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 65+

Sorted by Recentaapc

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

Missouri²

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 2,067.6 with a 95% confidence interval from 2,055.0 to 2,080.1 and 21,392 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.5 to -0.1.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 2,004.7 with a 95% confidence interval from 2,002.9 to 2,006.4 and 1,067,371 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.8.

Audrain County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,090.0 with a 95% confidence interval from 1,904.0 to 2,289.4 and 94 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (10, 102)
• Recent Trend : The trend is because the trend is -9.8 with a 95% confidence interval from -12.6 to -6.7.

Crawford County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,152.2 with a 95% confidence interval from 1,962.7 to 2,355.2 and 97 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (6, 97)
• Recent Trend : The trend is because the trend is -8.0 with a 95% confidence interval from -17.4 to 1.1.

Barry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,038.2 with a 95% confidence interval from 1,892.7 to 2,192.0 and 149 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (20, 103)
• Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -8.3 to 1.1.

St. Louis City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,802.4 with a 95% confidence interval from 1,743.6 to 1,862.8 and 758 average annual cases over 2018-2022.
• CI*Rank ⋔ : 104 (88, 110)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -6.5 to -1.7.

Ralls County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,576.9 with a 95% confidence interval from 1,352.1 to 1,829.0 and 36 average annual cases over 2018-2022.
• CI*Rank ⋔ : 114 (74, 115)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.9 to -0.2.

Dade County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,814.2 with a 95% confidence interval from 1,542.7 to 2,119.8 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 101 (16, 115)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.6.

Scotland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,590.8 with a 95% confidence interval from 1,237.0 to 2,014.1 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 113 (24, 115)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -3.6 to 0.6.

Saline County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,085.7 with a 95% confidence interval from 1,890.0 to 2,296.3 and 84 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (8, 106)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.9 to 0.2.

Platte County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,685.8 with a 95% confidence interval from 1,595.1 to 1,780.3 and 268 average annual cases over 2018-2022.
• CI*Rank ⋔ : 110 (96, 115)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.2 to -0.1.

Pulaski County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,067.0 with a 95% confidence interval from 1,887.6 to 2,259.0 and 101 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (11, 106)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.4.

Stone County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,872.9 with a 95% confidence interval from 1,750.0 to 2,002.2 and 180 average annual cases over 2018-2022.
• CI*Rank ⋔ : 98 (53, 111)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.2.

Laclede County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,914.9 with a 95% confidence interval from 1,764.3 to 2,075.0 and 122 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (35, 110)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.3.

Gasconade County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,066.7 with a 95% confidence interval from 1,851.1 to 2,300.5 and 68 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (7, 108)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.2 to 0.4.

Morgan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,016.1 with a 95% confidence interval from 1,841.0 to 2,203.6 and 99 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (17, 107)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.2.

Schuyler County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,539.6 with a 95% confidence interval from 1,171.7 to 1,986.1 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 115 (27, 115)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.8 to 0.8.

Benton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,046.0 with a 95% confidence interval from 1,884.2 to 2,217.9 and 121 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (18, 103)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.5.

Grundy County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,951.7 with a 95% confidence interval from 1,692.8 to 2,238.5 and 41 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (9, 114)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.9 to 1.2.

St. Charles County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,045.4 with a 95% confidence interval from 1,995.1 to 2,096.7 and 1,289 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (42, 85)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.4.

Texas County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,742.7 with a 95% confidence interval from 1,584.6 to 1,912.3 and 90 average annual cases over 2018-2022.
• CI*Rank ⋔ : 108 (68, 115)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.4.

Christian County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,016.3 with a 95% confidence interval from 1,911.1 to 2,125.8 and 283 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (33, 99)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.3.

DeKalb County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,803.5 with a 95% confidence interval from 1,547.3 to 2,089.6 and 36 average annual cases over 2018-2022.
• CI*Rank ⋔ : 103 (19, 115)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.5 to 1.3.

Macon County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,033.0 with a 95% confidence interval from 1,821.2 to 2,262.8 and 67 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (8, 109)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Ray County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,945.2 with a 95% confidence interval from 1,760.8 to 2,143.8 and 83 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (25, 111)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.3.

Vernon County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,766.2 with a 95% confidence interval from 1,583.0 to 1,964.8 and 69 average annual cases over 2018-2022.
• CI*Rank ⋔ : 106 (50, 115)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.8 to 0.5.

Camden County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,004.4 with a 95% confidence interval from 1,890.2 to 2,123.9 and 242 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (33, 101)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.1.

Cedar County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,021.9 with a 95% confidence interval from 1,809.1 to 2,252.7 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (10, 110)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.7 to 0.5.

Cole County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,014.9 with a 95% confidence interval from 1,905.8 to 2,128.6 and 263 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (32, 99)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.2.

Dallas County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,861.5 with a 95% confidence interval from 1,660.0 to 2,080.9 and 63 average annual cases over 2018-2022.
• CI*Rank ⋔ : 99 (29, 114)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.5.

Dent County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,943.8 with a 95% confidence interval from 1,730.5 to 2,176.2 and 61 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (18, 113)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.0 to 0.7.

Clay County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,125.7 with a 95% confidence interval from 2,057.5 to 2,195.6 and 759 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (26, 73)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.9 to -0.1.

Lawrence County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,791.9 with a 95% confidence interval from 1,651.5 to 1,941.1 and 121 average annual cases over 2018-2022.
• CI*Rank ⋔ : 105 (63, 114)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.4.

Ozark County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,914.9 with a 95% confidence interval from 1,678.0 to 2,176.3 and 48 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (15, 114)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.4 to 1.6.

Pemiscot County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,626.8 with a 95% confidence interval from 1,416.3 to 1,859.9 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 111 (74, 115)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.1 to 1.1.

St. Louis County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,117.3 with a 95% confidence interval from 2,086.9 to 2,148.0 and 3,784 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (34, 63)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.2.

Boone County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,063.1 with a 95% confidence interval from 1,978.9 to 2,150.0 and 474 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (32, 91)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.4.

Callaway County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,098.6 with a 95% confidence interval from 1,951.6 to 2,253.8 and 157 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (14, 98)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.4.

Hickory County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,600.4 with a 95% confidence interval from 1,395.8 to 1,826.6 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 112 (78, 115)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.6 to 0.9.

Pettis County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,156.8 with a 95% confidence interval from 2,005.6 to 2,316.3 and 154 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (8, 92)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.3.

Polk County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,917.1 with a 95% confidence interval from 1,759.1 to 2,085.5 and 109 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (32, 111)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.3.

Sullivan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,925.6 with a 95% confidence interval from 1,590.1 to 2,311.0 and 23 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (4, 115)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.6 to 1.7.

Bates County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,974.3 with a 95% confidence interval from 1,757.3 to 2,210.9 and 61 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (13, 112)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.8 to 1.2.

Jackson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,982.3 with a 95% confidence interval from 1,943.9 to 2,021.2 and 2,100 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (60, 92)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.0.

Lincoln County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,184.4 with a 95% confidence interval from 2,039.0 to 2,337.5 and 177 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (7, 84)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.5.

Adair County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,023.6 with a 95% confidence interval from 1,825.6 to 2,237.2 and 77 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (14, 108)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.6 to 1.2.

Andrew County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,004.4 with a 95% confidence interval from 1,796.1 to 2,230.4 and 69 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (12, 111)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -2.0 to 1.7.

Butler County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,176.1 with a 95% confidence interval from 2,031.6 to 2,328.1 and 171 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (8, 86)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.8.

Jefferson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,201.7 with a 95% confidence interval from 2,129.9 to 2,275.4 and 758 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (15, 58)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.2.

Maries County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,732.1 with a 95% confidence interval from 1,469.5 to 2,028.3 and 31 average annual cases over 2018-2022.
• CI*Rank ⋔ : 109 (30, 115)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.7 to 1.4.

Moniteau County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,897.9 with a 95% confidence interval from 1,662.9 to 2,157.0 and 48 average annual cases over 2018-2022.
• CI*Rank ⋔ : 96 (14, 114)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -2.1 to 1.7.

New Madrid County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,098.8 with a 95% confidence interval from 1,875.3 to 2,341.8 and 65 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (5, 106)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.5 to 1.1.

Shelby County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,196.5 with a 95% confidence interval from 1,845.2 to 2,594.9 and 28 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (1, 112)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.8 to 1.4.

Caldwell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,980.6 with a 95% confidence interval from 1,693.1 to 2,302.9 and 34 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (5, 114)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.9 to 1.7.

Clinton County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,990.6 with a 95% confidence interval from 1,792.3 to 2,204.9 and 75 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (14, 110)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.2.

Henry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,196.8 with a 95% confidence interval from 2,013.6 to 2,392.2 and 107 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (4, 92)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.2 to 1.1.

Howell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,056.2 with a 95% confidence interval from 1,915.0 to 2,205.0 and 160 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (20, 100)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.1.

Newton County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,894.1 with a 95% confidence interval from 1,778.1 to 2,015.8 and 202 average annual cases over 2018-2022.
• CI*Rank ⋔ : 97 (52, 109)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.2.

Pike County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,254.0 with a 95% confidence interval from 2,025.8 to 2,501.0 and 72 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (2, 95)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.8 to 1.6.

Webster County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,017.2 with a 95% confidence interval from 1,857.8 to 2,186.7 and 121 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (20, 106)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.1 to 1.0.

Johnson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,105.3 with a 95% confidence interval from 1,951.7 to 2,267.8 and 143 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (11, 98)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.8.

Knox County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,245.8 with a 95% confidence interval from 1,802.4 to 2,765.6 and 18 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (1, 114)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.1.

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,351.9 with a 95% confidence interval from 2,073.4 to 2,657.2 and 53 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 91)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.9 to 1.8.

Phelps County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,023.9 with a 95% confidence interval from 1,880.9 to 2,174.9 and 150 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (24, 104)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.9 to 0.9.

Warren County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,143.8 with a 95% confidence interval from 1,980.8 to 2,316.7 and 131 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (8, 95)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.1 to 1.2.

Wright County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,109.2 with a 95% confidence interval from 1,898.7 to 2,336.9 and 74 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (6, 105)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.6.

Cass County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,092.5 with a 95% confidence interval from 1,998.9 to 2,189.4 and 381 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (23, 89)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.6.

Chariton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,949.5 with a 95% confidence interval from 1,665.0 to 2,268.2 and 34 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (7, 115)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.4 to 1.6.

Lewis County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,363.4 with a 95% confidence interval from 2,059.6 to 2,699.6 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (1, 95)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.5 to 1.7.

Miller County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,998.1 with a 95% confidence interval from 1,820.7 to 2,188.2 and 95 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (18, 108)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.0 to 1.2.

Randolph County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,237.6 with a 95% confidence interval from 2,035.2 to 2,454.6 and 91 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (2, 90)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.1 to 1.4.

Reynolds County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,117.4 with a 95% confidence interval from 1,793.1 to 2,483.3 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (1, 113)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.9 to 2.2.

Daviess County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,004.7 with a 95% confidence interval from 1,710.3 to 2,335.2 and 34 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (4, 114)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.3 to 1.9.

Nodaway County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,048.3 with a 95% confidence interval from 1,841.5 to 2,271.9 and 73 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (9, 107)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.2 to 1.7.

Barton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,903.5 with a 95% confidence interval from 1,662.5 to 2,169.9 and 45 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (17, 114)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.3 to 1.9.

Livingston County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,106.2 with a 95% confidence interval from 1,872.2 to 2,361.2 and 60 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (4, 107)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.6 to 1.3.

Perry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,171.1 with a 95% confidence interval from 1,959.9 to 2,398.9 and 79 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (4, 98)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.9 to 1.5.

Putnam County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,805.1 with a 95% confidence interval from 1,468.9 to 2,195.3 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 102 (8, 115)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -2.4 to 3.2.

Harrison County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,242.3 with a 95% confidence interval from 1,939.7 to 2,578.5 and 40 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (1, 104)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.8 to 2.6.

St. Francois County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,343.3 with a 95% confidence interval from 2,215.5 to 2,476.5 and 256 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (2, 48)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.2 to 1.0.

Cape Girardeau County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,097.5 with a 95% confidence interval from 1,989.7 to 2,209.5 and 289 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (21, 89)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.3 to 1.4.

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,340.8 with a 95% confidence interval from 2,072.6 to 2,634.1 and 56 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (1, 91)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.6 to 1.7.

Holt County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,402.6 with a 95% confidence interval from 1,992.6 to 2,871.0 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 108)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.7 to 3.2.

Lafayette County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,130.1 with a 95% confidence interval from 1,967.2 to 2,302.9 and 128 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (9, 97)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.2 to 1.8.

Shannon County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,073.7 with a 95% confidence interval from 1,767.1 to 2,419.1 and 33 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (2, 113)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.4 to 3.1.

Cooper County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,243.3 with a 95% confidence interval from 2,013.4 to 2,492.3 and 71 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (2, 94)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.2 to 1.8.

Marion County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,430.8 with a 95% confidence interval from 2,240.6 to 2,632.8 and 124 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 48)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.2 to 1.8.

Dunklin County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,301.0 with a 95% confidence interval from 2,117.7 to 2,495.9 and 118 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (2, 76)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.1 to 1.9.

Gentry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,426.2 with a 95% confidence interval from 2,038.6 to 2,865.9 and 28 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 104)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -1.0 to 2.8.

Scott County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,261.4 with a 95% confidence interval from 2,104.1 to 2,427.3 and 156 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (3, 72)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.4 to 1.3.

Stoddard County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,395.0 with a 95% confidence interval from 2,218.2 to 2,582.1 and 137 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 53)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.0 to 1.9.

Bollinger County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,296.8 with a 95% confidence interval from 2,019.6 to 2,601.8 and 51 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (1, 99)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.7 to 2.8.

Franklin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,329.0 with a 95% confidence interval from 2,230.3 to 2,430.8 and 430 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (4, 40)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.0 to 3.7.

Jasper County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,341.6 with a 95% confidence interval from 2,243.7 to 2,442.7 and 439 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (3, 39)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.3 to 1.8.

Linn County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,371.0 with a 95% confidence interval from 2,103.3 to 2,663.3 and 58 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 87)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.8 to 2.9.

Mississippi County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,437.6 with a 95% confidence interval from 2,159.0 to 2,742.5 and 56 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 85)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.1 to 2.1.

Osage County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,049.7 with a 95% confidence interval from 1,794.0 to 2,331.9 and 47 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (5, 111)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.2 to 2.2.

Carroll County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,216.8 with a 95% confidence interval from 1,924.3 to 2,541.4 and 41 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (1, 106)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -0.3 to 2.6.

McDonald County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,025.7 with a 95% confidence interval from 1,816.1 to 2,253.2 and 71 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (10, 109)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from 0.0 to 2.3.

Iron County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,431.6 with a 95% confidence interval from 2,137.8 to 2,754.7 and 50 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 82)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from 0.3 to 2.2.

Monroe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,329.2 with a 95% confidence interval from 2,040.3 to 2,647.5 and 47 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (1, 98)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.1 to 2.6.

Buchanan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,301.0 with a 95% confidence interval from 2,187.5 to 2,418.9 and 315 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (4, 50)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -1.0 to 6.0.

Mercer County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,221.0 with a 95% confidence interval from 1,755.0 to 2,770.5 and 16 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (1, 114)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -1.9 to 4.6.

Ste. Genevieve County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,276.7 with a 95% confidence interval from 2,057.3 to 2,513.1 and 81 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (1, 89)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -0.1 to 2.8.

Ripley County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,441.7 with a 95% confidence interval from 2,154.2 to 2,757.2 and 53 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 78)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from 0.5 to 2.3.

Carter County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,825.8 with a 95% confidence interval from 2,387.3 to 3,322.3 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 47)
• Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -0.1 to 3.8.

Worth County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,064.7 with a 95% confidence interval from 1,540.9 to 2,710.0 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (1, 115)
• Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -1.2 to 4.6.

Clark County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,346.7 with a 95% confidence interval from 1,994.1 to 2,743.8 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (1, 104)
• Recent Trend : The trend is because the trend is 1.8 with a 95% confidence interval from -0.1 to 3.9.

Oregon County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,205.0 with a 95% confidence interval from 1,920.0 to 2,520.5 and 43 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (1, 109)
• Recent Trend : The trend is because the trend is 2.1 with a 95% confidence interval from 0.1 to 4.3.

Taney County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,996.7 with a 95% confidence interval from 1,884.5 to 2,113.9 and 241 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (35, 101)
• Recent Trend : The trend is because the trend is 2.1 with a 95% confidence interval from -0.3 to 7.0.

Douglas County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,747.5 with a 95% confidence interval from 1,536.4 to 1,979.9 and 50 average annual cases over 2018-2022.
• CI*Rank ⋔ : 107 (44, 115)
• Recent Trend : The trend is because the trend is 2.2 with a 95% confidence interval from -0.7 to 11.7.

St. Clair County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,852.6 with a 95% confidence interval from 1,617.4 to 2,112.4 and 45 average annual cases over 2018-2022.
• CI*Rank ⋔ : 100 (23, 115)
• Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from -0.2 to 9.3.

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,289.4 with a 95% confidence interval from 2,078.6 to 2,516.1 and 91 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (2, 88)
• Recent Trend : The trend is because the trend is 4.1 with a 95% confidence interval from 0.3 to 9.6.

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,030.2 with a 95% confidence interval from 1,973.7 to 2,087.9 and 992 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (44, 89)
• Recent Trend : The trend is because the trend is 6.6 with a 95% confidence interval from 2.7 to 8.8.

Atchison County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,903.4 with a 95% confidence interval from 1,580.2 to 2,273.0 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (7, 115)
• Recent Trend : The trend is because the trend is 9.7 with a 95% confidence interval from -2.1 to 19.4.

Howard County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,935.5 with a 95% confidence interval from 1,661.6 to 2,241.8 and 36 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (9, 115)
• Recent Trend : The trend is because the trend is 10.8 with a 95% confidence interval from -0.9 to 20.3.

Wayne County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,330.2 with a 95% confidence interval from 2,075.6 to 2,607.4 and 61 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (1, 91)
• Recent Trend : The trend is because the trend is 17.7 with a 95% confidence interval from 8.0 to 26.8.

Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 7:40 am.

State Cancer Registries may provide more current or more local data.

† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (SEER areas use 20 age groups and NPCR areas use 19 age groups). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.

Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.

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

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

Data for United States does not include Puerto Rico.