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