Data Table for Rate/Trend Comparison by Cancer
Death Rate/Trend Comparison by Cancer, 2019-2023
Missouri Counties versus United States
All Cancer Sites
All Races, Female
Sorted by priority index
Counties
|
Priority Index1 1=highest 9=lowest
|
Recent Trend2 |
County Death Rate Compared to US Rate |
Average Annual Count
|
Age-Adjusted Death Rate deaths per 100,000 (95% Confidence Interval)
|
Rate Ratio3 County to US
|
Recent 5-Year Trend2 in Death Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|---|
| United States | - | falling | - | 287,034 | 126.3 (126.1, 126.6) | - | -1.1 (-1.2, -1.0) |
| Missouri | - | falling | - | 6,117 | 139.5 (137.9, 141.1) | - | -1.0 (-1.1, -0.9) |
| Platte County | 9 | falling | lower | 75 | 106.7 (96.0, 118.4) | 0.8 | -2.1 (-3.0, -1.1) |
| Boone County | 8 | falling | similar | 121 | 119.8 (110.2, 130.0) | 0.9 | -1.7 (-2.5, -1.0) |
| Cape Girardeau County | 8 | falling | similar | 70 | 120.5 (107.7, 134.5) | 1.0 | -4.2 (-10.5, -1.4) |
| Cass County | 8 | falling | similar | 104 | 132.1 (120.7, 144.4) | 1.0 | -1.2 (-2.0, -0.5) |
| Christian County | 8 | falling | similar | 82 | 138.5 (125.2, 152.9) | 1.1 | -1.0 (-1.7, -0.2) |
| Clay County | 8 | falling | similar | 216 | 136.0 (127.9, 144.5) | 1.1 | -1.4 (-1.9, -0.9) |
| Cole County | 8 | falling | similar | 65 | 118.4 (105.5, 132.7) | 0.9 | -2.0 (-2.9, -1.2) |
| Dallas County | 8 | falling | similar | 17 | 125.9 (99.9, 157.5) | 1.0 | -1.9 (-3.1, -0.7) |
| Franklin County | 8 | falling | similar | 107 | 138.8 (126.9, 151.7) | 1.1 | -1.0 (-1.7, -0.2) |
| Greene County | 8 | falling | similar | 255 | 120.9 (114.2, 127.9) | 1.0 | -1.4 (-1.9, -1.0) |
| Howard County | 8 | falling | similar | 9 | 114.7 (82.5, 157.2) | 0.9 | -3.3 (-5.0, -1.8) |
| Jackson County | 8 | falling | similar | 654 | 137.5 (132.7, 142.4) | 1.1 | -1.3 (-1.6, -1.1) |
| Johnson County | 8 | falling | similar | 37 | 131.8 (113.2, 152.7) | 1.0 | -3.6 (-12.8, -1.5) |
| Maries County | 8 | falling | similar | 10 | 145.6 (107.5, 195.5) | 1.2 | -2.5 (-5.1, -0.1) |
| Marion County | 8 | falling | similar | 30 | 144.8 (121.8, 171.2) | 1.1 | -1.7 (-3.1, -0.4) |
| Montgomery County | 8 | falling | similar | 14 | 149.8 (115.5, 192.8) | 1.2 | -14.3 (-30.3, -0.1) |
| Shelby County | 8 | falling | similar | 7 | 134.3 (93.3, 191.5) | 1.1 | -2.5 (-4.5, -0.7) |
| St. Charles County | 8 | falling | similar | 337 | 120.9 (115.0, 126.9) | 1.0 | -1.5 (-2.0, -0.9) |
| St. Louis County | 8 | falling | similar | 1,035 | 132.2 (128.5, 136.0) | 1.0 | -1.2 (-1.4, -1.0) |
| Taney County | 8 | falling | similar | 63 | 137.5 (122.1, 154.6) | 1.1 | -1.1 (-1.9, -0.2) |
| Adair County | 6 | stable | similar | 22 | 138.0 (112.7, 167.8) | 1.1 | -0.4 (-1.8, 1.0) |
| Andrew County | 6 | stable | similar | 21 | 146.0 (118.8, 178.6) | 1.2 | -1.5 (-3.8, 0.7) |
| Atchison County | 6 | stable | similar | 8 | 161.2 (111.3, 230.8) | 1.3 | 0.0 (-3.5, 3.3) |
| Audrain County | 6 | stable | similar | 28 | 140.6 (117.6, 167.3) | 1.1 | 0.0 (-1.3, 1.2) |
| Barry County | 6 | stable | similar | 40 | 144.8 (124.7, 167.6) | 1.1 | -0.7 (-1.7, 0.1) |
| Barton County | 6 | stable | similar | 12 | 126.2 (93.9, 167.3) | 1.0 | 0.1 (-2.0, 2.3) |
| Bates County | 6 | stable | similar | 17 | 135.5 (107.3, 169.9) | 1.1 | -1.0 (-3.4, 1.2) |
| Bollinger County | 6 | stable | similar | 13 | 156.3 (119.5, 202.4) | 1.2 | 0.2 (-1.7, 2.1) |
| Caldwell County | 6 | stable | similar | 9 | 132.2 (93.6, 183.1) | 1.0 | -0.5 (-3.7, 2.6) |
| Camden County | 6 | stable | similar | 54 | 126.4 (110.5, 144.5) | 1.0 | -0.5 (-1.6, 0.7) |
| Carroll County | 6 | stable | similar | 9 | 119.8 (87.4, 163.2) | 0.9 | -1.2 (-3.4, 0.9) |
| Carter County | 6 | stable | similar | 6 | 139.6 (93.1, 205.0) | 1.1 | -1.6 (-4.3, 1.0) |
| Cedar County | 6 | stable | similar | 19 | 153.0 (122.1, 190.6) | 1.2 | -0.8 (-2.7, 1.0) |
| Chariton County | 6 | stable | similar | 9 | 142.1 (97.3, 202.1) | 1.1 | -0.3 (-3.4, 2.6) |
| Clark County | 6 | stable | similar | 8 | 135.9 (96.3, 190.4) | 1.1 | -0.2 (-3.3, 2.9) |
| Cooper County | 6 | stable | similar | 18 | 148.1 (117.0, 185.5) | 1.2 | -0.6 (-2.3, 1.2) |
| Dade County | 6 | stable | similar | 10 | 157.7 (114.9, 214.2) | 1.2 | -0.9 (-3.3, 1.3) |
| Daviess County | 6 | stable | similar | 8 | 127.2 (88.6, 178.4) | 1.0 | -1.6 (-4.1, 0.7) |
| DeKalb County | 6 | stable | similar | 12 | 143.5 (106.8, 190.6) | 1.1 | 2.4 (-1.3, 19.2) |
| Gasconade County | 6 | stable | similar | 19 | 138.2 (110.9, 171.9) | 1.1 | -0.6 (-1.7, 0.6) |
| Harrison County | 6 | stable | similar | 8 | 110.2 (76.9, 155.6) | 0.9 | -0.6 (-3.5, 2.1) |
| Henry County | 6 | stable | similar | 26 | 131.6 (109.0, 158.5) | 1.0 | -1.3 (-3.1, 0.5) |
| Hickory County | 6 | stable | similar | 15 | 169.7 (128.1, 223.9) | 1.3 | 0.6 (-1.6, 2.8) |
| Knox County | 6 | stable | similar | 3 | 112.5 (61.5, 193.7) | 0.9 | -1.0 (-4.9, 2.4) |
| Lewis County | 6 | stable | similar | 10 | 133.7 (97.8, 180.1) | 1.1 | -1.4 (-4.2, 1.1) |
| Livingston County | 6 | stable | similar | 17 | 146.2 (116.1, 182.5) | 1.2 | 0.2 (-1.3, 1.8) |
| Mercer County | 6 | stable | similar | 4 | 125.1 (73.0, 207.2) | 1.0 | -0.3 (-3.7, 2.9) |
| Miller County | 6 | stable | similar | 25 | 132.6 (109.7, 159.4) | 1.0 | -1.3 (-2.9, 0.1) |
| Mississippi County | 6 | stable | similar | 13 | 143.4 (109.3, 186.0) | 1.1 | -1.7 (-3.9, 0.2) |
| Moniteau County | 6 | stable | similar | 15 | 140.6 (109.8, 178.2) | 1.1 | -0.3 (-2.6, 2.2) |
| Monroe County | 6 | stable | similar | 10 | 124.4 (90.1, 170.5) | 1.0 | -1.2 (-3.5, 1.1) |
| Morgan County | 6 | stable | similar | 26 | 145.1 (120.0, 174.8) | 1.1 | -1.2 (-3.0, 0.5) |
| Nodaway County | 6 | stable | similar | 19 | 127.9 (102.4, 158.6) | 1.0 | -0.8 (-2.2, 0.6) |
| Osage County | 6 | stable | similar | 11 | 124.9 (92.1, 166.1) | 1.0 | 0.0 (-1.4, 1.6) |
| Perry County | 6 | stable | similar | 20 | 136.7 (110.2, 168.5) | 1.1 | -0.3 (-2.4, 1.9) |
| Pike County | 6 | stable | similar | 18 | 140.3 (112.1, 174.4) | 1.1 | -0.8 (-2.9, 1.2) |
| Putnam County | 6 | stable | similar | 5 | 123.5 (78.7, 190.4) | 1.0 | -0.6 (-3.4, 2.2) |
| Ralls County | 6 | stable | similar | 13 | 149.4 (113.8, 194.7) | 1.2 | 0.4 (-1.8, 2.9) |
| Reynolds County | 6 | stable | similar | 8 | 149.4 (103.6, 212.6) | 1.2 | -1.0 (-3.9, 1.9) |
| Schuyler County | 6 | stable | similar | 4 | 154.6 (94.7, 241.6) | 1.2 | 1.3 (-1.1, 3.8) |
| Scotland County | 6 | stable | similar | 5 | 156.1 (100.9, 233.7) | 1.2 | 0.4 (-3.0, 3.7) |
| Scott County | 6 | stable | similar | 39 | 138.1 (118.8, 159.9) | 1.1 | -3.7 (-7.2, 1.0) |
| St. Clair County | 6 | stable | similar | 12 | 140.4 (104.1, 187.7) | 1.1 | -1.1 (-2.6, 0.2) |
| Ste. Genevieve County | 6 | stable | similar | 20 | 143.5 (115.5, 177.1) | 1.1 | -0.6 (-2.4, 1.2) |
| Stone County | 6 | stable | similar | 41 | 127.2 (108.2, 149.3) | 1.0 | -0.8 (-2.0, 0.5) |
| Sullivan County | 6 | stable | similar | 6 | 121.5 (80.9, 179.4) | 1.0 | -1.9 (-4.6, 0.5) |
| Texas County | 6 | stable | similar | 30 | 149.6 (125.7, 177.6) | 1.2 | -0.3 (-1.4, 0.7) |
| Vernon County | 6 | stable | similar | 24 | 154.7 (127.6, 186.6) | 1.2 | -0.3 (-2.0, 1.5) |
| Wayne County | 6 | stable | similar | 14 | 136.8 (106.3, 176.0) | 1.1 | -1.1 (-3.1, 0.8) |
| Webster County | 6 | stable | similar | 35 | 141.1 (120.5, 164.5) | 1.1 | 0.3 (-0.8, 1.6) |
| Wright County | 6 | stable | similar | 21 | 153.6 (124.6, 188.0) | 1.2 | 0.4 (-1.3, 2.1) |
| Jefferson County | 5 | falling | higher | 221 | 149.5 (140.5, 158.9) | 1.2 | -1.2 (-1.7, -0.7) |
| Newton County | 5 | falling | higher | 66 | 153.6 (137.0, 171.9) | 1.2 | -7.2 (-12.4, -1.7) |
| St. Louis City | 5 | falling | higher | 262 | 142.6 (134.7, 150.8) | 1.1 | -2.8 (-7.0, -2.0) |
| Benton County | 4 | stable | higher | 37 | 178.0 (150.8, 210.3) | 1.4 | -0.2 (-1.4, 1.1) |
| Buchanan County | 4 | stable | higher | 100 | 171.0 (155.9, 187.3) | 1.4 | -0.4 (-1.1, 0.3) |
| Butler County | 4 | stable | higher | 53 | 164.1 (144.6, 185.9) | 1.3 | -0.4 (-1.2, 0.4) |
| Callaway County | 4 | stable | higher | 46 | 150.3 (131.0, 172.1) | 1.2 | -0.6 (-1.2, 0.1) |
| Clinton County | 4 | stable | higher | 26 | 170.2 (141.2, 204.0) | 1.3 | 0.1 (-1.6, 1.8) |
| Crawford County | 4 | stable | higher | 30 | 168.0 (141.0, 199.2) | 1.3 | 0.3 (-1.1, 1.7) |
| Dent County | 4 | stable | higher | 21 | 180.2 (145.7, 221.7) | 1.4 | -0.9 (-2.3, 0.4) |
| Douglas County | 4 | stable | higher | 19 | 177.3 (141.8, 221.1) | 1.4 | 4.6 (-0.3, 20.8) |
| Dunklin County | 4 | stable | higher | 38 | 177.3 (152.0, 205.9) | 1.4 | -0.3 (-1.6, 0.9) |
| Gentry County | 4 | stable | higher | 10 | 214.9 (157.4, 288.5) | 1.7 | 0.7 (-0.9, 2.4) |
| Howell County | 4 | stable | higher | 48 | 150.9 (131.8, 172.4) | 1.2 | -0.5 (-1.5, 0.5) |
| Iron County | 4 | stable | higher | 16 | 193.4 (151.6, 245.3) | 1.5 | -0.5 (-2.0, 0.9) |
| Jasper County | 4 | stable | higher | 120 | 148.5 (136.6, 161.2) | 1.2 | -0.4 (-1.0, 0.3) |
| Lafayette County | 4 | stable | higher | 39 | 155.7 (134.0, 180.4) | 1.2 | -0.5 (-1.6, 0.7) |
| Lawrence County | 4 | stable | higher | 46 | 171.3 (149.2, 196.0) | 1.4 | 0.2 (-0.8, 1.3) |
| Lincoln County | 4 | stable | higher | 58 | 166.6 (147.5, 187.6) | 1.3 | -0.3 (-1.3, 0.8) |
| Linn County | 4 | stable | higher | 16 | 175.0 (136.1, 222.5) | 1.4 | 0.3 (-2.1, 2.7) |
| Macon County | 4 | stable | higher | 22 | 186.4 (151.1, 228.4) | 1.5 | 3.3 (-9.6, 18.5) |
| Madison County | 4 | stable | higher | 20 | 209.0 (168.8, 257.2) | 1.7 | 0.5 (-1.1, 2.2) |
| McDonald County | 4 | stable | higher | 24 | 170.8 (141.2, 205.0) | 1.4 | -0.9 (-3.0, 1.3) |
| New Madrid County | 4 | stable | higher | 26 | 200.2 (166.7, 239.4) | 1.6 | 0.5 (-0.7, 1.8) |
| Oregon County | 4 | stable | higher | 13 | 176.9 (133.8, 231.5) | 1.4 | -0.3 (-2.1, 1.4) |
| Ozark County | 4 | stable | higher | 16 | 183.1 (142.6, 235.2) | 1.4 | -0.3 (-1.8, 1.2) |
| Pemiscot County | 4 | stable | higher | 22 | 201.0 (164.1, 244.2) | 1.6 | 1.3 (-0.2, 2.9) |
| Pettis County | 4 | stable | higher | 49 | 161.5 (141.3, 184.0) | 1.3 | -0.5 (-1.5, 0.6) |
| Phelps County | 4 | stable | higher | 44 | 147.6 (128.0, 169.6) | 1.2 | -0.8 (-2.2, 0.6) |
| Polk County | 4 | stable | higher | 37 | 159.4 (136.4, 185.5) | 1.3 | -0.4 (-2.2, 1.5) |
| Pulaski County | 4 | stable | higher | 34 | 157.3 (134.2, 183.3) | 1.2 | -1.2 (-2.3, 0.0) |
| Randolph County | 4 | stable | higher | 29 | 169.1 (142.1, 200.3) | 1.3 | -0.5 (-1.7, 0.8) |
| Ray County | 4 | stable | higher | 32 | 181.6 (153.7, 213.8) | 1.4 | -0.1 (-1.5, 1.5) |
| Saline County | 4 | stable | higher | 27 | 161.8 (134.4, 193.7) | 1.3 | -0.6 (-2.2, 0.9) |
| Shannon County | 4 | stable | higher | 12 | 209.0 (156.7, 276.0) | 1.7 | 0.4 (-2.1, 2.9) |
| St. Francois County | 4 | stable | higher | 79 | 176.3 (159.0, 195.3) | 1.4 | 0.1 (-0.8, 1.0) |
| Stoddard County | 4 | stable | higher | 38 | 162.8 (139.4, 189.5) | 1.3 | -0.3 (-2.1, 1.5) |
| Warren County | 4 | stable | higher | 40 | 159.0 (137.0, 183.7) | 1.3 | -0.3 (-1.7, 1.3) |
| Washington County | 4 | stable | higher | 29 | 186.6 (156.3, 221.6) | 1.5 | -0.2 (-1.9, 1.5) |
| Grundy County | 2 | rising | similar | 14 | 160.6 (121.8, 209.5) | 1.3 | 12.3 (0.1, 28.9) |
| Laclede County | 1 | rising | higher | 48 | 186.8 (163.4, 212.9) | 1.5 | 2.8 (0.2, 12.8) |
| Ripley County | 1 | rising | higher | 18 | 235.3 (186.9, 293.5) | 1.9 | 1.9 (0.1, 3.8) |
| Holt County |
|
** | similar | 5 | 117.8 (75.4, 183.7) | 0.9 |
|
| Worth County |
|
** |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/14/2026 5:31 am.
* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** 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. 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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Worth County
Trend for the following could not be reliably determined due to small number of deaths per year:
Holt County
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.
Created by statecancerprofiles.cancer.gov on 03/14/2026 5:31 am.
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
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 > 1.10Similar
when unable to conclude above or below with confidence.Below
when 95% confident the rate is below and Rate Ratio3 < 0.90* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** 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. 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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Worth County
Trend for the following could not be reliably determined due to small number of deaths per year:
Holt County
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.


