Interpretation of Rate/Trend Comparison by State/County Data
Death Rate/Trend Comparison by State/County, 2016-2020
Kentucky versus United States
All Races, Both Sexes
Sorted by priority index
Explanation of Column HeadersCancer Site and Sex - The site and sex combination for this comparison.
Priority Index 1 - The priority index is based upon the direction of the trend and the rate comparison. An index of 1 is the highest priority - that trend is rising and the rate is already higher. An index of 9 is the lowest priority - the trend is falling and the rate is already lower.
Recent Trends - This is an interpretation of the AAPC:
- 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.
AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
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
Brain & ONS (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 5.8 with a 95% confidence interval from 5.4 to 6.3 and 147 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Childhood (Ages <20, All Sites) (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.2 with a 95% confidence interval from 1.6 to 2.8 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Esophagus (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 1.4 with a 95% confidence interval from 1.2 to 1.6 and 44 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Non-Hodgkin Lymphoma (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.3 to -1.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 7.7 with a 95% confidence interval from 7.2 to 8.2 and 180 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Ovary (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.3 with a 95% confidence interval from -4.4 to -2.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 5.7 with a 95% confidence interval from 5.4 to 6.2 and 173 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Prostate (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.2 with a 95% confidence interval from -3.5 to -2.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 18.3 with a 95% confidence interval from 17.5 to 19.1 and 399 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Stomach (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.0 to -1.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.0 with a 95% confidence interval from 1.7 to 2.2 and 58 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Stomach (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.0 to -2.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 3.7 with a 95% confidence interval from 3.3 to 4.0 and 87 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Brain & ONS (Female)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.5 to 1.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.0 with a 95% confidence interval from 3.7 to 4.4 and 116 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Breast (Female)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 2.7 with a 95% confidence interval from -2.6 to 8.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 21.6 with a 95% confidence interval from 20.8 to 22.4 and 639 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Pancreas (Male)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 13.0 with a 95% confidence interval from 12.4 to 13.7 and 332 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Thyroid (Female)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 0.5 with a 95% confidence interval from 0.4 to 0.6 and 15 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Cervix (Female)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.6.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 2.7 with a 95% confidence interval from 2.4 to 3.0 and 69 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Colon & Rectum (Female)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.3 to -1.8.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 13.6 with a 95% confidence interval from 13.0 to 14.2 and 415 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Colon & Rectum (Male)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.3 to -1.8.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 19.2 with a 95% confidence interval from 18.4 to 20.1 and 470 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Kidney & Renal Pelvis (Female)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 2.6 with a 95% confidence interval from 2.4 to 2.9 and 81 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Leukemia (Male)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.3.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 9.4 with a 95% confidence interval from 8.8 to 10.0 and 218 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Lung & Bronchus (Female)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -3.6 with a 95% confidence interval from -4.6 to -2.7.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 45.3 with a 95% confidence interval from 44.2 to 46.4 and 1,416 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.5
Lung & Bronchus (Male)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -5.8 with a 95% confidence interval from -7.3 to -4.3.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 67.0 with a 95% confidence interval from 65.5 to 68.4 and 1,704 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.6
Melanoma of the Skin (Male)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -7.8 with a 95% confidence interval from -12.4 to -2.8.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 3.6 with a 95% confidence interval from 3.3 to 4.0 and 88 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Non-Hodgkin Lymphoma (Female)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.6 to -1.8.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 4.6 with a 95% confidence interval from 4.3 to 5.0 and 143 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Oral Cavity & Pharynx (Male)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.3.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 4.5 with a 95% confidence interval from 4.2 to 4.9 and 118 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Bladder (Female)
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.3 to 0.7.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 2.5 with a 95% confidence interval from 2.3 to 2.8 and 79 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Kidney & Renal Pelvis (Male)
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.2.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 6.3 with a 95% confidence interval from 5.9 to 6.8 and 157 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Leukemia (Female)
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 5.4 with a 95% confidence interval from 5.0 to 5.8 and 159 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Melanoma of the Skin (Female)
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.4.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 1.7 with a 95% confidence interval from 1.5 to 1.9 and 48 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
Oral Cavity & Pharynx (Female)
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.2.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 1.7 with a 95% confidence interval from 1.5 to 1.9 and 51 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Liver & Bile Duct (Female)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 1.6 with a 95% confidence interval from 1.0 to 2.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 3.9 with a 95% confidence interval from 3.6 to 4.2 and 121 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Liver & Bile Duct (Male)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 2.0 with a 95% confidence interval from 1.6 to 2.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 9.5 with a 95% confidence interval from 9.0 to 10.1 and 252 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Pancreas (Female)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.5 to 1.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 10.2 with a 95% confidence interval from 9.7 to 10.8 and 320 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Uterus (Corpus & Uterus, NOS) (Female)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.7 to 3.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.3 with a 95% confidence interval from 4.0 to 4.6 and 132 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Bladder (Male)
- Priority Index(1) : The priority index is 1.
- Recent Trend(2) : The trend is rising because the trend is 0.4 with a 95% confidence interval from 0.0 to 0.8.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 8.5 with a 95% confidence interval from 7.9 to 9.0 and 190 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Esophagus (Male)
- Priority Index(1) : The priority index is 1.
- Recent Trend(2) : The trend is rising because the trend is 0.5 with a 95% confidence interval from 0.2 to 0.9.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 8.4 with a 95% confidence interval from 7.9 to 8.9 and 216 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.0 with a 95% confidence interval from 1.4 to 2.7 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 1.7 with a 95% confidence interval from 1.2 to 2.3 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.2 with a 95% confidence interval from 1.7 to 2.9 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 0.4 with a 95% confidence interval from 0.3 to 0.6 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Notes:
Created by statecancerprofiles.cancer.gov on 04/25/2024 11:58 pm.
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.
Rate Comparison
Above when 95% confident the rate is above and Rate Ratio3 > 1.10
Similar when unable to conclude above or below with confidence.
Below when 95% confident the rate is below and Rate Ratio3 < 0.90
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
1 Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.
2 Recent trend in death rates is usually an Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint Version 4.8.0.0. Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected geographic areas.
3 Rate ratio is the county rate divided by the US rate. Previous versions of this table used one-year rates for states and five-year rates for counties. As of June 2018, only five-year rates are used.
Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with mortality data.
Note: 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. Suppression is used to avoid misinterpretation when rates are unstable.
State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).
Trend for the following could not be reliably determined due to small number of deaths per year:
Childhood (Ages <15, All Sites) (Female), Childhood (Ages <15, All Sites) (Male), Childhood (Ages <20, All Sites) (Female), Thyroid (Male)
Interpret Rankings provides insight into interpreting cancer 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.
Data for United States does not include Puerto Rico.