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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2019-2023

Iowa Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by count

Counties
 sort alphabetically by name ascending
Priority Index1
1=highest
9=lowest

 sort by priority index descending
Recent Trend2
County Death
Rate
Compared
to
US Rate
Average Annual Count
 sort by count ascending
Age-Adjusted Death Rate

deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
Rate
Ratio3
County
to
US
 sort by rate descending
Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
 sort by trend descending
United States - falling - 605,771 145.4 (145.2, 145.6) - -1.3 (-1.5, -1.2)
Iowa - falling - 6,318 149.2 (147.5, 150.9) - -1.6 (-2.5, -1.2)
Polk County 8 falling similar 827 159.0 (154.1, 164.1) 1.1 -1.2 (-1.5, -0.9)
Linn County 8 falling similar 409 140.4 (134.3, 146.7) 1.0 -1.4 (-1.7, -1.0)
Scott County 8 falling similar 339 151.0 (143.7, 158.5) 1.0 -1.5 (-1.9, -1.1)
Black Hawk County 8 falling similar 254 153.4 (144.9, 162.3) 1.1 -1.0 (-1.5, -0.6)
Pottawattamie County 5 falling higher 218 174.7 (164.2, 185.7) 1.2 -1.0 (-1.5, -0.5)
Woodbury County 5 falling higher 198 163.1 (152.9, 173.8) 1.1 -0.8 (-1.4, -0.4)
Dubuque County 8 falling similar 194 140.0 (131.1, 149.4) 1.0 -1.5 (-1.9, -1.0)
Johnson County 9 falling lower 167 111.4 (103.8, 119.4) 0.8 -4.5 (-9.3, -2.5)
Story County 9 falling lower 118 126.2 (116.0, 137.0) 0.9 -3.2 (-8.8, -1.5)
Dallas County 9 falling lower 116 113.7 (104.5, 123.5) 0.8 -2.4 (-3.1, -1.6)
Clinton County 5 falling higher 115 167.6 (153.9, 182.3) 1.2 -0.8 (-1.5, -0.1)
Cerro Gordo County 8 falling similar 104 146.7 (133.7, 160.7) 1.0 -1.3 (-2.1, -0.6)
Des Moines County 4 stable higher 100 172.2 (157.1, 188.6) 1.2 -0.8 (-1.7, 0.1)
Warren County 8 falling similar 91 137.1 (124.6, 150.6) 0.9 -1.3 (-2.1, -0.4)
Wapello County 5 falling higher 87 181.9 (164.8, 200.3) 1.3 -0.7 (-1.4, 0.0)
Lee County 5 falling higher 87 164.8 (149.1, 181.8) 1.1 -1.3 (-2.3, -0.4)
Marshall County 8 falling similar 86 155.1 (140.5, 171.0) 1.1 -1.5 (-2.4, -0.7)
Jasper County 8 falling similar 85 152.2 (137.7, 167.9) 1.0 -1.2 (-2.1, -0.5)
Webster County 8 falling similar 84 159.8 (144.4, 176.6) 1.1 -1.2 (-2.1, -0.4)
Muscatine County 8 falling similar 84 150.0 (135.7, 165.5) 1.0 -1.6 (-2.5, -0.7)
Marion County 4 stable higher 81 167.5 (151.2, 185.1) 1.2 -0.5 (-1.0, 0.0)
Boone County 4 stable higher 63 167.8 (149.2, 188.4) 1.2 -0.4 (-1.2, 0.3)
Mahaska County 4 stable higher 55 176.1 (155.3, 199.3) 1.2 -0.2 (-0.8, 0.5)
Benton County 6 stable similar 52 141.0 (123.9, 160.1) 1.0 -0.8 (-1.7, 0.0)
Clayton County 4 stable higher 51 172.3 (150.5, 197.0) 1.2 -0.6 (-1.5, 0.3)
Plymouth County 8 falling similar 49 133.8 (117.1, 152.3) 0.9 -1.5 (-2.4, -0.5)
Sioux County 9 falling lower 49 107.7 (94.3, 122.6) 0.7 -1.5 (-2.3, -0.8)
Washington County 6 stable similar 48 142.6 (124.6, 162.7) 1.0 0.0 (-1.4, 1.4)
Bremer County 6 stable similar 48 136.0 (118.8, 155.1) 0.9 0.1 (-0.8, 2.9)
Jackson County 6 stable similar 48 155.2 (135.6, 177.2) 1.1 -0.8 (-1.8, 0.1)
Henry County 6 stable similar 47 156.6 (136.9, 178.7) 1.1 -0.9 (-2.2, 0.4)
Carroll County 8 falling similar 47 137.2 (119.6, 157.1) 0.9 -1.5 (-2.8, -0.2)
Dickinson County 8 falling similar 47 134.1 (116.4, 154.4) 0.9 -1.4 (-2.6, -0.2)
Fayette County 8 falling similar 44 140.6 (121.6, 162.0) 1.0 -1.5 (-2.6, -0.6)
Buchanan County 6 stable similar 44 162.9 (141.7, 186.6) 1.1 -0.6 (-1.8, 0.5)
Hardin County 8 falling similar 44 150.6 (130.3, 173.7) 1.0 -1.3 (-2.5, -0.2)
Poweshiek County 8 falling similar 43 139.4 (121.0, 160.4) 1.0 -0.9 (-1.9, 0.0)
Jones County 8 falling similar 42 132.5 (114.7, 152.6) 0.9 -1.6 (-2.5, -0.6)
Page County 8 falling similar 42 160.6 (138.8, 185.4) 1.1 -1.5 (-2.8, -0.3)
Tama County 6 stable similar 41 163.8 (141.2, 189.3) 1.1 -0.3 (-1.1, 0.5)
Delaware County 8 falling similar 40 143.7 (123.8, 166.4) 1.0 -1.0 (-1.8, -0.2)
Floyd County 6 stable similar 40 161.2 (138.9, 186.6) 1.1 -0.1 (-1.0, 0.8)
Iowa County 6 stable similar 39 158.5 (136.4, 183.6) 1.1 -0.7 (-1.7, 0.3)
Winneshiek County 9 falling lower 39 120.9 (103.8, 140.5) 0.8 -1.6 (-2.5, -0.7)
Cedar County 8 falling similar 38 134.8 (115.8, 156.3) 0.9 -1.6 (-2.8, -0.4)
Madison County 4 stable higher 37 175.0 (150.4, 202.8) 1.2 0.0 (-1.4, 1.5)
Cass County 6 stable similar 37 169.6 (144.8, 198.2) 1.2 -1.9 (-12.7, 0.2)
Jefferson County 6 stable similar 36 136.2 (115.6, 159.9) 0.9 -0.6 (-1.6, 0.4)
Harrison County 8 falling similar 35 160.2 (136.6, 187.1) 1.1 -1.7 (-2.7, -0.7)
Appanoose County 6 stable similar 34 159.6 (135.7, 187.2) 1.1 -0.5 (-2.3, 1.2)
Allamakee County 6 stable similar 33 153.6 (129.9, 180.7) 1.1 -1.1 (-2.4, 0.2)
Butler County 6 stable similar 33 141.3 (119.7, 166.1) 1.0 -1.0 (-2.1, 0.1)
Kossuth County 8 falling similar 33 129.4 (108.8, 153.2) 0.9 -1.1 (-1.9, -0.2)
Buena Vista County 8 falling similar 33 127.2 (107.8, 149.2) 0.9 -1.4 (-2.6, -0.3)
O'Brien County 8 falling similar 33 145.9 (123.1, 172.1) 1.0 -1.7 (-3.0, -0.5)
Clay County 9 falling lower 32 117.8 (99.7, 138.7) 0.8 -4.6 (-11.7, -2.7)
Hamilton County 8 falling similar 32 135.2 (114.5, 159.1) 0.9 -1.6 (-2.7, -0.6)
Cherokee County 6 stable similar 31 152.6 (127.9, 181.4) 1.0 -0.7 (-2.2, 0.6)
Chickasaw County 6 stable similar 31 167.3 (140.8, 197.9) 1.2 -0.2 (-1.4, 0.9)
Crawford County 8 falling similar 31 139.0 (117.4, 163.7) 1.0 -1.8 (-2.8, -0.8)
Grundy County 6 stable similar 31 162.2 (136.9, 191.3) 1.1 -0.5 (-2.0, 1.0)
Palo Alto County 1 rising higher 29 206.6 (172.8, 246.0) 1.4 3.2 (0.2, 14.7)
Mills County 6 stable similar 29 144.2 (120.8, 171.2) 1.0 -1.2 (-2.9, 0.5)
Union County 6 stable similar 28 158.1 (132.0, 188.3) 1.1 -1.2 (-2.8, 0.3)
Franklin County 6 stable similar 28 175.1 (146.2, 208.8) 1.2 0.3 (-1.6, 2.1)
Mitchell County 6 stable similar 27 153.0 (127.3, 183.3) 1.1 -0.1 (-1.3, 1.2)
Wright County 8 falling similar 27 136.0 (113.0, 162.8) 0.9 -1.9 (-3.2, -0.7)
Emmet County 4 stable higher 27 180.3 (149.4, 216.4) 1.2 -0.1 (-1.4, 1.2)
Shelby County 8 falling similar 27 132.6 (110.3, 159.0) 0.9 -1.7 (-2.8, -0.6)
Montgomery County 6 stable similar 27 162.7 (135.5, 194.5) 1.1 -0.1 (-1.3, 1.2)
Winnebago County 6 stable similar 27 156.9 (130.3, 188.0) 1.1 0.0 (-1.2, 1.3)
Greene County 4 stable higher 26 178.2 (147.5, 214.3) 1.2 0.0 (-1.4, 1.3)
Guthrie County 6 stable similar 26 145.7 (120.6, 175.4) 1.0 -1.0 (-2.4, 0.4)
Clarke County 4 stable higher 25 186.9 (154.9, 224.0) 1.3 -0.1 (-2.2, 2.0)
Louisa County 8 falling similar 25 167.2 (138.5, 200.7) 1.2 -1.8 (-3.2, -0.3)
Calhoun County 6 stable similar 25 151.0 (124.6, 182.2) 1.0 -0.6 (-2.0, 0.7)
Howard County 6 stable similar 25 166.8 (137.6, 201.1) 1.1 -0.4 (-1.8, 0.9)
Hancock County 6 stable similar 24 135.9 (111.5, 164.9) 0.9 -1.0 (-4.4, 7.1)
Lyon County 6 stable similar 23 132.8 (108.9, 160.9) 0.9 -0.5 (-2.2, 1.1)
Sac County 8 falling similar 23 135.6 (110.6, 165.4) 0.9 -1.4 (-2.8, -0.1)
Keokuk County 6 stable similar 23 150.0 (122.6, 182.5) 1.0 -0.7 (-2.3, 0.9)
Lucas County 6 stable similar 23 160.4 (131.7, 194.6) 1.1 -0.8 (-1.9, 0.3)
Monona County 8 falling similar 23 144.6 (118.3, 176.3) 1.0 -1.6 (-3.2, -0.2)
Pocahontas County 6 stable similar 22 175.8 (142.9, 215.5) 1.2 -0.6 (-2.0, 0.8)
Van Buren County 4 stable higher 21 184.8 (149.9, 226.5) 1.3 -0.2 (-2.4, 2.0)
Humboldt County 6 stable similar 21 134.1 (108.5, 164.7) 0.9 -1.2 (-2.5, 0.0)
Ida County 6 stable similar 20 160.8 (129.9, 198.4) 1.1 -0.7 (-2.2, 0.7)
Monroe County 6 stable similar 20 174.5 (141.1, 214.5) 1.2 -0.3 (-1.7, 1.1)
Adair County 6 stable similar 19 149.5 (119.7, 185.6) 1.0 -1.0 (-2.6, 0.6)
Fremont County 6 stable similar 19 166.6 (132.8, 207.8) 1.1 0.9 (-1.5, 8.6)
Davis County 6 stable similar 17 150.3 (118.9, 187.7) 1.0 0.1 (-1.6, 1.8)
Decatur County 8 falling similar 17 150.9 (119.7, 188.7) 1.0 -6.1 (-21.5, -1.5)
Osceola County 6 stable similar 16 156.0 (122.8, 197.1) 1.1 -0.8 (-2.5, 0.8)
Wayne County 6 stable similar 16 157.4 (122.9, 199.6) 1.1 -0.8 (-2.4, 0.7)
Worth County 6 stable similar 16 132.7 (104.6, 167.4) 0.9 -1.6 (-3.4, 0.1)
Audubon County 6 stable similar 15 150.4 (115.5, 194.2) 1.0 -1.5 (-3.2, 0.1)
Ringgold County 6 stable similar 14 183.6 (142.3, 235.2) 1.3 -18.8 (-38.2, 0.7)
Taylor County 8 falling similar 12 121.2 (92.3, 158.0) 0.8 -5.9 (-26.4, -1.3)
Adams County 6 stable similar 8 142.0 (99.0, 199.7) 1.0 -1.0 (-3.7, 1.4)
Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 11:51 pm.

Trend2
     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. 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 (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+). The Healthy People 2030 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 do not include Puerto Rico.

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