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Incidence Rate Report for Kentucky by County

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

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

Sorted by Name

County
 sort alphabetically by name descending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Kentucky 7 N/A 519.0 (516.2, 521.8) N/A 29,054 stable stable trend -0.6 (-1.2, 0.0)
US (SEER+NPCR) 1 N/A 448.6 (448.3, 448.9) N/A 1,821,045 falling falling trend -1.0 (-1.6, -0.5)
Adair County 7 Rural 579.8 (536.8, 625.4) 10 (1, 77) 148 rising rising trend 0.7 (0.1, 1.5)
Allen County 7 Urban 480.9 (443.1, 521.2) 103 (28, 119) 130 stable stable trend 0.3 (-0.5, 1.2)
Anderson County 7 Rural 530.1 (492.7, 569.7) 52 (7, 108) 159 stable stable trend -0.2 (-1.0, 0.8)
Ballard County 7 Urban 470.4 (414.1, 533.2) 109 (11, 120) 55 stable stable trend -0.3 (-1.4, 0.9)
Barren County 7 Rural 506.7 (480.3, 534.2) 81 (27, 110) 293 stable stable trend 0.5 (-0.1, 1.1)
Bath County 7 Rural 564.6 (511.7, 621.6) 20 (1, 103) 90 stable stable trend -0.5 (-2.9, 0.2)
Bell County 7 Rural 493.8 (459.0, 530.6) 94 (29, 117) 164 stable stable trend -0.2 (-0.9, 0.6)
Boone County 7 Urban 500.6 (484.4, 517.2) 87 (50, 107) 761 stable stable trend 0.0 (-0.3, 0.3)
Bourbon County 7 Urban 547.1 (507.6, 589.2) 29 (3, 102) 153 rising rising trend 1.3 (0.2, 4.6)
Boyd County 7 Urban 540.5 (515.1, 566.9) 36 (10, 88) 366 stable stable trend 0.4 (-0.4, 3.2)
Boyle County 7 Rural 524.3 (492.2, 558.0) 63 (14, 108) 212 rising rising trend 0.6 (0.1, 1.1)
Bracken County 7 Urban 621.8 (555.0, 695.0) 1 (1, 77) 68 stable stable trend 0.7 (-0.6, 2.1)
Breathitt County 7 Rural 468.3 (422.6, 518.1) 110 (28, 120) 85 stable stable trend -1.3 (-5.1, 0.0)
Breckinridge County 7 Rural 521.2 (482.5, 562.4) 69 (9, 113) 150 stable stable trend 0.5 (-0.3, 1.3)
Bullitt County 7 Urban 537.5 (517.0, 558.7) 38 (14, 85) 554 stable stable trend 0.1 (-0.3, 0.6)
Butler County 7 Urban 556.3 (504.6, 612.2) 24 (1, 107) 92 stable stable trend 0.5 (-0.5, 1.6)
Caldwell County 7 Rural 458.7 (414.7, 506.6) 114 (43, 120) 87 falling falling trend -0.7 (-1.1, -0.2)
Calloway County 7 Rural 526.0 (495.4, 558.0) 59 (12, 104) 238 stable stable trend 0.3 (-0.6, 1.3)
Campbell County 7 Urban 523.5 (504.4, 543.1) 67 (22, 93) 611 stable stable trend -0.1 (-0.5, 0.3)
Carlisle County 7 Urban 524.7 (447.7, 612.2) 61 (1, 120) 36 stable stable trend 0.1 (-1.5, 1.7)
Carroll County 7 Rural 501.7 (447.3, 561.1) 86 (6, 119) 66 stable stable trend -0.3 (-1.3, 0.8)
Carter County 7 Urban 572.6 (537.0, 610.2) 17 (1, 74) 209 rising rising trend 0.9 (0.5, 2.1)
Casey County 7 Rural 510.9 (467.6, 557.4) 78 (11, 116) 113 stable stable trend -0.1 (-0.8, 0.7)
Christian County 7 Urban 526.1 (501.2, 551.9) 58 (18, 99) 352 stable stable trend 2.6 (0.0, 6.1)
Clark County 7 Urban 536.6 (506.8, 567.8) 43 (9, 99) 258 stable stable trend 0.1 (-0.7, 0.9)
Clay County 7 Rural 573.2 (530.8, 618.4) 14 (1, 90) 144 stable stable trend 0.7 (0.0, 1.5)
Clinton County 7 Rural 534.6 (477.7, 597.1) 45 (1, 114) 70 stable stable trend 0.9 (-0.7, 2.6)
Crittenden County 7 Rural 414.2 (364.1, 469.8) 119 (81, 120) 54 stable stable trend -0.3 (-1.4, 0.8)
Cumberland County 7 Rural 606.5 (531.5, 690.0) 3 (1, 99) 55 stable stable trend 1.0 (-0.3, 2.4)
Daviess County 7 Urban 508.8 (490.9, 527.2) 79 (40, 105) 650 stable stable trend 0.2 (-0.3, 0.7)
Edmonson County 7 Urban 468.1 (422.7, 517.6) 112 (31, 120) 85 falling falling trend -0.5 (-1.7, -0.1)
Elliott County 7 Rural 404.6 (350.7, 465.4) 120 (81, 120) 42 stable stable trend -0.4 (-1.6, 1.1)
Estill County 7 Rural 572.7 (523.5, 625.5) 15 (1, 94) 111 stable stable trend 0.6 (-0.3, 1.6)
Fayette County 7 Urban 494.2 (483.5, 505.1) 93 (70, 106) 1,692 stable stable trend 1.5 (-0.3, 2.8)
Fleming County 7 Rural 530.4 (484.9, 579.3) 53 (4, 113) 108 stable stable trend 0.0 (-0.8, 0.9)
Floyd County 7 Rural 588.0 (556.5, 620.8) 7 (1, 47) 289 stable stable trend 0.0 (-0.5, 0.5)
Franklin County 7 Rural 497.9 (473.5, 523.3) 91 (38, 112) 334 stable stable trend -0.4 (-0.9, 0.1)
Fulton County 7 Rural 581.1 (508.2, 662.3) 9 (1, 110) 52 rising rising trend 9.6 (0.3, 16.1)
Gallatin County 7 Urban 545.4 (481.6, 615.8) 31 (1, 116) 58 stable stable trend 0.8 (-0.8, 2.6)
Garrard County 7 Rural 532.5 (490.0, 578.0) 49 (5, 112) 126 stable stable trend -0.2 (-2.0, 0.5)
Grant County 7 Urban 572.7 (532.7, 614.9) 16 (1, 85) 164 rising rising trend 0.6 (0.1, 1.2)
Graves County 7 Rural 493.4 (464.8, 523.5) 95 (38, 114) 239 stable stable trend 0.1 (-0.7, 1.0)
Grayson County 7 Rural 566.8 (530.7, 604.9) 18 (1, 81) 199 stable stable trend 0.7 (-0.1, 1.7)
Green County 7 Rural 550.8 (498.4, 607.8) 26 (1, 108) 90 rising rising trend 1.3 (0.4, 2.2)
Greenup County 7 Urban 502.2 (474.1, 531.7) 84 (28, 113) 262 stable stable trend -0.2 (-0.8, 0.5)
Hancock County 7 Rural 484.0 (427.4, 546.4) 101 (12, 120) 57 rising rising trend 1.5 (0.3, 3.0)
Hardin County 7 Urban 545.6 (527.1, 564.5) 30 (13, 73) 691 stable stable trend 0.1 (-0.3, 0.5)
Harlan County 7 Rural 516.1 (482.1, 552.0) 76 (14, 112) 188 stable stable trend 0.2 (-0.6, 1.0)
Harrison County 7 Rural 547.3 (505.3, 592.1) 28 (2, 105) 137 stable stable trend 0.1 (-0.5, 0.8)
Hart County 7 Rural 530.2 (488.2, 575.1) 51 (6, 110) 128 stable stable trend 0.5 (-0.6, 1.7)
Henderson County 7 Rural 439.7 (415.3, 465.2) 117 (100, 120) 262 falling falling trend -10.4 (-14.4, -6.6)
Henry County 7 Urban 538.2 (493.4, 586.4) 39 (3, 112) 115 stable stable trend 0.0 (-0.8, 0.9)
Hickman County 7 Rural 448.0 (375.1, 532.5) 115 (8, 120) 32 stable stable trend 0.3 (-1.1, 1.8)
Hopkins County 7 Rural 502.7 (476.8, 529.6) 83 (30, 111) 307 stable stable trend -0.4 (-1.0, 0.3)
Jackson County 7 Rural 500.1 (451.8, 552.4) 90 (11, 118) 86 falling falling trend -1.8 (-7.7, -0.2)
Jefferson County 7 Urban 518.0 (511.3, 524.7) 74 (49, 83) 4,944 stable stable trend -0.2 (-0.4, 0.0)
Jessamine County 7 Urban 518.1 (492.6, 544.6) 73 (21, 105) 327 stable stable trend 0.1 (-0.4, 0.6)
Johnson County 7 Rural 504.3 (468.3, 542.5) 82 (18, 114) 158 stable stable trend 0.1 (-0.6, 0.8)
Kenton County 7 Urban 525.3 (510.5, 540.4) 60 (28, 87) 1,025 falling falling trend -2.1 (-3.5, -0.6)
Knott County 7 Rural 479.6 (435.3, 527.5) 104 (25, 119) 97 stable stable trend 0.4 (-0.5, 1.3)
Knox County 7 Rural 588.0 (553.4, 624.3) 8 (1, 53) 227 stable stable trend 0.5 (-0.1, 1.1)
Larue County 7 Urban 511.4 (465.2, 561.1) 77 (9, 115) 98 stable stable trend 0.4 (-0.4, 1.2)
Laurel County 7 Rural 501.4 (478.8, 524.8) 85 (37, 111) 394 stable stable trend -0.2 (-0.6, 0.4)
Lawrence County 7 Urban 558.1 (512.1, 607.4) 23 (1, 104) 119 stable stable trend 0.6 (0.0, 1.2)
Lee County 7 Rural 465.9 (406.4, 532.5) 113 (13, 120) 48 stable stable trend -0.5 (-2.0, 1.0)
Leslie County 7 Rural 509.0 (456.5, 566.4) 80 (5, 118) 75 stable stable trend 0.1 (-1.2, 1.4)
Letcher County 7 Rural 524.1 (486.1, 564.6) 62 (9, 111) 158 stable stable trend -0.1 (-0.8, 0.6)
Lewis County 7 Rural 500.6 (452.7, 552.6) 88 (12, 119) 88 stable stable trend 0.7 (-0.2, 1.8)
Lincoln County 7 Rural 598.0 (559.1, 639.1) 4 (1, 52) 190 rising rising trend 0.8 (0.4, 1.2)
Livingston County 7 Urban 598.4 (537.9, 664.6) 5 (1, 81) 82 stable stable trend 0.4 (-0.6, 1.4)
Logan County 7 Rural 517.0 (483.3, 552.6) 75 (15, 110) 188 stable stable trend -0.1 (-0.9, 0.6)
Lyon County 7 Rural 475.8 (422.9, 534.6) 108 (14, 120) 67 stable stable trend 0.6 (-0.4, 1.8)
Madison County 7 Rural 520.9 (500.7, 541.7) 70 (26, 99) 528 stable stable trend -0.3 (-0.8, 0.3)
Magoffin County 7 Rural 537.0 (484.4, 594.0) 42 (2, 113) 84 stable stable trend 0.1 (-1.0, 1.3)
Marion County 7 Rural 541.0 (499.2, 585.6) 33 (3, 107) 132 rising rising trend 0.9 (0.3, 1.6)
Marshall County 7 Rural 528.3 (497.9, 560.2) 55 (10, 103) 251 stable stable trend 0.2 (-0.4, 0.9)
Martin County 7 Rural 493.8 (442.2, 550.1) 96 (12, 119) 71 stable stable trend 0.0 (-0.9, 1.1)
Mason County 7 Rural 524.2 (481.5, 570.1) 65 (6, 113) 120 stable stable trend -0.2 (-0.8, 0.5)
McCracken County 7 Urban 529.0 (507.6, 551.1) 54 (17, 92) 499 rising rising trend 1.4 (0.2, 4.1)
McCreary County 7 Rural 531.6 (487.0, 579.3) 50 (4, 111) 110 stable stable trend -0.2 (-1.1, 0.7)
McLean County 7 Urban 541.0 (483.0, 604.7) 35 (1, 113) 69 stable stable trend 0.7 (-0.1, 1.5)
Meade County 7 Urban 518.4 (484.5, 554.3) 72 (15, 111) 186 stable stable trend 0.3 (-0.4, 1.0)
Menifee County 7 Rural 485.3 (420.6, 558.4) 99 (4, 120) 45 stable stable trend -0.5 (-1.7, 0.9)
Mercer County 7 Rural 549.1 (511.7, 588.7) 27 (3, 99) 174 stable stable trend 0.4 (-0.4, 1.4)
Metcalfe County 7 Rural 534.2 (480.2, 593.1) 47 (2, 115) 77 stable stable trend 0.7 (-0.2, 1.6)
Monroe County 7 Rural 534.6 (481.0, 592.9) 46 (1, 115) 81 stable stable trend -9.1 (-15.9, 0.2)
Montgomery County 7 Rural 558.6 (523.2, 595.9) 22 (2, 88) 194 rising rising trend 0.6 (0.1, 1.1)
Morgan County 7 Rural 477.6 (431.9, 527.1) 106 (22, 120) 86 stable stable trend 0.3 (-7.5, 4.6)
Muhlenberg County 7 Rural 483.0 (453.3, 514.2) 102 (48, 117) 212 stable stable trend -0.3 (-0.8, 0.3)
Nelson County 7 Urban 552.9 (525.0, 582.0) 25 (4, 78) 315 stable stable trend 0.0 (-0.6, 0.8)
Nicholas County 7 Rural 494.7 (432.5, 564.0) 92 (5, 120) 48 stable stable trend 0.2 (-1.1, 1.6)
Ohio County 7 Rural 519.5 (483.3, 557.8) 71 (12, 111) 163 stable stable trend -0.8 (-5.0, 0.5)
Oldham County 7 Urban 541.3 (517.4, 565.9) 34 (11, 89) 414 stable stable trend -0.3 (-0.7, 0.2)
Owen County 7 Rural 534.5 (482.4, 591.1) 48 (2, 115) 84 stable stable trend 0.3 (-0.6, 1.3)
Owsley County 7 Rural 564.4 (477.6, 663.8) 21 (1, 119) 33 stable stable trend 0.1 (-1.7, 2.0)
Pendleton County 7 Urban 540.1 (491.6, 592.3) 37 (3, 109) 101 stable stable trend 0.4 (-0.2, 1.0)
Perry County 7 Rural 523.6 (489.6, 559.4) 66 (11, 110) 193 stable stable trend -0.1 (-0.7, 0.7)
Pike County 7 Rural 541.4 (518.1, 565.7) 32 (10, 84) 440 stable stable trend 0.2 (-0.2, 0.6)
Powell County 7 Rural 594.3 (539.5, 653.4) 6 (1, 84) 94 stable stable trend 0.4 (-0.5, 1.4)
Pulaski County 7 Rural 535.8 (513.8, 558.6) 44 (16, 89) 481 stable stable trend 0.0 (-0.3, 0.3)
Robertson County 7 Rural 525.1 (412.0, 662.6) 57 (1, 120) 18 stable stable trend 0.9 (-1.1, 3.2)
Rockcastle County 7 Rural 578.7 (532.6, 628.0) 13 (1, 84) 128 rising rising trend 0.9 (0.3, 1.7)
Rowan County 7 Rural 476.5 (438.6, 516.8) 107 (35, 119) 124 falling falling trend -1.4 (-4.0, -0.5)
Russell County 7 Rural 526.3 (485.5, 569.9) 56 (6, 113) 136 stable stable trend 0.4 (-0.8, 1.6)
Scott County 7 Urban 491.7 (465.8, 518.7) 97 (45, 115) 289 stable stable trend -0.1 (-0.5, 0.4)
Shelby County 7 Urban 485.1 (459.7, 511.7) 100 (50, 115) 289 stable stable trend 0.1 (-0.5, 0.8)
Simpson County 7 Rural 486.1 (446.3, 528.6) 98 (26, 119) 118 falling falling trend -1.5 (-2.7, -0.5)
Spencer County 7 Urban 537.6 (494.4, 583.7) 40 (3, 109) 129 stable stable trend 0.1 (-0.6, 0.9)
Taylor County 7 Rural 565.3 (528.0, 604.6) 19 (2, 82) 187 stable stable trend -2.6 (-8.1, 0.1)
Todd County 7 Rural 467.4 (418.0, 521.2) 111 (19, 120) 69 stable stable trend 0.3 (-0.5, 1.2)
Trigg County 7 Urban 500.5 (456.4, 548.3) 89 (13, 118) 109 stable stable trend -0.2 (-1.0, 0.6)
Trimble County 7 Rural 579.7 (515.2, 650.6) 11 (1, 102) 64 rising rising trend 1.6 (0.3, 3.1)
Union County 7 Rural 424.9 (382.0, 471.7) 118 (85, 120) 79 stable stable trend -9.4 (-19.6, 0.5)
Warren County 7 Urban 479.6 (463.0, 496.6) 105 (79, 115) 660 stable stable trend -0.5 (-0.9, 0.1)
Washington County 7 Rural 538.4 (487.0, 594.1) 41 (2, 113) 87 rising rising trend 1.4 (0.5, 2.4)
Wayne County 7 Rural 522.2 (482.8, 564.2) 68 (10, 112) 147 stable stable trend 0.3 (-0.4, 1.2)
Webster County 7 Rural 444.1 (399.0, 493.3) 116 (62, 120) 75 stable stable trend -0.5 (-1.4, 0.5)
Whitley County 7 Rural 578.7 (546.2, 612.7) 12 (1, 57) 250 rising rising trend 0.6 (0.2, 1.2)
Wolfe County 7 Rural 615.5 (542.3, 696.5) 2 (1, 95) 57 stable stable trend -0.1 (-1.3, 1.3)
Woodford County 7 Urban 523.9 (490.0, 559.7) 64 (11, 108) 196 stable stable trend -0.4 (-1.1, 0.3)

Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 3:49 am.

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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