## Interpretation of Incidence Rates Data

### Incidence Rate Report for Iowa by County

Breast, 2009-2013

All Races (includes Hispanic), Female, All Ages

Sorted by Rate

**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**

**Line by Line Interpretation of the Report**

#### Iowa^{3,8}

- Rate : The incidence rate is 122.6 with a 95% confidence interval from 120.3 to 124.9 and 2,286 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -0.3 with a 95% confidence interval from -0.6 to -0.1.

#### US (SEER+NPCR)^{1,10}

- Rate : The incidence rate is 123.3 with a 95% confidence interval from 123.1 to 123.5 and 224,504 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.5 to 1.2.

#### Wayne County^{7,8}

- Rate : The incidence rate is 63.9 with a 95% confidence interval from 35.9 to 109.2 and 3 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.7 to 2.1.

#### Humboldt County^{7,8}

- Rate : The incidence rate is 73.2 with a 95% confidence interval from 47.9 to 109.3 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -4.1 to 1.5.

#### Appanoose County^{7,8}

- Rate : The incidence rate is 80.6 with a 95% confidence interval from 56.5 to 112.8 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.5 to 2.6.

#### Cherokee County^{7,8}

- Rate : The incidence rate is 82.5 with a 95% confidence interval from 58.3 to 115.3 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.4 to -0.9.

#### Hamilton County^{7,8}

- Rate : The incidence rate is 92.2 with a 95% confidence interval from 68.1 to 122.9 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.7 to -0.3.

#### Emmet County^{7,8}

- Rate : The incidence rate is 93.3 with a 95% confidence interval from 61.2 to 137.1 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -2.7 to 2.7.

#### Cass County^{7,8}

- Rate : The incidence rate is 94.1 with a 95% confidence interval from 67.5 to 128.6 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.8 to -0.3.

#### Crawford County^{7,8}

- Rate : The incidence rate is 94.2 with a 95% confidence interval from 67.8 to 127.6 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.1 to 0.7.

#### Carroll County^{7,8}

- Rate : The incidence rate is 94.8 with a 95% confidence interval from 71.7 to 123.4 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -3.7 to 0.0.

#### Mahaska County^{7,8}

- Rate : The incidence rate is 95.0 with a 95% confidence interval from 72.2 to 122.9 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.9 to -0.1.

#### Plymouth County^{7,8}

- Rate : The incidence rate is 96.1 with a 95% confidence interval from 75.6 to 120.9 and 16 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -17.1 with a 95% confidence interval from -35.7 to 7.0.

#### Chickasaw County^{7,8}

- Rate : The incidence rate is 97.9 with a 95% confidence interval from 68.5 to 136.5 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.4 to 1.1.

#### Ringgold County^{7,8}

- Rate : The incidence rate is 98.0 with a 95% confidence interval from 59.2 to 158.2 and 4 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -7.0 to -0.4.

#### Butler County^{7,8}

- Rate : The incidence rate is 98.1 with a 95% confidence interval from 70.9 to 132.8 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.3 to 0.8.

#### Lyon County^{7,8}

- Rate : The incidence rate is 98.8 with a 95% confidence interval from 67.6 to 140.0 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.2 with a 95% confidence interval from -13.3 to -0.6.

#### Louisa County^{7,8}

- Rate : The incidence rate is 99.4 with a 95% confidence interval from 68.2 to 140.7 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.4 to 1.0.

#### Boone County^{7,8}

- Rate : The incidence rate is 99.6 with a 95% confidence interval from 79.5 to 123.6 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.3.

#### Fremont County^{7,8}

- Rate : The incidence rate is 100.3 with a 95% confidence interval from 67.7 to 147.0 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.2 to 2.5.

#### Marshall County^{7,8}

- Rate : The incidence rate is 100.4 with a 95% confidence interval from 83.6 to 119.7 and 27 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.4.

#### Van Buren County^{7,8}

- Rate : The incidence rate is 101.4 with a 95% confidence interval from 66.4 to 150.8 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.3 to 0.3.

#### Monroe County^{7,8}

- Rate : The incidence rate is 101.5 with a 95% confidence interval from 64.4 to 153.1 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.9 to 2.5.

#### O'Brien County^{7,8}

- Rate : The incidence rate is 101.5 with a 95% confidence interval from 73.7 to 137.2 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.8 to 1.0.

#### Mitchell County^{7,8}

- Rate : The incidence rate is 103.2 with a 95% confidence interval from 69.5 to 148.3 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.8 with a 95% confidence interval from -12.7 to -2.7.

#### Adair County^{7,8}

- Rate : The incidence rate is 103.3 with a 95% confidence interval from 70.5 to 149.6 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.0 to 3.5.

#### Page County^{7,8}

- Rate : The incidence rate is 104.4 with a 95% confidence interval from 77.4 to 138.7 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.9 to -0.4.

#### Audubon County^{7,8}

- Rate : The incidence rate is 105.0 with a 95% confidence interval from 64.8 to 164.3 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.9 to 0.9.

#### Davis County^{7,8}

- Rate : The incidence rate is 105.0 with a 95% confidence interval from 67.3 to 156.5 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.0 to 2.1.

#### Sac County^{7,8}

- Rate : The incidence rate is 105.7 with a 95% confidence interval from 73.6 to 148.8 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.7 to 1.8.

#### Jefferson County^{7,8}

- Rate : The incidence rate is 106.4 with a 95% confidence interval from 79.7 to 140.4 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.7 to 2.3.

#### Hancock County^{7,8}

- Rate : The incidence rate is 107.8 with a 95% confidence interval from 76.0 to 149.5 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.2 to 1.1.

#### Henry County^{7,8}

- Rate : The incidence rate is 108.3 with a 95% confidence interval from 83.4 to 138.7 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.2 to 0.8.

#### Webster County^{7,8}

- Rate : The incidence rate is 108.6 with a 95% confidence interval from 90.1 to 129.9 and 27 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.6 to -0.5.

#### Winnebago County^{7,8}

- Rate : The incidence rate is 108.6 with a 95% confidence interval from 75.0 to 153.0 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.7 to 2.3.

#### Woodbury County^{7,8}

- Rate : The incidence rate is 109.5 with a 95% confidence interval from 97.5 to 122.7 and 63 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.2.

#### Clarke County^{7,8}

- Rate : The incidence rate is 109.7 with a 95% confidence interval from 74.2 to 157.3 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.3 to 2.8.

#### Harrison County^{7,8}

- Rate : The incidence rate is 110.7 with a 95% confidence interval from 82.9 to 145.8 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.2 to 2.0.

#### Mills County^{7,8}

- Rate : The incidence rate is 110.8 with a 95% confidence interval from 82.3 to 146.6 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.4 to 0.3.

#### Allamakee County^{7,8}

- Rate : The incidence rate is 111.8 with a 95% confidence interval from 82.2 to 149.4 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.5 to 2.5.

#### Poweshiek County^{7,8}

- Rate : The incidence rate is 112.7 with a 95% confidence interval from 86.5 to 144.7 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.2 to 2.7.

#### Howard County^{7,8}

- Rate : The incidence rate is 113.6 with a 95% confidence interval from 78.3 to 160.5 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -3.0 to 2.7.

#### Cerro Gordo County^{7,8}

- Rate : The incidence rate is 115.5 with a 95% confidence interval from 99.2 to 134.0 and 39 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.2.

#### Fayette County^{7,8}

- Rate : The incidence rate is 115.7 with a 95% confidence interval from 91.2 to 145.4 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.3 to 1.5.

#### Winneshiek County^{7,8}

- Rate : The incidence rate is 116.1 with a 95% confidence interval from 88.5 to 149.7 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.0 to 2.5.

#### Clinton County^{7,8}

- Rate : The incidence rate is 116.3 with a 95% confidence interval from 99.8 to 134.9 and 38 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.8 to 0.3.

#### Delaware County^{7,8}

- Rate : The incidence rate is 117.6 with a 95% confidence interval from 90.2 to 151.3 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.3.

#### Clayton County^{7,8}

- Rate : The incidence rate is 118.3 with a 95% confidence interval from 90.8 to 152.0 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.7 to 0.7.

#### Cedar County^{7,8}

- Rate : The incidence rate is 118.3 with a 95% confidence interval from 92.0 to 150.5 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.1 to 3.5.

#### Pottawattamie County^{7,8}

- Rate : The incidence rate is 119.4 with a 95% confidence interval from 106.9 to 133.0 and 70 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -8.0 with a 95% confidence interval from -15.2 to -0.3.

#### Decatur County^{7,8}

- Rate : The incidence rate is 119.5 with a 95% confidence interval from 81.3 to 171.2 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.6 to 2.5.

#### Keokuk County^{7,8}

- Rate : The incidence rate is 119.7 with a 95% confidence interval from 85.9 to 163.9 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.5 to 4.1.

#### Monona County^{7,8}

- Rate : The incidence rate is 121.3 with a 95% confidence interval from 82.8 to 173.0 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.2 to 2.9.

#### Union County^{7,8}

- Rate : The incidence rate is 121.8 with a 95% confidence interval from 90.2 to 161.9 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.5 to 0.6.

#### Muscatine County^{7,8}

- Rate : The incidence rate is 121.9 with a 95% confidence interval from 103.0 to 143.4 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.5 to 0.6.

#### Black Hawk County^{7,8}

- Rate : The incidence rate is 122.1 with a 95% confidence interval from 110.6 to 134.4 and 90 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.3.

#### Lucas County^{7,8}

- Rate : The incidence rate is 122.1 with a 95% confidence interval from 84.3 to 172.6 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.6 to 4.2.

#### Franklin County^{7,8}

- Rate : The incidence rate is 122.5 with a 95% confidence interval from 86.5 to 169.3 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -2.2 to 2.1.

#### Buena Vista County^{7,8}

- Rate : The incidence rate is 122.6 with a 95% confidence interval from 96.3 to 154.3 and 16 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.5 to 2.0.

#### Bremer County^{7,8}

- Rate : The incidence rate is 122.9 with a 95% confidence interval from 97.9 to 152.6 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -1.5 to 1.5.

#### Tama County^{7,8}

- Rate : The incidence rate is 123.3 with a 95% confidence interval from 95.6 to 157.1 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.0 to 1.4.

#### Lee County^{7,8}

- Rate : The incidence rate is 123.4 with a 95% confidence interval from 103.4 to 146.4 and 30 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.3.

#### Scott County^{7,8}

- Rate : The incidence rate is 124.9 with a 95% confidence interval from 115.0 to 135.4 and 123 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.6.

#### Wright County^{7,8}

- Rate : The incidence rate is 125.2 with a 95% confidence interval from 92.6 to 166.4 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.1 to 0.2.

#### Buchanan County^{7,8}

- Rate : The incidence rate is 125.5 with a 95% confidence interval from 99.4 to 156.9 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.4 to 1.6.

#### Wapello County^{7,8}

- Rate : The incidence rate is 125.6 with a 95% confidence interval from 105.6 to 148.4 and 30 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

#### Grundy County^{7,8}

- Rate : The incidence rate is 125.7 with a 95% confidence interval from 93.6 to 166.3 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.0 to 1.4.

#### Sioux County^{7,8}

- Rate : The incidence rate is 125.9 with a 95% confidence interval from 103.2 to 152.2 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.9 to 1.5.

#### Marion County^{7,8}

- Rate : The incidence rate is 126.5 with a 95% confidence interval from 105.0 to 151.2 and 26 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -1.4 to 1.3.

#### Linn County^{7,8}

- Rate : The incidence rate is 126.6 with a 95% confidence interval from 117.7 to 136.1 and 156 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.9 to 0.5.

#### Benton County^{7,8}

- Rate : The incidence rate is 127.0 with a 95% confidence interval from 103.0 to 155.1 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.3 to 2.0.

#### Story County^{7,8}

- Rate : The incidence rate is 127.6 with a 95% confidence interval from 111.9 to 144.9 and 50 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.8.

#### Washington County^{7,8}

- Rate : The incidence rate is 127.7 with a 95% confidence interval from 102.3 to 158.0 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.3 to 2.4.

#### Iowa County^{7,8}

- Rate : The incidence rate is 127.8 with a 95% confidence interval from 98.7 to 163.4 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -0.2 to 3.6.

#### Pocahontas County^{7,8}

- Rate : The incidence rate is 127.8 with a 95% confidence interval from 82.7 to 189.9 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.4 to 3.0.

#### Shelby County^{7,8}

- Rate : The incidence rate is 129.4 with a 95% confidence interval from 97.0 to 170.6 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.2 to 2.7.

#### Jones County^{7,8}

- Rate : The incidence rate is 129.8 with a 95% confidence interval from 102.7 to 162.4 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.3 to 1.3.

#### Montgomery County^{7,8}

- Rate : The incidence rate is 132.1 with a 95% confidence interval from 97.8 to 176.2 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.0 to 2.4.

#### Worth County^{7,8}

- Rate : The incidence rate is 132.4 with a 95% confidence interval from 87.7 to 192.9 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.5 to 4.1.

#### Dubuque County^{7,8}

- Rate : The incidence rate is 132.4 with a 95% confidence interval from 119.0 to 147.0 and 77 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.2 to 3.5.

#### Palo Alto County^{7,8}

- Rate : The incidence rate is 132.4 with a 95% confidence interval from 91.4 to 186.2 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.8 to 2.1.

#### Des Moines County^{7,8}

- Rate : The incidence rate is 132.6 with a 95% confidence interval from 113.2 to 154.5 and 37 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -7.0 to 1.1.

#### Osceola County^{7,8}

- Rate : The incidence rate is 132.9 with a 95% confidence interval from 87.7 to 195.8 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.2 to 3.6.

#### Jasper County^{7,8}

- Rate : The incidence rate is 133.2 with a 95% confidence interval from 112.6 to 156.8 and 32 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.2 to 2.0.

#### Polk County^{7,8}

- Rate : The incidence rate is 133.2 with a 95% confidence interval from 126.6 to 140.2 and 310 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.3.

#### Hardin County^{7,8}

- Rate : The incidence rate is 133.9 with a 95% confidence interval from 104.4 to 169.8 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.5 to 1.0.

#### Adams County^{7}

- Rate : The incidence rate is 134.0 with a 95% confidence interval from 81.6 to 214.0 and 4 average annual cases over 2009-2013.
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Jackson County^{7,8}

- Rate : The incidence rate is 134.4 with a 95% confidence interval from 107.2 to 167.0 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.8 to 2.0.

#### Dickinson County^{7,8}

- Rate : The incidence rate is 136.3 with a 95% confidence interval from 108.2 to 170.6 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.8 to 1.5.

#### Johnson County^{7,8}

- Rate : The incidence rate is 137.6 with a 95% confidence interval from 124.0 to 152.2 and 79 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.5 to 0.9.

#### Dallas County^{7,8}

- Rate : The incidence rate is 138.9 with a 95% confidence interval from 121.6 to 157.9 and 48 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.7.

#### Madison County^{7,8}

- Rate : The incidence rate is 139.2 with a 95% confidence interval from 107.4 to 178.0 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -2.2 to 2.2.

#### Clay County^{7,8}

- Rate : The incidence rate is 143.0 with a 95% confidence interval from 111.9 to 180.6 and 16 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.6.

#### Taylor County^{7,8}

- Rate : The incidence rate is 143.8 with a 95% confidence interval from 92.6 to 214.3 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -3.4 to 2.1.

#### Warren County^{7,8}

- Rate : The incidence rate is 144.3 with a 95% confidence interval from 124.6 to 166.4 and 40 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 1.5 with a 95% confidence interval from 0.3 to 2.8.

#### Guthrie County^{7,8}

- Rate : The incidence rate is 148.4 with a 95% confidence interval from 110.2 to 196.9 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.7 to 2.9.

#### Kossuth County^{7,8}

- Rate : The incidence rate is 148.8 with a 95% confidence interval from 114.8 to 190.3 and 16 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.8 to 2.3.

#### Ida County^{7,8}

- Rate : The incidence rate is 152.9 with a 95% confidence interval from 103.5 to 218.9 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -2.1 to 4.0.

#### Floyd County^{7,8}

- Rate : The incidence rate is 158.9 with a 95% confidence interval from 125.9 to 198.4 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -23.0 with a 95% confidence interval from -50.1 to 18.8.

#### Calhoun County^{7,8}

- Rate : The incidence rate is 159.4 with a 95% confidence interval from 114.4 to 216.9 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.4 to 2.3.

#### Greene County^{7,8}

- Rate : The incidence rate is 164.0 with a 95% confidence interval from 119.6 to 220.9 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -2.0 to 2.9.

**Notes:**

Created by statecancerprofiles.cancer.gov on 12/08/2016 9:06 am.

Data for the United States does not include data from Nevada

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 (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 1969-2014 US Population Data File is used for SEER and NPCR incidence rates.

‡ Incidence data come from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

^{1}Source: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2015 data submission and SEER November 2015 submission as published in

*United States Cancer Statistics*.

^{3}Source: SEER November 2015 submission. State Cancer Registry also receives funding from CDC's National Program of Cancer Registries.

^{7}Source: SEER November 2015 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 modifed by NCI. The 1969-2014 US Population Data File is used with SEER November 2015 data.

^{10}Source: Incidence data provided by the National Program of Cancer Registries (NPCR). EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates 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 1969-2014 US Population Data File is used with NPCR November 2015 data.

Please note that the data comes from different sources. Due to different years of data availablility, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.