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