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) |
| Casey County | 4 |
stable 
|
higher | 46 | 196.2 (171.2, 224.4) | 1.3 | 8.0 (-5.8, 23.8) |
| Morgan County | 4 |
stable
|
higher | 37 | 226.0 (193.8, 262.4) | 1.5 | 0.5 (-0.3, 1.3) |
| Clay County | 4 |
stable
|
higher | 60 | 250.6 (222.3, 281.7) | 1.7 | 0.5 (-0.2, 1.1) |
| Leslie County | 4 |
stable
|
higher | 35 | 251.8 (214.9, 293.9) | 1.7 | 0.3 (-0.4, 1.0) |
| Simpson County | 4 |
stable
|
higher | 47 | 202.6 (177.0, 231.2) | 1.4 | 0.2 (-0.5, 0.9) |
| Harlan County | 4 |
stable
|
higher | 86 | 237.6 (214.9, 262.2) | 1.6 | 0.2 (-0.4, 0.8) |
| Grayson County | 4 |
stable
|
higher | 74 | 210.3 (188.9, 233.7) | 1.4 | 0.2 (-0.2, 0.6) |
| 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) |
| Owsley County | 4 |
stable
|
higher | 15 | 231.3 (180.1, 294.0) | 1.5 | 0.0 (-1.0, 0.9) |
| Monroe County | 4 |
stable
|
higher | 34 | 226.5 (192.9, 264.9) | 1.5 | 0.0 (-0.8, 0.8) |
| Rowan County | 4 |
stable
|
higher | 48 | 185.8 (162.6, 211.5) | 1.2 | 0.0 (-0.8, 0.8) |
| Hart County | 4 |
stable
|
higher | 53 | 219.0 (192.7, 248.1) | 1.5 | 0.0 (-0.6, 0.7) |
| Fleming County | 4 |
stable
|
higher | 43 | 229.1 (198.9, 262.9) | 1.5 | 0.0 (-0.6, 0.6) |
| Perry County | 4 |
stable
|
higher | 92 | 267.4 (242.8, 293.9) | 1.8 | 0.0 (-0.6, 0.5) |
| Taylor County | 4 |
stable
|
higher | 70 | 204.8 (183.3, 228.3) | 1.4 | 0.0 (-0.5, 0.5) |
| Knox County | 4 |
stable
|
higher | 94 | 230.5 (209.8, 252.9) | 1.5 | 0.0 (-0.5, 0.4) |
| Clark County | 5 |
falling
|
higher | 87 | 179.9 (163.1, 198.1) | 1.2 | -5.8 (-9.9, -1.5) |
| Woodford County | 8 |
falling
|
similar | 56 | 156.4 (138.1, 176.7) | 1.0 | -3.0 (-4.3, -1.7) |
| Boone County | 8 |
falling
|
similar | 201 | 143.8 (134.8, 153.3) | 1.0 | -2.7 (-3.4, -2.0) |
| Elliott County | 8 |
falling
|
similar | 18 | 170.1 (136.5, 210.5) | 1.1 | -1.9 (-3.1, -0.6) |
| Bourbon County | 5 |
falling
|
higher | 55 | 199.0 (175.7, 224.8) | 1.3 | -1.9 (-2.7, -1.0) |
| Kenton County | 5 |
falling
|
higher | 322 | 173.3 (164.7, 182.2) | 1.2 | -1.9 (-2.4, -1.4) |
| Jefferson County | 5 |
falling
|
higher | 1,596 | 167.9 (164.1, 171.7) | 1.1 | -1.9 (-2.1, -1.7) |
| Scott County | 8 |
falling
|
similar | 86 | 160.5 (145.1, 177.0) | 1.1 | -1.7 (-2.2, -1.1) |
| Jessamine County | 8 |
falling
|
similar | 98 | 155.1 (141.4, 169.8) | 1.0 | -1.7 (-2.1, -1.3) |
| Bullitt County | 8 |
falling
|
similar | 156 | 160.1 (148.8, 172.2) | 1.1 | -1.7 (-2.1, -1.2) |
| Fayette County | 8 |
falling
|
similar | 513 | 153.0 (147.0, 159.2) | 1.0 | -1.7 (-1.9, -1.5) |
| Ballard County | 8 |
falling
|
similar | 21 | 171.3 (139.7, 209.2) | 1.1 | -1.6 (-2.4, -0.7) |
| Trigg County | 8 |
falling
|
similar | 40 | 169.2 (145.7, 196.1) | 1.1 | -1.6 (-2.2, -1.0) |
| Oldham County | 8 |
falling
|
similar | 102 | 149.6 (136.4, 163.8) | 1.0 | -1.5 (-2.0, -1.0) |
| Campbell County | 5 |
falling
|
higher | 196 | 172.1 (161.2, 183.5) | 1.2 | -1.5 (-1.8, -1.2) |
| Owen County | 8 |
falling
|
similar | 23 | 156.0 (128.1, 188.7) | 1.0 | -1.4 (-2.3, -0.5) |
| Shelby County | 8 |
falling
|
similar | 93 | 163.6 (148.7, 179.7) | 1.1 | -1.4 (-2.0, -0.8) |
| Franklin County | 5 |
falling
|
higher | 115 | 173.3 (159.2, 188.5) | 1.2 | -1.4 (-1.8, -1.0) |
| Spencer County | 8 |
falling
|
similar | 35 | 163.8 (139.1, 191.7) | 1.1 | -1.3 (-2.0, -0.6) |
| Edmonson County | 8 |
falling
|
similar | 31 | 168.4 (142.3, 198.6) | 1.1 | -1.3 (-1.8, -0.8) |
| Boyle County | 5 |
falling
|
higher | 74 | 175.2 (157.4, 194.6) | 1.2 | -1.3 (-1.8, -0.7) |
| Breckinridge County | 5 |
falling
|
higher | 53 | 179.2 (157.6, 203.1) | 1.2 | -1.3 (-1.7, -0.8) |
| Madison County | 5 |
falling
|
higher | 169 | 174.4 (162.6, 186.8) | 1.2 | -1.2 (-1.7, -0.6) |
| Warren County | 5 |
falling
|
higher | 229 | 173.3 (163.2, 183.8) | 1.2 | -1.2 (-1.5, -0.9) |
| Marion County | 5 |
falling
|
higher | 43 | 176.5 (153.3, 202.6) | 1.2 | -1.1 (-1.9, -0.3) |
| Grant County | 5 |
falling
|
higher | 50 | 185.5 (162.5, 210.8) | 1.2 | -1.1 (-1.7, -0.4) |
| Carter County | 5 |
falling
|
higher | 76 | 199.3 (179.3, 221.1) | 1.3 | -1.1 (-1.6, -0.6) |
| Daviess County | 5 |
falling
|
higher | 223 | 171.4 (161.3, 182.0) | 1.1 | -1.1 (-1.5, -0.8) |
| McCracken County | 5 |
falling
|
higher | 160 | 165.5 (153.9, 177.8) | 1.1 | -1.1 (-1.4, -0.9) |
| Lyon County | 8 |
falling
|
similar | 24 | 161.1 (132.3, 196.1) | 1.1 | -1.0 (-2.0, -0.1) |
| Bracken County | 6 |
stable
|
similar | 18 | 163.1 (130.2, 202.4) | 1.1 | -1.0 (-1.9, 0.0) |
| McCreary County | 5 |
falling
|
higher | 46 | 222.7 (194.2, 254.4) | 1.5 | -1.0 (-1.8, -0.2) |
| Magoffin County | 5 |
falling
|
higher | 33 | 203.7 (173.1, 238.7) | 1.4 | -1.0 (-1.8, -0.1) |
| Greenup County | 5 |
falling
|
higher | 104 | 191.2 (174.8, 208.9) | 1.3 | -1.0 (-1.5, -0.5) |
| Nelson County | 5 |
falling
|
higher | 101 | 186.1 (169.8, 203.6) | 1.2 | -1.0 (-1.5, -0.5) |
| Boyd County | 5 |
falling
|
higher | 132 | 192.7 (178.0, 208.5) | 1.3 | -1.0 (-1.4, -0.7) |
| Gallatin County | 4 |
stable
|
higher | 22 | 226.8 (184.5, 276.1) | 1.5 | -0.9 (-1.8, 0.0) |
| Todd County | 4 |
stable
|
higher | 32 | 208.7 (177.3, 244.3) | 1.4 | -0.9 (-1.8, 0.0) |
| McLean County | 5 |
falling
|
higher | 26 | 196.0 (163.4, 234.0) | 1.3 | -0.9 (-1.7, -0.2) |
| Bell County | 5 |
falling
|
higher | 76 | 201.1 (181.0, 223.1) | 1.3 | -0.9 (-1.5, -0.4) |
| Caldwell County | 8 |
falling
|
similar | 32 | 162.9 (137.9, 191.8) | 1.1 | -0.9 (-1.5, -0.2) |
| Muhlenberg County | 5 |
falling
|
higher | 79 | 180.9 (163.1, 200.2) | 1.2 | -0.9 (-1.4, -0.4) |
| Christian County | 5 |
falling
|
higher | 125 | 183.0 (168.7, 198.1) | 1.2 | -0.9 (-1.3, -0.5) |
| Hopkins County | 5 |
falling
|
higher | 123 | 198.5 (182.7, 215.4) | 1.3 | -0.9 (-1.3, -0.4) |
| Menifee County | 4 |
stable
|
higher | 21 | 217.0 (176.5, 265.2) | 1.5 | -0.8 (-2.0, 0.4) |
| Garrard County | 5 |
falling
|
higher | 44 | 180.0 (156.3, 206.6) | 1.2 | -0.8 (-1.6, -0.1) |
| Adair County | 5 |
falling
|
higher | 46 | 174.7 (152.3, 199.9) | 1.2 | -0.8 (-1.5, -0.1) |
| Meade County | 5 |
falling
|
higher | 65 | 200.0 (178.2, 223.8) | 1.3 | -0.8 (-1.4, -0.3) |
| Pendleton County | 5 |
falling
|
higher | 37 | 200.0 (171.2, 232.5) | 1.3 | -0.8 (-1.4, -0.2) |
| Mercer County | 5 |
falling
|
higher | 59 | 190.4 (168.8, 214.3) | 1.3 | -0.8 (-1.4, -0.1) |
| Webster County | 5 |
falling
|
higher | 35 | 202.6 (172.9, 236.2) | 1.4 | -0.8 (-1.4, -0.1) |
| Ohio County | 5 |
falling
|
higher | 63 | 197.7 (176.1, 221.5) | 1.3 | -0.8 (-1.3, -0.2) |
| Hardin County | 5 |
falling
|
higher | 221 | 180.6 (169.9, 191.8) | 1.2 | -0.8 (-1.1, -0.5) |
| Jackson County | 4 |
stable
|
higher | 35 | 191.3 (163.2, 223.2) | 1.3 | -0.7 (-1.6, 0.1) |
| Union County | 5 |
falling
|
higher | 36 | 195.7 (167.2, 227.9) | 1.3 | -0.7 (-1.4, 0.0) |
| Fulton County | 5 |
falling
|
higher | 18 | 200.1 (159.9, 248.7) | 1.3 | -0.7 (-1.4, -0.1) |
| Montgomery County | 5 |
falling
|
higher | 74 | 215.1 (193.3, 238.8) | 1.4 | -0.7 (-1.3, -0.1) |
| Henderson County | 5 |
falling
|
higher | 113 | 186.9 (171.4, 203.5) | 1.3 | -0.7 (-1.2, -0.2) |
| Letcher County | 5 |
falling
|
higher | 69 | 220.5 (197.2, 246.2) | 1.5 | -0.7 (-1.2, -0.2) |
| Wolfe County | 4 |
stable
|
higher | 24 | 243.9 (200.8, 294.2) | 1.6 | -0.6 (-1.7, 0.6) |
| Hancock County | 4 |
stable
|
higher | 22 | 197.8 (162.0, 239.8) | 1.3 | -0.6 (-1.7, 0.5) |
| Martin County | 4 |
stable
|
higher | 32 | 229.9 (195.0, 269.5) | 1.5 | -0.6 (-1.4, 0.3) |
| Allen County | 4 |
stable
|
higher | 50 | 179.6 (157.5, 204.1) | 1.2 | -0.6 (-1.4, 0.1) |
| Larue County | 4 |
stable
|
higher | 37 | 193.2 (165.9, 224.2) | 1.3 | -0.6 (-1.3, 0.1) |
| Powell County | 4 |
stable
|
higher | 36 | 236.9 (202.4, 275.9) | 1.6 | -0.6 (-1.3, 0.1) |
| Butler County | 4 |
stable
|
higher | 41 | 238.7 (206.6, 274.8) | 1.6 | -0.6 (-1.3, 0.0) |
| Harrison County | 4 |
stable
|
higher | 47 | 182.8 (159.8, 208.5) | 1.2 | -0.6 (-1.2, 0.0) |
| Barren County | 5 |
falling
|
higher | 114 | 194.2 (178.4, 211.3) | 1.3 | -0.6 (-1.1, -0.2) |
| Lincoln County | 5 |
falling
|
higher | 70 | 207.8 (186.2, 231.4) | 1.4 | -0.6 (-1.1, -0.2) |
| Logan County | 5 |
falling
|
higher | 73 | 198.4 (178.0, 220.6) | 1.3 | -0.6 (-1.1, -0.1) |
| Wayne County | 5 |
falling
|
higher | 59 | 190.7 (168.8, 215.0) | 1.3 | -0.6 (-1.1, -0.1) |
| Graves County | 5 |
falling
|
higher | 93 | 182.0 (165.4, 199.9) | 1.2 | -0.6 (-1.0, -0.2) |
| Robertson County | 6 |
stable
|
similar | 5 | 143.5 (94.4, 216.0) | 1.0 | -0.5 (-2.1, 1.1) |
| Trimble County | 6 |
stable
|
similar | 20 | 175.8 (141.7, 216.3) | 1.2 | -0.5 (-1.6, 0.6) |
| Crittenden County | 4 |
stable
|
higher | 25 | 190.9 (158.3, 229.1) | 1.3 | -0.5 (-1.5, 0.4) |
| Carroll County | 4 |
stable
|
higher | 29 | 219.8 (185.0, 259.6) | 1.5 | -0.5 (-1.1, 0.2) |
| Rockcastle County | 4 |
stable
|
higher | 41 | 185.0 (159.8, 213.3) | 1.2 | -0.5 (-1.1, 0.1) |
| Mason County | 4 |
stable
|
higher | 45 | 198.2 (172.5, 227.0) | 1.3 | -0.5 (-1.1, 0.0) |
| Marshall County | 5 |
falling
|
higher | 94 | 193.4 (175.7, 212.6) | 1.3 | -0.5 (-1.0, 0.0) |
| Laurel County | 4 |
stable
|
higher | 153 | 200.8 (186.5, 215.9) | 1.3 | -0.5 (-0.9, 0.0) |
| Floyd County | 5 |
falling
|
higher | 116 | 240.4 (220.6, 261.7) | 1.6 | -0.5 (-0.9, -0.1) |
| Carlisle County | 4 |
stable
|
higher | 15 | 208.4 (163.2, 264.1) | 1.4 | -0.4 (-1.6, 0.7) |
| Washington County | 4 |
stable
|
higher | 34 | 204.1 (174.0, 238.3) | 1.4 | -0.4 (-1.4, 0.6) |
| Nicholas County | 4 |
stable
|
higher | 19 | 200.1 (160.9, 246.6) | 1.3 | -0.4 (-1.3, 0.4) |
| Breathitt County | 4 |
stable
|
higher | 37 | 222.4 (190.2, 258.7) | 1.5 | -0.4 (-1.2, 0.4) |
| Knott County | 4 |
stable
|
higher | 43 | 205.9 (178.4, 236.9) | 1.4 | -0.4 (-1.0, 0.3) |
| Calloway County | 6 |
stable
|
similar | 81 | 165.0 (148.9, 182.4) | 1.1 | -0.4 (-0.8, 0.0) |
| 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) |
| Lee County | 4 |
stable
|
higher | 22 | 222.4 (181.1, 271.3) | 1.5 | -0.3 (-1.2, 0.6) |
| Henry County | 4 |
stable
|
higher | 44 | 208.8 (181.3, 239.5) | 1.4 | -0.3 (-0.8, 0.3) |
| Johnson County | 4 |
stable
|
higher | 70 | 236.1 (211.3, 263.1) | 1.6 | -0.3 (-0.8, 0.3) |
| Livingston County | 4 |
stable
|
higher | 32 | 214.1 (181.1, 252.3) | 1.4 | -0.2 (-1.0, 0.7) |
| Clinton County | 4 |
stable
|
higher | 31 | 208.6 (176.1, 246.1) | 1.4 | -0.2 (-1.0, 0.5) |
| Anderson County | 4 |
stable
|
higher | 58 | 212.6 (188.3, 239.3) | 1.4 | -0.2 (-0.9, 0.6) |
| Whitley County | 4 |
stable
|
higher | 105 | 239.4 (218.9, 261.2) | 1.6 | -0.2 (-0.8, 0.4) |
| Hickman County | 6 |
stable
|
similar | 15 | 182.0 (142.5, 232.1) | 1.2 | -0.1 (-1.3, 1.0) |
| Cumberland County | 4 |
stable
|
higher | 25 | 220.4 (182.4, 265.6) | 1.5 | -0.1 (-1.2, 1.0) |
| Estill County | 4 |
stable
|
higher | 41 | 208.8 (180.4, 240.8) | 1.4 | -0.1 (-0.8, 0.6) |
| Lewis County | 4 |
stable
|
higher | 42 | 223.4 (193.3, 257.3) | 1.5 | -0.1 (-0.8, 0.5) |
| Bath County | 4 |
stable
|
higher | 33 | 204.2 (173.9, 238.8) | 1.4 | -0.1 (-0.7, 0.5) |
| Russell County | 4 |
stable
|
higher | 57 | 220.2 (194.6, 248.5) | 1.5 | -0.1 (-0.7, 0.5) |
| Lawrence County | 4 |
stable
|
higher | 48 | 230.3 (201.2, 262.8) | 1.5 | -0.1 (-0.5, 0.3) |
Notes:
Created by statecancerprofiles.cancer.gov on 05/05/2024 5:39 am.
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 05/05/2024 5:39 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 < 0.901 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.