Data Table for Rate/Trend Comparison by Cancer
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 
|
- | 599,666 | 149.4 (149.3, 149.6) | - | -2.0 (-2.2, -1.8) |
| Kentucky | - |
falling
|
- | 10,160 | 182.8 (181.2, 184.4) | - | -2.4 (-3.5, -1.4) |
| Robertson County | 6 |
stable 
|
similar | 5 | 143.5 (94.4, 216.0) | 1.0 | -0.5 (-2.1, 1.1) |
| Hickman County | 6 |
stable
|
similar | 15 | 182.0 (142.5, 232.1) | 1.2 | -0.1 (-1.3, 1.0) |
| Owsley County | 4 |
stable
|
higher | 15 | 231.3 (180.1, 294.0) | 1.5 | 0.0 (-1.0, 0.9) |
| Carlisle County | 4 |
stable
|
higher | 15 | 208.4 (163.2, 264.1) | 1.4 | -0.4 (-1.6, 0.7) |
| Bracken County | 6 |
stable
|
similar | 18 | 163.1 (130.2, 202.4) | 1.1 | -1.0 (-1.9, 0.0) |
| Fulton County | 5 |
falling
|
higher | 18 | 200.1 (159.9, 248.7) | 1.3 | -0.7 (-1.4, -0.1) |
| Elliott County | 8 |
falling
|
similar | 18 | 170.1 (136.5, 210.5) | 1.1 | -1.9 (-3.1, -0.6) |
| Nicholas County | 4 |
stable
|
higher | 19 | 200.1 (160.9, 246.6) | 1.3 | -0.4 (-1.3, 0.4) |
| Trimble County | 6 |
stable
|
similar | 20 | 175.8 (141.7, 216.3) | 1.2 | -0.5 (-1.6, 0.6) |
| Ballard County | 8 |
falling
|
similar | 21 | 171.3 (139.7, 209.2) | 1.1 | -1.6 (-2.4, -0.7) |
| Menifee County | 4 |
stable
|
higher | 21 | 217.0 (176.5, 265.2) | 1.5 | -0.8 (-2.0, 0.4) |
| Lee County | 4 |
stable
|
higher | 22 | 222.4 (181.1, 271.3) | 1.5 | -0.3 (-1.2, 0.6) |
| Gallatin County | 4 |
stable
|
higher | 22 | 226.8 (184.5, 276.1) | 1.5 | -0.9 (-1.8, 0.0) |
| Hancock County | 4 |
stable
|
higher | 22 | 197.8 (162.0, 239.8) | 1.3 | -0.6 (-1.7, 0.5) |
| Owen County | 8 |
falling
|
similar | 23 | 156.0 (128.1, 188.7) | 1.0 | -1.4 (-2.3, -0.5) |
| Lyon County | 8 |
falling
|
similar | 24 | 161.1 (132.3, 196.1) | 1.1 | -1.0 (-2.0, -0.1) |
| Wolfe County | 4 |
stable
|
higher | 24 | 243.9 (200.8, 294.2) | 1.6 | -0.6 (-1.7, 0.6) |
| Cumberland County | 4 |
stable
|
higher | 25 | 220.4 (182.4, 265.6) | 1.5 | -0.1 (-1.2, 1.0) |
| Crittenden County | 4 |
stable
|
higher | 25 | 190.9 (158.3, 229.1) | 1.3 | -0.5 (-1.5, 0.4) |
| McLean County | 5 |
falling
|
higher | 26 | 196.0 (163.4, 234.0) | 1.3 | -0.9 (-1.7, -0.2) |
| Carroll County | 4 |
stable
|
higher | 29 | 219.8 (185.0, 259.6) | 1.5 | -0.5 (-1.1, 0.2) |
| Clinton County | 4 |
stable
|
higher | 31 | 208.6 (176.1, 246.1) | 1.4 | -0.2 (-1.0, 0.5) |
| Metcalfe County | 4 |
stable
|
higher | 31 | 205.9 (174.1, 242.7) | 1.4 | 0.1 (-0.9, 1.0) |
| Green County | 4 |
stable
|
higher | 31 | 179.0 (151.7, 210.7) | 1.2 | 0.1 (-0.8, 1.0) |
| Edmonson County | 8 |
falling
|
similar | 31 | 168.4 (142.3, 198.6) | 1.1 | -1.3 (-1.8, -0.8) |
| Caldwell County | 8 |
falling
|
similar | 32 | 162.9 (137.9, 191.8) | 1.1 | -0.9 (-1.5, -0.2) |
| Livingston County | 4 |
stable
|
higher | 32 | 214.1 (181.1, 252.3) | 1.4 | -0.2 (-1.0, 0.7) |
| Todd County | 4 |
stable
|
higher | 32 | 208.7 (177.3, 244.3) | 1.4 | -0.9 (-1.8, 0.0) |
| Martin County | 4 |
stable
|
higher | 32 | 229.9 (195.0, 269.5) | 1.5 | -0.6 (-1.4, 0.3) |
| Bath County | 4 |
stable
|
higher | 33 | 204.2 (173.9, 238.8) | 1.4 | -0.1 (-0.7, 0.5) |
| Magoffin County | 5 |
falling
|
higher | 33 | 203.7 (173.1, 238.7) | 1.4 | -1.0 (-1.8, -0.1) |
| Monroe County | 4 |
stable
|
higher | 34 | 226.5 (192.9, 264.9) | 1.5 | 0.0 (-0.8, 0.8) |
| Washington County | 4 |
stable
|
higher | 34 | 204.1 (174.0, 238.3) | 1.4 | -0.4 (-1.4, 0.6) |
| Jackson County | 4 |
stable
|
higher | 35 | 191.3 (163.2, 223.2) | 1.3 | -0.7 (-1.6, 0.1) |
| Leslie County | 4 |
stable
|
higher | 35 | 251.8 (214.9, 293.9) | 1.7 | 0.3 (-0.4, 1.0) |
| Spencer County | 8 |
falling
|
similar | 35 | 163.8 (139.1, 191.7) | 1.1 | -1.3 (-2.0, -0.6) |
| Webster County | 5 |
falling
|
higher | 35 | 202.6 (172.9, 236.2) | 1.4 | -0.8 (-1.4, -0.1) |
| Union County | 5 |
falling
|
higher | 36 | 195.7 (167.2, 227.9) | 1.3 | -0.7 (-1.4, 0.0) |
| Powell County | 4 |
stable
|
higher | 36 | 236.9 (202.4, 275.9) | 1.6 | -0.6 (-1.3, 0.1) |
| Breathitt County | 4 |
stable
|
higher | 37 | 222.4 (190.2, 258.7) | 1.5 | -0.4 (-1.2, 0.4) |
| Pendleton County | 5 |
falling
|
higher | 37 | 200.0 (171.2, 232.5) | 1.3 | -0.8 (-1.4, -0.2) |
| Larue County | 4 |
stable
|
higher | 37 | 193.2 (165.9, 224.2) | 1.3 | -0.6 (-1.3, 0.1) |
| Morgan County | 4 |
stable
|
higher | 37 | 226.0 (193.8, 262.4) | 1.5 | 0.5 (-0.3, 1.3) |
| Trigg County | 8 |
falling
|
similar | 40 | 169.2 (145.7, 196.1) | 1.1 | -1.6 (-2.2, -1.0) |
| Rockcastle County | 4 |
stable
|
higher | 41 | 185.0 (159.8, 213.3) | 1.2 | -0.5 (-1.1, 0.1) |
| Estill County | 4 |
stable
|
higher | 41 | 208.8 (180.4, 240.8) | 1.4 | -0.1 (-0.8, 0.6) |
| Butler County | 4 |
stable
|
higher | 41 | 238.7 (206.6, 274.8) | 1.6 | -0.6 (-1.3, 0.0) |
| Lewis County | 4 |
stable
|
higher | 42 | 223.4 (193.3, 257.3) | 1.5 | -0.1 (-0.8, 0.5) |
| Fleming County | 4 |
stable
|
higher | 43 | 229.1 (198.9, 262.9) | 1.5 | 0.0 (-0.6, 0.6) |
| Knott County | 4 |
stable
|
higher | 43 | 205.9 (178.4, 236.9) | 1.4 | -0.4 (-1.0, 0.3) |
| Marion County | 5 |
falling
|
higher | 43 | 176.5 (153.3, 202.6) | 1.2 | -1.1 (-1.9, -0.3) |
| Garrard County | 5 |
falling
|
higher | 44 | 180.0 (156.3, 206.6) | 1.2 | -0.8 (-1.6, -0.1) |
| Henry County | 4 |
stable
|
higher | 44 | 208.8 (181.3, 239.5) | 1.4 | -0.3 (-0.8, 0.3) |
| Mason County | 4 |
stable
|
higher | 45 | 198.2 (172.5, 227.0) | 1.3 | -0.5 (-1.1, 0.0) |
| Adair County | 5 |
falling
|
higher | 46 | 174.7 (152.3, 199.9) | 1.2 | -0.8 (-1.5, -0.1) |
| Casey County | 4 |
stable
|
higher | 46 | 196.2 (171.2, 224.4) | 1.3 | 8.0 (-5.8, 23.8) |
| McCreary County | 5 |
falling
|
higher | 46 | 222.7 (194.2, 254.4) | 1.5 | -1.0 (-1.8, -0.2) |
| Simpson County | 4 |
stable
|
higher | 47 | 202.6 (177.0, 231.2) | 1.4 | 0.2 (-0.5, 0.9) |
| Harrison County | 4 |
stable
|
higher | 47 | 182.8 (159.8, 208.5) | 1.2 | -0.6 (-1.2, 0.0) |
| Lawrence County | 4 |
stable
|
higher | 48 | 230.3 (201.2, 262.8) | 1.5 | -0.1 (-0.5, 0.3) |
| Rowan County | 4 |
stable
|
higher | 48 | 185.8 (162.6, 211.5) | 1.2 | 0.0 (-0.8, 0.8) |
| Allen County | 4 |
stable
|
higher | 50 | 179.6 (157.5, 204.1) | 1.2 | -0.6 (-1.4, 0.1) |
| Grant County | 5 |
falling
|
higher | 50 | 185.5 (162.5, 210.8) | 1.2 | -1.1 (-1.7, -0.4) |
| Breckinridge County | 5 |
falling
|
higher | 53 | 179.2 (157.6, 203.1) | 1.2 | -1.3 (-1.7, -0.8) |
| Hart County | 4 |
stable
|
higher | 53 | 219.0 (192.7, 248.1) | 1.5 | 0.0 (-0.6, 0.7) |
| Bourbon County | 5 |
falling
|
higher | 55 | 199.0 (175.7, 224.8) | 1.3 | -1.9 (-2.7, -1.0) |
| Woodford County | 8 |
falling
|
similar | 56 | 156.4 (138.1, 176.7) | 1.0 | -3.0 (-4.3, -1.7) |
| Russell County | 4 |
stable
|
higher | 57 | 220.2 (194.6, 248.5) | 1.5 | -0.1 (-0.7, 0.5) |
| Anderson County | 4 |
stable
|
higher | 58 | 212.6 (188.3, 239.3) | 1.4 | -0.2 (-0.9, 0.6) |
| Wayne County | 5 |
falling
|
higher | 59 | 190.7 (168.8, 215.0) | 1.3 | -0.6 (-1.1, -0.1) |
| Mercer County | 5 |
falling
|
higher | 59 | 190.4 (168.8, 214.3) | 1.3 | -0.8 (-1.4, -0.1) |
| Clay County | 4 |
stable
|
higher | 60 | 250.6 (222.3, 281.7) | 1.7 | 0.5 (-0.2, 1.1) |
| Ohio County | 5 |
falling
|
higher | 63 | 197.7 (176.1, 221.5) | 1.3 | -0.8 (-1.3, -0.2) |
| Meade County | 5 |
falling
|
higher | 65 | 200.0 (178.2, 223.8) | 1.3 | -0.8 (-1.4, -0.3) |
| Letcher County | 5 |
falling
|
higher | 69 | 220.5 (197.2, 246.2) | 1.5 | -0.7 (-1.2, -0.2) |
| Taylor County | 4 |
stable
|
higher | 70 | 204.8 (183.3, 228.3) | 1.4 | 0.0 (-0.5, 0.5) |
| Lincoln County | 5 |
falling
|
higher | 70 | 207.8 (186.2, 231.4) | 1.4 | -0.6 (-1.1, -0.2) |
| Johnson County | 4 |
stable
|
higher | 70 | 236.1 (211.3, 263.1) | 1.6 | -0.3 (-0.8, 0.3) |
| Logan County | 5 |
falling
|
higher | 73 | 198.4 (178.0, 220.6) | 1.3 | -0.6 (-1.1, -0.1) |
| Boyle County | 5 |
falling
|
higher | 74 | 175.2 (157.4, 194.6) | 1.2 | -1.3 (-1.8, -0.7) |
| Montgomery County | 5 |
falling
|
higher | 74 | 215.1 (193.3, 238.8) | 1.4 | -0.7 (-1.3, -0.1) |
| Grayson County | 4 |
stable
|
higher | 74 | 210.3 (188.9, 233.7) | 1.4 | 0.2 (-0.2, 0.6) |
| Carter County | 5 |
falling
|
higher | 76 | 199.3 (179.3, 221.1) | 1.3 | -1.1 (-1.6, -0.6) |
| Bell County | 5 |
falling
|
higher | 76 | 201.1 (181.0, 223.1) | 1.3 | -0.9 (-1.5, -0.4) |
| Muhlenberg County | 5 |
falling
|
higher | 79 | 180.9 (163.1, 200.2) | 1.2 | -0.9 (-1.4, -0.4) |
| Calloway County | 6 |
stable
|
similar | 81 | 165.0 (148.9, 182.4) | 1.1 | -0.4 (-0.8, 0.0) |
| Scott County | 8 |
falling
|
similar | 86 | 160.5 (145.1, 177.0) | 1.1 | -1.7 (-2.2, -1.1) |
| Harlan County | 4 |
stable
|
higher | 86 | 237.6 (214.9, 262.2) | 1.6 | 0.2 (-0.4, 0.8) |
| Clark County | 5 |
falling
|
higher | 87 | 179.9 (163.1, 198.1) | 1.2 | -5.8 (-9.9, -1.5) |
| Perry County | 4 |
stable
|
higher | 92 | 267.4 (242.8, 293.9) | 1.8 | 0.0 (-0.6, 0.5) |
| Graves County | 5 |
falling
|
higher | 93 | 182.0 (165.4, 199.9) | 1.2 | -0.6 (-1.0, -0.2) |
| Shelby County | 8 |
falling
|
similar | 93 | 163.6 (148.7, 179.7) | 1.1 | -1.4 (-2.0, -0.8) |
| Marshall County | 5 |
falling
|
higher | 94 | 193.4 (175.7, 212.6) | 1.3 | -0.5 (-1.0, 0.0) |
| Knox County | 4 |
stable
|
higher | 94 | 230.5 (209.8, 252.9) | 1.5 | 0.0 (-0.5, 0.4) |
| Jessamine County | 8 |
falling
|
similar | 98 | 155.1 (141.4, 169.8) | 1.0 | -1.7 (-2.1, -1.3) |
| Nelson County | 5 |
falling
|
higher | 101 | 186.1 (169.8, 203.6) | 1.2 | -1.0 (-1.5, -0.5) |
| Oldham County | 8 |
falling
|
similar | 102 | 149.6 (136.4, 163.8) | 1.0 | -1.5 (-2.0, -1.0) |
| Greenup County | 5 |
falling
|
higher | 104 | 191.2 (174.8, 208.9) | 1.3 | -1.0 (-1.5, -0.5) |
| Whitley County | 4 |
stable
|
higher | 105 | 239.4 (218.9, 261.2) | 1.6 | -0.2 (-0.8, 0.4) |
| Henderson County | 5 |
falling
|
higher | 113 | 186.9 (171.4, 203.5) | 1.3 | -0.7 (-1.2, -0.2) |
| Barren County | 5 |
falling
|
higher | 114 | 194.2 (178.4, 211.3) | 1.3 | -0.6 (-1.1, -0.2) |
| Franklin County | 5 |
falling
|
higher | 115 | 173.3 (159.2, 188.5) | 1.2 | -1.4 (-1.8, -1.0) |
| Floyd County | 5 |
falling
|
higher | 116 | 240.4 (220.6, 261.7) | 1.6 | -0.5 (-0.9, -0.1) |
| Hopkins County | 5 |
falling
|
higher | 123 | 198.5 (182.7, 215.4) | 1.3 | -0.9 (-1.3, -0.4) |
| Christian County | 5 |
falling
|
higher | 125 | 183.0 (168.7, 198.1) | 1.2 | -0.9 (-1.3, -0.5) |
| Boyd County | 5 |
falling
|
higher | 132 | 192.7 (178.0, 208.5) | 1.3 | -1.0 (-1.4, -0.7) |
| Laurel County | 4 |
stable
|
higher | 153 | 200.8 (186.5, 215.9) | 1.3 | -0.5 (-0.9, 0.0) |
| Bullitt County | 8 |
falling
|
similar | 156 | 160.1 (148.8, 172.2) | 1.1 | -1.7 (-2.1, -1.2) |
| McCracken County | 5 |
falling
|
higher | 160 | 165.5 (153.9, 177.8) | 1.1 | -1.1 (-1.4, -0.9) |
| Madison County | 5 |
falling
|
higher | 169 | 174.4 (162.6, 186.8) | 1.2 | -1.2 (-1.7, -0.6) |
| Pike County | 5 |
falling
|
higher | 176 | 215.0 (200.6, 230.2) | 1.4 | -0.4 (-0.7, -0.1) |
| Pulaski County | 5 |
falling
|
higher | 180 | 201.7 (188.4, 215.8) | 1.3 | -0.4 (-0.7, -0.1) |
| Campbell County | 5 |
falling
|
higher | 196 | 172.1 (161.2, 183.5) | 1.2 | -1.5 (-1.8, -1.2) |
| Boone County | 8 |
falling
|
similar | 201 | 143.8 (134.8, 153.3) | 1.0 | -2.7 (-3.4, -2.0) |
| Hardin County | 5 |
falling
|
higher | 221 | 180.6 (169.9, 191.8) | 1.2 | -0.8 (-1.1, -0.5) |
| Daviess County | 5 |
falling
|
higher | 223 | 171.4 (161.3, 182.0) | 1.1 | -1.1 (-1.5, -0.8) |
| Warren County | 5 |
falling
|
higher | 229 | 173.3 (163.2, 183.8) | 1.2 | -1.2 (-1.5, -0.9) |
| Kenton County | 5 |
falling
|
higher | 322 | 173.3 (164.7, 182.2) | 1.2 | -1.9 (-2.4, -1.4) |
| Fayette County | 8 |
falling
|
similar | 513 | 153.0 (147.0, 159.2) | 1.0 | -1.7 (-1.9, -1.5) |
| Jefferson County | 5 |
falling
|
higher | 1,596 | 167.9 (164.1, 171.7) | 1.1 | -1.9 (-2.1, -1.7) |
Notes:
Created by statecancerprofiles.cancer.gov on 05/18/2024 6:30 pm.
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.
Created by statecancerprofiles.cancer.gov on 05/18/2024 6:30 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 < 0.901 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.