State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Missouri by County

All Cancer Sites (All Stages^), 2018-2022

All Races (includes Hispanic), Both Sexes, Ages 50+

Sorted by Name

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

Adair County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,373.1 with a 95% confidence interval from 1,259.7 to 1,493.9 and 111 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (15, 109)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.3.

Andrew County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,367.8 with a 95% confidence interval from 1,249.9 to 1,494.0 and 102 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (16, 109)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.4.

Atchison County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,261.0 with a 95% confidence interval from 1,071.8 to 1,474.1 and 33 average annual cases over 2018-2022.
• CI*Rank ⋔ : 103 (12, 115)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.4 to 0.6.

Audrain County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,380.2 with a 95% confidence interval from 1,276.7 to 1,489.8 and 136 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (18, 107)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.3.

Barry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,365.4 with a 95% confidence interval from 1,283.0 to 1,451.8 and 213 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (29, 106)
• Recent Trend : The trend is because the trend is -4.7 with a 95% confidence interval from -7.6 to -1.1.

Barton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,338.3 with a 95% confidence interval from 1,196.4 to 1,492.6 and 68 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (17, 113)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.0 to 2.5.

Bates County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,368.4 with a 95% confidence interval from 1,244.5 to 1,501.4 and 92 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (15, 109)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.4 to 1.0.

Benton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,406.5 with a 95% confidence interval from 1,309.3 to 1,509.1 and 168 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (15, 104)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.0 to 0.7.

Bollinger County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,454.2 with a 95% confidence interval from 1,303.9 to 1,617.3 and 70 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (2, 107)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.6 to 2.0.

Boone County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,419.7 with a 95% confidence interval from 1,373.2 to 1,467.3 and 742 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (30, 85)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.3.

Buchanan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,555.7 with a 95% confidence interval from 1,492.9 to 1,620.4 and 478 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (4, 46)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.3 to 1.2.

Butler County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,519.1 with a 95% confidence interval from 1,435.9 to 1,605.9 and 256 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (5, 68)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.7.

Caldwell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,314.2 with a 95% confidence interval from 1,155.4 to 1,489.0 and 50 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (12, 114)
• Recent Trend : The trend is because the trend is 9.5 with a 95% confidence interval from 1.8 to 20.4.

Callaway County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,428.7 with a 95% confidence interval from 1,347.3 to 1,513.7 and 240 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (18, 96)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.9 to 0.5.

Camden County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,359.9 with a 95% confidence interval from 1,293.1 to 1,429.3 and 340 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (34, 103)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.9 to 0.6.

Cape Girardeau County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,405.9 with a 95% confidence interval from 1,345.2 to 1,468.7 and 416 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (27, 92)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.7 to 1.3.

Carroll County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,377.5 with a 95% confidence interval from 1,215.2 to 1,555.8 and 54 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (6, 113)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.0 to 1.5.

Carter County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,645.0 with a 95% confidence interval from 1,416.6 to 1,900.4 and 38 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 96)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.0 to 2.3.

Cass County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,397.1 with a 95% confidence interval from 1,345.7 to 1,449.9 and 572 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (33, 92)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.4.

Cedar County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,379.8 with a 95% confidence interval from 1,255.6 to 1,513.1 and 93 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (13, 109)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.7.

Chariton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,474.9 with a 95% confidence interval from 1,294.8 to 1,673.0 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (1, 109)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.1 to 1.2.

Christian County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,315.0 with a 95% confidence interval from 1,257.8 to 1,374.3 and 409 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (53, 107)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.1.

Clark County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,426.6 with a 95% confidence interval from 1,239.1 to 1,634.8 and 43 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (1, 112)
• Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from 0.0 to 3.4.

Clay County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,428.4 with a 95% confidence interval from 1,391.4 to 1,466.1 and 1,176 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (32, 78)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.8 to 0.0.

Clinton County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,338.5 with a 95% confidence interval from 1,229.8 to 1,454.2 and 116 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (26, 112)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.

Cole County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,399.0 with a 95% confidence interval from 1,337.7 to 1,462.4 and 404 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (30, 95)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.2.

Cooper County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,456.4 with a 95% confidence interval from 1,329.3 to 1,592.4 and 100 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (4, 104)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.7 to 1.8.

Crawford County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,498.5 with a 95% confidence interval from 1,390.7 to 1,612.5 and 149 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (3, 90)
• Recent Trend : The trend is because the trend is -5.8 with a 95% confidence interval from -11.9 to 0.4.

Dade County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,212.1 with a 95% confidence interval from 1,057.5 to 1,383.2 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 108 (38, 115)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -2.8 to 8.2.

Dallas County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,283.5 with a 95% confidence interval from 1,168.5 to 1,406.9 and 96 average annual cases over 2018-2022.
• CI*Rank ⋔ : 100 (30, 113)
• Recent Trend : The trend is because the trend is -6.4 with a 95% confidence interval from -13.5 to 0.8.

Daviess County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,303.4 with a 95% confidence interval from 1,136.8 to 1,487.7 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 96 (11, 115)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.6 to 1.6.

DeKalb County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,189.3 with a 95% confidence interval from 1,048.6 to 1,343.5 and 53 average annual cases over 2018-2022.
• CI*Rank ⋔ : 109 (51, 115)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.7 to 1.6.

Dent County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,422.7 with a 95% confidence interval from 1,294.8 to 1,559.9 and 95 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (9, 107)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.9.

Douglas County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,188.3 with a 95% confidence interval from 1,062.6 to 1,325.0 and 70 average annual cases over 2018-2022.
• CI*Rank ⋔ : 110 (57, 115)
• Recent Trend : The trend is because the trend is 2.7 with a 95% confidence interval from 0.1 to 10.3.

Dunklin County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,632.0 with a 95% confidence interval from 1,525.8 to 1,743.6 and 180 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 42)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from 0.4 to 1.9.

Franklin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,553.7 with a 95% confidence interval from 1,499.9 to 1,608.9 and 656 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (6, 42)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.1 to 2.4.

Gasconade County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,447.9 with a 95% confidence interval from 1,323.7 to 1,580.8 and 104 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (4, 104)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.4.

Gentry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,535.1 with a 95% confidence interval from 1,324.4 to 1,770.0 and 39 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (1, 108)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.9 to 2.6.

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,385.1 with a 95% confidence interval from 1,353.1 to 1,417.7 and 1,457 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (44, 88)
• Recent Trend : The trend is because the trend is 5.7 with a 95% confidence interval from 1.5 to 7.8.

Grundy County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,396.6 with a 95% confidence interval from 1,238.7 to 1,569.1 and 60 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (5, 112)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.8 to 0.8.

Harrison County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,362.7 with a 95% confidence interval from 1,197.6 to 1,544.4 and 51 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (8, 113)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.6 to 1.5.

Henry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,486.3 with a 95% confidence interval from 1,380.9 to 1,597.7 and 153 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (4, 91)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.3 to 0.8.

Hickory County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,227.1 with a 95% confidence interval from 1,090.5 to 1,376.2 and 65 average annual cases over 2018-2022.
• CI*Rank ⋔ : 106 (37, 115)
• Recent Trend : The trend is because the trend is 3.1 with a 95% confidence interval from 0.3 to 9.2.

Holt County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,499.5 with a 95% confidence interval from 1,272.3 to 1,755.8 and 33 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (1, 111)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.8 to 2.7.

Howard County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,423.1 with a 95% confidence interval from 1,259.6 to 1,602.0 and 58 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (3, 111)
• Recent Trend : The trend is because the trend is 3.6 with a 95% confidence interval from -1.3 to 15.5.

Howell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,373.5 with a 95% confidence interval from 1,293.2 to 1,457.6 and 225 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (29, 104)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.3 to 0.7.

Iron County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,601.7 with a 95% confidence interval from 1,437.0 to 1,780.2 and 71 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 82)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.1 to 2.2.

Jackson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,373.0 with a 95% confidence interval from 1,351.8 to 1,394.5 and 3,324 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (56, 87)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.3 to -0.3.

Jasper County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,587.1 with a 95% confidence interval from 1,532.5 to 1,643.0 and 659 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (3, 33)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from 0.3 to 1.9.

Jefferson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,492.6 with a 95% confidence interval from 1,454.1 to 1,531.9 and 1,227 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (16, 54)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.3.

Johnson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,447.2 with a 95% confidence interval from 1,362.0 to 1,536.3 and 224 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (13, 91)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.4 to 0.9.

Knox County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,488.8 with a 95% confidence interval from 1,234.8 to 1,779.9 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (1, 114)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.5 to 0.8.

Laclede County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,312.8 with a 95% confidence interval from 1,228.2 to 1,401.7 and 184 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (40, 110)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.3.

Lafayette County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,433.7 with a 95% confidence interval from 1,343.0 to 1,528.8 and 191 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (13, 97)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.1 to 1.2.

Lawrence County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,264.7 with a 95% confidence interval from 1,184.0 to 1,349.5 and 187 average annual cases over 2018-2022.
• CI*Rank ⋔ : 101 (56, 113)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.3.

Lewis County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,481.5 with a 95% confidence interval from 1,315.7 to 1,662.6 and 59 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (1, 106)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -5.9 to 0.1.

Lincoln County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,475.3 with a 95% confidence interval from 1,398.1 to 1,555.7 and 294 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (12, 82)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.3.

Linn County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,484.9 with a 95% confidence interval from 1,339.2 to 1,642.4 and 79 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (2, 104)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.8 to 1.6.

Livingston County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,462.2 with a 95% confidence interval from 1,324.4 to 1,610.4 and 86 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (3, 103)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.0 to 1.1.

Macon County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,397.8 with a 95% confidence interval from 1,272.6 to 1,532.0 and 95 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (10, 107)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.7.

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,671.7 with a 95% confidence interval from 1,517.1 to 1,838.0 and 88 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 57)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.1 to 1.7.

Maries County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,244.0 with a 95% confidence interval from 1,091.2 to 1,412.5 and 49 average annual cases over 2018-2022.
• CI*Rank ⋔ : 104 (29, 115)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.3 to 1.8.

Marion County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,616.3 with a 95% confidence interval from 1,510.3 to 1,727.9 and 179 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 48)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.2 to 1.5.

McDonald County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,336.4 with a 95% confidence interval from 1,224.3 to 1,456.1 and 110 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (24, 111)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -0.1 to 2.5.

Mercer County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,383.4 with a 95% confidence interval from 1,131.8 to 1,674.7 and 22 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (1, 115)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -1.6 to 3.8.

Miller County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,369.1 with a 95% confidence interval from 1,268.2 to 1,475.9 and 141 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (21, 107)
• Recent Trend : The trend is because the trend is -5.2 with a 95% confidence interval from -10.7 to 0.8.

Mississippi County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,682.3 with a 95% confidence interval from 1,523.2 to 1,853.8 and 83 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 56)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.1 to 1.8.

Moniteau County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,349.5 with a 95% confidence interval from 1,214.7 to 1,495.4 and 75 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (14, 113)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.2 to 1.6.

Monroe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,581.3 with a 95% confidence interval from 1,410.4 to 1,767.3 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (1, 93)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.4 to 2.9.

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,535.3 with a 95% confidence interval from 1,382.0 to 1,701.1 and 76 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (1, 97)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.9 to 1.2.

Morgan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,412.7 with a 95% confidence interval from 1,309.1 to 1,522.4 and 145 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (14, 104)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.4.

New Madrid County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,495.2 with a 95% confidence interval from 1,366.3 to 1,633.1 and 102 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (3, 98)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.5 to 0.8.

Newton County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,262.3 with a 95% confidence interval from 1,198.0 to 1,329.2 and 296 average annual cases over 2018-2022.
• CI*Rank ⋔ : 102 (70, 112)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.3 to 1.0.

Nodaway County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,290.2 with a 95% confidence interval from 1,177.2 to 1,411.2 and 98 average annual cases over 2018-2022.
• CI*Rank ⋔ : 99 (34, 114)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.

Oregon County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,537.8 with a 95% confidence interval from 1,368.2 to 1,722.7 and 63 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (1, 101)
• Recent Trend : The trend is because the trend is 2.0 with a 95% confidence interval from 0.3 to 3.8.

Osage County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,438.0 with a 95% confidence interval from 1,294.7 to 1,592.9 and 76 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (3, 109)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -9.9 to 4.9.

Ozark County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,344.7 with a 95% confidence interval from 1,196.5 to 1,506.3 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (10, 112)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.6 to 2.1.

Pemiscot County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,291.5 with a 95% confidence interval from 1,162.4 to 1,430.9 and 76 average annual cases over 2018-2022.
• CI*Rank ⋔ : 98 (25, 114)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.9 to 1.9.

Perry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,515.0 with a 95% confidence interval from 1,394.2 to 1,643.5 and 119 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (3, 92)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.5 to 1.9.

Pettis County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,498.6 with a 95% confidence interval from 1,412.7 to 1,588.3 and 236 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (7, 79)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.8.

Phelps County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,428.0 with a 95% confidence interval from 1,345.6 to 1,514.2 and 231 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (16, 96)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.8.

Pike County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,639.2 with a 95% confidence interval from 1,505.3 to 1,781.7 and 113 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 61)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.2 to 2.4.

Platte County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,157.1 with a 95% confidence interval from 1,107.3 to 1,208.5 and 422 average annual cases over 2018-2022.
• CI*Rank ⋔ : 112 (101, 115)
• Recent Trend : The trend is because the trend is -4.1 with a 95% confidence interval from -8.0 to -1.2.

Polk County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,355.5 with a 95% confidence interval from 1,264.2 to 1,451.6 and 168 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (28, 108)
• Recent Trend : The trend is because the trend is 2.7 with a 95% confidence interval from -0.8 to 8.0.

Pulaski County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,460.6 with a 95% confidence interval from 1,361.6 to 1,565.0 and 169 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (9, 93)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.

Putnam County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,353.1 with a 95% confidence interval from 1,137.7 to 1,597.2 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (2, 115)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -1.6 to 3.3.

Ralls County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,079.6 with a 95% confidence interval from 951.4 to 1,220.6 and 53 average annual cases over 2018-2022.
• CI*Rank ⋔ : 114 (91, 115)
• Recent Trend : The trend is because the trend is -13.5 with a 95% confidence interval from -24.7 to -1.6.

Randolph County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,567.5 with a 95% confidence interval from 1,453.0 to 1,688.7 and 142 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (1, 70)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.4.

Ray County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,306.1 with a 95% confidence interval from 1,204.4 to 1,414.2 and 126 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (34, 112)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.0 to 0.5.

Reynolds County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,460.7 with a 95% confidence interval from 1,271.8 to 1,670.1 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (1, 113)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.7.

Ripley County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,738.1 with a 95% confidence interval from 1,570.6 to 1,918.8 and 81 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 42)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from 0.1 to 2.0.

Saline County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,465.9 with a 95% confidence interval from 1,352.9 to 1,585.8 and 128 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (5, 98)
• Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -1.0 to 9.6.

Schuyler County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,086.3 with a 95% confidence interval from 872.3 to 1,337.5 and 18 average annual cases over 2018-2022.
• CI*Rank ⋔ : 113 (35, 115)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.7 to 1.3.

Scotland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,030.6 with a 95% confidence interval from 830.1 to 1,265.4 and 19 average annual cases over 2018-2022.
• CI*Rank ⋔ : 115 (56, 115)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -4.6 to 0.7.

Scott County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,585.4 with a 95% confidence interval from 1,495.4 to 1,679.5 and 237 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (1, 54)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from 0.0 to 1.2.

Shannon County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,447.5 with a 95% confidence interval from 1,267.7 to 1,645.9 and 49 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (1, 111)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -1.0 to 2.7.

Shelby County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,537.6 with a 95% confidence interval from 1,329.1 to 1,769.8 and 41 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (1, 107)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.4 to 1.1.

St. Charles County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,383.2 with a 95% confidence interval from 1,355.8 to 1,411.1 and 2,005 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (48, 88)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.5.

St. Clair County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,402.2 with a 95% confidence interval from 1,251.5 to 1,566.1 and 67 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (5, 110)
• Recent Trend : The trend is because the trend is 2.6 with a 95% confidence interval from 0.2 to 10.2.

St. Francois County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,653.6 with a 95% confidence interval from 1,581.5 to 1,728.2 and 405 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 26)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from 0.2 to 1.0.

St. Louis City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,297.8 with a 95% confidence interval from 1,265.0 to 1,331.2 and 1,282 average annual cases over 2018-2022.
• CI*Rank ⋔ : 97 (77, 105)
• Recent Trend : The trend is because the trend is -6.4 with a 95% confidence interval from -10.2 to -2.1.

St. Louis County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,425.0 with a 95% confidence interval from 1,408.1 to 1,442.1 and 5,590 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (39, 68)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.7 to -0.2.

Ste. Genevieve County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,533.4 with a 95% confidence interval from 1,410.6 to 1,664.1 and 121 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (2, 83)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from 0.3 to 2.6.

Stoddard County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,604.5 with a 95% confidence interval from 1,503.7 to 1,710.3 and 194 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (1, 48)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.0 to 1.6.

Stone County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,311.8 with a 95% confidence interval from 1,235.9 to 1,391.2 and 250 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (47, 108)
• Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from -0.2 to 4.8.

Sullivan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,165.3 with a 95% confidence interval from 985.4 to 1,368.6 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 111 (40, 115)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.3 to 0.5.

Taney County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,396.5 with a 95% confidence interval from 1,330.0 to 1,465.5 and 346 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (27, 98)
• Recent Trend : The trend is because the trend is 2.4 with a 95% confidence interval from 0.5 to 6.2.

Texas County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,243.9 with a 95% confidence interval from 1,149.9 to 1,343.6 and 134 average annual cases over 2018-2022.
• CI*Rank ⋔ : 105 (61, 113)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Vernon County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,213.0 with a 95% confidence interval from 1,107.6 to 1,325.9 and 100 average annual cases over 2018-2022.
• CI*Rank ⋔ : 107 (54, 115)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.3.

Warren County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,437.4 with a 95% confidence interval from 1,348.3 to 1,530.8 and 202 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (14, 94)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.2.

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,576.2 with a 95% confidence interval from 1,460.2 to 1,699.1 and 144 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (1, 69)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.3 to 1.1.

Wayne County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,627.3 with a 95% confidence interval from 1,478.3 to 1,787.4 and 91 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 77)
• Recent Trend : The trend is because the trend is 9.3 with a 95% confidence interval from 0.1 to 15.4.

Webster County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,366.5 with a 95% confidence interval from 1,278.9 to 1,458.6 and 186 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (25, 106)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.6.

Worth County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,431.1 with a 95% confidence interval from 1,111.4 to 1,814.1 and 15 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (1, 115)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -1.9 to 4.6.

Wright County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,419.1 with a 95% confidence interval from 1,299.3 to 1,547.1 and 107 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (8, 108)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.5.

Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 1:34 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.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

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

Data for United States does not include Puerto Rico.