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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Iowa Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by trend
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 descending
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 ascending
United States - falling falling trend - 599,666 149.4 (149.3, 149.6) - -2.0 (-2.2, -1.8)
Iowa - falling falling trend - 6,389 154.2 (152.5, 156.0) - -2.2 (-3.1, -1.3)
Ringgold County 4 stable stable trend higher 20 215.2 (173.4, 266.5) 1.4 1.0 (0.0, 2.0)
Van Buren County 4 stable stable trend higher 25 221.5 (182.9, 267.0) 1.5 0.5 (-0.5, 1.6)
Monroe County 4 stable stable trend higher 22 187.6 (153.2, 228.5) 1.3 0.2 (-0.7, 1.1)
Adair County 6 stable stable trend similar 21 170.1 (137.2, 210.0) 1.1 0.2 (-0.6, 0.9)
Clarke County 6 stable stable trend similar 24 181.5 (149.1, 219.5) 1.2 0.1 (-0.9, 1.1)
Appanoose County 6 stable stable trend similar 37 163.4 (140.2, 190.2) 1.1 0.0 (-1.0, 1.0)
Mahaska County 4 stable stable trend higher 55 176.0 (155.1, 199.1) 1.2 0.0 (-0.4, 0.3)
Dubuque County 6 stable stable trend similar 190 143.7 (134.5, 153.5) 1.0 -5.3 (-12.9, 3.0)
Cass County 4 stable stable trend higher 40 185.8 (159.5, 215.7) 1.2 -3.4 (-6.8, 0.2)
Johnson County 9 falling falling trend lower 171 124.9 (116.4, 133.8) 0.8 -2.5 (-3.0, -1.9)
Dallas County 9 falling falling trend lower 110 128.0 (117.4, 139.3) 0.9 -2.4 (-3.0, -1.8)
Polk County 8 falling falling trend similar 792 158.4 (153.4, 163.5) 1.1 -2.0 (-2.9, -1.2)
Winneshiek County 9 falling falling trend lower 37 113.6 (97.1, 132.7) 0.8 -1.5 (-2.2, -0.9)
Humboldt County 8 falling falling trend similar 21 137.9 (111.4, 169.5) 0.9 -1.5 (-2.2, -0.8)
Jones County 8 falling falling trend similar 44 137.3 (119.2, 157.8) 0.9 -1.4 (-1.9, -0.8)
Kossuth County 8 falling falling trend similar 36 136.0 (115.2, 160.1) 0.9 -1.4 (-1.8, -0.9)
Hancock County 9 falling falling trend lower 23 125.2 (102.4, 152.4) 0.8 -1.3 (-2.3, -0.2)
Monona County 8 falling falling trend similar 26 163.3 (134.5, 197.7) 1.1 -1.3 (-2.1, -0.4)
Hamilton County 8 falling falling trend similar 36 149.2 (127.2, 174.4) 1.0 -1.3 (-1.9, -0.8)
Buchanan County 8 falling falling trend similar 44 154.0 (134.0, 176.5) 1.0 -1.3 (-1.9, -0.7)
Marshall County 8 falling falling trend similar 84 149.5 (135.2, 165.1) 1.0 -1.3 (-1.8, -0.9)
Bremer County 8 falling falling trend similar 51 140.1 (123.0, 159.1) 0.9 -1.3 (-1.8, -0.7)
Cerro Gordo County 8 falling falling trend similar 107 153.5 (140.1, 167.9) 1.0 -1.3 (-1.7, -1.0)
Fremont County 8 falling falling trend similar 17 149.2 (118.0, 187.5) 1.0 -1.2 (-2.5, 0.0)
Lyon County 8 falling falling trend similar 26 152.9 (126.7, 183.5) 1.0 -1.2 (-2.1, -0.3)
Mitchell County 8 falling falling trend similar 27 147.0 (122.1, 176.3) 1.0 -1.2 (-1.9, -0.5)
Fayette County 8 falling falling trend similar 46 144.6 (125.6, 166.1) 1.0 -1.2 (-1.8, -0.6)
Floyd County 8 falling falling trend similar 39 150.4 (129.5, 174.2) 1.0 -1.2 (-1.8, -0.6)
Butler County 8 falling falling trend similar 38 155.3 (133.0, 181.0) 1.0 -1.2 (-1.8, -0.5)
Lee County 5 falling falling trend higher 88 169.9 (154.0, 187.2) 1.1 -1.2 (-1.7, -0.8)
Benton County 8 falling falling trend similar 59 158.6 (140.6, 178.5) 1.1 -1.2 (-1.7, -0.7)
Harrison County 8 falling falling trend similar 34 160.6 (136.8, 188.0) 1.1 -1.2 (-1.7, -0.6)
Sioux County 9 falling falling trend lower 50 113.2 (99.1, 128.8) 0.8 -1.2 (-1.6, -0.7)
Black Hawk County 8 falling falling trend similar 261 158.8 (150.1, 168.0) 1.1 -1.2 (-1.5, -1.0)
Worth County 8 falling falling trend similar 20 173.1 (139.6, 213.2) 1.2 -1.1 (-2.0, -0.1)
Madison County 8 falling falling trend similar 35 161.1 (137.6, 187.8) 1.1 -1.1 (-1.9, -0.3)
Crawford County 8 falling falling trend similar 31 135.4 (114.6, 159.2) 0.9 -1.1 (-1.8, -0.4)
Wright County 8 falling falling trend similar 29 140.1 (116.6, 167.5) 0.9 -1.1 (-1.8, -0.3)
Plymouth County 8 falling falling trend similar 51 140.5 (123.3, 159.6) 0.9 -1.1 (-1.7, -0.5)
Linn County 8 falling falling trend similar 417 152.0 (145.4, 158.8) 1.0 -1.1 (-1.3, -1.0)
Audubon County 6 stable stable trend similar 14 130.5 (100.9, 168.8) 0.9 -1.0 (-2.3, 0.4)
Dickinson County 8 falling falling trend similar 45 138.9 (120.3, 160.2) 0.9 -1.0 (-1.7, -0.3)
Buena Vista County 8 falling falling trend similar 35 137.8 (117.3, 161.0) 0.9 -1.0 (-1.7, -0.2)
Hardin County 8 falling falling trend similar 48 167.1 (145.6, 191.4) 1.1 -1.0 (-1.6, -0.5)
Jefferson County 8 falling falling trend similar 37 137.6 (117.2, 161.0) 0.9 -1.0 (-1.6, -0.4)
Clayton County 8 falling falling trend similar 47 157.9 (137.2, 181.5) 1.1 -1.0 (-1.5, -0.5)
Clinton County 8 falling falling trend similar 114 162.0 (148.6, 176.3) 1.1 -1.0 (-1.4, -0.6)
Scott County 8 falling falling trend similar 346 159.4 (151.8, 167.3) 1.1 -1.0 (-1.3, -0.8)
Story County 8 falling falling trend similar 124 135.7 (125.0, 147.1) 0.9 -1.0 (-1.3, -0.6)
Pocahontas County 6 stable stable trend similar 21 172.1 (139.5, 211.7) 1.2 -0.9 (-1.9, 0.0)
Keokuk County 8 falling falling trend similar 25 156.0 (128.4, 188.5) 1.0 -0.9 (-1.8, 0.0)
Delaware County 8 falling falling trend similar 38 145.8 (125.2, 169.2) 1.0 -0.9 (-1.4, -0.4)
Jasper County 8 falling falling trend similar 86 159.4 (144.3, 175.8) 1.1 -0.9 (-1.4, -0.4)
Des Moines County 8 falling falling trend similar 99 162.1 (147.7, 177.7) 1.1 -0.9 (-1.4, -0.3)
Wapello County 5 falling falling trend higher 87 179.4 (162.5, 197.6) 1.2 -0.9 (-1.3, -0.4)
Pottawattamie County 5 falling falling trend higher 215 173.7 (163.3, 184.7) 1.2 -0.9 (-1.2, -0.6)
Louisa County 6 stable stable trend similar 24 154.8 (127.5, 186.6) 1.0 -0.8 (-1.8, 0.2)
Adams County 6 stable stable trend similar 9 147.8 (105.5, 204.6) 1.0 -0.8 (-1.7, 0.2)
Allamakee County 6 stable stable trend similar 31 139.8 (117.4, 165.7) 0.9 -0.8 (-1.7, 0.2)
Mills County 6 stable stable trend similar 34 166.6 (141.7, 195.0) 1.1 -0.8 (-1.6, 0.0)
O'Brien County 8 falling falling trend similar 33 140.0 (118.5, 165.0) 0.9 -0.8 (-1.6, 0.0)
Clay County 8 falling falling trend similar 35 133.5 (113.9, 156.0) 0.9 -0.8 (-1.5, -0.2)
Henry County 8 falling falling trend similar 45 157.1 (136.9, 179.7) 1.1 -0.8 (-1.5, -0.2)
Jackson County 8 falling falling trend similar 46 151.1 (131.6, 173.2) 1.0 -0.8 (-1.5, -0.2)
Cedar County 8 falling falling trend similar 42 152.0 (131.6, 175.1) 1.0 -0.8 (-1.5, -0.1)
Lucas County 8 falling falling trend similar 21 146.3 (119.3, 178.8) 1.0 -0.8 (-1.5, -0.1)
Warren County 8 falling falling trend similar 88 144.6 (131.2, 159.0) 1.0 -0.8 (-1.3, -0.3)
Iowa County 8 falling falling trend similar 37 152.0 (130.2, 176.9) 1.0 -0.8 (-1.3, -0.2)
Webster County 8 falling falling trend similar 85 164.5 (148.8, 181.6) 1.1 -0.8 (-1.2, -0.4)
Page County 6 stable stable trend similar 36 137.0 (117.2, 160.0) 0.9 -0.7 (-1.5, 0.0)
Chickasaw County 6 stable stable trend similar 29 159.3 (133.4, 189.3) 1.1 -0.7 (-1.4, 0.1)
Palo Alto County 4 stable stable trend higher 30 195.8 (163.8, 233.3) 1.3 -0.7 (-1.4, 0.1)
Carroll County 6 stable stable trend similar 51 157.4 (137.8, 179.4) 1.1 -0.7 (-1.3, 0.0)
Muscatine County 5 falling falling trend higher 90 165.6 (150.3, 182.1) 1.1 -0.7 (-1.2, -0.2)
Poweshiek County 8 falling falling trend similar 45 154.7 (134.3, 177.9) 1.0 -0.7 (-1.2, -0.2)
Winnebago County 6 stable stable trend similar 23 133.5 (109.4, 162.3) 0.9 -0.6 (-1.5, 0.3)
Howard County 6 stable stable trend similar 23 156.1 (128.2, 189.2) 1.0 -0.6 (-1.4, 0.3)
Union County 4 stable stable trend higher 33 183.0 (154.7, 215.4) 1.2 -0.6 (-1.4, 0.2)
Woodbury County 5 falling falling trend higher 210 176.4 (165.6, 187.6) 1.2 -0.6 (-0.8, -0.3)
Davis County 6 stable stable trend similar 17 144.2 (114.3, 180.0) 1.0 -0.5 (-1.5, 0.7)
Taylor County 6 stable stable trend similar 13 136.1 (103.2, 177.4) 0.9 -0.5 (-1.3, 0.4)
Franklin County 6 stable stable trend similar 21 130.0 (105.6, 159.3) 0.9 -0.5 (-1.3, 0.3)
Guthrie County 6 stable stable trend similar 27 150.0 (124.9, 179.6) 1.0 -0.5 (-1.3, 0.3)
Sac County 6 stable stable trend similar 28 163.8 (135.8, 196.8) 1.1 -0.5 (-1.3, 0.3)
Montgomery County 4 stable stable trend higher 31 192.4 (161.8, 227.9) 1.3 -0.5 (-1.2, 0.2)
Boone County 6 stable stable trend similar 57 155.9 (137.9, 175.9) 1.0 -0.5 (-1.0, 0.0)
Tama County 4 stable stable trend higher 44 174.2 (150.9, 200.4) 1.2 -0.5 (-0.9, 0.0)
Decatur County 6 stable stable trend similar 20 170.2 (136.4, 210.7) 1.1 -0.4 (-1.4, 0.6)
Wayne County 4 stable stable trend higher 20 197.3 (158.5, 243.9) 1.3 -0.4 (-1.2, 0.4)
Cherokee County 6 stable stable trend similar 35 168.0 (142.0, 198.2) 1.1 -0.4 (-1.1, 0.4)
Shelby County 6 stable stable trend similar 29 144.3 (120.7, 172.0) 1.0 -0.4 (-1.1, 0.4)
Calhoun County 6 stable stable trend similar 27 161.8 (134.1, 194.6) 1.1 -0.4 (-1.1, 0.2)
Grundy County 6 stable stable trend similar 33 166.3 (141.2, 195.3) 1.1 -0.3 (-1.2, 0.6)
Greene County 6 stable stable trend similar 26 163.8 (135.7, 197.2) 1.1 -0.3 (-1.1, 0.6)
Marion County 4 stable stable trend higher 80 177.3 (160.1, 196.0) 1.2 -0.3 (-0.7, 0.0)
Osceola County 6 stable stable trend similar 16 153.0 (119.2, 195.1) 1.0 -0.2 (-1.2, 0.8)
Emmet County 6 stable stable trend similar 27 181.4 (149.9, 218.4) 1.2 -0.2 (-1.0, 0.7)
Washington County 6 stable stable trend similar 52 160.8 (141.0, 182.8) 1.1 -0.2 (-0.8, 0.4)
Ida County 4 stable stable trend higher 23 189.3 (155.2, 230.3) 1.3 -0.1 (-1.1, 0.9)
Notes:
Created by statecancerprofiles.cancer.gov on 05/18/2024 1:02 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 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.

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