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Incidence Rates Table

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Incidence Rate Report for Kentucky by County

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

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

Sorted by CI*Rank

County
 sort alphabetically by name ascending
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
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Kentucky 7 N/A 1,559.0 (1,550.3, 1,567.7) N/A 25,729 stable stable trend -0.1 (-0.2, 0.0)
US (SEER+NPCR) 1 N/A 1,350.7 (1,349.8, 1,351.7) N/A 1,608,177 falling falling trend -1.2 (-1.8, -0.7)
Bracken County 7 Urban 1,927.8 (1,714.0, 2,161.4) 1 (1, 57) 62 stable stable trend 0.5 (-0.6, 1.9)
Grant County 7 Urban 1,792.3 (1,660.4, 1,932.2) 2 (1, 58) 147 stable stable trend 0.7 (-0.1, 1.8)
Wolfe County 7 Rural 1,779.5 (1,562.1, 2,019.4) 3 (1, 108) 51 stable stable trend -0.3 (-1.1, 0.7)
Powell County 7 Rural 1,779.9 (1,605.0, 1,969.4) 4 (1, 88) 82 stable stable trend 0.1 (-1.1, 1.4)
Clay County 7 Rural 1,772.3 (1,633.9, 1,919.6) 5 (1, 76) 128 stable stable trend 0.7 (-0.2, 1.7)
Livingston County 7 Urban 1,768.2 (1,589.8, 1,961.4) 6 (1, 90) 74 stable stable trend 0.0 (-0.8, 1.0)
Owsley County 7 Rural 1,768.4 (1,492.3, 2,081.2) 7 (1, 116) 30 stable stable trend 0.0 (-2.0, 2.1)
Knox County 7 Rural 1,753.4 (1,645.7, 1,866.4) 8 (1, 59) 201 stable stable trend 0.6 (-0.1, 1.4)
Lincoln County 7 Rural 1,749.6 (1,631.9, 1,873.6) 9 (1, 65) 168 falling falling trend -3.8 (-6.1, -1.3)
Cumberland County 7 Rural 1,737.8 (1,522.2, 1,975.7) 10 (1, 111) 49 stable stable trend 0.6 (-0.6, 1.9)
Whitley County 7 Rural 1,734.4 (1,632.4, 1,841.2) 11 (1, 60) 222 stable stable trend 0.5 (0.0, 1.0)
Grayson County 7 Rural 1,731.4 (1,617.1, 1,851.9) 12 (1, 72) 179 stable stable trend 0.7 (0.0, 1.5)
Adair County 7 Rural 1,729.7 (1,598.7, 1,868.7) 13 (1, 78) 134 stable stable trend 0.6 (-0.1, 1.4)
Floyd County 7 Rural 1,723.8 (1,627.8, 1,824.2) 14 (1, 65) 256 stable stable trend -0.5 (-1.0, 0.1)
Gallatin County 7 Urban 1,726.5 (1,516.0, 1,959.0) 15 (1, 111) 53 stable stable trend 0.7 (-0.8, 2.6)
Mercer County 7 Rural 1,695.6 (1,577.8, 1,820.1) 16 (1, 83) 159 stable stable trend 0.5 (-0.2, 1.3)
Carter County 7 Urban 1,690.9 (1,582.6, 1,804.7) 17 (2, 79) 187 rising rising trend 0.9 (0.4, 1.8)
Lawrence County 7 Urban 1,688.2 (1,543.8, 1,842.9) 18 (1, 99) 107 stable stable trend 0.6 (0.0, 1.3)
Montgomery County 7 Rural 1,685.7 (1,572.8, 1,804.6) 19 (1, 85) 171 rising rising trend 0.7 (0.1, 1.4)
Bath County 7 Rural 1,676.7 (1,512.8, 1,853.7) 20 (1, 106) 79 stable stable trend 0.1 (-0.6, 0.9)
Fulton County 7 Rural 1,673.7 (1,458.6, 1,912.0) 21 (1, 114) 46 stable stable trend 0.6 (-0.5, 1.8)
Nelson County 7 Urban 1,671.8 (1,583.1, 1,764.3) 22 (3, 74) 280 stable stable trend -0.1 (-0.8, 0.7)
Taylor County 7 Rural 1,668.2 (1,554.7, 1,787.8) 23 (2, 89) 166 falling falling trend -2.6 (-7.3, -0.2)
Henry County 7 Urban 1,666.2 (1,523.6, 1,818.9) 24 (1, 103) 106 stable stable trend 0.2 (-0.5, 1.0)
Trimble County 7 Rural 1,665.9 (1,472.2, 1,878.3) 25 (1, 113) 56 stable stable trend 1.2 (0.0, 2.7)
Rockcastle County 7 Rural 1,655.2 (1,518.7, 1,801.0) 26 (2, 102) 112 stable stable trend 0.5 (-0.2, 1.3)
Estill County 7 Rural 1,652.7 (1,505.9, 1,810.4) 27 (1, 107) 98 stable stable trend 0.2 (-0.5, 1.0)
Bourbon County 7 Urban 1,646.8 (1,524.7, 1,776.2) 28 (2, 97) 138 stable stable trend 0.1 (-0.6, 0.9)
Metcalfe County 7 Rural 1,642.7 (1,474.0, 1,825.7) 29 (1, 112) 71 stable stable trend 0.6 (-0.2, 1.5)
Boyd County 7 Urban 1,637.3 (1,558.1, 1,719.4) 30 (6, 84) 331 rising rising trend 1.2 (0.1, 4.6)
Hardin County 7 Urban 1,633.0 (1,573.9, 1,693.7) 31 (12, 74) 601 stable stable trend -0.1 (-0.5, 0.3)
Fleming County 7 Rural 1,630.4 (1,486.7, 1,784.6) 32 (2, 109) 98 stable stable trend 0.1 (-0.7, 1.0)
McCreary County 7 Rural 1,626.7 (1,482.6, 1,781.5) 33 (2, 111) 97 stable stable trend -0.2 (-1.0, 0.8)
Butler County 7 Urban 1,628.9 (1,471.0, 1,799.4) 34 (1, 111) 81 stable stable trend 0.4 (-0.5, 1.4)
Anderson County 7 Rural 1,626.6 (1,506.5, 1,753.9) 35 (3, 102) 142 stable stable trend -0.3 (-1.1, 0.6)
Mason County 7 Rural 1,627.8 (1,491.2, 1,773.6) 36 (2, 108) 110 stable stable trend -0.2 (-0.8, 0.5)
Pulaski County 7 Rural 1,625.5 (1,556.7, 1,696.6) 37 (9, 82) 435 stable stable trend 0.2 (-0.1, 1.2)
Oldham County 7 Urban 1,618.5 (1,541.3, 1,698.6) 38 (9, 87) 354 stable stable trend -0.3 (-0.8, 0.2)
Garrard County 7 Rural 1,618.4 (1,485.8, 1,759.7) 39 (3, 106) 115 stable stable trend 0.4 (-0.2, 1.0)
Pike County 7 Rural 1,612.1 (1,539.9, 1,686.9) 40 (11, 87) 393 stable stable trend 0.0 (-0.5, 0.5)
Carlisle County 7 Urban 1,612.6 (1,371.8, 1,883.5) 41 (1, 119) 33 stable stable trend -0.1 (-1.3, 1.3)
Meade County 7 Urban 1,606.9 (1,495.9, 1,724.2) 42 (5, 105) 167 stable stable trend 0.3 (-0.3, 1.1)
Green County 7 Rural 1,604.2 (1,448.8, 1,771.9) 43 (2, 114) 80 rising rising trend 1.0 (0.1, 1.9)
Marshall County 7 Rural 1,606.4 (1,513.0, 1,704.2) 44 (9, 98) 230 stable stable trend 0.1 (-0.3, 0.7)
Campbell County 7 Urban 1,604.7 (1,543.7, 1,667.5) 45 (16, 83) 549 stable stable trend -0.1 (-0.5, 0.4)
Harrison County 7 Rural 1,600.2 (1,473.0, 1,735.6) 46 (4, 108) 121 stable stable trend -0.1 (-0.8, 0.6)
Boyle County 7 Rural 1,600.9 (1,500.1, 1,706.7) 47 (8, 101) 192 stable stable trend 0.3 (-0.4, 1.1)
Spencer County 7 Urban 1,600.7 (1,462.6, 1,748.6) 48 (3, 111) 112 stable stable trend 0.2 (-0.6, 1.2)
Christian County 7 Urban 1,597.1 (1,517.3, 1,680.1) 49 (13, 95) 308 stable stable trend 2.2 (-0.2, 5.5)
Magoffin County 7 Rural 1,596.4 (1,433.3, 1,773.4) 50 (1, 114) 74 stable stable trend 0.3 (-0.8, 1.4)
McLean County 7 Urban 1,595.2 (1,420.0, 1,786.4) 51 (1, 115) 62 stable stable trend 0.4 (-0.6, 1.5)
Calloway County 7 Rural 1,593.6 (1,498.2, 1,693.6) 52 (11, 100) 214 stable stable trend 0.1 (-0.6, 1.0)
Washington County 7 Rural 1,597.7 (1,440.6, 1,767.1) 53 (3, 113) 78 rising rising trend 1.2 (0.3, 2.3)
Pendleton County 7 Urban 1,593.6 (1,443.2, 1,755.6) 54 (3, 113) 89 stable stable trend 0.0 (-0.9, 1.1)
Ohio County 7 Rural 1,589.3 (1,474.9, 1,710.3) 55 (5, 109) 147 stable stable trend 0.5 (-0.2, 1.2)
Clark County 7 Urban 1,588.6 (1,496.3, 1,685.1) 56 (9, 103) 228 stable stable trend -0.1 (-0.9, 0.9)
McCracken County 7 Urban 1,587.4 (1,521.4, 1,655.6) 57 (17, 92) 449 rising rising trend 1.3 (0.3, 3.8)
Kenton County 7 Urban 1,585.9 (1,538.5, 1,634.5) 58 (24, 86) 899 stable stable trend -0.4 (-0.8, 0.1)
Clinton County 7 Rural 1,577.1 (1,405.5, 1,764.3) 59 (1, 116) 63 stable stable trend 0.6 (-1.0, 2.5)
Perry County 7 Rural 1,580.2 (1,473.5, 1,692.9) 60 (8, 106) 173 stable stable trend -0.1 (-0.9, 0.7)
Harlan County 7 Rural 1,576.5 (1,469.8, 1,689.1) 61 (8, 108) 171 stable stable trend 0.1 (-0.7, 0.9)
Marion County 7 Rural 1,573.2 (1,444.6, 1,710.2) 62 (6, 112) 115 stable stable trend 0.6 (0.0, 1.4)
Woodford County 7 Urban 1,573.4 (1,468.5, 1,683.9) 63 (8, 107) 177 stable stable trend -0.6 (-1.4, 0.3)
Owen County 7 Rural 1,575.6 (1,417.2, 1,747.1) 64 (3, 115) 75 stable stable trend -0.3 (-1.0, 0.6)
Bullitt County 7 Urban 1,570.7 (1,506.8, 1,636.7) 65 (22, 95) 479 stable stable trend -0.1 (-0.5, 0.3)
Russell County 7 Rural 1,563.6 (1,440.2, 1,694.9) 66 (7, 111) 123 stable stable trend 0.2 (-0.6, 1.1)
Logan County 7 Rural 1,562.7 (1,457.8, 1,673.2) 67 (9, 109) 169 stable stable trend -0.2 (-0.9, 0.5)
Jefferson County 7 Urban 1,561.8 (1,540.7, 1,583.1) 68 (45, 79) 4,374 falling falling trend -0.4 (-0.5, -0.2)
Madison County 7 Rural 1,558.9 (1,494.6, 1,625.4) 69 (25, 97) 459 stable stable trend -0.4 (-0.9, 0.1)
Johnson County 7 Rural 1,546.6 (1,432.5, 1,667.7) 70 (13, 111) 143 stable stable trend 0.2 (-0.7, 1.2)
Leslie County 7 Rural 1,549.5 (1,385.0, 1,728.7) 71 (2, 118) 68 stable stable trend -0.1 (-1.1, 1.1)
Barren County 7 Rural 1,540.2 (1,456.9, 1,627.1) 72 (21, 108) 263 stable stable trend 0.5 (-0.1, 1.2)
Casey County 7 Rural 1,531.4 (1,398.8, 1,673.3) 73 (10, 116) 102 stable stable trend -0.1 (-0.9, 0.8)
Breckinridge County 7 Rural 1,527.0 (1,410.8, 1,650.4) 74 (14, 114) 134 stable stable trend 0.3 (-0.6, 1.4)
Hart County 7 Rural 1,526.3 (1,399.5, 1,661.7) 75 (9, 116) 112 stable stable trend 0.0 (-1.0, 1.1)
Martin County 7 Rural 1,529.8 (1,362.1, 1,712.7) 76 (3, 118) 64 stable stable trend 0.0 (-0.9, 1.0)
Boone County 7 Urban 1,519.9 (1,467.3, 1,574.0) 77 (43, 102) 663 stable stable trend -0.1 (-0.5, 0.3)
Laurel County 7 Rural 1,517.0 (1,445.2, 1,591.4) 78 (32, 107) 349 stable stable trend -0.2 (-0.7, 0.2)
Jessamine County 7 Urban 1,515.9 (1,436.2, 1,598.9) 79 (25, 110) 282 stable stable trend -0.2 (-0.6, 0.4)
Daviess County 7 Urban 1,516.5 (1,460.6, 1,573.9) 80 (41, 104) 575 stable stable trend 0.0 (-0.6, 0.6)
Trigg County 7 Urban 1,511.5 (1,378.3, 1,654.5) 81 (9, 116) 100 stable stable trend -0.3 (-1.2, 0.7)
Hopkins County 7 Rural 1,498.8 (1,419.2, 1,581.8) 82 (30, 111) 275 falling falling trend -0.7 (-1.3, -0.1)
Franklin County 7 Rural 1,497.5 (1,421.0, 1,577.2) 83 (37, 112) 298 falling falling trend -0.7 (-1.1, -0.2)
Larue County 7 Urban 1,495.1 (1,353.3, 1,648.0) 84 (13, 118) 86 stable stable trend 0.1 (-0.7, 1.0)
Carroll County 7 Rural 1,492.0 (1,322.3, 1,677.7) 85 (5, 119) 59 stable stable trend -0.3 (-1.3, 0.8)
Muhlenberg County 7 Rural 1,488.9 (1,395.3, 1,587.1) 86 (30, 114) 194 stable stable trend -0.3 (-0.8, 0.4)
Monroe County 7 Rural 1,486.5 (1,331.6, 1,654.9) 87 (8, 119) 70 stable stable trend -9.9 (-19.0, 0.1)
Fayette County 7 Urban 1,486.7 (1,452.1, 1,521.9) 88 (64, 103) 1,459 falling falling trend -0.6 (-0.9, -0.2)
Nicholas County 7 Rural 1,484.8 (1,289.5, 1,701.6) 89 (2, 120) 43 stable stable trend 0.4 (-0.9, 2.0)
Shelby County 7 Urban 1,483.1 (1,401.1, 1,568.8) 90 (35, 113) 257 stable stable trend 0.1 (-0.6, 0.9)
Greenup County 7 Urban 1,481.1 (1,396.4, 1,569.7) 91 (39, 114) 235 stable stable trend -0.4 (-0.9, 0.1)
Scott County 7 Urban 1,478.1 (1,393.0, 1,567.1) 92 (35, 114) 244 stable stable trend -0.1 (-0.7, 0.7)
Lee County 7 Rural 1,478.7 (1,286.0, 1,692.2) 93 (4, 120) 44 stable stable trend -0.6 (-1.9, 0.8)
Morgan County 7 Rural 1,476.4 (1,328.1, 1,637.0) 94 (9, 119) 77 stable stable trend 0.6 (-0.5, 1.8)
Letcher County 7 Rural 1,476.7 (1,365.2, 1,595.1) 95 (25, 116) 138 stable stable trend -0.4 (-1.2, 0.4)
Graves County 7 Rural 1,466.3 (1,378.3, 1,558.4) 96 (43, 115) 213 stable stable trend -0.1 (-0.9, 0.7)
Simpson County 7 Rural 1,458.9 (1,333.8, 1,592.8) 97 (18, 118) 105 stable stable trend -0.3 (-0.9, 0.4)
Menifee County 7 Rural 1,450.5 (1,254.1, 1,669.4) 98 (5, 120) 41 stable stable trend -0.3 (-1.5, 1.0)
Ballard County 7 Urban 1,452.5 (1,275.8, 1,647.0) 99 (9, 120) 50 stable stable trend -0.4 (-1.4, 0.6)
Warren County 7 Urban 1,442.3 (1,388.7, 1,497.3) 100 (72, 114) 569 stable stable trend -0.5 (-1.0, 0.0)
Bell County 7 Rural 1,440.9 (1,336.3, 1,551.6) 101 (37, 119) 145 stable stable trend -0.2 (-1.0, 0.6)
Wayne County 7 Rural 1,439.2 (1,327.4, 1,558.1) 102 (30, 119) 127 stable stable trend 0.0 (-0.7, 0.8)
Robertson County 7 Rural 1,430.5 (1,128.7, 1,789.3) 103 (1, 120) 16 stable stable trend 0.6 (-1.6, 3.3)
Jackson County 7 Rural 1,431.0 (1,285.1, 1,589.6) 104 (19, 120) 74 falling falling trend -2.2 (-9.8, -0.3)
Knott County 7 Rural 1,425.5 (1,291.4, 1,570.2) 105 (25, 119) 88 stable stable trend 0.1 (-0.6, 1.0)
Caldwell County 7 Rural 1,429.1 (1,290.8, 1,578.5) 106 (25, 120) 80 falling falling trend -0.9 (-1.3, -0.5)
Edmonson County 7 Urban 1,431.1 (1,289.5, 1,584.1) 107 (22, 120) 78 stable stable trend -0.1 (-0.9, 0.8)
Rowan County 7 Rural 1,423.9 (1,305.3, 1,550.6) 108 (38, 120) 109 falling falling trend -2.2 (-4.4, -1.0)
Lyon County 7 Rural 1,407.7 (1,251.2, 1,578.7) 109 (18, 120) 61 stable stable trend 0.4 (-0.7, 1.7)
Hancock County 7 Rural 1,403.1 (1,232.1, 1,591.6) 110 (16, 120) 50 stable stable trend 1.2 (0.0, 2.6)
Lewis County 7 Rural 1,392.5 (1,252.7, 1,543.9) 111 (34, 120) 76 stable stable trend 0.3 (-0.5, 1.2)
Allen County 7 Urban 1,390.2 (1,276.2, 1,511.9) 112 (53, 120) 114 falling falling trend -1.8 (-4.5, -0.4)
Webster County 7 Rural 1,372.7 (1,228.1, 1,529.8) 113 (41, 120) 68 stable stable trend -0.6 (-1.6, 0.5)
Todd County 7 Rural 1,349.4 (1,198.6, 1,514.1) 114 (36, 120) 60 stable stable trend 0.1 (-0.9, 1.1)
Breathitt County 7 Rural 1,336.3 (1,198.3, 1,486.5) 115 (50, 120) 73 stable stable trend -1.9 (-8.2, 0.0)
Henderson County 7 Rural 1,317.0 (1,241.2, 1,396.3) 116 (95, 120) 234 falling falling trend -10.4 (-15.2, -6.0)
Crittenden County 7 Rural 1,280.7 (1,124.0, 1,453.4) 117 (59, 120) 50 stable stable trend -0.4 (-1.4, 0.8)
Hickman County 7 Rural 1,277.1 (1,073.3, 1,508.0) 118 (27, 120) 29 stable stable trend -0.2 (-1.3, 1.1)
Union County 7 Rural 1,258.1 (1,125.5, 1,402.3) 119 (82, 120) 70 falling falling trend -5.4 (-14.3, -1.2)
Elliott County 7 Rural 1,200.4 (1,032.2, 1,388.4) 120 (78, 120) 37 stable stable trend -0.2 (-1.6, 1.5)

Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 10:53 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.


† 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.

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.

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.

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