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