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 
|
- | 315,770 | 177.5 (177.2, 177.8) | - | -2.2 (-2.5, -2.0) |
| Kentucky | - |
falling
|
- | 5,419 | 220.3 (217.6, 223.0) | - | -3.0 (-4.6, -1.4) |
| Jefferson County | 5 |
falling
|
higher | 811 | 201.2 (194.9, 207.7) | 1.1 | -2.4 (-2.6, -2.1) |
| Fayette County | 8 |
falling
|
similar | 259 | 182.7 (172.6, 193.3) | 1.0 | -2.2 (-2.4, -1.9) |
| Kenton County | 5 |
falling
|
higher | 164 | 200.1 (186.0, 215.0) | 1.1 | -1.8 (-2.2, -1.4) |
| Hardin County | 5 |
falling
|
higher | 118 | 220.4 (202.4, 239.6) | 1.2 | -1.3 (-1.7, -0.8) |
| Warren County | 5 |
falling
|
higher | 118 | 200.8 (184.4, 218.3) | 1.1 | -1.8 (-2.2, -1.3) |
| Daviess County | 5 |
falling
|
higher | 116 | 206.5 (189.7, 224.4) | 1.2 | -1.8 (-2.2, -1.5) |
| Boone County | 8 |
falling
|
similar | 110 | 177.5 (162.3, 193.8) | 1.0 | -2.1 (-2.7, -1.6) |
| Campbell County | 5 |
falling
|
higher | 101 | 199.2 (181.6, 218.0) | 1.1 | -1.9 (-2.3, -1.5) |
| Pike County | 5 |
falling
|
higher | 97 | 261.3 (237.6, 287.0) | 1.5 | -0.9 (-1.3, -0.5) |
| Pulaski County | 5 |
falling
|
higher | 96 | 241.7 (219.8, 265.3) | 1.4 | -0.7 (-1.2, -0.3) |
| Madison County | 5 |
falling
|
higher | 92 | 212.2 (192.6, 233.3) | 1.2 | -1.5 (-2.1, -0.8) |
| Laurel County | 5 |
falling
|
higher | 84 | 240.7 (217.5, 265.7) | 1.4 | -0.8 (-1.5, -0.2) |
| McCracken County | 5 |
falling
|
higher | 83 | 204.2 (184.7, 225.4) | 1.2 | -1.6 (-2.0, -1.2) |
| Bullitt County | 8 |
falling
|
similar | 79 | 178.1 (160.1, 197.5) | 1.0 | -2.6 (-3.1, -2.0) |
| Boyd County | 5 |
falling
|
higher | 73 | 242.7 (217.8, 269.8) | 1.4 | -1.4 (-1.9, -0.9) |
| Christian County | 5 |
falling
|
higher | 68 | 231.2 (206.9, 257.4) | 1.3 | -1.3 (-1.7, -0.8) |
| Hopkins County | 5 |
falling
|
higher | 68 | 248.4 (222.0, 277.3) | 1.4 | -1.2 (-1.8, -0.6) |
| Barren County | 5 |
falling
|
higher | 64 | 263.0 (234.0, 294.6) | 1.5 | -0.7 (-1.3, -0.1) |
| Franklin County | 5 |
falling
|
higher | 61 | 216.1 (191.8, 242.8) | 1.2 | -1.6 (-2.2, -1.0) |
| Henderson County | 5 |
falling
|
higher | 60 | 227.8 (202.0, 256.2) | 1.3 | -1.1 (-1.7, -0.4) |
| Whitley County | 4 |
stable 
|
higher | 60 | 305.4 (270.8, 343.3) | 1.7 | -0.3 (-1.0, 0.3) |
| Oldham County | 8 |
falling
|
similar | 58 | 179.9 (158.4, 203.5) | 1.0 | -2.1 (-2.7, -1.5) |
| Nelson County | 5 |
falling
|
higher | 56 | 242.2 (213.0, 274.3) | 1.4 | -1.9 (-2.6, -1.2) |
| Greenup County | 5 |
falling
|
higher | 55 | 234.4 (207.1, 264.7) | 1.3 | -1.3 (-1.9, -0.6) |
| Jessamine County | 8 |
falling
|
similar | 55 | 185.2 (163.5, 209.1) | 1.0 | -2.1 (-2.7, -1.5) |
| Floyd County | 5 |
falling
|
higher | 54 | 253.2 (222.5, 287.0) | 1.4 | -0.8 (-1.4, -0.2) |
| Marshall County | 4 |
stable
|
higher | 52 | 241.6 (212.3, 274.2) | 1.4 | -0.7 (-1.3, 0.0) |
| Shelby County | 8 |
falling
|
similar | 49 | 191.4 (167.3, 218.1) | 1.1 | -1.7 (-2.4, -0.9) |
| Harlan County | 4 |
stable
|
higher | 49 | 305.7 (266.9, 348.7) | 1.7 | -0.3 (-0.9, 0.3) |
| Knox County | 5 |
falling
|
higher | 49 | 267.0 (233.8, 303.9) | 1.5 | -1.4 (-2.1, -0.6) |
| Perry County | 4 |
stable
|
higher | 48 | 294.4 (257.3, 335.6) | 1.7 | -0.6 (-1.3, 0.2) |
| Graves County | 5 |
falling
|
higher | 47 | 208.7 (182.4, 237.9) | 1.2 | -1.1 (-1.7, -0.5) |
| Clark County | 5 |
falling
|
higher | 45 | 207.3 (180.4, 237.3) | 1.2 | -7.7 (-14.1, -0.8) |
| Calloway County | 8 |
falling
|
similar | 44 | 198.4 (172.7, 227.1) | 1.1 | -0.9 (-1.3, -0.4) |
| Montgomery County | 5 |
falling
|
higher | 43 | 282.5 (244.9, 324.4) | 1.6 | -0.8 (-1.5, -0.1) |
| Muhlenberg County | 5 |
falling
|
higher | 42 | 221.1 (191.5, 254.2) | 1.2 | -1.5 (-2.2, -0.8) |
| Grayson County | 4 |
stable
|
higher | 41 | 259.4 (223.5, 299.6) | 1.5 | 0.2 (-0.3, 0.8) |
| Carter County | 5 |
falling
|
higher | 41 | 238.3 (206.1, 274.5) | 1.3 | -1.3 (-1.9, -0.6) |
| Letcher County | 4 |
stable
|
higher | 41 | 291.6 (251.0, 337.3) | 1.6 | -0.8 (-1.5, 0.0) |
| Scott County | 8 |
falling
|
similar | 41 | 173.8 (149.3, 201.0) | 1.0 | -2.1 (-2.9, -1.3) |
| Lincoln County | 5 |
falling
|
higher | 40 | 267.8 (231.1, 308.9) | 1.5 | -0.9 (-1.5, -0.3) |
| Logan County | 5 |
falling
|
higher | 40 | 241.3 (208.2, 278.4) | 1.4 | -1.1 (-1.6, -0.6) |
| Bell County | 5 |
falling
|
higher | 39 | 229.0 (197.0, 265.0) | 1.3 | -1.5 (-2.2, -0.8) |
| Meade County | 5 |
falling
|
higher | 39 | 246.0 (211.0, 285.4) | 1.4 | -1.3 (-2.1, -0.5) |
| Boyle County | 5 |
falling
|
higher | 38 | 208.0 (179.1, 240.4) | 1.2 | -2.0 (-2.7, -1.2) |
| Wayne County | 5 |
falling
|
higher | 36 | 238.8 (204.4, 278.1) | 1.3 | -0.8 (-1.6, 0.0) |
| Ohio County | 5 |
falling
|
higher | 35 | 236.1 (201.4, 275.2) | 1.3 | -1.1 (-1.7, -0.4) |
| Taylor County | 4 |
stable
|
higher | 34 | 231.0 (196.7, 269.7) | 1.3 | -0.4 (-1.1, 0.4) |
| Johnson County | 5 |
falling
|
higher | 34 | 249.2 (211.5, 292.0) | 1.4 | -1.1 (-1.8, -0.4) |
| Russell County | 4 |
stable
|
higher | 33 | 287.4 (243.9, 336.9) | 1.6 | -0.4 (-1.3, 0.6) |
| Mercer County | 5 |
falling
|
higher | 33 | 255.8 (216.2, 300.9) | 1.4 | -1.1 (-1.8, -0.3) |
| Anderson County | 4 |
stable
|
higher | 33 | 283.3 (239.2, 333.1) | 1.6 | -0.4 (-1.4, 0.5) |
| Clay County | 4 |
stable
|
higher | 32 | 302.3 (254.5, 356.3) | 1.7 | 0.3 (-0.7, 1.4) |
| Woodford County | 8 |
falling
|
similar | 30 | 181.5 (152.0, 215.3) | 1.0 | -1.8 (-2.8, -0.9) |
| Harrison County | 4 |
stable
|
higher | 29 | 255.1 (213.7, 302.5) | 1.4 | -0.2 (-1.0, 0.6) |
| Hart County | 4 |
stable
|
higher | 29 | 274.9 (229.6, 326.7) | 1.5 | -0.4 (-1.1, 0.3) |
| Breckinridge County | 8 |
falling
|
similar | 28 | 201.5 (168.3, 239.8) | 1.1 | -1.5 (-2.3, -0.7) |
| Casey County | 4 |
stable
|
higher | 28 | 279.8 (233.7, 333.0) | 1.6 | -0.1 (-1.0, 0.8) |
| Bourbon County | 4 |
stable
|
higher | 27 | 220.4 (184.1, 262.3) | 1.2 | -0.3 (-2.5, 2.1) |
| McCreary County | 5 |
falling
|
higher | 27 | 279.3 (232.4, 332.8) | 1.6 | -1.1 (-2.0, -0.2) |
| Simpson County | 4 |
stable
|
higher | 26 | 258.8 (215.1, 309.0) | 1.5 | 0.0 (-1.1, 1.1) |
| Allen County | 8 |
falling
|
similar | 26 | 203.9 (169.5, 243.5) | 1.1 | -1.2 (-2.1, -0.4) |
| Lawrence County | 4 |
stable
|
higher | 26 | 281.8 (232.7, 338.4) | 1.6 | -0.1 (-0.8, 0.6) |
| Grant County | 8 |
falling
|
similar | 26 | 207.4 (170.9, 249.2) | 1.2 | -2.0 (-3.0, -1.0) |
| Lewis County | 4 |
stable
|
higher | 25 | 277.3 (229.8, 332.6) | 1.6 | 0.1 (-0.9, 1.1) |
| Rowan County | 5 |
falling
|
higher | 25 | 218.6 (181.2, 261.6) | 1.2 | -5.1 (-8.6, -1.5) |
| Adair County | 8 |
falling
|
similar | 25 | 202.3 (167.3, 242.9) | 1.1 | -1.8 (-2.7, -0.9) |
| Fleming County | 4 |
stable
|
higher | 24 | 275.0 (226.7, 331.2) | 1.5 | -0.6 (-1.4, 0.1) |
| Henry County | 4 |
stable
|
higher | 24 | 256.4 (209.6, 310.8) | 1.4 | -0.4 (-1.4, 0.6) |
| Marion County | 5 |
falling
|
higher | 24 | 226.4 (185.7, 273.5) | 1.3 | -1.2 (-2.3, 0.0) |
| Estill County | 4 |
stable
|
higher | 24 | 261.3 (214.4, 316.1) | 1.5 | -0.6 (-1.5, 0.3) |
| Mason County | 5 |
falling
|
higher | 24 | 246.5 (202.5, 297.4) | 1.4 | -0.9 (-1.7, -0.2) |
| Breathitt County | 4 |
stable
|
higher | 23 | 307.3 (250.1, 374.1) | 1.7 | 0.7 (-0.7, 2.0) |
| Butler County | 5 |
falling
|
higher | 23 | 279.0 (228.1, 338.5) | 1.6 | -1.6 (-2.5, -0.6) |
| Trigg County | 8 |
falling
|
similar | 22 | 187.8 (152.8, 229.8) | 1.1 | -2.5 (-3.4, -1.6) |
| Garrard County | 8 |
falling
|
similar | 22 | 198.6 (161.7, 241.8) | 1.1 | -1.0 (-2.0, -0.1) |
| Spencer County | 8 |
falling
|
similar | 22 | 207.5 (167.8, 254.0) | 1.2 | -1.6 (-2.5, -0.7) |
| Morgan County | 4 |
stable
|
higher | 21 | 268.6 (217.9, 327.9) | 1.5 | 0.6 (-0.4, 1.5) |
| Rockcastle County | 8 |
falling
|
similar | 21 | 209.5 (170.2, 255.7) | 1.2 | -1.3 (-2.0, -0.6) |
| Bath County | 4 |
stable
|
higher | 21 | 272.2 (221.1, 332.3) | 1.5 | 0.2 (-0.8, 1.1) |
| Knott County | 8 |
falling
|
similar | 21 | 211.2 (169.9, 260.1) | 1.2 | -1.1 (-2.1, -0.1) |
| Pendleton County | 4 |
stable
|
higher | 21 | 236.4 (190.6, 290.2) | 1.3 | -1.1 (-2.2, 0.0) |
| Powell County | 4 |
stable
|
higher | 21 | 290.2 (234.4, 355.8) | 1.6 | -0.9 (-1.8, 0.1) |
| Magoffin County | 4 |
stable
|
higher | 20 | 257.6 (207.7, 316.5) | 1.5 | -0.6 (-1.7, 0.5) |
| Union County | 4 |
stable
|
higher | 20 | 261.4 (209.3, 322.6) | 1.5 | -0.6 (-1.6, 0.4) |
| Jackson County | 4 |
stable
|
higher | 20 | 225.8 (181.4, 278.6) | 1.3 | -1.0 (-2.0, 0.1) |
| Larue County | 5 |
falling
|
higher | 20 | 231.3 (186.6, 284.1) | 1.3 | -1.0 (-2.0, 0.0) |
| Livingston County | 4 |
stable
|
higher | 19 | 266.1 (213.8, 329.6) | 1.5 | -0.7 (-1.7, 0.3) |
| Webster County | 5 |
falling
|
higher | 19 | 247.8 (199.2, 305.2) | 1.4 | -1.5 (-2.4, -0.5) |
| Monroe County | 4 |
stable
|
higher | 19 | 277.2 (221.7, 343.1) | 1.6 | -0.4 (-1.5, 0.8) |
| Washington County | 4 |
stable
|
higher | 19 | 266.5 (213.5, 329.2) | 1.5 | -0.9 (-2.1, 0.3) |
| Leslie County | 5 |
falling
|
higher | 18 | 272.8 (217.1, 339.5) | 1.5 | -1.0 (-2.0, 0.0) |
| Carroll County | 4 |
stable
|
higher | 18 | 281.5 (224.7, 348.8) | 1.6 | -0.3 (-1.4, 0.8) |
| Caldwell County | 8 |
falling
|
similar | 16 | 194.5 (153.9, 243.5) | 1.1 | -1.4 (-2.2, -0.5) |
| Green County | 6 |
stable
|
similar | 16 | 205.1 (162.0, 257.6) | 1.2 | -0.6 (-1.7, 0.5) |
| Edmonson County | 8 |
falling
|
similar | 16 | 179.6 (141.3, 226.5) | 1.0 | -2.3 (-3.1, -1.4) |
| Todd County | 8 |
falling
|
similar | 16 | 223.0 (175.6, 279.8) | 1.3 | -1.9 (-3.0, -0.8) |
| Martin County | 8 |
falling
|
similar | 15 | 230.3 (179.7, 291.1) | 1.3 | -1.5 (-2.5, -0.5) |
| Clinton County | 6 |
stable
|
similar | 15 | 223.0 (174.0, 282.6) | 1.3 | -1.0 (-1.9, 0.0) |
| Crittenden County | 5 |
falling
|
higher | 15 | 244.5 (191.3, 309.3) | 1.4 | -1.2 (-2.3, -0.1) |
| Metcalfe County | 6 |
stable
|
similar | 14 | 213.1 (164.9, 272.0) | 1.2 | -1.1 (-2.3, 0.1) |
| McLean County | 6 |
stable
|
similar | 14 | 223.4 (172.9, 285.5) | 1.3 | -0.8 (-2.1, 0.6) |
| Cumberland County | 4 |
stable
|
higher | 13 | 262.6 (201.0, 340.0) | 1.5 | -0.8 (-2.3, 0.7) |
| Lee County | 4 |
stable
|
higher | 13 | 290.6 (222.2, 374.5) | 1.6 | -0.7 (-1.9, 0.6) |
| Menifee County | 4 |
stable
|
higher | 13 | 307.2 (233.2, 399.0) | 1.7 | -0.5 (-2.0, 0.9) |
| Lyon County | 8 |
falling
|
similar | 13 | 179.4 (136.9, 234.2) | 1.0 | -2.3 (-3.6, -1.0) |
| Ballard County | 8 |
falling
|
similar | 13 | 232.5 (177.5, 301.0) | 1.3 | -2.0 (-3.1, -1.0) |
| Trimble County | 6 |
stable
|
similar | 12 | 220.9 (167.5, 287.2) | 1.2 | -1.0 (-2.4, 0.3) |
| Owen County | 8 |
falling
|
similar | 12 | 182.9 (137.4, 239.4) | 1.0 | -1.7 (-3.0, -0.5) |
| Gallatin County | 5 |
falling
|
higher | 12 | 274.0 (201.1, 363.9) | 1.5 | -1.6 (-2.7, -0.5) |
| Wolfe County | 4 |
stable
|
higher | 12 | 284.7 (213.6, 372.6) | 1.6 | -0.3 (-1.7, 1.1) |
| Hancock County | 6 |
stable
|
similar | 11 | 222.9 (166.1, 293.1) | 1.3 | -1.7 (-3.5, 0.1) |
| Nicholas County | 4 |
stable
|
higher | 11 | 251.6 (188.4, 330.4) | 1.4 | -0.8 (-2.0, 0.3) |
| Fulton County | 4 |
stable
|
higher | 11 | 257.2 (191.5, 340.5) | 1.4 | -0.8 (-1.8, 0.2) |
| Bracken County | 8 |
falling
|
similar | 10 | 195.0 (141.6, 262.7) | 1.1 | -2.0 (-3.3, -0.7) |
| Owsley County | 4 |
stable
|
higher | 9 | 290.4 (208.3, 397.4) | 1.6 | -0.1 (-1.3, 1.2) |
| Elliott County | 8 |
falling
|
similar | 9 | 162.1 (116.8, 221.0) | 0.9 | -3.0 (-4.5, -1.5) |
| Hickman County | 6 |
stable
|
similar | 8 | 229.8 (165.2, 317.5) | 1.3 | -0.2 (-1.5, 1.2) |
| Carlisle County | 6 |
stable
|
similar | 8 | 250.1 (174.0, 350.3) | 1.4 | -0.3 (-1.6, 1.0) |
| Robertson County | 6 |
stable
|
similar | 3 | 185.7 (107.3, 313.8) | 1.0 | -1.4 (-3.2, 0.4) |
Notes:
Created by statecancerprofiles.cancer.gov on 04/28/2024 1:42 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 04/28/2024 1:42 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.