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Incidence Rates Table

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Incidence Rate Report for Iowa by County

All Cancer Sites (All Stages^), 2017-2021

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

Sorted by Rate

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 ascending
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
Iowa 7 N/A 491.8 (488.6, 495.0) N/A 19,623 rising rising trend 0.6 (0.3, 1.2)
US (SEER+NPCR) 1 N/A 444.4 (444.1, 444.7) N/A 1,744,459 falling falling trend -0.5 (-0.7, -0.3)
Palo Alto County 7 Rural 580.0 (518.5, 647.3) 1 (1, 61) 74 stable stable trend -8.9 (-22.5, 2.6)
Cass County 7 Rural 568.8 (519.3, 622.2) 2 (1, 60) 113 rising rising trend 0.8 (0.2, 1.5)
Cherokee County 7 Rural 554.9 (503.2, 610.9) 3 (1, 69) 100 stable stable trend 0.3 (-0.4, 1.1)
Appanoose County 7 Rural 551.7 (502.9, 604.4) 4 (1, 69) 107 stable stable trend 0.4 (-0.3, 1.2)
Harrison County 7 Urban 546.2 (499.8, 596.1) 5 (1, 71) 112 stable stable trend 0.3 (-0.2, 1.0)
Monroe County 7 Rural 540.9 (477.4, 611.3) 6 (1, 91) 57 stable stable trend 0.5 (0.0, 1.0)
Howard County 7 Rural 539.3 (481.9, 602.1) 7 (1, 84) 73 stable stable trend 0.5 (-0.4, 1.4)
Decatur County 7 Rural 533.4 (468.2, 605.6) 8 (1, 94) 55 rising rising trend 0.7 (0.1, 1.4)
Clinton County 7 Rural 531.5 (505.5, 558.5) 9 (2, 56) 345 stable stable trend 0.3 (-0.1, 0.6)
Tama County 7 Rural 530.8 (487.5, 577.1) 10 (1, 75) 123 stable stable trend 0.5 (0.0, 0.9)
Madison County 7 Urban 528.9 (484.4, 576.5) 11 (1, 80) 110 rising rising trend 4.6 (0.6, 11.8)
Montgomery County 7 Rural 526.5 (472.7, 585.2) 12 (1, 87) 80 stable stable trend 0.6 (0.0, 1.2)
Franklin County 7 Rural 525.7 (472.1, 584.3) 13 (1, 89) 79 rising rising trend 0.9 (0.3, 1.4)
Clay County 7 Rural 523.8 (481.6, 568.9) 14 (1, 81) 127 stable stable trend 0.2 (-0.3, 0.7)
Wapello County 7 Rural 522.2 (492.1, 553.8) 15 (3, 69) 241 stable stable trend 0.3 (0.0, 0.7)
Monona County 7 Rural 520.4 (463.9, 582.7) 16 (1, 93) 73 stable stable trend 0.4 (-0.2, 1.0)
Chickasaw County 7 Rural 520.4 (470.4, 574.6) 17 (1, 91) 91 stable stable trend 0.6 (0.0, 1.3)
Woodbury County 7 Urban 519.5 (500.9, 538.6) 18 (6, 54) 622 stable stable trend 0.3 (-3.5, 2.3)
Keokuk County 7 Rural 518.5 (463.2, 579.0) 19 (1, 95) 74 stable stable trend 0.2 (-0.5, 0.8)
Black Hawk County 7 Urban 516.6 (500.2, 533.4) 20 (7, 54) 812 stable stable trend 0.1 (-1.9, 1.3)
Cerro Gordo County 7 Rural 516.0 (489.8, 543.2) 21 (4, 67) 335 stable stable trend -4.1 (-8.4, 0.6)
Greene County 7 Rural 514.7 (458.9, 576.1) 22 (1, 94) 71 rising rising trend 1.0 (0.1, 2.1)
Emmet County 7 Rural 514.6 (460.3, 574.2) 23 (1, 94) 74 stable stable trend 0.4 (-0.1, 1.1)
Butler County 7 Rural 514.1 (470.0, 561.6) 24 (1, 90) 113 rising rising trend 1.4 (0.5, 4.0)
Benton County 7 Urban 513.6 (479.0, 550.3) 25 (2, 82) 179 stable stable trend 0.1 (-0.3, 0.7)
Jackson County 7 Rural 513.6 (474.8, 555.0) 26 (2, 87) 146 stable stable trend 0.3 (-0.2, 0.8)
Buchanan County 7 Rural 512.6 (473.9, 553.8) 27 (2, 85) 138 stable stable trend 0.0 (-0.5, 0.5)
Dickinson County 7 Rural 512.5 (473.1, 554.7) 28 (2, 86) 154 stable stable trend 0.4 (-0.1, 0.9)
Page County 7 Rural 511.8 (469.8, 557.0) 29 (2, 86) 122 stable stable trend -0.5 (-7.0, 0.5)
Ringgold County 7 Rural 511.7 (439.2, 594.5) 30 (1, 98) 40 stable stable trend 0.7 (-0.3, 1.8)
Boone County 7 Urban 511.7 (478.0, 547.2) 31 (3, 80) 187 rising rising trend 1.9 (0.1, 7.2)
Pocahontas County 7 Rural 511.4 (449.4, 580.5) 32 (1, 97) 58 stable stable trend 0.0 (-0.7, 0.6)
Des Moines County 7 Rural 509.7 (482.4, 538.3) 33 (5, 77) 284 stable stable trend 0.3 (-0.1, 0.8)
Plymouth County 7 Rural 509.3 (474.3, 546.3) 34 (3, 82) 171 stable stable trend 0.0 (-0.4, 0.4)
Lee County 7 Rural 508.8 (479.4, 539.8) 35 (4, 80) 249 stable stable trend 0.3 (-0.2, 0.7)
Marion County 7 Rural 508.4 (478.0, 540.4) 36 (4, 80) 225 rising rising trend 0.6 (0.2, 1.0)
Scott County 7 Urban 507.2 (493.4, 521.3) 37 (13, 60) 1,086 stable stable trend 0.0 (-0.2, 0.3)
Linn County 7 Urban 505.9 (493.8, 518.2) 38 (15, 58) 1,391 stable stable trend 0.3 (-0.7, 1.4)
Mitchell County 7 Rural 505.9 (451.3, 565.6) 39 (1, 96) 73 stable stable trend 0.1 (-0.6, 0.8)
Iowa County 7 Rural 504.9 (462.7, 550.3) 40 (2, 91) 116 stable stable trend 0.1 (-0.6, 0.8)
Worth County 7 Rural 504.1 (443.2, 571.8) 41 (1, 97) 54 stable stable trend 0.5 (-0.4, 1.5)
Humboldt County 7 Rural 501.9 (447.7, 561.3) 42 (1, 97) 71 stable stable trend 0.1 (-0.5, 0.7)
Ida County 7 Rural 501.4 (438.2, 571.9) 43 (1, 98) 52 stable stable trend 0.7 (0.0, 1.4)
Grundy County 7 Urban 501.3 (454.3, 552.4) 44 (2, 94) 90 stable stable trend 0.3 (-0.5, 1.2)
Floyd County 7 Rural 499.4 (457.0, 545.0) 45 (2, 93) 116 stable stable trend 0.3 (-0.3, 1.0)
Marshall County 7 Rural 499.0 (471.5, 527.8) 46 (7, 81) 262 stable stable trend 0.0 (-0.2, 0.3)
Calhoun County 7 Rural 496.5 (443.2, 555.0) 47 (1, 97) 74 stable stable trend 0.6 (-0.1, 1.3)
Muscatine County 7 Rural 496.2 (469.2, 524.4) 48 (9, 84) 268 stable stable trend 0.2 (-0.2, 0.6)
Mills County 7 Urban 493.8 (449.1, 542.2) 49 (2, 95) 98 stable stable trend 0.2 (-0.4, 0.8)
Cedar County 7 Rural 492.3 (453.0, 534.3) 50 (4, 93) 128 stable stable trend -0.4 (-4.6, 0.3)
Fremont County 7 Rural 491.9 (428.6, 562.9) 51 (1, 98) 50 stable stable trend 0.3 (-0.4, 0.9)
Jones County 7 Urban 491.5 (455.3, 530.1) 52 (6, 92) 148 stable stable trend -0.1 (-0.5, 0.3)
Polk County 7 Urban 490.6 (481.9, 499.4) 53 (33, 69) 2,531 stable stable trend 0.0 (-0.2, 0.2)
Mahaska County 7 Rural 490.2 (453.3, 529.4) 54 (6, 94) 142 stable stable trend 0.0 (-0.4, 0.5)
Bremer County 7 Urban 487.8 (453.5, 524.2) 55 (8, 93) 162 stable stable trend 2.1 (-0.1, 7.3)
Pottawattamie County 7 Urban 485.6 (467.5, 504.1) 56 (26, 83) 588 stable stable trend -0.1 (-0.4, 0.3)
Union County 7 Rural 485.5 (437.6, 537.5) 57 (3, 97) 83 stable stable trend 0.0 (-0.5, 0.5)
Webster County 7 Rural 484.0 (455.8, 513.7) 58 (14, 91) 242 stable stable trend -0.3 (-0.7, 0.1)
Lyon County 7 Rural 482.7 (433.0, 536.8) 59 (3, 98) 75 stable stable trend 0.3 (-0.2, 0.9)
Sioux County 7 Rural 481.9 (451.2, 514.2) 60 (13, 93) 197 stable stable trend -0.1 (-0.5, 0.3)
Taylor County 7 Rural 481.1 (416.7, 553.8) 61 (1, 99) 44 stable stable trend 0.5 (-0.2, 1.3)
Washington County 7 Urban 480.5 (444.6, 518.7) 62 (11, 95) 146 stable stable trend 0.5 (0.0, 1.0)
Sac County 7 Rural 479.9 (427.6, 537.4) 63 (3, 98) 74 stable stable trend -0.9 (-5.2, 0.0)
O'Brien County 7 Rural 479.3 (434.2, 528.1) 64 (3, 97) 97 stable stable trend -0.2 (-0.7, 0.4)
Clayton County 7 Rural 478.1 (438.8, 520.2) 65 (9, 96) 129 stable stable trend -0.1 (-0.5, 0.4)
Louisa County 7 Rural 477.0 (426.8, 531.8) 66 (3, 98) 71 stable stable trend 0.0 (-0.9, 0.9)
Hardin County 7 Rural 476.9 (437.2, 519.7) 67 (7, 96) 123 stable stable trend 0.2 (-0.3, 0.8)
Dubuque County 7 Urban 475.6 (458.0, 493.8) 68 (35, 88) 599 stable stable trend -0.1 (-0.3, 0.8)
Johnson County 7 Urban 475.4 (459.0, 492.2) 69 (37, 86) 673 stable stable trend -0.4 (-1.4, 0.0)
Jasper County 7 Urban 473.5 (446.3, 501.9) 70 (22, 94) 244 stable stable trend 0.0 (-0.4, 0.5)
Delaware County 7 Rural 471.3 (432.1, 513.4) 71 (10, 98) 120 stable stable trend 0.5 (-0.2, 1.2)
Clarke County 7 Rural 470.1 (415.5, 530.3) 72 (3, 99) 58 stable stable trend 0.5 (-0.4, 1.4)
Wayne County 7 Rural 468.7 (405.2, 540.0) 73 (2, 99) 45 stable stable trend -0.4 (-1.4, 0.6)
Warren County 7 Urban 467.8 (443.7, 492.9) 74 (33, 94) 295 stable stable trend 0.2 (-0.2, 0.7)
Henry County 7 Rural 466.9 (430.2, 506.0) 75 (13, 98) 129 stable stable trend 0.2 (-0.4, 0.7)
Winneshiek County 7 Rural 465.4 (428.1, 505.2) 76 (18, 98) 136 stable stable trend 0.1 (-0.5, 0.7)
Osceola County 7 Rural 465.3 (402.4, 536.3) 77 (3, 99) 44 stable stable trend 0.2 (-0.7, 1.2)
Fayette County 7 Rural 463.8 (427.7, 502.5) 78 (19, 97) 138 stable stable trend 0.0 (-0.4, 0.4)
Guthrie County 7 Urban 460.0 (411.2, 513.6) 79 (8, 99) 74 stable stable trend -0.2 (-0.7, 0.3)
Hancock County 7 Rural 459.5 (411.0, 512.7) 80 (8, 99) 76 stable stable trend -0.7 (-3.1, 0.1)
Van Buren County 7 Rural 459.2 (402.1, 523.2) 81 (6, 99) 51 stable stable trend 0.2 (-0.4, 1.0)
Davis County 7 Rural 458.6 (401.9, 521.2) 82 (6, 99) 52 stable stable trend 0.2 (-0.7, 1.2)
Shelby County 7 Rural 456.9 (411.0, 507.2) 83 (15, 99) 84 rising rising trend 0.7 (0.1, 1.3)
Lucas County 7 Rural 456.1 (402.4, 515.6) 84 (4, 99) 59 stable stable trend -0.3 (-1.0, 0.4)
Crawford County 7 Rural 455.5 (414.5, 499.7) 85 (19, 99) 97 stable stable trend 0.0 (-0.6, 0.6)
Carroll County 7 Rural 454.7 (418.9, 493.0) 86 (25, 99) 135 stable stable trend -0.1 (-0.6, 0.5)
Winnebago County 7 Rural 454.4 (405.0, 508.7) 87 (10, 99) 70 stable stable trend 0.7 (0.0, 1.4)
Story County 7 Urban 453.1 (432.9, 474.0) 88 (53, 96) 402 stable stable trend 0.0 (-0.2, 0.3)
Jefferson County 7 Rural 453.0 (412.7, 496.7) 89 (23, 99) 113 stable stable trend 0.1 (-0.6, 0.8)
Poweshiek County 7 Rural 452.7 (415.0, 493.2) 90 (26, 99) 120 stable stable trend 0.1 (-0.5, 0.7)
Adams County 7 Rural 451.4 (372.7, 543.9) 91 (1, 99) 27 rising rising trend 0.9 (0.1, 1.8)
Dallas County 7 Urban 443.4 (424.4, 463.0) 92 (65, 97) 421 stable stable trend -0.4 (-0.7, 0.0)
Kossuth County 7 Rural 441.8 (401.3, 485.7) 93 (28, 99) 105 stable stable trend 0.0 (-0.5, 0.5)
Audubon County 7 Rural 438.8 (376.8, 509.7) 94 (7, 99) 41 stable stable trend -0.3 (-1.0, 0.3)
Wright County 7 Rural 425.4 (382.2, 472.4) 95 (38, 99) 83 stable stable trend -0.7 (-1.5, 0.1)
Hamilton County 7 Rural 421.8 (381.5, 465.4) 96 (54, 99) 91 stable stable trend -0.1 (-0.6, 0.4)
Allamakee County 7 Rural 421.2 (381.1, 464.9) 97 (50, 99) 92 stable stable trend -0.2 (-1.1, 0.7)
Buena Vista County 7 Rural 405.4 (369.4, 444.2) 98 (74, 99) 101 falling falling trend -0.9 (-1.4, -0.4)
Adair County 7 Rural 396.9 (343.3, 457.3) 99 (48, 99) 46 stable stable trend 0.2 (-0.6, 0.9)
Notes:
Created by statecancerprofiles.cancer.gov on 12/07/2024 1:51 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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 in the Surveillance, Epidemiology, and End Results (SEER) Summary/Historic Combined Summary Stage (2004+).
⋔ 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. More information about methodology can be found on the CI*Rank website.

Φ Rural-Urban Continuum Codes provided by the USDA.
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 2023 submission.
7 Source: SEER November 2023 submission.
8 Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with SEER November 2023 data.

Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.

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.

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