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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, Male

Sorted by rateratio
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 ascending
Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
 sort by trend descending
United States - falling falling trend - 315,770 177.5 (177.2, 177.8) - -2.2 (-2.5, -2.0)
Virginia - falling falling trend - 7,995 179.8 (178.0, 181.7) - -2.1 (-2.2, -2.0)
Galax City 4 stable stable trend higher 15 437.4 (343.0, 550.8) 2.5 -20.0 (-36.6, 0.9)
Martinsville City 1 rising rising trend higher 24 420.1 (337.3, 515.8) 2.4 7.5 (1.6, 13.7)
Covington City 1 rising rising trend higher 13 419.1 (317.9, 542.8) 2.4 8.6 (1.5, 16.2)
Petersburg City 5 falling falling trend higher 55 358.7 (315.5, 406.3) 2.0 -0.8 (-1.3, -0.4)
Lexington City 4 stable stable trend higher 10 339.7 (250.2, 453.1) 1.9 11.4 (-2.0, 26.6)
Franklin City 4 stable stable trend higher 16 331.2 (260.0, 417.3) 1.9 -0.6 (-1.5, 0.3)
Hopewell City 5 falling falling trend higher 33 303.0 (257.3, 354.5) 1.7 -0.8 (-1.4, -0.2)
Norton City 8 falling falling trend similar 6 278.5 (185.3, 403.5) 1.6 -1.9 (-3.7, -0.1)
Fairfax City 5 falling falling trend higher 30 273.6 (230.5, 322.2) 1.5 -1.4 (-2.8, 0.0)
Danville City 5 falling falling trend higher 64 270.7 (240.9, 303.4) 1.5 -1.0 (-1.6, -0.4)
Northampton County 5 falling falling trend higher 26 270.4 (223.6, 325.9) 1.5 -1.1 (-2.0, -0.2)
Dickenson County 4 stable stable trend higher 28 259.3 (216.5, 309.0) 1.5 -0.4 (-1.2, 0.5)
Halifax County with South Boston City 5 falling falling trend higher 65 254.9 (226.9, 285.8) 1.4 -1.4 (-2.0, -0.8)
Salem City 5 falling falling trend higher 38 252.8 (217.5, 292.5) 1.4 -0.7 (-1.3, -0.1)
Colonial Heights City 5 falling falling trend higher 26 252.6 (210.7, 301.0) 1.4 -1.5 (-2.3, -0.7)
Richmond County 5 falling falling trend higher 16 251.8 (198.7, 316.3) 1.4 -1.0 (-1.9, -0.1)
Bristol City 5 falling falling trend higher 26 247.5 (206.0, 295.4) 1.4 -1.0 (-1.8, -0.2)
Waynesboro City 5 falling falling trend higher 32 246.7 (209.3, 289.1) 1.4 -0.9 (-1.6, -0.1)
Norfolk City 4 stable stable trend higher 229 242.1 (227.6, 257.2) 1.4 0.8 (-1.8, 3.4)
Tazewell County 5 falling falling trend higher 71 241.4 (216.0, 269.3) 1.4 -1.3 (-1.8, -0.8)
Warren County 5 falling falling trend higher 54 241.0 (211.6, 273.4) 1.4 -1.3 (-1.9, -0.7)
Amelia County 5 falling falling trend higher 21 239.2 (193.0, 293.9) 1.3 -1.5 (-2.6, -0.5)
King and Queen County 8 falling falling trend similar 12 238.5 (178.5, 314.2) 1.3 -1.6 (-2.7, -0.4)
Greensville County 5 falling falling trend higher 15 238.5 (184.2, 303.8) 1.3 -1.8 (-3.1, -0.4)
Giles County 5 falling falling trend higher 28 236.1 (197.1, 281.4) 1.3 -1.0 (-1.8, -0.1)
Sussex County 5 falling falling trend higher 16 236.1 (186.0, 296.3) 1.3 -2.5 (-3.5, -1.6)
Staunton City 4 stable stable trend higher 36 234.9 (201.2, 273.1) 1.3 -0.5 (-1.1, 0.2)
Smyth County 5 falling falling trend higher 52 234.4 (206.3, 265.7) 1.3 -1.0 (-1.6, -0.3)
Wise County 5 falling falling trend higher 55 234.3 (206.5, 264.9) 1.3 -1.5 (-2.0, -0.9)
Gloucester County 5 falling falling trend higher 57 234.2 (206.8, 264.6) 1.3 -1.2 (-1.8, -0.6)
Lancaster County 5 falling falling trend higher 27 232.8 (189.3, 286.8) 1.3 -1.8 (-2.8, -0.9)
Lynchburg City 5 falling falling trend higher 83 232.8 (210.6, 256.7) 1.3 -1.4 (-1.8, -0.9)
Portsmouth City 5 falling falling trend higher 108 231.4 (211.7, 252.4) 1.3 -1.8 (-2.2, -1.3)
Radford City 6 stable stable trend similar 13 231.4 (176.1, 298.0) 1.3 -1.2 (-2.5, 0.1)
Hampton City 5 falling falling trend higher 153 227.6 (211.3, 244.8) 1.3 -1.5 (-1.9, -1.1)
Newport News City 5 falling falling trend higher 173 227.2 (211.8, 243.3) 1.3 -1.8 (-2.1, -1.5)
Roanoke City 5 falling falling trend higher 116 226.6 (207.8, 246.6) 1.3 -1.5 (-1.8, -1.1)
Charlotte County 5 falling falling trend higher 20 226.1 (182.2, 278.6) 1.3 -1.3 (-2.2, -0.4)
Nottoway County 5 falling falling trend higher 22 225.0 (184.2, 272.7) 1.3 -2.0 (-2.7, -1.3)
Prince Edward County 5 falling falling trend higher 27 223.3 (186.2, 266.0) 1.3 -1.2 (-2.0, -0.5)
Lunenburg County 8 falling falling trend similar 19 222.6 (178.5, 275.1) 1.3 -1.7 (-2.8, -0.6)
Page County 5 falling falling trend higher 39 220.4 (189.6, 255.4) 1.2 -1.3 (-2.1, -0.6)
Westmoreland County 5 falling falling trend higher 33 218.7 (185.6, 257.2) 1.2 -2.0 (-2.8, -1.1)
Brunswick County 5 falling falling trend higher 25 218.4 (181.0, 262.1) 1.2 -2.6 (-3.5, -1.7)
Buckingham County 4 stable stable trend higher 26 218.2 (181.1, 261.3) 1.2 -1.0 (-2.1, 0.1)
Scott County 5 falling falling trend higher 39 218.1 (187.9, 252.7) 1.2 -1.3 (-1.9, -0.7)
Nelson County 6 stable stable trend similar 26 217.0 (178.3, 263.0) 1.2 -0.3 (-1.2, 0.7)
Cumberland County 8 falling falling trend similar 16 216.7 (169.8, 274.4) 1.2 -2.0 (-3.0, -1.1)
Essex County 8 falling falling trend similar 17 216.1 (170.6, 271.8) 1.2 -1.6 (-2.7, -0.5)
Accomack County 5 falling falling trend higher 55 214.3 (188.9, 242.7) 1.2 -1.7 (-2.2, -1.2)
Emporia City 8 falling falling trend similar 7 214.0 (147.3, 303.0) 1.2 -2.8 (-4.3, -1.2)
Buena Vista City 8 falling falling trend similar 8 213.9 (152.9, 293.3) 1.2 -1.9 (-3.1, -0.7)
Shenandoah County 5 falling falling trend higher 66 212.8 (190.0, 237.9) 1.2 -1.0 (-1.5, -0.6)
Russell County 4 stable stable trend higher 40 212.3 (183.0, 245.4) 1.2 -0.5 (-1.2, 0.2)
Isle of Wight County 5 falling falling trend higher 49 211.9 (185.2, 241.6) 1.2 -2.2 (-3.1, -1.4)
Orange County 5 falling falling trend higher 51 211.2 (185.8, 239.5) 1.2 -1.6 (-2.1, -1.0)
Suffolk City 5 falling falling trend higher 95 209.9 (190.6, 230.5) 1.2 -1.9 (-2.4, -1.4)
Mecklenburg County 5 falling falling trend higher 53 209.5 (184.2, 237.9) 1.2 -1.2 (-1.9, -0.6)
Poquoson City 8 falling falling trend similar 16 207.1 (163.2, 260.0) 1.2 -2.6 (-4.1, -1.1)
Buchanan County 8 falling falling trend similar 33 206.5 (175.1, 242.7) 1.2 -1.1 (-1.9, -0.3)
Pittsylvania County 5 falling falling trend higher 93 205.7 (186.6, 226.5) 1.2 -1.5 (-2.0, -1.0)
Dinwiddie County 8 falling falling trend similar 34 205.7 (174.9, 240.6) 1.2 -1.8 (-2.6, -1.0)
Wythe County 8 falling falling trend similar 41 204.1 (176.3, 235.7) 1.2 -1.7 (-2.4, -1.0)
Appomattox County 8 falling falling trend similar 22 204.0 (166.3, 248.5) 1.1 -1.4 (-2.7, -0.2)
Surry County 8 falling falling trend similar 10 202.4 (147.9, 274.1) 1.1 -2.3 (-3.5, -1.0)
Floyd County 6 stable stable trend similar 23 201.0 (164.9, 243.8) 1.1 -0.1 (-1.1, 0.8)
Campbell County 5 falling falling trend higher 73 200.7 (180.2, 223.0) 1.1 -1.5 (-2.2, -0.9)
Lee County 8 falling falling trend similar 34 200.1 (170.4, 234.0) 1.1 -1.7 (-2.3, -1.0)
Chesapeake City 5 falling falling trend higher 215 199.8 (187.4, 212.8) 1.1 -2.1 (-2.4, -1.7)
Caroline County 8 falling falling trend similar 33 198.8 (168.4, 233.1) 1.1 -2.2 (-3.0, -1.4)
Madison County 6 stable stable trend similar 19 198.7 (159.6, 245.8) 1.1 -0.9 (-2.2, 0.3)
Culpeper County 8 falling falling trend similar 55 198.4 (175.0, 224.1) 1.1 -1.5 (-2.1, -1.0)
Henry County 5 falling falling trend higher 78 198.3 (178.5, 220.1) 1.1 -0.9 (-1.3, -0.6)
Patrick County 8 falling falling trend similar 28 198.1 (165.1, 236.9) 1.1 -0.9 (-1.8, 0.0)
Southampton County 8 falling falling trend similar 25 197.2 (162.9, 237.4) 1.1 -2.4 (-3.2, -1.7)
Bedford City and County 5 falling falling trend higher 111 196.0 (179.5, 213.8) 1.1 -1.7 (-2.1, -1.2)
New Kent County 8 falling falling trend similar 26 194.9 (159.5, 235.9) 1.1 -2.1 (-3.2, -1.0)
Alleghany County and Clifton Forge City 8 falling falling trend similar 23 194.7 (159.5, 236.8) 1.1 -1.7 (-2.6, -0.7)
Amherst County 8 falling falling trend similar 41 194.1 (167.8, 223.8) 1.1 -1.6 (-2.3, -0.9)
Charles City County 8 falling falling trend similar 11 193.8 (143.9, 259.8) 1.1 -2.4 (-3.4, -1.3)
Middlesex County 8 falling falling trend similar 22 192.9 (157.9, 237.1) 1.1 -2.1 (-2.8, -1.5)
Harrisonburg City 8 falling falling trend similar 33 192.5 (163.8, 224.6) 1.1 -2.1 (-3.0, -1.1)
Goochland County 8 falling falling trend similar 34 192.4 (163.0, 226.4) 1.1 -2.1 (-3.1, -1.1)
King William County 8 falling falling trend similar 18 191.8 (152.5, 238.4) 1.1 -1.8 (-2.9, -0.7)
Winchester City 8 falling falling trend similar 28 186.8 (156.7, 221.0) 1.1 -1.9 (-2.5, -1.3)
Frederick County 8 falling falling trend similar 99 185.2 (168.9, 202.6) 1.0 -1.9 (-2.4, -1.4)
Grayson County 8 falling falling trend similar 23 185.1 (151.5, 225.1) 1.0 -1.1 (-1.9, -0.2)
Craig County 6 stable stable trend similar 8 184.6 (128.0, 262.8) 1.0 -0.3 (-1.9, 1.4)
Bath County 8 falling falling trend similar 8 184.5 (129.9, 263.6) 1.0 -2.5 (-3.9, -1.1)
Clarke County 8 falling falling trend similar 19 183.8 (147.8, 227.1) 1.0 -1.6 (-2.7, -0.4)
Louisa County 8 falling falling trend similar 46 183.2 (159.3, 210.0) 1.0 -1.9 (-2.6, -1.2)
Chesterfield County 8 falling falling trend similar 306 182.9 (173.4, 192.8) 1.0 -1.9 (-2.2, -1.5)
Henrico County 8 falling falling trend similar 293 180.1 (170.7, 189.8) 1.0 -1.9 (-2.2, -1.6)
Washington County 8 falling falling trend similar 71 179.8 (160.9, 200.6) 1.0 -1.6 (-2.1, -1.1)
Pulaski County 8 falling falling trend similar 45 179.5 (156.4, 205.6) 1.0 -1.8 (-2.5, -1.2)
Virginia Beach City 8 falling falling trend similar 377 177.2 (169.1, 185.6) 1.0 -1.9 (-2.0, -1.7)
Greene County 8 falling falling trend similar 20 176.9 (142.8, 216.9) 1.0 -1.6 (-2.8, -0.4)
Richmond City 8 falling falling trend similar 182 176.6 (164.7, 189.1) 1.0 -4.5 (-5.5, -3.5)
Spotsylvania County 8 falling falling trend similar 118 175.6 (161.2, 191.0) 1.0 -2.2 (-2.8, -1.7)
Rockingham County 8 falling falling trend similar 91 173.7 (157.9, 190.8) 1.0 -1.0 (-1.4, -0.6)
Mathews County 8 falling falling trend similar 16 173.4 (135.9, 222.6) 1.0 -2.4 (-3.5, -1.3)
Carroll County 8 falling falling trend similar 43 173.0 (150.2, 199.1) 1.0 -1.0 (-1.8, -0.2)
James City County 8 falling falling trend similar 108 172.9 (158.2, 188.8) 1.0 -1.2 (-1.8, -0.6)
Roanoke County 8 falling falling trend similar 109 172.0 (157.5, 187.5) 1.0 -1.2 (-1.6, -0.7)
King George County 8 falling falling trend similar 23 171.8 (140.4, 208.0) 1.0 -2.2 (-3.2, -1.1)
Fauquier County 8 falling falling trend similar 71 170.7 (152.7, 190.3) 1.0 -2.2 (-2.9, -1.6)
Franklin County 8 falling falling trend similar 72 170.5 (152.4, 190.4) 1.0 -1.4 (-2.0, -0.9)
Montgomery County 8 falling falling trend similar 70 169.0 (151.4, 188.1) 1.0 -1.7 (-2.2, -1.3)
Fredericksburg City 6 stable stable trend similar 19 168.9 (135.3, 207.9) 1.0 13.1 (-13.1, 47.2)
Stafford County 8 falling falling trend similar 96 167.5 (151.7, 184.4) 0.9 -2.6 (-3.3, -2.0)
Falls Church City 8 falling falling trend similar 10 166.1 (122.1, 220.3) 0.9 -2.3 (-3.6, -1.0)
Manassas City 8 falling falling trend similar 24 166.0 (134.6, 201.8) 0.9 -2.4 (-3.4, -1.5)
Hanover County 8 falling falling trend similar 107 165.4 (151.3, 180.6) 0.9 -2.5 (-3.0, -2.0)
Powhatan County 8 falling falling trend similar 30 163.4 (136.8, 193.9) 0.9 -2.8 (-3.6, -2.0)
Botetourt County 8 falling falling trend similar 40 162.6 (140.1, 188.1) 0.9 -2.1 (-2.9, -1.3)
Prince George County 8 falling falling trend similar 32 161.5 (136.6, 189.6) 0.9 -2.8 (-3.7, -2.0)
Fluvanna County 8 falling falling trend similar 28 161.4 (135.3, 191.6) 0.9 -2.2 (-3.1, -1.4)
Charlottesville City 8 falling falling trend similar 29 160.2 (134.0, 190.0) 0.9 -2.5 (-3.3, -1.8)
Augusta County 8 falling falling trend similar 88 159.7 (144.9, 175.8) 0.9 -1.9 (-2.4, -1.3)
Northumberland County 8 falling falling trend similar 24 159.7 (130.3, 197.7) 0.9 -3.0 (-3.9, -2.0)
Rockbridge County 8 falling falling trend similar 31 159.0 (133.6, 188.8) 0.9 -1.8 (-2.7, -0.9)
Rappahannock County 8 falling falling trend similar 10 157.4 (116.7, 212.0) 0.9 -2.5 (-4.0, -1.1)
Prince William County 9 falling falling trend lower 245 147.6 (138.7, 156.8) 0.8 -2.9 (-3.2, -2.5)
Albemarle County 9 falling falling trend lower 95 145.6 (132.6, 159.6) 0.8 -1.8 (-2.3, -1.2)
York County 9 falling falling trend lower 51 134.9 (118.6, 152.9) 0.8 -3.3 (-4.0, -2.6)
Loudoun County 9 falling falling trend lower 190 133.6 (124.8, 142.8) 0.8 -2.9 (-3.3, -2.5)
Alexandria City 9 falling falling trend lower 79 133.4 (120.0, 147.8) 0.8 -3.0 (-3.4, -2.6)
Fairfax County 9 falling falling trend lower 664 123.0 (118.7, 127.4) 0.7 -2.4 (-2.6, -2.2)
Arlington County 9 falling falling trend lower 106 119.1 (108.9, 130.1) 0.7 -2.8 (-3.2, -2.5)
Williamsburg City 7 stable stable trend lower 9 109.4 (78.5, 150.1) 0.6 14.1 (-21.9, 66.6)
Manassas Park City 9 falling falling trend lower 5 96.3 (60.2, 144.1) 0.5 -5.1 (-7.6, -2.4)
Bland County
**
** similar 6 131.4 (88.7, 191.0) 0.7
**
Highland County
**
** similar 5 195.6 (123.5, 327.1) 1.1
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/04/2024 3:55 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

** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
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).
Trend for the following could not be reliably determined due to small number of deaths per year:
Bland County, Highland 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.

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