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) |
| Missouri | - |
falling
|
- | 6,848 | 195.7 (193.6, 197.9) | - | -1.7 (-1.9, -1.5) |
| Pemiscot County | 4 |
stable 
|
higher | 27 | 294.1 (245.0, 350.5) | 1.7 | -0.2 (-0.9, 0.6) |
| Dunklin County | 4 |
stable
|
higher | 48 | 285.0 (249.5, 324.4) | 1.6 | -0.6 (-1.4, 0.2) |
| Mississippi County | 4 |
stable
|
higher | 22 | 272.4 (221.8, 331.2) | 1.5 | -0.8 (-1.8, 0.2) |
| Carter County | 4 |
stable
|
higher | 10 | 268.6 (197.8, 358.2) | 1.5 | -0.5 (-2.0, 1.0) |
| Audrain County | 4 |
stable
|
higher | 35 | 266.8 (226.8, 311.9) | 1.5 | -0.2 (-0.9, 0.5) |
| Crawford County | 5 |
falling
|
higher | 41 | 257.0 (222.1, 296.2) | 1.4 | -0.6 (-1.1, -0.1) |
| Howell County | 5 |
falling
|
higher | 66 | 255.4 (228.2, 285.3) | 1.4 | -0.9 (-1.4, -0.3) |
| Ray County | 4 |
stable
|
higher | 36 | 251.6 (215.4, 292.6) | 1.4 | -0.7 (-1.5, 0.1) |
| Randolph County | 5 |
falling
|
higher | 35 | 250.4 (213.8, 291.6) | 1.4 | -0.7 (-1.3, -0.1) |
| St. Francois County | 5 |
falling
|
higher | 97 | 249.6 (227.4, 273.5) | 1.4 | -0.9 (-1.3, -0.4) |
| New Madrid County | 5 |
falling
|
higher | 27 | 247.7 (207.0, 294.6) | 1.4 | -1.0 (-1.7, -0.3) |
| Dallas County | 4 |
stable
|
higher | 29 | 245.9 (206.3, 291.6) | 1.4 | -0.6 (-1.4, 0.2) |
| Ripley County | 4 |
stable
|
higher | 24 | 244.6 (202.1, 294.4) | 1.4 | 0.0 (-1.0, 0.9) |
| DeKalb County | 4 |
stable
|
higher | 19 | 244.0 (197.2, 299.4) | 1.4 | -0.8 (-2.1, 0.6) |
| Laclede County | 5 |
falling
|
higher | 52 | 244.0 (214.5, 276.6) | 1.4 | -1.2 (-1.8, -0.6) |
| Chariton County | 4 |
stable
|
higher | 15 | 242.9 (188.1, 311.4) | 1.4 | -0.7 (-1.6, 0.3) |
| Marion County | 5 |
falling
|
higher | 40 | 241.1 (208.4, 277.8) | 1.4 | -0.8 (-1.5, -0.2) |
| Mercer County | 6 |
stable
|
similar | 7 | 240.7 (162.2, 349.0) | 1.4 | 0.2 (-1.2, 1.7) |
| Butler County | 5 |
falling
|
higher | 66 | 239.5 (214.0, 267.4) | 1.3 | -1.3 (-1.8, -0.8) |
| Iron County | 5 |
falling
|
higher | 18 | 235.7 (187.9, 293.5) | 1.3 | -1.7 (-2.7, -0.8) |
| Wayne County | 4 |
stable
|
higher | 25 | 234.9 (193.9, 283.7) | 1.3 | -0.2 (-1.1, 0.7) |
| McDonald County | 4 |
stable
|
higher | 31 | 234.3 (197.2, 276.4) | 1.3 | -0.7 (-1.5, 0.2) |
| Bates County | 5 |
falling
|
higher | 24 | 233.6 (192.8, 281.0) | 1.3 | -0.9 (-1.6, -0.2) |
| Atchison County | 6 |
stable
|
similar | 10 | 232.7 (171.1, 314.1) | 1.3 | -0.1 (-1.4, 1.2) |
| Adair County | 5 |
falling
|
higher | 30 | 232.6 (196.2, 274.2) | 1.3 | -1.1 (-2.0, -0.1) |
| Putnam County | 8 |
falling
|
similar | 9 | 232.4 (167.4, 318.6) | 1.3 | -2.1 (-3.3, -0.9) |
| Stoddard County | 5 |
falling
|
higher | 46 | 230.6 (201.3, 263.4) | 1.3 | -1.0 (-1.6, -0.4) |
| Washington County | 5 |
falling
|
higher | 36 | 229.7 (196.6, 267.1) | 1.3 | -2.9 (-4.3, -1.5) |
| Benton County | 5 |
falling
|
higher | 47 | 229.2 (199.6, 263.7) | 1.3 | -1.3 (-1.9, -0.8) |
| Caldwell County | 6 |
stable
|
similar | 13 | 228.0 (174.6, 293.6) | 1.3 | 0.1 (-1.2, 1.3) |
| Morgan County | 5 |
falling
|
higher | 38 | 227.1 (194.3, 264.7) | 1.3 | -0.9 (-1.6, -0.3) |
| Shannon County | 8 |
falling
|
similar | 14 | 226.9 (174.8, 291.8) | 1.3 | -1.3 (-2.4, -0.1) |
| Dade County | 6 |
stable
|
similar | 13 | 225.4 (172.1, 292.2) | 1.3 | -0.8 (-1.8, 0.1) |
| Madison County | 5 |
falling
|
higher | 19 | 225.1 (181.3, 277.4) | 1.3 | -1.4 (-2.3, -0.5) |
| Monroe County | 6 |
stable
|
similar | 16 | 223.5 (175.4, 283.0) | 1.3 | -0.9 (-2.1, 0.3) |
| Livingston County | 4 |
stable
|
higher | 21 | 222.0 (180.7, 270.9) | 1.3 | -0.8 (-1.6, 0.1) |
| Jasper County | 5 |
falling
|
higher | 139 | 221.5 (205.1, 238.9) | 1.2 | -1.3 (-1.7, -0.9) |
| Callaway County | 5 |
falling
|
higher | 58 | 221.3 (195.6, 249.5) | 1.2 | -1.1 (-1.8, -0.4) |
| Linn County | 8 |
falling
|
similar | 18 | 220.2 (175.8, 273.5) | 1.2 | -0.9 (-1.8, -0.1) |
| Barry County | 5 |
falling
|
higher | 56 | 218.8 (193.0, 247.4) | 1.2 | -0.8 (-1.5, -0.1) |
| Pettis County | 5 |
falling
|
higher | 54 | 216.3 (190.8, 244.5) | 1.2 | -1.0 (-1.5, -0.4) |
| Andrew County | 8 |
falling
|
similar | 24 | 214.5 (176.7, 258.5) | 1.2 | -1.2 (-2.2, -0.2) |
| Schuyler County | 6 |
stable
|
similar | 6 | 214.3 (145.2, 307.7) | 1.2 | -1.0 (-2.6, 0.6) |
| Montgomery County | 8 |
falling
|
similar | 18 | 213.8 (170.7, 265.8) | 1.2 | -1.2 (-2.4, 0.0) |
| Newton County | 5 |
falling
|
higher | 76 | 212.2 (191.0, 235.3) | 1.2 | -1.1 (-1.5, -0.6) |
| St. Louis City | 5 |
falling
|
higher | 309 | 211.6 (200.5, 223.0) | 1.2 | -3.1 (-3.8, -2.5) |
| Knox County | 6 |
stable
|
similar | 6 | 210.2 (135.6, 314.2) | 1.2 | -0.1 (-1.6, 1.4) |
| Ozark County | 8 |
falling
|
similar | 19 | 209.8 (167.6, 262.8) | 1.2 | -1.3 (-2.3, -0.3) |
| St. Clair County | 8 |
falling
|
similar | 19 | 208.6 (167.3, 259.9) | 1.2 | -1.5 (-2.4, -0.6) |
| Vernon County | 8 |
falling
|
similar | 28 | 208.4 (174.8, 247.2) | 1.2 | -1.0 (-1.9, -0.1) |
| Scott County | 5 |
falling
|
higher | 47 | 207.2 (181.1, 236.1) | 1.2 | -1.2 (-1.8, -0.6) |
| Jefferson County | 5 |
falling
|
higher | 250 | 206.5 (194.5, 219.0) | 1.2 | -1.5 (-1.8, -1.2) |
| Harrison County | 6 |
stable
|
similar | 13 | 205.7 (158.9, 264.3) | 1.2 | -0.9 (-1.9, 0.1) |
| Johnson County | 4 |
stable
|
higher | 52 | 205.5 (180.8, 232.6) | 1.2 | -1.2 (-2.8, 0.3) |
| Webster County | 5 |
falling
|
higher | 44 | 205.3 (178.6, 234.9) | 1.2 | -1.3 (-2.0, -0.7) |
| Lafayette County | 5 |
falling
|
higher | 44 | 205.3 (178.6, 235.1) | 1.2 | -1.3 (-1.9, -0.7) |
| Hickory County | 8 |
falling
|
similar | 21 | 205.0 (165.0, 255.9) | 1.2 | -1.4 (-2.5, -0.3) |
| Bollinger County | 8 |
falling
|
similar | 18 | 203.9 (162.7, 253.5) | 1.1 | -1.5 (-2.5, -0.5) |
| Sullivan County | 6 |
stable
|
similar | 8 | 203.1 (142.9, 281.3) | 1.1 | -0.7 (-1.8, 0.5) |
| Maries County | 8 |
falling
|
similar | 14 | 202.6 (156.6, 260.0) | 1.1 | -1.2 (-2.3, -0.2) |
| Pike County | 6 |
stable
|
similar | 23 | 202.5 (166.6, 244.1) | 1.1 | -0.8 (-1.7, 0.0) |
| Texas County | 8 |
falling
|
similar | 38 | 202.1 (174.1, 233.9) | 1.1 | -1.2 (-1.9, -0.5) |
| Macon County | 6 |
stable
|
similar | 22 | 201.9 (164.6, 246.0) | 1.1 | -11.8 (-35.1, 19.8) |
| Pulaski County | 8 |
falling
|
similar | 34 | 200.2 (170.2, 233.7) | 1.1 | -1.8 (-2.6, -1.0) |
| Lincoln County | 8 |
falling
|
similar | 59 | 200.1 (176.9, 225.4) | 1.1 | -1.2 (-1.9, -0.5) |
| Lawrence County | 8 |
falling
|
similar | 50 | 200.0 (175.5, 227.1) | 1.1 | -1.4 (-1.9, -1.0) |
| Shelby County | 8 |
falling
|
similar | 9 | 199.9 (144.7, 272.3) | 1.1 | -1.5 (-2.9, 0.0) |
| Gasconade County | 8 |
falling
|
similar | 22 | 198.8 (162.8, 241.6) | 1.1 | -1.2 (-2.1, -0.3) |
| Moniteau County | 6 |
stable
|
similar | 18 | 197.9 (158.6, 244.0) | 1.1 | -1.2 (-2.3, 0.0) |
| Henry County | 8 |
falling
|
similar | 32 | 196.5 (166.8, 230.7) | 1.1 | -7.8 (-14.5, -0.5) |
| Buchanan County | 5 |
falling
|
higher | 96 | 195.7 (178.2, 214.6) | 1.1 | -1.5 (-2.0, -1.0) |
| Barton County | 6 |
stable
|
similar | 16 | 194.8 (153.6, 244.8) | 1.1 | 1.2 (-1.2, 3.7) |
| Cape Girardeau County | 8 |
falling
|
similar | 84 | 194.7 (176.1, 214.8) | 1.1 | -1.0 (-1.3, -0.6) |
| Wright County | 8 |
falling
|
similar | 24 | 194.3 (159.8, 234.6) | 1.1 | -1.7 (-2.5, -0.9) |
| Dent County | 6 |
stable
|
similar | 23 | 194.1 (158.9, 235.8) | 1.1 | -0.9 (-1.9, 0.0) |
| Gentry County | 8 |
falling
|
similar | 9 | 193.8 (139.7, 264.4) | 1.1 | -1.4 (-2.7, -0.2) |
| Miller County | 8 |
falling
|
similar | 32 | 193.3 (163.8, 227.0) | 1.1 | -1.1 (-1.9, -0.2) |
| Clinton County | 8 |
falling
|
similar | 27 | 193.1 (161.5, 229.7) | 1.1 | -1.2 (-1.9, -0.4) |
| Jackson County | 8 |
falling
|
similar | 681 | 192.1 (185.5, 198.9) | 1.1 | -1.5 (-1.7, -1.3) |
| Ralls County | 6 |
stable
|
similar | 14 | 190.5 (146.5, 245.0) | 1.1 | -0.8 (-2.0, 0.3) |
| Franklin County | 8 |
falling
|
similar | 118 | 190.5 (174.9, 207.1) | 1.1 | -1.4 (-1.9, -1.0) |
| Greene County | 8 |
falling
|
similar | 296 | 190.1 (180.4, 200.2) | 1.1 | -1.6 (-1.9, -1.4) |
| Phelps County | 8 |
falling
|
similar | 48 | 189.7 (166.0, 216.0) | 1.1 | -1.5 (-2.3, -0.7) |
| Cass County | 8 |
falling
|
similar | 115 | 189.5 (174.1, 205.9) | 1.1 | -1.1 (-1.6, -0.7) |
| Clay County | 8 |
falling
|
similar | 221 | 186.8 (175.6, 198.5) | 1.1 | -1.5 (-1.8, -1.1) |
| Howard County | 8 |
falling
|
similar | 12 | 185.7 (140.4, 242.0) | 1.0 | -2.0 (-3.1, -0.9) |
| Oregon County | 8 |
falling
|
similar | 16 | 185.6 (145.9, 234.9) | 1.0 | -1.6 (-2.7, -0.6) |
| Polk County | 8 |
falling
|
similar | 36 | 185.2 (158.8, 214.9) | 1.0 | -1.7 (-2.5, -0.9) |
| Camden County | 6 |
stable
|
similar | 80 | 183.6 (164.9, 204.5) | 1.0 | -6.5 (-13.2, 0.6) |
| Perry County | 8 |
falling
|
similar | 23 | 182.8 (150.4, 220.7) | 1.0 | -1.3 (-2.1, -0.4) |
| Cedar County | 8 |
falling
|
similar | 20 | 181.4 (146.8, 223.1) | 1.0 | -1.5 (-2.3, -0.6) |
| Christian County | 8 |
falling
|
similar | 84 | 180.9 (163.6, 199.4) | 1.0 | -1.5 (-2.2, -0.9) |
| Ste. Genevieve County | 8 |
falling
|
similar | 23 | 180.6 (148.3, 218.5) | 1.0 | -1.3 (-1.9, -0.6) |
| Lewis County | 6 |
stable
|
similar | 11 | 180.4 (136.2, 235.7) | 1.0 | -0.7 (-2.1, 0.8) |
| St. Louis County | 8 |
falling
|
similar | 1,030 | 179.6 (174.6, 184.6) | 1.0 | -1.6 (-1.7, -1.4) |
| Boone County | 8 |
falling
|
similar | 134 | 178.9 (165.2, 193.5) | 1.0 | -1.3 (-1.7, -1.0) |
| Cooper County | 8 |
falling
|
similar | 19 | 177.4 (143.1, 217.8) | 1.0 | -1.1 (-2.0, -0.1) |
| Scotland County | 6 |
stable
|
similar | 5 | 176.8 (115.8, 260.7) | 1.0 | -0.9 (-2.2, 0.4) |
| Saline County | 8 |
falling
|
similar | 25 | 176.0 (145.9, 210.8) | 1.0 | -1.4 (-2.2, -0.5) |
| Stone County | 8 |
falling
|
similar | 53 | 173.7 (151.1, 199.6) | 1.0 | -1.8 (-2.5, -1.1) |
| Taney County | 8 |
falling
|
similar | 69 | 172.3 (154.1, 192.3) | 1.0 | -1.7 (-2.3, -1.2) |
| Osage County | 6 |
stable
|
similar | 14 | 172.1 (133.6, 218.6) | 1.0 | -0.8 (-1.7, 0.1) |
| Cole County | 8 |
falling
|
similar | 73 | 171.7 (154.1, 190.7) | 1.0 | -1.5 (-2.0, -1.0) |
| Reynolds County | 8 |
falling
|
similar | 9 | 171.2 (123.9, 234.3) | 1.0 | -4.5 (-6.4, -2.6) |
| St. Charles County | 8 |
falling
|
similar | 352 | 168.0 (160.1, 176.3) | 0.9 | -1.9 (-2.1, -1.6) |
| Platte County | 8 |
falling
|
similar | 85 | 166.1 (150.1, 183.2) | 0.9 | -2.2 (-2.6, -1.7) |
| Nodaway County | 8 |
falling
|
similar | 20 | 162.9 (131.8, 199.8) | 0.9 | -1.1 (-1.8, -0.3) |
| Warren County | 8 |
falling
|
similar | 35 | 158.6 (135.3, 185.0) | 0.9 | -2.4 (-3.2, -1.6) |
| Douglas County | 8 |
falling
|
similar | 19 | 157.4 (126.7, 195.2) | 0.9 | -2.3 (-3.2, -1.4) |
| Grundy County | 8 |
falling
|
similar | 11 | 153.6 (115.7, 201.9) | 0.9 | -1.7 (-2.8, -0.7) |
| Daviess County | 8 |
falling
|
similar | 9 | 153.5 (112.0, 207.4) | 0.9 | -2.4 (-3.5, -1.2) |
| Holt County | 6 |
stable
|
similar | 5 | 150.8 (91.8, 237.0) | 0.8 | -1.0 (-2.7, 0.6) |
| Clark County | 8 |
falling
|
similar | 8 | 150.3 (106.0, 209.6) | 0.8 | -1.6 (-2.9, -0.3) |
| Carroll County | 8 |
falling
|
similar | 9 | 141.1 (101.8, 192.5) | 0.8 | -1.7 (-2.9, -0.5) |
| Worth County |
|
** |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 05/19/2024 12:26 pm.
* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Worth County
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 05/19/2024 12:26 pm.
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 < 0.90* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Worth County
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.