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