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