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 
|
- | 283,896 | 128.7 (128.5, 129.0) | - | -1.9 (-2.2, -1.7) |
| Kentucky | - |
falling
|
- | 4,740 | 155.3 (153.3, 157.3) | - | -1.1 (-1.2, -0.9) |
| Boone County | 8 |
falling
|
similar | 91 | 118.4 (107.6, 130.1) | 0.9 | -1.8 (-2.3, -1.2) |
| Ballard County | 8 |
falling
|
similar | 9 | 121.6 (87.8, 167.5) | 0.9 | -1.5 (-2.6, -0.4) |
| Spencer County | 8 |
falling
|
similar | 13 | 123.3 (94.0, 159.1) | 1.0 | -1.3 (-2.3, -0.3) |
| Oldham County | 8 |
falling
|
similar | 44 | 123.3 (107.1, 141.4) | 1.0 | -1.0 (-1.7, -0.2) |
| Jessamine County | 8 |
falling
|
similar | 44 | 129.7 (112.7, 148.6) | 1.0 | -1.4 (-2.2, -0.6) |
| Harrison County | 6 |
stable 
|
similar | 18 | 130.4 (104.2, 162.0) | 1.0 | -1.0 (-2.0, 0.1) |
| Fayette County | 8 |
falling
|
similar | 254 | 132.8 (125.4, 140.4) | 1.0 | -1.4 (-1.8, -1.1) |
| Trimble County | 6 |
stable
|
similar | 7 | 133.6 (92.3, 188.3) | 1.0 | -0.5 (-2.1, 1.1) |
| Casey County | 6 |
stable
|
similar | 18 | 136.6 (109.3, 169.8) | 1.1 | -0.1 (-1.1, 0.9) |
| Owen County | 6 |
stable
|
similar | 11 | 137.4 (102.4, 182.0) | 1.1 | -0.9 (-2.0, 0.3) |
| Woodford County | 6 |
stable
|
similar | 26 | 138.2 (114.9, 165.3) | 1.1 | 0.7 (-2.8, 4.2) |
| Bracken County | 6 |
stable
|
similar | 8 | 138.4 (98.9, 190.4) | 1.1 | 0.1 (-1.3, 1.5) |
| Calloway County | 6 |
stable
|
similar | 36 | 139.7 (119.3, 162.8) | 1.1 | -0.1 (-0.7, 0.6) |
| Caldwell County | 6 |
stable
|
similar | 15 | 139.8 (109.0, 178.2) | 1.1 | -0.4 (-1.4, 0.6) |
| Marion County | 8 |
falling
|
similar | 20 | 141.1 (113.6, 173.8) | 1.1 | -1.4 (-2.5, -0.2) |
| Crittenden County | 6 |
stable
|
similar | 10 | 141.1 (103.9, 189.7) | 1.1 | -0.1 (-1.6, 1.4) |
| Shelby County | 8 |
falling
|
similar | 44 | 141.5 (123.0, 162.1) | 1.1 | -1.2 (-2.0, -0.5) |
| McCracken County | 8 |
falling
|
similar | 77 | 141.9 (127.3, 157.9) | 1.1 | -0.9 (-1.3, -0.5) |
| Franklin County | 8 |
falling
|
similar | 54 | 143.0 (126.1, 161.8) | 1.1 | -1.3 (-2.0, -0.7) |
| Jefferson County | 5 |
falling
|
higher | 784 | 145.1 (140.5, 149.9) | 1.1 | -1.6 (-1.9, -1.2) |
| Madison County | 5 |
falling
|
higher | 77 | 145.8 (131.4, 161.5) | 1.1 | -2.0 (-3.6, -0.3) |
| Hickman County | 6 |
stable
|
similar | 7 | 146.1 (99.0, 215.5) | 1.1 | -0.1 (-1.5, 1.3) |
| Bullitt County | 5 |
falling
|
higher | 77 | 146.1 (131.6, 161.9) | 1.1 | -0.8 (-1.4, -0.2) |
| Bath County | 6 |
stable
|
similar | 13 | 147.1 (112.4, 190.0) | 1.1 | -0.6 (-1.9, 0.6) |
| Mercer County | 6 |
stable
|
similar | 26 | 147.5 (122.9, 176.4) | 1.1 | -0.5 (-1.3, 0.3) |
| Daviess County | 5 |
falling
|
higher | 106 | 147.9 (135.2, 161.5) | 1.1 | -0.6 (-1.1, -0.1) |
| Nelson County | 5 |
falling
|
higher | 45 | 148.7 (129.6, 170.1) | 1.2 | -0.8 (-1.6, -0.1) |
| Christian County | 5 |
falling
|
higher | 56 | 149.6 (132.3, 168.5) | 1.2 | -0.7 (-1.2, -0.3) |
| Wayne County | 6 |
stable
|
similar | 23 | 150.3 (122.4, 183.2) | 1.2 | -0.5 (-1.3, 0.3) |
| Menifee County | 6 |
stable
|
similar | 8 | 150.9 (107.2, 210.6) | 1.2 | -1.3 (-2.8, 0.3) |
| Scott County | 5 |
falling
|
higher | 44 | 151.2 (131.6, 172.9) | 1.2 | -1.4 (-2.1, -0.7) |
| Lyon County | 6 |
stable
|
similar | 11 | 151.2 (110.1, 207.8) | 1.2 | -0.3 (-1.8, 1.3) |
| Hardin County | 4 |
stable
|
higher | 103 | 151.3 (138.3, 165.3) | 1.2 | -0.4 (-0.8, 0.0) |
| Adair County | 6 |
stable
|
similar | 21 | 151.7 (123.0, 185.8) | 1.2 | 0.3 (-0.8, 1.4) |
| Campbell County | 5 |
falling
|
higher | 95 | 151.8 (138.1, 166.6) | 1.2 | -1.3 (-1.6, -0.9) |
| Barren County | 4 |
stable
|
higher | 50 | 152.2 (133.6, 172.9) | 1.2 | -0.5 (-1.2, 0.1) |
| Muhlenberg County | 4 |
stable
|
higher | 37 | 152.8 (130.8, 178.0) | 1.2 | -0.5 (-1.1, 0.2) |
| Kenton County | 5 |
falling
|
higher | 159 | 153.6 (142.9, 165.0) | 1.2 | -1.0 (-1.4, -0.7) |
| Warren County | 5 |
falling
|
higher | 111 | 153.9 (141.1, 167.5) | 1.2 | -0.7 (-1.1, -0.3) |
| Trigg County | 6 |
stable
|
similar | 18 | 154.3 (122.8, 192.7) | 1.2 | -0.7 (-1.8, 0.4) |
| Edmonson County | 6 |
stable
|
similar | 15 | 155.3 (121.4, 197.4) | 1.2 | -0.4 (-1.3, 0.6) |
| Boyle County | 4 |
stable
|
higher | 36 | 155.5 (132.6, 181.8) | 1.2 | -0.7 (-1.6, 0.2) |
| Nicholas County | 6 |
stable
|
similar | 8 | 155.8 (109.4, 217.0) | 1.2 | -0.4 (-1.9, 1.0) |
| Union County | 6 |
stable
|
similar | 16 | 156.8 (123.2, 197.8) | 1.2 | -0.8 (-1.9, 0.3) |
| Magoffin County | 8 |
falling
|
similar | 13 | 156.8 (120.7, 201.5) | 1.2 | -1.5 (-2.7, -0.3) |
| Breathitt County | 6 |
stable
|
similar | 14 | 157.4 (121.0, 202.3) | 1.2 | -0.5 (-1.6, 0.6) |
| Clark County | 4 |
stable
|
higher | 42 | 158.3 (137.3, 182.0) | 1.2 | -0.2 (-0.9, 0.4) |
| Washington County | 6 |
stable
|
similar | 15 | 158.4 (124.0, 200.7) | 1.2 | -0.5 (-1.8, 0.8) |
| Greenup County | 5 |
falling
|
higher | 49 | 158.4 (138.8, 180.6) | 1.2 | -0.9 (-1.4, -0.4) |
| Allen County | 4 |
stable
|
higher | 24 | 158.6 (130.8, 191.3) | 1.2 | -0.1 (-1.3, 1.1) |
| Marshall County | 4 |
stable
|
higher | 42 | 158.6 (136.9, 183.4) | 1.2 | -0.6 (-1.3, 0.1) |
| Boyd County | 5 |
falling
|
higher | 59 | 158.8 (140.5, 179.3) | 1.2 | -0.9 (-1.3, -0.5) |
| Henderson County | 4 |
stable
|
higher | 52 | 158.9 (139.6, 180.3) | 1.2 | -0.5 (-1.1, 0.2) |
| Meade County | 4 |
stable
|
higher | 26 | 158.9 (132.4, 189.3) | 1.2 | -0.6 (-1.6, 0.4) |
| Breckinridge County | 5 |
falling
|
higher | 25 | 159.1 (131.7, 191.5) | 1.2 | -1.1 (-1.8, -0.3) |
| Green County | 6 |
stable
|
similar | 15 | 159.3 (124.5, 202.8) | 1.2 | 0.6 (-0.8, 2.0) |
| Fulton County | 6 |
stable
|
similar | 7 | 160.0 (109.1, 229.1) | 1.2 | -0.8 (-1.8, 0.1) |
| Rowan County | 4 |
stable
|
higher | 23 | 160.3 (131.8, 193.5) | 1.2 | 0.3 (-0.8, 1.4) |
| Hopkins County | 5 |
falling
|
higher | 55 | 160.4 (141.4, 181.6) | 1.2 | -0.7 (-1.3, -0.1) |
| Lee County | 8 |
falling
|
similar | 8 | 160.5 (113.6, 223.6) | 1.2 | -3.5 (-5.5, -1.5) |
| Livingston County | 6 |
stable
|
similar | 13 | 160.7 (122.4, 209.8) | 1.2 | 0.2 (-1.1, 1.5) |
| Simpson County | 4 |
stable
|
higher | 20 | 161.0 (130.6, 197.0) | 1.3 | 0.5 (-0.4, 1.3) |
| Estill County | 6 |
stable
|
similar | 18 | 161.5 (128.7, 201.3) | 1.3 | 0.2 (-0.8, 1.2) |
| Montgomery County | 4 |
stable
|
higher | 31 | 161.9 (137.0, 190.4) | 1.3 | -0.9 (-1.8, 0.1) |
| Jackson County | 6 |
stable
|
similar | 15 | 161.9 (126.9, 204.7) | 1.3 | -0.5 (-1.6, 0.7) |
| Graves County | 4 |
stable
|
higher | 45 | 163.0 (141.7, 186.8) | 1.3 | -0.1 (-0.8, 0.5) |
| Lincoln County | 4 |
stable
|
higher | 30 | 163.9 (138.4, 193.3) | 1.3 | 0.6 (-0.1, 1.3) |
| Rockcastle County | 4 |
stable
|
higher | 20 | 164.6 (132.7, 202.7) | 1.3 | 0.3 (-0.6, 1.2) |
| Letcher County | 5 |
falling
|
higher | 28 | 165.4 (138.5, 196.6) | 1.3 | -0.7 (-1.4, -0.1) |
| Logan County | 4 |
stable
|
higher | 33 | 165.7 (140.5, 194.6) | 1.3 | -0.3 (-1.1, 0.6) |
| Mason County | 4 |
stable
|
higher | 21 | 166.7 (135.5, 203.7) | 1.3 | -0.2 (-1.1, 0.6) |
| Carroll County | 6 |
stable
|
similar | 12 | 167.2 (126.0, 218.5) | 1.3 | -0.6 (-1.7, 0.6) |
| Laurel County | 4 |
stable
|
higher | 69 | 167.5 (150.0, 186.6) | 1.3 | -0.2 (-0.9, 0.4) |
| Anderson County | 4 |
stable
|
higher | 25 | 168.0 (139.3, 201.2) | 1.3 | -0.1 (-1.1, 0.9) |
| Ohio County | 4 |
stable
|
higher | 28 | 168.5 (141.0, 200.3) | 1.3 | -0.5 (-1.4, 0.4) |
| Pendleton County | 4 |
stable
|
higher | 16 | 169.0 (133.2, 212.3) | 1.3 | -0.5 (-1.7, 0.7) |
| Larue County | 4 |
stable
|
higher | 17 | 169.3 (134.7, 211.1) | 1.3 | -0.2 (-1.3, 0.9) |
| Garrard County | 4 |
stable
|
higher | 22 | 169.7 (138.1, 207.0) | 1.3 | -0.6 (-1.5, 0.4) |
| Carter County | 5 |
falling
|
higher | 35 | 169.8 (144.8, 198.4) | 1.3 | -1.1 (-1.7, -0.5) |
| Russell County | 4 |
stable
|
higher | 24 | 169.9 (139.7, 205.6) | 1.3 | 0.1 (-0.7, 1.0) |
| Webster County | 4 |
stable
|
higher | 16 | 170.2 (133.5, 214.7) | 1.3 | -0.2 (-1.2, 0.9) |
| Grant County | 4 |
stable
|
higher | 24 | 170.4 (140.9, 204.4) | 1.3 | -0.1 (-1.0, 0.7) |
| Pulaski County | 4 |
stable
|
higher | 84 | 172.0 (155.5, 190.0) | 1.3 | -0.1 (-0.4, 0.3) |
| Lewis County | 4 |
stable
|
higher | 16 | 173.1 (136.4, 217.6) | 1.3 | -0.6 (-1.5, 0.3) |
| McLean County | 5 |
falling
|
higher | 12 | 173.4 (132.4, 225.1) | 1.3 | -1.3 (-2.2, -0.3) |
| Owsley County | 6 |
stable
|
similar | 6 | 173.6 (115.6, 254.8) | 1.3 | -0.1 (-1.7, 1.5) |
| Grayson County | 4 |
stable
|
higher | 33 | 174.6 (148.2, 204.8) | 1.4 | 0.1 (-0.6, 0.9) |
| McCreary County | 5 |
falling
|
higher | 19 | 176.2 (141.8, 217.2) | 1.4 | -1.2 (-2.2, -0.1) |
| Henry County | 4 |
stable
|
higher | 20 | 176.5 (142.5, 216.8) | 1.4 | -0.1 (-1.1, 0.8) |
| Hart County | 4 |
stable
|
higher | 24 | 179.4 (147.8, 216.4) | 1.4 | 0.2 (-1.0, 1.4) |
| Pike County | 4 |
stable
|
higher | 79 | 180.5 (162.5, 200.2) | 1.4 | 0.1 (-0.4, 0.5) |
| Bell County | 4 |
stable
|
higher | 37 | 180.6 (154.9, 209.9) | 1.4 | -0.4 (-1.1, 0.2) |
| Elliott County | 4 |
stable
|
higher | 10 | 182.4 (132.7, 247.7) | 1.4 | -0.3 (-1.9, 1.3) |
| Bourbon County | 4 |
stable
|
higher | 28 | 183.2 (153.3, 218.0) | 1.4 | -0.5 (-1.4, 0.5) |
| Harlan County | 4 |
stable
|
higher | 37 | 184.4 (157.8, 214.7) | 1.4 | 0.5 (-0.4, 1.4) |
| Taylor County | 4 |
stable
|
higher | 35 | 187.3 (159.5, 219.0) | 1.5 | 0.5 (-0.4, 1.3) |
| Powell County | 4 |
stable
|
higher | 15 | 188.5 (147.5, 238.2) | 1.5 | -0.5 (-1.5, 0.6) |
| Whitley County | 4 |
stable
|
higher | 45 | 188.7 (164.4, 215.8) | 1.5 | -0.2 (-1.0, 0.6) |
| Cumberland County | 4 |
stable
|
higher | 11 | 189.8 (143.1, 250.7) | 1.5 | 0.7 (-0.7, 2.2) |
| Fleming County | 4 |
stable
|
higher | 19 | 192.6 (154.9, 237.4) | 1.5 | 0.6 (-0.5, 1.6) |
| Morgan County | 4 |
stable
|
higher | 16 | 192.7 (151.6, 242.9) | 1.5 | 0.2 (-1.0, 1.5) |
| Monroe County | 4 |
stable
|
higher | 15 | 192.9 (150.3, 245.2) | 1.5 | 0.3 (-0.6, 1.3) |
| Lawrence County | 4 |
stable
|
higher | 22 | 195.4 (159.3, 238.0) | 1.5 | -0.2 (-0.9, 0.6) |
| Gallatin County | 4 |
stable
|
higher | 10 | 197.2 (145.5, 262.1) | 1.5 | 0.0 (-1.6, 1.6) |
| Clinton County | 4 |
stable
|
higher | 15 | 198.2 (155.3, 250.9) | 1.5 | 0.3 (-1.2, 1.9) |
| Knott County | 4 |
stable
|
higher | 23 | 202.7 (166.1, 245.9) | 1.6 | 0.5 (-0.4, 1.4) |
| Todd County | 4 |
stable
|
higher | 16 | 203.2 (160.7, 254.2) | 1.6 | 0.2 (-1.0, 1.4) |
| Butler County | 4 |
stable
|
higher | 19 | 203.7 (163.9, 251.3) | 1.6 | 0.4 (-0.8, 1.5) |
| Metcalfe County | 4 |
stable
|
higher | 16 | 205.2 (162.6, 257.4) | 1.6 | 1.3 (-0.1, 2.6) |
| Knox County | 4 |
stable
|
higher | 45 | 206.7 (179.8, 236.7) | 1.6 | 0.6 (0.0, 1.2) |
| Clay County | 4 |
stable
|
higher | 28 | 218.4 (183.1, 259.1) | 1.7 | 0.6 (-0.2, 1.4) |
| Wolfe County | 4 |
stable
|
higher | 12 | 226.3 (171.3, 295.3) | 1.8 | -0.8 (-2.5, 0.9) |
| Johnson County | 4 |
stable
|
higher | 36 | 226.4 (193.8, 263.4) | 1.8 | 0.4 (-0.2, 1.0) |
| Leslie County | 1 |
rising 
|
higher | 17 | 232.3 (184.2, 290.7) | 1.8 | 1.7 (0.3, 3.0) |
| Floyd County | 4 |
stable
|
higher | 62 | 233.9 (207.7, 262.9) | 1.8 | -0.2 (-0.8, 0.5) |
| Martin County | 4 |
stable
|
higher | 17 | 236.3 (187.1, 295.7) | 1.8 | 0.3 (-1.0, 1.6) |
| Perry County | 4 |
stable
|
higher | 44 | 244.4 (212.1, 280.5) | 1.9 | 0.3 (-0.4, 1.0) |
| Carlisle County |
|
** | similar | 8 | 183.5 (127.3, 260.6) | 1.4 |
|
| Hancock County |
|
** | higher | 11 | 186.3 (138.5, 246.7) | 1.4 |
|
| Robertson County |
|
** |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 05/18/2024 11:35 am.
* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** 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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Robertson County
Trend for the following could not be reliably determined due to small number of deaths per year:
Carlisle County, Hancock 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 05/18/2024 11:35 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 < 0.90* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** 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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Robertson County
Trend for the following could not be reliably determined due to small number of deaths per year:
Carlisle County, Hancock 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.