.6.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 223.5 with a 95% confidence interval from 223.3 to 223.8 and 753,674 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.3 to -0.1.
Adair County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 201.0 with a 95% confidence interval from 157.0 to 254.5 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 96 (10, 99)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.6 to 1.6.
Adams County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 311.4 with a 95% confidence interval from 228.7 to 415.7 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 97)
- Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from 0.8 to 4.4.
Allamakee County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 225.7 with a 95% confidence interval from 189.4 to 267.3 and 33 average annual cases over 2018-2022.
- CI*Rank ⋔ : 80 (7, 99)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.5 to 2.1.
Appanoose County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 254.6 with a 95% confidence interval from 214.9 to 300.0 and 35 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (1, 96)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.2 to 1.6.
Audubon County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 209.5 with a 95% confidence interval from 158.2 to 273.7 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 94 (3, 99)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.6 to 0.6.
Benton County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 275.1 with a 95% confidence interval from 246.2 to 306.7 and 77 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 73)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.3 to 1.6.
Black Hawk County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 246.9 with a 95% confidence interval from 234.0 to 260.3 and 303 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (17, 78)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from 0.0 to 0.5.
Boone County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 248.0 with a 95% confidence interval from 221.8 to 276.7 and 74 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (6, 91)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.1 to 1.1.
Bremer County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 240.0 with a 95% confidence interval from 211.5 to 271.4 and 55 average annual cases over 2018-2022.
- CI*Rank ⋔ : 62 (7, 95)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.1 to 1.3.
Buchanan County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 239.7 with a 95% confidence interval from 209.9 to 272.8 and 52 average annual cases over 2018-2022.
- CI*Rank ⋔ : 63 (7, 96)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.7 to 1.0.
Buena Vista County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 192.3 with a 95% confidence interval from 164.8 to 223.2 and 39 average annual cases over 2018-2022.
- CI*Rank ⋔ : 97 (53, 99)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.4.
Butler County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 275.1 with a 95% confidence interval from 236.5 to 318.6 and 42 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 90)
- Recent Trend : The trend is because the trend is 2.2 with a 95% confidence interval from 1.1 to 6.5.
Calhoun County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 262.7 with a 95% confidence interval from 216.1 to 316.8 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (1, 96)
- Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from 0.6 to 2.8.
Carroll County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 238.7 with a 95% confidence interval from 208.3 to 272.5 and 52 average annual cases over 2018-2022.
- CI*Rank ⋔ : 65 (7, 97)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.0 to 1.7.
Cass County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 308.0 with a 95% confidence interval from 263.3 to 358.5 and 40 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 68)
- Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from 0.9 to 2.6.
Cedar County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 258.8 with a 95% confidence interval from 225.7 to 295.7 and 51 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (2, 91)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.0 to 1.8.
Cerro Gordo County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 240.2 with a 95% confidence interval from 218.7 to 263.3 and 110 average annual cases over 2018-2022.
- CI*Rank ⋔ : 61 (13, 92)
- Recent Trend : The trend is because the trend is -3.9 with a 95% confidence interval from -8.9 to 0.5.
Cherokee County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 273.4 with a 95% confidence interval from 229.8 to 323.3 and 34 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 92)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.5 to 1.9.
Chickasaw County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 285.5 with a 95% confidence interval from 241.6 to 335.4 and 36 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 84)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.1 to 2.1.
Clarke County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 223.6 with a 95% confidence interval from 181.3 to 273.1 and 22 average annual cases over 2018-2022.
- CI*Rank ⋔ : 85 (4, 99)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.6.
Clay County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 230.0 with a 95% confidence interval from 197.2 to 267.0 and 41 average annual cases over 2018-2022.
- CI*Rank ⋔ : 75 (9, 98)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from 0.0 to 1.2.
Clayton County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 240.6 with a 95% confidence interval from 206.6 to 278.8 and 44 average annual cases over 2018-2022.
- CI*Rank ⋔ : 59 (5, 97)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.6 to 0.8.
Clinton County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 270.3 with a 95% confidence interval from 248.9 to 293.2 and 136 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (3, 68)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.5 to 1.3.
Crawford County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 223.9 with a 95% confidence interval from 191.6 to 260.4 and 38 average annual cases over 2018-2022.
- CI*Rank ⋔ : 83 (10, 99)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.1 to 1.6.
Dallas County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 218.8 with a 95% confidence interval from 205.4 to 232.9 and 201 average annual cases over 2018-2022.
- CI*Rank ⋔ : 88 (55, 95)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.4.
Davis County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 257.7 with a 95% confidence interval from 208.5 to 315.1 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (1, 97)
- Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from 0.1 to 2.6.
Decatur County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 271.4 with a 95% confidence interval from 216.7 to 336.1 and 20 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (1, 97)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.2 to 1.7.
Delaware County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 233.2 with a 95% confidence interval from 200.8 to 269.5 and 45 average annual cases over 2018-2022.
- CI*Rank ⋔ : 72 (7, 98)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.3 to 1.8.
Des Moines County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 261.4 with a 95% confidence interval from 238.6 to 285.8 and 110 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (3, 77)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.5 to 1.5.
Dickinson County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 261.9 with a 95% confidence interval from 227.2 to 300.8 and 50 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (1, 90)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from 0.6 to 1.9.
Dubuque County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 247.4 with a 95% confidence interval from 232.7 to 262.8 and 237 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (14, 80)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.1 to 0.6.
Emmet County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 223.7 with a 95% confidence interval from 181.5 to 273.5 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 84 (5, 99)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.9 to 1.9.
Fayette County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 242.2 with a 95% confidence interval from 210.8 to 277.3 and 51 average annual cases over 2018-2022.
- CI*Rank ⋔ : 55 (5, 96)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.2 to 3.7.
Floyd County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 266.4 with a 95% confidence interval from 229.0 to 308.5 and 42 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (1, 91)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.2 to 1.7.
Franklin County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 230.9 with a 95% confidence interval from 188.9 to 280.0 and 25 average annual cases over 2018-2022.
- CI*Rank ⋔ : 73 (3, 99)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.0 to 1.9.
Fremont County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 270.3 with a 95% confidence interval from 214.3 to 337.3 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (1, 98)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.5.
Greene County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 279.8 with a 95% confidence interval from 229.8 to 338.0 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 94)
- Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from 0.2 to 3.4.
Grundy County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 244.3 with a 95% confidence interval from 205.7 to 288.5 and 32 average annual cases over 2018-2022.
- CI*Rank ⋔ : 52 (3, 97)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.5.
Guthrie County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 250.7 with a 95% confidence interval from 208.8 to 299.2 and 30 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (1, 97)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.7 to 1.0.
Hamilton County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 233.8 with a 95% confidence interval from 198.3 to 274.1 and 35 average annual cases over 2018-2022.
- CI*Rank ⋔ : 71 (4, 98)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.2 to 1.4.
Hancock County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 237.8 with a 95% confidence interval from 195.7 to 286.7 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 66 (3, 98)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.3 to 1.8.
Hardin County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 243.0 with a 95% confidence interval from 208.8 to 281.6 and 43 average annual cases over 2018-2022.
- CI*Rank ⋔ : 54 (3, 96)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.1 to 1.8.
Harrison County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 252.3 with a 95% confidence interval from 215.9 to 293.4 and 40 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (1, 95)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.1 to 2.0.
Henry County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 227.2 with a 95% confidence interval from 198.1 to 259.6 and 49 average annual cases over 2018-2022.
- CI*Rank ⋔ : 78 (12, 98)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.4 to 1.5.
Howard County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 257.2 with a 95% confidence interval from 210.0 to 312.2 and 24 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (1, 97)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.3 to 1.6.
Humboldt County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 272.4 with a 95% confidence interval from 226.3 to 325.9 and 29 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (1, 95)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.1 to 1.8.
Ida County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 212.4 with a 95% confidence interval from 163.7 to 271.8 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 91 (4, 99)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.6 to 2.3.
Iowa County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 273.4 with a 95% confidence interval from 238.6 to 312.3 and 52 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 86)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.2.
Jackson County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 283.1 with a 95% confidence interval from 249.1 to 320.6 and 60 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 74)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.1 to 2.1.
Jasper County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 255.6 with a 95% confidence interval from 232.9 to 279.9 and 104 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (5, 82)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.3 to 3.1.
Jefferson County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 247.6 with a 95% confidence interval from 211.4 to 288.6 and 39 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (3, 96)
- Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from 0.4 to 7.0.
Johnson County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 249.0 with a 95% confidence interval from 236.5 to 262.0 and 312 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (16, 75)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from 0.2 to 0.9.
Jones County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 225.8 with a 95% confidence interval from 197.6 to 257.2 and 52 average annual cases over 2018-2022.
- CI*Rank ⋔ : 79 (12, 98)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.7.
Keokuk County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 284.9 with a 95% confidence interval from 236.8 to 340.4 and 29 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 91)
- Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from 0.4 to 2.6.
Kossuth County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 218.5 with a 95% confidence interval from 184.3 to 257.6 and 36 average annual cases over 2018-2022.
- CI*Rank ⋔ : 89 (12, 99)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.3.
Lee County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 251.0 with a 95% confidence interval from 226.6 to 277.5 and 90 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (6, 90)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.5 to 1.5.
Linn County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 265.4 with a 95% confidence interval from 255.7 to 275.3 and 611 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (9, 48)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from 0.3 to 0.8.
Louisa County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 244.8 with a 95% confidence interval from 204.3 to 291.6 and 30 average annual cases over 2018-2022.
- CI*Rank ⋔ : 51 (2, 98)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.7 to 1.7.
Lucas County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 237.6 with a 95% confidence interval from 191.9 to 291.6 and 22 average annual cases over 2018-2022.
- CI*Rank ⋔ : 67 (2, 99)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.0 to 1.3.
Lyon County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 250.3 with a 95% confidence interval from 208.5 to 298.1 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (2, 97)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from 0.1 to 2.4.
Madison County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 255.0 with a 95% confidence interval from 221.5 to 292.4 and 45 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (2, 94)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.1 to 1.6.
Mahaska County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 243.5 with a 95% confidence interval from 213.8 to 276.3 and 55 average annual cases over 2018-2022.
- CI*Rank ⋔ : 53 (5, 95)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.6 to 1.1.
Marion County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 251.4 with a 95% confidence interval from 226.7 to 278.3 and 84 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (6, 88)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.3 to 1.3.
Marshall County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 230.1 with a 95% confidence interval from 208.8 to 253.0 and 96 average annual cases over 2018-2022.
- CI*Rank ⋔ : 74 (21, 95)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.3 to 0.9.
Mills County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 250.7 with a 95% confidence interval from 214.6 to 291.5 and 39 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (2, 95)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.4 to 1.4.
Mitchell County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 281.7 with a 95% confidence interval from 234.7 to 335.6 and 30 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 90)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from 0.4 to 2.1.
Monona County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 252.3 with a 95% confidence interval from 204.1 to 309.0 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (1, 97)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.1 to 2.0.
Monroe County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 221.0 with a 95% confidence interval from 174.1 to 277.4 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 87 (4, 99)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -2.7 to 0.9.
Montgomery County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 240.6 with a 95% confidence interval from 197.5 to 290.7 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 58 (2, 98)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.1 to 1.9.
Muscatine County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 257.5 with a 95% confidence interval from 235.8 to 280.8 and 114 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (6, 81)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from 0.1 to 1.1.
O'Brien County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 254.1 with a 95% confidence interval from 214.2 to 299.3 and 33 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (2, 96)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.6 to 1.4.
Osceola County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 256.9 with a 95% confidence interval from 201.7 to 323.7 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (1, 98)
- Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from 0.1 to 2.6.
Page County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 240.2 with a 95% confidence interval from 205.9 to 279.2 and 40 average annual cases over 2018-2022.
- CI*Rank ⋔ : 60 (4, 97)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.1 to 1.8.
Palo Alto County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 313.7 with a 95% confidence interval from 260.7 to 374.7 and 29 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 76)
- Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from 0.3 to 2.5.
Plymouth County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 255.9 with a 95% confidence interval from 227.2 to 287.2 and 65 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (3, 90)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.1 to 1.2.
Pocahontas County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 267.1 with a 95% confidence interval from 212.1 to 332.8 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (1, 98)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.9 to 1.8.
Polk County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 237.2 with a 95% confidence interval from 231.0 to 243.6 and 1,139 average annual cases over 2018-2022.
- CI*Rank ⋔ : 69 (42, 79)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.1 to 0.3.
Pottawattamie County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 239.4 with a 95% confidence interval from 225.2 to 254.4 and 238 average annual cases over 2018-2022.
- CI*Rank ⋔ : 64 (22, 86)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from 0.0 to 0.7.
Poweshiek County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 246.8 with a 95% confidence interval from 213.7 to 283.8 and 46 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (3, 96)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.0 to 1.4.
Ringgold County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 225.7 with a 95% confidence interval from 169.0 to 297.5 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 81 (1, 99)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.4 to 3.1.
Sac County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 228.0 with a 95% confidence interval from 184.7 to 279.0 and 24 average annual cases over 2018-2022.
- CI*Rank ⋔ : 77 (4, 99)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.5 to 1.8.
Scott County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 254.4 with a 95% confidence interval from 243.6 to 265.6 and 451 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (14, 66)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.7 to 0.5.
Shelby County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 210.5 with a 95% confidence interval from 172.3 to 255.1 and 27 average annual cases over 2018-2022.
- CI*Rank ⋔ : 93 (10, 99)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.2 to 2.2.
Sioux County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 237.3 with a 95% confidence interval from 213.0 to 263.7 and 76 average annual cases over 2018-2022.
- CI*Rank ⋔ : 68 (11, 95)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.1 to 1.4.
Story County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 215.8 with a 95% confidence interval from 200.3 to 232.2 and 158 average annual cases over 2018-2022.
- CI*Rank ⋔ : 90 (52, 97)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.2 to 0.6.
Tama County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 278.2 with a 95% confidence interval from 241.5 to 319.1 and 48 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 82)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.2 to 1.7.
Taylor County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 172.0 with a 95% confidence interval from 125.9 to 230.5 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 99 (24, 99)
- Recent Trend : The trend is because the trend is -21.1 with a 95% confidence interval from -37.4 to 0.1.
Union County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 225.6 with a 95% confidence interval from 187.6 to 269.3 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 82 (6, 99)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.4 to 1.5.
Van Buren County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 202.0 with a 95% confidence interval from 156.4 to 257.6 and 16 average annual cases over 2018-2022.
- CI*Rank ⋔ : 95 (10, 99)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.5 to 1.2.
Wapello County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 246.0 with a 95% confidence interval from 222.7 to 271.1 and 91 average annual cases over 2018-2022.
- CI*Rank ⋔ : 50 (9, 91)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.4 to 0.9.
Warren County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 236.3 with a 95% confidence interval from 217.7 to 256.2 and 127 average annual cases over 2018-2022.
- CI*Rank ⋔ : 70 (20, 92)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from 0.0 to 0.8.
Washington County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 253.3 with a 95% confidence interval from 223.1 to 286.5 and 58 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (3, 90)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.2 to 1.9.
Wayne County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 177.7 with a 95% confidence interval from 131.2 to 236.0 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 98 (21, 99)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.0 to 1.0.
Webster County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 240.8 with a 95% confidence interval from 217.6 to 265.8 and 92 average annual cases over 2018-2022.
- CI*Rank ⋔ : 57 (11, 92)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.3 to 0.7.
Winnebago County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 221.9 with a 95% confidence interval from 180.2 to 270.7 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 86 (5, 99)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.5 to 1.9.
Winneshiek County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 242.0 with a 95% confidence interval from 210.2 to 277.5 and 52 average annual cases over 2018-2022.
- CI*Rank ⋔ : 56 (5, 95)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.1.
Woodbury County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 248.2 with a 95% confidence interval from 234.2 to 262.8 and 252 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (16, 76)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.3 to 1.3.
Worth County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 229.0 with a 95% confidence interval from 182.2 to 285.1 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 76 (2, 99)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.2 to 2.0.
Wright County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 211.0 with a 95% confidence interval from 175.0 to 252.5 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 92 (16, 99)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.8.
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 6:10 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 for United States does not include Puerto Rico.


