Interpretation of Rate/Trend Comparison by State/County Data
Death Rate/Trend Comparison by State/County, 2016-2020
Virginia 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
Bladder (Female)
- 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 -1.1 to -0.3.
- 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 1.9 to 2.2 and 117 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Breast (Female)
- 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 -1.9 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 20.6 with a 95% confidence interval from 20.0 to 21.1 and 1,130 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Childhood (Ages <15, All Sites) (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.4 with a 95% confidence interval from 2.0 to 3.0 and 19 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Childhood (Ages <20, All Sites) (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 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 2.0 with a 95% confidence interval from 1.6 to 2.4 and 20 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
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 -1.6 with a 95% confidence interval from -2.5 to -0.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.3 with a 95% confidence interval from 1.9 to 2.8 and 25 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Esophagus (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.8.
- 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 1.3 to 1.6 and 82 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Esophagus (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 6.3 with a 95% confidence interval from 6.0 to 6.7 and 298 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Kidney & Renal Pelvis (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.8.
- 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 1.8 to 2.2 and 113 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Leukemia (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.8 with a 95% confidence interval from 4.5 to 5.0 and 258 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Leukemia (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.5 to -0.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 7.5 with a 95% confidence interval from 7.2 to 7.9 and 317 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Lung & Bronchus (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -4.1 with a 95% confidence interval from -4.7 to -3.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 28.7 with a 95% confidence interval from 28.0 to 29.3 and 1,630 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Lung & Bronchus (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -4.1 with a 95% confidence interval from -4.4 to -3.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 44.0 with a 95% confidence interval from 43.1 to 44.9 and 2,016 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Melanoma of the Skin (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -4.1 with a 95% confidence interval from -6.2 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 1.3 with a 95% confidence interval from 1.2 to 1.4 and 70 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Melanoma of the Skin (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -4.7 with a 95% confidence interval from -6.7 to -2.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 3.1 with a 95% confidence interval from 2.9 to 3.4 and 136 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Non-Hodgkin Lymphoma (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.2 to -2.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 3.8 with a 95% confidence interval from 3.6 to 4.1 and 215 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 -2.0 with a 95% confidence interval from -2.3 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 6.6 with a 95% confidence interval from 6.3 to 7.0 and 278 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Oral Cavity & Pharynx (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.
- 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 1.5 and 77 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Ovary (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.3 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 6.5 with a 95% confidence interval from 6.2 to 6.8 and 362 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 -2.8 to -1.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 1.9 with a 95% confidence interval from 1.8 to 2.1 and 105 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 -2.8 with a 95% confidence interval from -3.2 to -2.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 3.8 with a 95% confidence interval from 3.6 to 4.1 and 172 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Cervix (Female)
- Priority Index(1) : The priority index is 7.
- Recent Trend(2) : The trend is stable because the trend is 0.6 with a 95% confidence interval from -2.6 to 4.0.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 1.9 with a 95% confidence interval from 1.7 to 2.0 and 93 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Bladder (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 -0.4 to 0.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 7.5 with a 95% confidence interval from 7.1 to 7.9 and 307 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Brain & ONS (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 -0.5 to 0.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 5.3 with a 95% confidence interval from 5.0 to 5.6 and 241 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Childhood (Ages <15, All Sites) (Female)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 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 2.0 with a 95% confidence interval from 1.6 to 2.5 and 15 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Colon & Rectum (Female)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.5 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 10.9 with a 95% confidence interval from 10.5 to 11.3 and 611 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Colon & Rectum (Male)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.0 to 0.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 15.9 with a 95% confidence interval from 15.4 to 16.5 and 707 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Kidney & Renal Pelvis (Male)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 3.0 with a 95% confidence interval from -1.9 to 8.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 5.1 with a 95% confidence interval from 4.8 to 5.5 and 231 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 6.
- Recent Trend(2) : The trend is stable because the trend is -1.4 with a 95% confidence interval from -5.6 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 8.9 with a 95% confidence interval from 8.6 to 9.3 and 434 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Oral Cavity & Pharynx (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 -0.9 to 0.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 3.6 with a 95% confidence interval from 3.4 to 3.9 and 172 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Pancreas (Female)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.1 to 0.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 9.6 with a 95% confidence interval from 9.2 to 10.0 and 546 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Pancreas (Male)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.3 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 13.0 with a 95% confidence interval from 12.5 to 13.5 and 595 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Prostate (Male)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.3 to 2.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 20.0 with a 95% confidence interval from 19.4 to 20.6 and 806 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Thyroid (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 -1.4 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 0.4 with a 95% confidence interval from 0.3 to 0.5 and 23 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Brain & ONS (Female)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 1.2 with a 95% confidence interval from 0.4 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 3.5 with a 95% confidence interval from 3.3 to 3.7 and 189 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Liver & Bile Duct (Female)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 2.4 with a 95% confidence interval from 1.7 to 3.0.
- 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 3.5 to 3.9 and 210 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Thyroid (Male)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 1.5 with a 95% confidence interval from 0.3 to 2.8.
- 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 23 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Uterus (Corpus & Uterus, NOS) (Female)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 0.8 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 4.8 with a 95% confidence interval from 4.6 to 5.1 and 278 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Notes:
Created by statecancerprofiles.cancer.gov on 05/04/2024 6:21 am.
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
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).
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.