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) |
| Perry County | 4 |
stable 
|
higher | 44 | 244.4 (212.1, 280.5) | 1.9 | 0.3 (-0.4, 1.0) |
| Martin County | 4 |
stable
|
higher | 17 | 236.3 (187.1, 295.7) | 1.8 | 0.3 (-1.0, 1.6) |
| Floyd County | 4 |
stable
|
higher | 62 | 233.9 (207.7, 262.9) | 1.8 | -0.2 (-0.8, 0.5) |
| Leslie County | 1 |
rising 
|
higher | 17 | 232.3 (184.2, 290.7) | 1.8 | 1.7 (0.3, 3.0) |
| Johnson County | 4 |
stable
|
higher | 36 | 226.4 (193.8, 263.4) | 1.8 | 0.4 (-0.2, 1.0) |
| Wolfe County | 4 |
stable
|
higher | 12 | 226.3 (171.3, 295.3) | 1.8 | -0.8 (-2.5, 0.9) |
| Clay County | 4 |
stable
|
higher | 28 | 218.4 (183.1, 259.1) | 1.7 | 0.6 (-0.2, 1.4) |
| Knox County | 4 |
stable
|
higher | 45 | 206.7 (179.8, 236.7) | 1.6 | 0.6 (0.0, 1.2) |
| Metcalfe County | 4 |
stable
|
higher | 16 | 205.2 (162.6, 257.4) | 1.6 | 1.3 (-0.1, 2.6) |
| Butler County | 4 |
stable
|
higher | 19 | 203.7 (163.9, 251.3) | 1.6 | 0.4 (-0.8, 1.5) |
| Todd County | 4 |
stable
|
higher | 16 | 203.2 (160.7, 254.2) | 1.6 | 0.2 (-1.0, 1.4) |
| Knott County | 4 |
stable
|
higher | 23 | 202.7 (166.1, 245.9) | 1.6 | 0.5 (-0.4, 1.4) |
| Clinton County | 4 |
stable
|
higher | 15 | 198.2 (155.3, 250.9) | 1.5 | 0.3 (-1.2, 1.9) |
| Gallatin County | 4 |
stable
|
higher | 10 | 197.2 (145.5, 262.1) | 1.5 | 0.0 (-1.6, 1.6) |
| Lawrence County | 4 |
stable
|
higher | 22 | 195.4 (159.3, 238.0) | 1.5 | -0.2 (-0.9, 0.6) |
| Monroe County | 4 |
stable
|
higher | 15 | 192.9 (150.3, 245.2) | 1.5 | 0.3 (-0.6, 1.3) |
| Morgan County | 4 |
stable
|
higher | 16 | 192.7 (151.6, 242.9) | 1.5 | 0.2 (-1.0, 1.5) |
| Fleming County | 4 |
stable
|
higher | 19 | 192.6 (154.9, 237.4) | 1.5 | 0.6 (-0.5, 1.6) |
| Cumberland County | 4 |
stable
|
higher | 11 | 189.8 (143.1, 250.7) | 1.5 | 0.7 (-0.7, 2.2) |
| Whitley County | 4 |
stable
|
higher | 45 | 188.7 (164.4, 215.8) | 1.5 | -0.2 (-1.0, 0.6) |
| Powell County | 4 |
stable
|
higher | 15 | 188.5 (147.5, 238.2) | 1.5 | -0.5 (-1.5, 0.6) |
| Taylor County | 4 |
stable
|
higher | 35 | 187.3 (159.5, 219.0) | 1.5 | 0.5 (-0.4, 1.3) |
| Harlan County | 4 |
stable
|
higher | 37 | 184.4 (157.8, 214.7) | 1.4 | 0.5 (-0.4, 1.4) |
| Bourbon County | 4 |
stable
|
higher | 28 | 183.2 (153.3, 218.0) | 1.4 | -0.5 (-1.4, 0.5) |
| Elliott County | 4 |
stable
|
higher | 10 | 182.4 (132.7, 247.7) | 1.4 | -0.3 (-1.9, 1.3) |
| Bell County | 4 |
stable
|
higher | 37 | 180.6 (154.9, 209.9) | 1.4 | -0.4 (-1.1, 0.2) |
| Pike County | 4 |
stable
|
higher | 79 | 180.5 (162.5, 200.2) | 1.4 | 0.1 (-0.4, 0.5) |
| Hart County | 4 |
stable
|
higher | 24 | 179.4 (147.8, 216.4) | 1.4 | 0.2 (-1.0, 1.4) |
| Henry County | 4 |
stable
|
higher | 20 | 176.5 (142.5, 216.8) | 1.4 | -0.1 (-1.1, 0.8) |
| McCreary County | 5 |
falling
|
higher | 19 | 176.2 (141.8, 217.2) | 1.4 | -1.2 (-2.2, -0.1) |
| Grayson County | 4 |
stable
|
higher | 33 | 174.6 (148.2, 204.8) | 1.4 | 0.1 (-0.6, 0.9) |
| Owsley County | 6 |
stable
|
similar | 6 | 173.6 (115.6, 254.8) | 1.3 | -0.1 (-1.7, 1.5) |
| McLean County | 5 |
falling
|
higher | 12 | 173.4 (132.4, 225.1) | 1.3 | -1.3 (-2.2, -0.3) |
| Lewis County | 4 |
stable
|
higher | 16 | 173.1 (136.4, 217.6) | 1.3 | -0.6 (-1.5, 0.3) |
| Pulaski County | 4 |
stable
|
higher | 84 | 172.0 (155.5, 190.0) | 1.3 | -0.1 (-0.4, 0.3) |
| Grant County | 4 |
stable
|
higher | 24 | 170.4 (140.9, 204.4) | 1.3 | -0.1 (-1.0, 0.7) |
| Webster County | 4 |
stable
|
higher | 16 | 170.2 (133.5, 214.7) | 1.3 | -0.2 (-1.2, 0.9) |
| Russell County | 4 |
stable
|
higher | 24 | 169.9 (139.7, 205.6) | 1.3 | 0.1 (-0.7, 1.0) |
| Carter County | 5 |
falling
|
higher | 35 | 169.8 (144.8, 198.4) | 1.3 | -1.1 (-1.7, -0.5) |
| Garrard County | 4 |
stable
|
higher | 22 | 169.7 (138.1, 207.0) | 1.3 | -0.6 (-1.5, 0.4) |
| Larue County | 4 |
stable
|
higher | 17 | 169.3 (134.7, 211.1) | 1.3 | -0.2 (-1.3, 0.9) |
| Pendleton County | 4 |
stable
|
higher | 16 | 169.0 (133.2, 212.3) | 1.3 | -0.5 (-1.7, 0.7) |
| Ohio County | 4 |
stable
|
higher | 28 | 168.5 (141.0, 200.3) | 1.3 | -0.5 (-1.4, 0.4) |
| Anderson County | 4 |
stable
|
higher | 25 | 168.0 (139.3, 201.2) | 1.3 | -0.1 (-1.1, 0.9) |
| Laurel County | 4 |
stable
|
higher | 69 | 167.5 (150.0, 186.6) | 1.3 | -0.2 (-0.9, 0.4) |
| Carroll County | 6 |
stable
|
similar | 12 | 167.2 (126.0, 218.5) | 1.3 | -0.6 (-1.7, 0.6) |
| Mason County | 4 |
stable
|
higher | 21 | 166.7 (135.5, 203.7) | 1.3 | -0.2 (-1.1, 0.6) |
| Logan County | 4 |
stable
|
higher | 33 | 165.7 (140.5, 194.6) | 1.3 | -0.3 (-1.1, 0.6) |
| Letcher County | 5 |
falling
|
higher | 28 | 165.4 (138.5, 196.6) | 1.3 | -0.7 (-1.4, -0.1) |
| Rockcastle County | 4 |
stable
|
higher | 20 | 164.6 (132.7, 202.7) | 1.3 | 0.3 (-0.6, 1.2) |
| Lincoln County | 4 |
stable
|
higher | 30 | 163.9 (138.4, 193.3) | 1.3 | 0.6 (-0.1, 1.3) |
| Graves County | 4 |
stable
|
higher | 45 | 163.0 (141.7, 186.8) | 1.3 | -0.1 (-0.8, 0.5) |
| Jackson County | 6 |
stable
|
similar | 15 | 161.9 (126.9, 204.7) | 1.3 | -0.5 (-1.6, 0.7) |
| Montgomery County | 4 |
stable
|
higher | 31 | 161.9 (137.0, 190.4) | 1.3 | -0.9 (-1.8, 0.1) |
| Estill County | 6 |
stable
|
similar | 18 | 161.5 (128.7, 201.3) | 1.3 | 0.2 (-0.8, 1.2) |
| Simpson County | 4 |
stable
|
higher | 20 | 161.0 (130.6, 197.0) | 1.3 | 0.5 (-0.4, 1.3) |
| Livingston County | 6 |
stable
|
similar | 13 | 160.7 (122.4, 209.8) | 1.2 | 0.2 (-1.1, 1.5) |
| Lee County | 8 |
falling
|
similar | 8 | 160.5 (113.6, 223.6) | 1.2 | -3.5 (-5.5, -1.5) |
| Hopkins County | 5 |
falling
|
higher | 55 | 160.4 (141.4, 181.6) | 1.2 | -0.7 (-1.3, -0.1) |
| Rowan County | 4 |
stable
|
higher | 23 | 160.3 (131.8, 193.5) | 1.2 | 0.3 (-0.8, 1.4) |
| Fulton County | 6 |
stable
|
similar | 7 | 160.0 (109.1, 229.1) | 1.2 | -0.8 (-1.8, 0.1) |
| Green County | 6 |
stable
|
similar | 15 | 159.3 (124.5, 202.8) | 1.2 | 0.6 (-0.8, 2.0) |
| Breckinridge County | 5 |
falling
|
higher | 25 | 159.1 (131.7, 191.5) | 1.2 | -1.1 (-1.8, -0.3) |
| Meade County | 4 |
stable
|
higher | 26 | 158.9 (132.4, 189.3) | 1.2 | -0.6 (-1.6, 0.4) |
| Henderson County | 4 |
stable
|
higher | 52 | 158.9 (139.6, 180.3) | 1.2 | -0.5 (-1.1, 0.2) |
| Boyd County | 5 |
falling
|
higher | 59 | 158.8 (140.5, 179.3) | 1.2 | -0.9 (-1.3, -0.5) |
| Marshall County | 4 |
stable
|
higher | 42 | 158.6 (136.9, 183.4) | 1.2 | -0.6 (-1.3, 0.1) |
| Allen County | 4 |
stable
|
higher | 24 | 158.6 (130.8, 191.3) | 1.2 | -0.1 (-1.3, 1.1) |
| Greenup County | 5 |
falling
|
higher | 49 | 158.4 (138.8, 180.6) | 1.2 | -0.9 (-1.4, -0.4) |
| Washington County | 6 |
stable
|
similar | 15 | 158.4 (124.0, 200.7) | 1.2 | -0.5 (-1.8, 0.8) |
| Clark County | 4 |
stable
|
higher | 42 | 158.3 (137.3, 182.0) | 1.2 | -0.2 (-0.9, 0.4) |
| Breathitt County | 6 |
stable
|
similar | 14 | 157.4 (121.0, 202.3) | 1.2 | -0.5 (-1.6, 0.6) |
| Magoffin County | 8 |
falling
|
similar | 13 | 156.8 (120.7, 201.5) | 1.2 | -1.5 (-2.7, -0.3) |
| Union County | 6 |
stable
|
similar | 16 | 156.8 (123.2, 197.8) | 1.2 | -0.8 (-1.9, 0.3) |
| Nicholas County | 6 |
stable
|
similar | 8 | 155.8 (109.4, 217.0) | 1.2 | -0.4 (-1.9, 1.0) |
| Boyle County | 4 |
stable
|
higher | 36 | 155.5 (132.6, 181.8) | 1.2 | -0.7 (-1.6, 0.2) |
| Edmonson County | 6 |
stable
|
similar | 15 | 155.3 (121.4, 197.4) | 1.2 | -0.4 (-1.3, 0.6) |
| Trigg County | 6 |
stable
|
similar | 18 | 154.3 (122.8, 192.7) | 1.2 | -0.7 (-1.8, 0.4) |
| Warren County | 5 |
falling
|
higher | 111 | 153.9 (141.1, 167.5) | 1.2 | -0.7 (-1.1, -0.3) |
| Kenton County | 5 |
falling
|
higher | 159 | 153.6 (142.9, 165.0) | 1.2 | -1.0 (-1.4, -0.7) |
| Muhlenberg County | 4 |
stable
|
higher | 37 | 152.8 (130.8, 178.0) | 1.2 | -0.5 (-1.1, 0.2) |
| Barren County | 4 |
stable
|
higher | 50 | 152.2 (133.6, 172.9) | 1.2 | -0.5 (-1.2, 0.1) |
| Campbell County | 5 |
falling
|
higher | 95 | 151.8 (138.1, 166.6) | 1.2 | -1.3 (-1.6, -0.9) |
| Adair County | 6 |
stable
|
similar | 21 | 151.7 (123.0, 185.8) | 1.2 | 0.3 (-0.8, 1.4) |
| Hardin County | 4 |
stable
|
higher | 103 | 151.3 (138.3, 165.3) | 1.2 | -0.4 (-0.8, 0.0) |
| Lyon County | 6 |
stable
|
similar | 11 | 151.2 (110.1, 207.8) | 1.2 | -0.3 (-1.8, 1.3) |
| Scott County | 5 |
falling
|
higher | 44 | 151.2 (131.6, 172.9) | 1.2 | -1.4 (-2.1, -0.7) |
| Menifee County | 6 |
stable
|
similar | 8 | 150.9 (107.2, 210.6) | 1.2 | -1.3 (-2.8, 0.3) |
| Wayne County | 6 |
stable
|
similar | 23 | 150.3 (122.4, 183.2) | 1.2 | -0.5 (-1.3, 0.3) |
| Christian County | 5 |
falling
|
higher | 56 | 149.6 (132.3, 168.5) | 1.2 | -0.7 (-1.2, -0.3) |
| Nelson County | 5 |
falling
|
higher | 45 | 148.7 (129.6, 170.1) | 1.2 | -0.8 (-1.6, -0.1) |
| Daviess County | 5 |
falling
|
higher | 106 | 147.9 (135.2, 161.5) | 1.1 | -0.6 (-1.1, -0.1) |
| Mercer County | 6 |
stable
|
similar | 26 | 147.5 (122.9, 176.4) | 1.1 | -0.5 (-1.3, 0.3) |
| Bath County | 6 |
stable
|
similar | 13 | 147.1 (112.4, 190.0) | 1.1 | -0.6 (-1.9, 0.6) |
| Bullitt County | 5 |
falling
|
higher | 77 | 146.1 (131.6, 161.9) | 1.1 | -0.8 (-1.4, -0.2) |
| Hickman County | 6 |
stable
|
similar | 7 | 146.1 (99.0, 215.5) | 1.1 | -0.1 (-1.5, 1.3) |
| Madison County | 5 |
falling
|
higher | 77 | 145.8 (131.4, 161.5) | 1.1 | -2.0 (-3.6, -0.3) |
| Jefferson County | 5 |
falling
|
higher | 784 | 145.1 (140.5, 149.9) | 1.1 | -1.6 (-1.9, -1.2) |
| Franklin County | 8 |
falling
|
similar | 54 | 143.0 (126.1, 161.8) | 1.1 | -1.3 (-2.0, -0.7) |
| McCracken County | 8 |
falling
|
similar | 77 | 141.9 (127.3, 157.9) | 1.1 | -0.9 (-1.3, -0.5) |
| Shelby County | 8 |
falling
|
similar | 44 | 141.5 (123.0, 162.1) | 1.1 | -1.2 (-2.0, -0.5) |
| Crittenden County | 6 |
stable
|
similar | 10 | 141.1 (103.9, 189.7) | 1.1 | -0.1 (-1.6, 1.4) |
| Marion County | 8 |
falling
|
similar | 20 | 141.1 (113.6, 173.8) | 1.1 | -1.4 (-2.5, -0.2) |
| Caldwell County | 6 |
stable
|
similar | 15 | 139.8 (109.0, 178.2) | 1.1 | -0.4 (-1.4, 0.6) |
| Calloway County | 6 |
stable
|
similar | 36 | 139.7 (119.3, 162.8) | 1.1 | -0.1 (-0.7, 0.6) |
| Bracken County | 6 |
stable
|
similar | 8 | 138.4 (98.9, 190.4) | 1.1 | 0.1 (-1.3, 1.5) |
| Woodford County | 6 |
stable
|
similar | 26 | 138.2 (114.9, 165.3) | 1.1 | 0.7 (-2.8, 4.2) |
| Owen County | 6 |
stable
|
similar | 11 | 137.4 (102.4, 182.0) | 1.1 | -0.9 (-2.0, 0.3) |
| Casey County | 6 |
stable
|
similar | 18 | 136.6 (109.3, 169.8) | 1.1 | -0.1 (-1.1, 0.9) |
| Trimble County | 6 |
stable
|
similar | 7 | 133.6 (92.3, 188.3) | 1.0 | -0.5 (-2.1, 1.1) |
| Fayette County | 8 |
falling
|
similar | 254 | 132.8 (125.4, 140.4) | 1.0 | -1.4 (-1.8, -1.1) |
| Harrison County | 6 |
stable
|
similar | 18 | 130.4 (104.2, 162.0) | 1.0 | -1.0 (-2.0, 0.1) |
| Jessamine County | 8 |
falling
|
similar | 44 | 129.7 (112.7, 148.6) | 1.0 | -1.4 (-2.2, -0.6) |
| Oldham County | 8 |
falling
|
similar | 44 | 123.3 (107.1, 141.4) | 1.0 | -1.0 (-1.7, -0.2) |
| Spencer County | 8 |
falling
|
similar | 13 | 123.3 (94.0, 159.1) | 1.0 | -1.3 (-2.3, -0.3) |
| Ballard County | 8 |
falling
|
similar | 9 | 121.6 (87.8, 167.5) | 0.9 | -1.5 (-2.6, -0.4) |
| Boone County | 8 |
falling
|
similar | 91 | 118.4 (107.6, 130.1) | 0.9 | -1.8 (-2.3, -1.2) |
| 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 05/05/2024 2:03 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 05/05/2024 2:03 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.