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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Virginia Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by name
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 descending
United States - falling falling trend - 599,666 149.4 (149.3, 149.6) - -2.0 (-2.2, -1.8)
Virginia - falling falling trend - 15,156 149.7 (148.7, 150.8) - -1.8 (-1.8, -1.7)
York County 9 falling falling trend lower 101 119.1 (108.9, 130.2) 0.8 -2.7 (-3.2, -2.1)
Wythe County 5 falling falling trend higher 78 173.9 (156.7, 192.8) 1.2 -1.0 (-1.5, -0.6)
Wise County 5 falling falling trend higher 102 199.2 (181.9, 217.9) 1.3 -0.8 (-1.2, -0.3)
Winchester City 8 falling falling trend similar 56 163.9 (145.0, 184.7) 1.1 -1.5 (-2.0, -0.9)
Williamsburg City 9 falling falling trend lower 15 84.5 (66.1, 107.2) 0.6 -4.1 (-5.3, -2.8)
Westmoreland County 5 falling falling trend higher 57 175.6 (155.0, 198.9) 1.2 -1.5 (-2.1, -0.9)
Waynesboro City 4 stable stable trend higher 62 206.9 (184.2, 231.9) 1.4 -0.3 (-0.9, 0.3)
Washington County 8 falling falling trend similar 138 159.1 (146.9, 172.1) 1.1 -1.1 (-1.5, -0.6)
Warren County 5 falling falling trend higher 92 183.5 (166.6, 201.7) 1.2 -1.0 (-1.5, -0.5)
Virginia Beach City 8 falling falling trend similar 740 148.7 (143.9, 153.6) 1.0 -1.5 (-1.7, -1.3)
Tazewell County 5 falling falling trend higher 128 194.2 (178.9, 210.6) 1.3 -0.7 (-1.1, -0.4)
Sussex County 5 falling falling trend higher 31 213.6 (180.8, 251.1) 1.4 -1.4 (-2.1, -0.7)
Surry County 8 falling falling trend similar 18 169.3 (134.5, 212.1) 1.1 -1.6 (-2.7, -0.5)
Suffolk City 5 falling falling trend higher 178 171.3 (160.0, 183.2) 1.1 -1.7 (-2.0, -1.3)
Staunton City 4 stable stable trend higher 71 188.1 (168.4, 209.7) 1.3 -0.3 (-0.9, 0.3)
Stafford County 8 falling falling trend similar 185 143.8 (134.2, 153.8) 1.0 -2.6 (-3.5, -1.8)
Spotsylvania County 8 falling falling trend similar 224 150.5 (141.6, 159.8) 1.0 -1.6 (-2.1, -1.2)
Southampton County 8 falling falling trend similar 42 155.8 (134.9, 179.5) 1.0 -1.6 (-2.2, -0.9)
Smyth County 5 falling falling trend higher 95 192.3 (175.0, 211.1) 1.3 -0.6 (-1.0, -0.2)
Shenandoah County 5 falling falling trend higher 119 172.8 (158.9, 187.8) 1.2 -0.8 (-1.1, -0.6)
Scott County 5 falling falling trend higher 73 193.3 (173.3, 215.5) 1.3 -0.6 (-1.1, -0.1)
Salem City 4 stable stable trend higher 74 207.4 (186.4, 230.4) 1.4 -0.4 (-1.0, 0.1)
Russell County 5 falling falling trend higher 78 182.1 (163.8, 202.1) 1.2 -0.5 (-1.0, 0.0)
Rockingham County 8 falling falling trend similar 167 141.8 (132.2, 152.0) 0.9 -1.6 (-2.4, -0.8)
Rockbridge County 8 falling falling trend similar 56 133.2 (117.3, 151.1) 0.9 -1.7 (-2.3, -1.0)
Roanoke County 8 falling falling trend similar 203 136.0 (127.6, 145.0) 0.9 -0.9 (-1.3, -0.6)
Roanoke City 5 falling falling trend higher 236 187.5 (176.6, 198.8) 1.3 -0.9 (-1.1, -0.7)
Richmond County 5 falling falling trend higher 29 197.0 (165.9, 233.3) 1.3 -0.9 (-1.7, -0.2)
Richmond City 8 falling falling trend similar 356 147.8 (140.7, 155.1) 1.0 -3.5 (-4.2, -2.8)
Rappahannock County 9 falling falling trend lower 17 120.8 (95.9, 152.5) 0.8 -2.2 (-3.2, -1.1)
Radford City 8 falling falling trend similar 23 177.4 (145.9, 213.6) 1.2 -1.1 (-2.0, -0.3)
Pulaski County 8 falling falling trend similar 81 145.5 (131.4, 161.0) 1.0 -1.2 (-1.8, -0.7)
Prince William County 9 falling falling trend lower 490 129.0 (123.7, 134.5) 0.9 -2.4 (-2.6, -2.1)
Prince George County 8 falling falling trend similar 58 138.3 (122.6, 155.6) 0.9 -2.2 (-2.9, -1.6)
Prince Edward County 5 falling falling trend higher 51 181.4 (158.9, 206.5) 1.2 -1.0 (-1.4, -0.7)
Powhatan County 8 falling falling trend similar 53 135.2 (118.8, 153.4) 0.9 -2.5 (-3.0, -2.0)
Portsmouth City 5 falling falling trend higher 217 196.0 (184.3, 208.3) 1.3 -1.1 (-1.4, -0.8)
Poquoson City 8 falling falling trend similar 29 170.5 (143.7, 201.6) 1.1 -2.3 (-3.7, -1.0)
Pittsylvania County 8 falling falling trend similar 158 159.5 (148.1, 171.6) 1.1 -1.0 (-1.4, -0.6)
Petersburg City 5 falling falling trend higher 103 262.5 (239.3, 287.4) 1.8 -0.9 (-1.4, -0.4)
Patrick County 4 stable stable trend higher 56 173.3 (152.6, 196.7) 1.2 -0.5 (-1.1, 0.1)
Page County 4 stable stable trend higher 68 180.8 (161.7, 201.8) 1.2 -0.3 (-0.9, 0.3)
Orange County 5 falling falling trend higher 91 166.8 (151.5, 183.4) 1.1 -1.3 (-1.8, -0.8)
Nottoway County 5 falling falling trend higher 41 187.9 (162.8, 216.2) 1.3 -1.0 (-1.5, -0.4)
Norton City 6 stable stable trend similar 11 201.0 (150.7, 264.3) 1.3 -1.2 (-2.5, 0.1)
Northumberland County 8 falling falling trend similar 43 136.4 (117.8, 159.2) 0.9 -2.2 (-2.8, -1.5)
Northampton County 5 falling falling trend higher 40 179.7 (154.0, 209.5) 1.2 -1.2 (-1.8, -0.6)
Norfolk City 5 falling falling trend higher 424 188.8 (180.6, 197.3) 1.3 -1.6 (-1.8, -1.3)
Newport News City 5 falling falling trend higher 340 182.6 (173.9, 191.7) 1.2 -1.2 (-1.4, -1.0)
New Kent County 8 falling falling trend similar 46 166.4 (144.3, 191.1) 1.1 -1.6 (-2.3, -0.9)
Nelson County 6 stable stable trend similar 44 165.1 (142.7, 190.9) 1.1 -0.6 (-1.3, 0.2)
Montgomery County 9 falling falling trend lower 125 130.5 (120.3, 141.3) 0.9 -1.7 (-2.1, -1.4)
Middlesex County 8 falling falling trend similar 38 158.6 (136.0, 185.6) 1.1 -1.3 (-2.0, -0.7)
Mecklenburg County 5 falling falling trend higher 98 174.3 (158.6, 191.5) 1.2 -1.0 (-1.5, -0.6)
Mathews County 8 falling falling trend similar 28 145.0 (121.0, 174.6) 1.0 -2.2 (-3.0, -1.4)
Martinsville City 1 rising rising trend higher 48 273.9 (239.8, 311.9) 1.8 3.5 (0.8, 6.3)
Manassas Park City 9 falling falling trend lower 9 80.3 (58.2, 107.3) 0.5 -6.8 (-8.9, -4.7)
Manassas City 8 falling falling trend similar 52 155.5 (136.2, 176.6) 1.0 -1.7 (-2.4, -1.0)
Madison County 6 stable stable trend similar 33 163.6 (138.5, 192.6) 1.1 -0.7 (-1.5, 0.0)
Lynchburg City 5 falling falling trend higher 159 181.3 (168.5, 194.8) 1.2 -1.0 (-1.3, -0.6)
Lunenburg County 8 falling falling trend similar 33 173.4 (147.1, 203.7) 1.2 -0.9 (-1.7, -0.2)
Louisa County 8 falling falling trend similar 86 162.4 (146.8, 179.3) 1.1 -1.3 (-1.9, -0.6)
Loudoun County 9 falling falling trend lower 378 117.0 (111.6, 122.5) 0.8 -2.5 (-2.8, -2.3)
Lexington City 4 stable stable trend higher 18 220.8 (175.0, 277.0) 1.5 -1.1 (-2.5, 0.2)
Lee County 5 falling falling trend higher 66 178.2 (159.0, 199.5) 1.2 -0.5 (-1.0, 0.0)
Lancaster County 5 falling falling trend higher 48 183.5 (156.7, 215.2) 1.2 -1.7 (-2.3, -1.1)
King and Queen County 4 stable stable trend higher 21 190.4 (153.7, 234.7) 1.3 -0.8 (-1.7, 0.1)
King William County 8 falling falling trend similar 32 152.0 (128.7, 178.4) 1.0 -1.5 (-2.4, -0.7)
King George County 8 falling falling trend similar 39 138.7 (119.4, 160.3) 0.9 -2.0 (-2.8, -1.2)
James City County 8 falling falling trend similar 193 142.1 (132.8, 151.9) 1.0 -1.0 (-1.5, -0.5)
Isle of Wight County 8 falling falling trend similar 85 159.9 (144.7, 176.6) 1.1 -1.5 (-2.1, -1.0)
Hopewell City 4 stable stable trend higher 63 230.7 (205.6, 258.2) 1.5 -0.3 (-0.8, 0.1)
Highland County 8 falling falling trend similar 8 155.8 (109.0, 229.9) 1.0 -2.0 (-3.6, -0.5)
Henry County 4 stable stable trend higher 144 165.9 (153.4, 179.3) 1.1 -0.2 (-0.6, 0.2)
Henrico County 8 falling falling trend similar 603 152.3 (146.8, 157.9) 1.0 -1.4 (-1.6, -1.1)
Harrisonburg City 8 falling falling trend similar 59 145.7 (129.2, 163.6) 1.0 -1.5 (-2.2, -0.8)
Hanover County 8 falling falling trend similar 216 150.4 (141.3, 159.9) 1.0 -1.7 (-2.0, -1.4)
Hampton City 5 falling falling trend higher 281 176.1 (166.8, 185.8) 1.2 -1.3 (-1.6, -1.0)
Halifax County with South Boston City 4 stable stable trend higher 115 198.8 (182.0, 216.9) 1.3 3.2 (-0.7, 7.2)
Greensville County 4 stable stable trend higher 29 226.8 (190.5, 268.4) 1.5 -0.1 (-1.1, 0.9)
Greene County 8 falling falling trend similar 35 139.5 (119.1, 162.6) 0.9 -1.7 (-2.5, -0.8)
Grayson County 6 stable stable trend similar 47 170.6 (148.7, 195.5) 1.1 -0.5 (-1.2, 0.2)
Goochland County 8 falling falling trend similar 56 152.2 (134.0, 172.6) 1.0 -1.8 (-2.6, -1.1)
Gloucester County 5 falling falling trend higher 104 194.1 (177.2, 212.2) 1.3 -1.0 (-1.5, -0.6)
Giles County 5 falling falling trend higher 50 189.8 (166.5, 216.0) 1.3 -0.9 (-1.5, -0.4)
Galax City 5 falling falling trend higher 33 363.1 (307.7, 426.4) 2.4 -17.0 (-30.7, -0.6)
Fredericksburg City 6 stable stable trend similar 35 135.3 (115.7, 157.2) 0.9 1.0 (-24.9, 35.8)
Frederick County 8 falling falling trend similar 186 161.5 (151.1, 172.5) 1.1 -1.4 (-1.8, -1.0)
Franklin County 8 falling falling trend similar 132 144.6 (133.2, 156.8) 1.0 -1.1 (-1.5, -0.7)
Franklin City 5 falling falling trend higher 28 237.8 (198.5, 283.4) 1.6 -0.9 (-1.6, -0.2)
Fluvanna County 8 falling falling trend similar 58 146.5 (129.8, 165.1) 1.0 -1.6 (-2.2, -1.0)
Floyd County 6 stable stable trend similar 39 154.8 (133.0, 179.7) 1.0 -0.1 (-0.9, 0.6)
Fauquier County 8 falling falling trend similar 132 145.7 (134.5, 157.5) 1.0 -1.8 (-2.3, -1.3)
Falls Church City 8 falling falling trend similar 20 131.3 (106.1, 160.7) 0.9 -2.3 (-3.3, -1.4)
Fairfax County 9 falling falling trend lower 1,298 107.3 (104.6, 110.0) 0.7 -2.5 (-2.7, -2.2)
Fairfax City 5 falling falling trend higher 57 205.4 (181.9, 231.3) 1.4 -1.5 (-2.4, -0.5)
Essex County 8 falling falling trend similar 31 173.8 (146.1, 206.0) 1.2 -1.2 (-2.0, -0.3)
Emporia City 8 falling falling trend similar 13 168.9 (129.5, 217.8) 1.1 -2.1 (-3.1, -1.0)
Dinwiddie County 8 falling falling trend similar 62 164.6 (146.4, 184.7) 1.1 -1.3 (-2.0, -0.7)
Dickenson County 4 stable stable trend higher 49 212.0 (185.4, 241.9) 1.4 0.0 (-0.7, 0.7)
Danville City 5 falling falling trend higher 118 191.8 (176.0, 208.8) 1.3 -0.8 (-1.2, -0.4)
Cumberland County 8 falling falling trend similar 28 178.5 (148.7, 213.3) 1.2 -1.1 (-1.9, -0.4)
Culpeper County 8 falling falling trend similar 101 164.1 (149.9, 179.4) 1.1 -1.2 (-1.6, -0.9)
Craig County 6 stable stable trend similar 13 146.0 (111.7, 190.3) 1.0 -1.0 (-2.1, 0.2)
Covington City 4 stable stable trend higher 22 267.3 (217.7, 325.9) 1.8 -16.5 (-32.9, 3.8)
Colonial Heights City 5 falling falling trend higher 52 202.7 (178.0, 230.3) 1.4 -0.9 (-1.5, -0.3)
Clarke County 8 falling falling trend similar 33 144.0 (122.5, 169.1) 1.0 -1.6 (-2.4, -0.7)
Chesterfield County 8 falling falling trend similar 588 151.8 (146.2, 157.5) 1.0 -1.5 (-1.7, -1.2)
Chesapeake City 8 falling falling trend similar 418 164.4 (157.2, 171.8) 1.1 -1.6 (-1.9, -1.3)
Charlottesville City 8 falling falling trend similar 58 139.4 (123.4, 157.0) 0.9 -1.9 (-2.4, -1.5)
Charlotte County 8 falling falling trend similar 35 175.9 (150.1, 205.5) 1.2 -1.3 (-1.8, -0.7)
Charles City County 8 falling falling trend similar 21 164.1 (133.3, 202.2) 1.1 -1.7 (-2.6, -0.9)
Carroll County 8 falling falling trend similar 80 150.6 (135.8, 167.0) 1.0 -0.6 (-1.2, -0.1)
Caroline County 5 falling falling trend higher 66 173.2 (154.6, 193.6) 1.2 -1.5 (-2.0, -1.0)
Campbell County 5 falling falling trend higher 136 166.0 (153.5, 179.4) 1.1 -1.1 (-1.5, -0.7)
Buena Vista City 8 falling falling trend similar 17 185.6 (147.6, 231.6) 1.2 -1.4 (-2.5, -0.4)
Buckingham County 8 falling falling trend similar 40 157.0 (135.5, 181.3) 1.1 -1.2 (-2.1, -0.2)
Buchanan County 5 falling falling trend higher 65 188.6 (167.9, 211.6) 1.3 -0.7 (-1.3, -0.1)
Brunswick County 5 falling falling trend higher 46 179.5 (156.3, 205.7) 1.2 -1.9 (-2.6, -1.3)
Bristol City 5 falling falling trend higher 49 187.2 (163.9, 213.4) 1.3 -13.6 (-24.3, -1.4)
Botetourt County 9 falling falling trend lower 72 133.1 (119.4, 148.1) 0.9 -1.4 (-1.8, -0.9)
Bland County 6 stable stable trend similar 13 123.9 (95.1, 160.9) 0.8 -1.1 (-2.4, 0.3)
Bedford City and County 8 falling falling trend similar 195 158.6 (148.5, 169.3) 1.1 -1.1 (-1.5, -0.8)
Bath County 8 falling falling trend similar 16 188.4 (147.9, 240.6) 1.3 -1.0 (-2.0, -0.1)
Augusta County 9 falling falling trend lower 158 132.8 (123.5, 142.6) 0.9 -1.5 (-2.0, -1.1)
Arlington County 9 falling falling trend lower 212 105.4 (99.0, 112.1) 0.7 -2.4 (-2.6, -2.1)
Appomattox County 8 falling falling trend similar 38 161.6 (138.8, 187.5) 1.1 -0.9 (-1.7, -0.1)
Amherst County 8 falling falling trend similar 76 156.4 (140.6, 173.6) 1.0 -1.5 (-2.1, -1.0)
Amelia County 4 stable stable trend higher 37 193.7 (165.9, 225.4) 1.3 -0.8 (-1.7, 0.1)
Alleghany County and Clifton Forge City 8 falling falling trend similar 41 153.3 (131.9, 177.9) 1.0 -1.5 (-2.1, -0.8)
Alexandria City 9 falling falling trend lower 162 112.6 (104.8, 120.9) 0.8 -2.6 (-2.9, -2.3)
Albemarle County 9 falling falling trend lower 184 120.6 (112.7, 128.9) 0.8 -1.6 (-2.0, -1.2)
Accomack County 5 falling falling trend higher 104 192.1 (175.1, 210.5) 1.3 -1.1 (-1.4, -0.8)
Notes:
Created by statecancerprofiles.cancer.gov on 05/17/2024 3:48 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

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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