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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, Female

Sorted by name
Counties
sort alphabetically by name descending 		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 descending 		Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
sort by trend descending
United States - falling falling trend - 283,896 128.7 (128.5, 129.0) - -1.9 (-2.2, -1.7)
Virginia - falling falling trend - 7,161 127.9 (126.6, 129.3) - -1.6 (-1.7, -1.5)
Accomack County 5 falling falling trend higher 50 176.0 (153.1, 201.9) 1.4 -0.6 (-1.1, -0.1)
Albemarle County 9 falling falling trend lower 88 102.2 (92.6, 112.7) 0.8 -1.5 (-2.0, -1.0)
Alexandria City 9 falling falling trend lower 82 99.3 (89.7, 109.7) 0.8 -2.8 (-3.2, -2.3)
Alleghany County and Clifton Forge City 8 falling falling trend similar 17 122.9 (96.6, 155.9) 1.0 -1.3 (-2.3, -0.3)
Amelia County 6 stable stable trend similar 17 161.0 (126.7, 203.2) 1.3 0.0 (-1.2, 1.1)
Amherst County 8 falling falling trend similar 35 132.6 (112.9, 155.3) 1.0 -1.4 (-2.0, -0.8)
Appomattox County 6 stable stable trend similar 16 130.4 (102.6, 164.4) 1.0 -0.1 (-1.3, 1.2)
Arlington County 9 falling falling trend lower 106 95.8 (87.6, 104.5) 0.7 -3.5 (-4.3, -2.6)
Augusta County 7 stable stable trend lower 70 111.3 (99.6, 124.1) 0.9 3.4 (-8.3, 16.7)
Bath County 4 stable stable trend higher 8 194.1 (136.4, 276.9) 1.5 0.4 (-0.9, 1.8)
Bedford City and County 8 falling falling trend similar 84 126.1 (114.0, 139.4) 1.0 -0.6 (-1.1, -0.1)
Bland County 6 stable stable trend similar 6 114.2 (77.6, 168.9) 0.9 -1.0 (-2.7, 0.8)
Botetourt County 7 stable stable trend lower 32 110.7 (94.0, 130.4) 0.9 -0.5 (-1.2, 0.1)
Bristol City 6 stable stable trend similar 23 148.6 (121.5, 181.2) 1.2 -17.2 (-32.5, 1.7)
Brunswick County 8 falling falling trend similar 21 155.2 (124.4, 192.7) 1.2 -1.2 (-2.4, 0.0)
Buchanan County 4 stable stable trend higher 32 178.0 (150.0, 210.7) 1.4 -0.6 (-1.4, 0.3)
Buckingham County 6 stable stable trend similar 14 107.6 (83.0, 138.7) 0.8 -1.2 (-2.4, 0.0)
Buena Vista City 6 stable stable trend similar 9 162.4 (116.3, 223.3) 1.3 -1.2 (-2.6, 0.2)
Campbell County 8 falling falling trend similar 63 139.5 (124.0, 156.6) 1.1 -0.7 (-1.3, -0.2)
Caroline County 5 falling falling trend higher 33 155.1 (131.7, 181.7) 1.2 -0.7 (-1.4, -0.1)
Carroll County 6 stable stable trend similar 37 131.4 (112.1, 153.8) 1.0 -0.4 (-1.1, 0.3)
Charles City County 6 stable stable trend similar 10 144.7 (105.6, 198.9) 1.1 -1.3 (-2.7, 0.1)
Charlotte County 6 stable stable trend similar 15 143.1 (111.5, 182.9) 1.1 -0.9 (-1.9, 0.0)
Charlottesville City 8 falling falling trend similar 29 124.5 (104.7, 147.0) 1.0 -1.6 (-2.2, -1.0)
Chesapeake City 8 falling falling trend similar 203 140.7 (132.1, 149.9) 1.1 -1.3 (-1.6, -0.9)
Chesterfield County 8 falling falling trend similar 283 130.0 (123.1, 137.1) 1.0 -1.2 (-1.5, -0.9)
Clarke County 8 falling falling trend similar 14 113.7 (87.8, 146.6) 0.9 -1.7 (-2.7, -0.7)
Colonial Heights City 4 stable stable trend higher 25 167.6 (138.2, 202.2) 1.3 -0.6 (-1.3, 0.1)
Covington City 6 stable stable trend similar 9 186.0 (131.6, 258.1) 1.4 1.0 (-0.7, 2.6)
Craig County
**
 		** similar 5 109.5 (71.7, 167.8) 0.9
**
Culpeper County 8 falling falling trend similar 46 137.9 (120.3, 157.5) 1.1 -1.3 (-2.0, -0.6)
Cumberland County 6 stable stable trend similar 12 146.0 (109.2, 193.0) 1.1 -0.3 (-1.7, 1.2)
Danville City 8 falling falling trend similar 54 143.6 (126.0, 163.4) 1.1 -0.8 (-1.3, -0.2)
Dickenson County 4 stable stable trend higher 21 176.5 (142.5, 217.4) 1.4 0.4 (-0.6, 1.4)
Dinwiddie County 6 stable stable trend similar 28 134.1 (112.3, 159.3) 1.0 -0.6 (-1.6, 0.3)
Emporia City 6 stable stable trend similar 6 146.7 (98.9, 212.4) 1.1 -1.4 (-2.8, 0.1)
Essex County 6 stable stable trend similar 14 143.3 (109.6, 186.1) 1.1 -0.9 (-1.9, 0.2)
Fairfax City 5 falling falling trend higher 27 172.8 (144.0, 206.2) 1.3 -1.4 (-2.4, -0.4)
Fairfax County 9 falling falling trend lower 634 95.8 (92.4, 99.2) 0.7 -2.2 (-2.4, -2.0)
Falls Church City 8 falling falling trend similar 9 107.6 (78.7, 144.4) 0.8 -2.6 (-3.8, -1.5)
Fauquier County 8 falling falling trend similar 61 126.7 (112.6, 142.1) 1.0 -1.6 (-2.4, -0.9)
Floyd County 6 stable stable trend similar 16 123.3 (95.8, 157.5) 1.0 -0.3 (-1.6, 1.0)
Fluvanna County 8 falling falling trend similar 29 135.2 (113.9, 160.0) 1.1 -1.1 (-1.9, -0.3)
Franklin City 5 falling falling trend higher 12 179.2 (133.8, 236.7) 1.4 -1.4 (-2.5, -0.3)
Franklin County 8 falling falling trend similar 60 125.4 (110.8, 141.7) 1.0 -0.9 (-1.6, -0.2)
Frederick County 8 falling falling trend similar 87 141.5 (128.3, 156.0) 1.1 -1.1 (-1.6, -0.5)
Fredericksburg City 8 falling falling trend similar 16 111.7 (88.5, 139.1) 0.9 -2.3 (-3.3, -1.3)
Galax City 4 stable stable trend higher 17 324.5 (256.0, 407.9) 2.5 -14.0 (-36.5, 16.4)
Giles County 8 falling falling trend similar 22 153.4 (125.3, 187.2) 1.2 -1.0 (-1.9, -0.2)
Gloucester County 5 falling falling trend higher 47 162.4 (141.7, 185.8) 1.3 -0.9 (-1.6, -0.1)
Goochland County 8 falling falling trend similar 22 116.1 (94.4, 142.3) 0.9 -1.7 (-2.9, -0.5)
Grayson County 4 stable stable trend higher 24 161.1 (132.6, 196.0) 1.3 0.0 (-1.1, 1.2)
Greene County 8 falling falling trend similar 15 108.1 (84.4, 137.1) 0.8 -2.1 (-3.2, -1.0)
Greensville County 1 rising rising trend higher 14 217.1 (166.6, 280.0) 1.7 1.6 (0.4, 2.8)
Halifax County with South Boston City 4 stable stable trend higher 50 163.8 (142.3, 188.0) 1.3 0.1 (-0.5, 0.7)
Hampton City 8 falling falling trend similar 127 139.8 (128.9, 151.5) 1.1 -1.2 (-1.6, -0.9)
Hanover County 8 falling falling trend similar 109 138.7 (127.0, 151.3) 1.1 -1.1 (-1.5, -0.6)
Harrisonburg City 8 falling falling trend similar 26 112.7 (93.5, 134.6) 0.9 -1.2 (-2.2, -0.3)
Henrico County 8 falling falling trend similar 310 134.5 (127.7, 141.6) 1.0 -1.0 (-1.2, -0.8)
Henry County 6 stable stable trend similar 66 141.0 (125.0, 158.8) 1.1 0.4 (-0.2, 1.1)
Highland County
**
 		**
*
3 or fewer
*
*
**
Hopewell City 4 stable stable trend higher 30 186.8 (157.3, 220.6) 1.5 0.0 (-0.8, 0.9)
Isle of Wight County 8 falling falling trend similar 36 122.7 (104.9, 143.2) 1.0 -1.0 (-1.8, -0.1)
James City County 8 falling falling trend similar 85 117.8 (106.1, 130.7) 0.9 -1.4 (-2.1, -0.8)
King George County 8 falling falling trend similar 16 109.5 (86.5, 137.0) 0.9 -5.2 (-7.9, -2.4)
King William County 8 falling falling trend similar 14 122.4 (95.0, 155.9) 1.0 -1.6 (-2.7, -0.5)
King and Queen County 6 stable stable trend similar 9 149.6 (107.2, 207.5) 1.2 0.0 (-1.4, 1.4)
Lancaster County 8 falling falling trend similar 21 149.0 (116.1, 192.2) 1.2 -1.8 (-2.6, -1.0)
Lee County 4 stable stable trend higher 32 160.2 (135.4, 189.1) 1.2 0.6 (-0.3, 1.5)
Lexington City 6 stable stable trend similar 8 162.4 (113.1, 233.1) 1.3 -1.7 (-3.6, 0.3)
Loudoun County 9 falling falling trend lower 188 105.3 (98.6, 112.4) 0.8 -2.3 (-2.7, -1.8)
Louisa County 6 stable stable trend similar 39 143.9 (123.9, 166.5) 1.1 -0.6 (-1.5, 0.4)
Lunenburg County 6 stable stable trend similar 14 138.2 (105.7, 179.4) 1.1 -0.6 (-1.5, 0.3)
Lynchburg City 5 falling falling trend higher 75 148.2 (132.8, 165.0) 1.2 -0.8 (-1.2, -0.4)
Madison County 6 stable stable trend similar 14 134.3 (102.7, 173.8) 1.0 -0.9 (-1.9, 0.2)
Manassas City 8 falling falling trend similar 28 151.0 (126.2, 179.1) 1.2 -1.2 (-2.4, 0.0)
Manassas Park City
**
 		** lower 4 66.2 (41.1, 100.2) 0.5
**
Martinsville City 4 stable stable trend higher 24 221.6 (182.5, 267.8) 1.7 0.6 (-0.3, 1.6)
Mathews County 8 falling falling trend similar 12 121.5 (91.6, 163.2) 0.9 -2.1 (-3.2, -1.1)
Mecklenburg County 8 falling falling trend similar 45 145.6 (126.0, 168.2) 1.1 -1.0 (-1.5, -0.4)
Middlesex County 6 stable stable trend similar 16 131.6 (102.5, 170.4) 1.0 -0.3 (-1.5, 0.9)
Montgomery County 9 falling falling trend lower 55 103.1 (91.0, 116.5) 0.8 -1.9 (-2.5, -1.3)
Nelson County 6 stable stable trend similar 18 124.2 (98.8, 156.2) 1.0 -0.9 (-2.1, 0.4)
New Kent County 8 falling falling trend similar 20 143.3 (115.6, 176.1) 1.1 -1.3 (-2.2, -0.4)
Newport News City 5 falling falling trend higher 167 153.1 (142.7, 164.0) 1.2 -0.8 (-1.2, -0.4)
Norfolk City 5 falling falling trend higher 195 153.3 (143.6, 163.6) 1.2 -1.4 (-1.7, -1.1)
Northampton County 8 falling falling trend similar 14 114.1 (86.8, 150.0) 0.9 -5.4 (-7.5, -3.3)
Northumberland County 8 falling falling trend similar 19 114.5 (91.8, 145.8) 0.9 -1.6 (-2.4, -0.8)
Norton City 6 stable stable trend similar 5 153.5 (99.1, 232.2) 1.2 -0.6 (-2.1, 1.0)
Nottoway County 4 stable stable trend higher 19 165.5 (132.7, 205.2) 1.3 -0.1 (-1.1, 0.9)
Orange County 8 falling falling trend similar 40 132.6 (114.2, 153.5) 1.0 -1.1 (-1.9, -0.3)
Page County 6 stable stable trend similar 30 148.4 (124.8, 176.0) 1.2 -0.1 (-1.1, 0.9)
Patrick County 4 stable stable trend higher 28 156.8 (130.4, 188.7) 1.2 -0.1 (-1.1, 0.9)
Petersburg City 5 falling falling trend higher 48 208.5 (181.3, 238.9) 1.6 -0.9 (-1.7, -0.1)
Pittsylvania County 6 stable stable trend similar 65 122.6 (109.0, 137.8) 1.0 -0.5 (-1.1, 0.0)
Poquoson City 8 falling falling trend similar 13 143.0 (110.2, 184.2) 1.1 -2.3 (-3.8, -0.7)
Portsmouth City 5 falling falling trend higher 109 172.5 (158.0, 188.1) 1.3 -0.7 (-1.1, -0.2)
Powhatan County 8 falling falling trend similar 23 114.9 (94.3, 139.4) 0.9 -15.4 (-27.7, -1.0)
Prince Edward County 8 falling falling trend similar 24 155.3 (127.0, 188.6) 1.2 -0.9 (-1.7, 0.0)
Prince George County 8 falling falling trend similar 26 121.0 (100.7, 144.4) 0.9 -1.7 (-2.7, -0.7)
Prince William County 8 falling falling trend similar 245 116.1 (109.5, 123.1) 0.9 -2.1 (-2.4, -1.8)
Pulaski County 8 falling falling trend similar 36 118.3 (101.0, 138.5) 0.9 -2.2 (-3.3, -1.0)
Radford City 6 stable stable trend similar 10 134.4 (99.7, 177.8) 1.0 -0.9 (-2.3, 0.4)
Rappahannock County 9 falling falling trend lower 7 89.3 (60.2, 132.9) 0.7 -1.6 (-2.8, -0.3)
Richmond City 8 falling falling trend similar 175 127.0 (118.4, 136.1) 1.0 -3.0 (-3.7, -2.2)
Richmond County 6 stable stable trend similar 14 160.9 (123.8, 210.2) 1.2 -0.6 (-1.8, 0.7)
Roanoke City 5 falling falling trend higher 120 165.2 (151.7, 179.6) 1.3 -0.5 (-0.8, -0.1)
Roanoke County 9 falling falling trend lower 95 111.7 (101.4, 122.8) 0.9 -0.9 (-1.4, -0.4)
Rockbridge County 8 falling falling trend similar 26 110.9 (91.8, 134.0) 0.9 -1.6 (-2.3, -1.0)
Rockingham County 6 stable stable trend similar 76 118.1 (106.2, 131.1) 0.9 -0.6 (-1.3, 0.0)
Russell County 4 stable stable trend higher 38 161.1 (137.9, 187.9) 1.3 -0.4 (-1.2, 0.3)
Salem City 4 stable stable trend higher 36 178.9 (152.9, 208.8) 1.4 -0.2 (-1.1, 0.6)
Scott County 4 stable stable trend higher 34 175.5 (148.6, 206.9) 1.4 0.0 (-0.7, 0.7)
Shenandoah County 8 falling falling trend similar 52 141.0 (123.8, 160.3) 1.1 -0.8 (-1.2, -0.3)
Smyth County 4 stable stable trend higher 43 162.4 (140.6, 187.2) 1.3 -0.4 (-1.0, 0.3)
Southampton County 6 stable stable trend similar 17 121.7 (96.2, 153.1) 0.9 -0.8 (-1.8, 0.3)
Spotsylvania County 8 falling falling trend similar 106 130.3 (119.3, 142.2) 1.0 -1.8 (-2.4, -1.2)
Stafford County 8 falling falling trend similar 89 126.5 (114.7, 139.2) 1.0 -1.4 (-2.0, -0.8)
Staunton City 4 stable stable trend higher 34 155.4 (132.1, 182.3) 1.2 -0.3 (-1.2, 0.6)
Suffolk City 5 falling falling trend higher 83 144.1 (130.3, 158.9) 1.1 -1.5 (-2.1, -1.0)
Surry County 6 stable stable trend similar 8 141.2 (98.2, 200.9) 1.1 -0.6 (-2.2, 1.0)
Sussex County 4 stable stable trend higher 15 198.7 (154.9, 253.5) 1.5 -0.1 (-1.3, 1.1)
Tazewell County 4 stable stable trend higher 58 160.0 (141.2, 181.1) 1.2 -0.3 (-0.9, 0.2)
Virginia Beach City 8 falling falling trend similar 363 128.7 (122.8, 134.9) 1.0 -1.3 (-1.6, -1.0)
Warren County 8 falling falling trend similar 38 141.4 (121.6, 163.7) 1.1 -0.9 (-1.8, -0.1)
Washington County 2 rising rising trend similar 67 142.1 (126.4, 159.6) 1.1 7.6 (1.6, 13.9)
Waynesboro City 4 stable stable trend higher 31 177.5 (149.8, 209.4) 1.4 0.0 (-0.7, 0.8)
Westmoreland County 8 falling falling trend similar 24 140.9 (115.3, 171.9) 1.1 -1.0 (-1.7, -0.4)
Williamsburg City 9 falling falling trend lower 7 65.1 (44.0, 95.0) 0.5 -3.9 (-5.4, -2.4)
Winchester City 8 falling falling trend similar 28 147.2 (123.2, 174.8) 1.1 -1.5 (-2.3, -0.8)
Wise County 4 stable stable trend higher 47 173.1 (151.0, 197.9) 1.3 -0.4 (-0.9, 0.2)
Wythe County 4 stable stable trend higher 38 154.2 (132.2, 179.4) 1.2 -0.5 (-1.1, 0.1)
York County 9 falling falling trend lower 50 107.3 (94.2, 121.8) 0.8 -2.2 (-3.0, -1.4)
Notes:
Created by statecancerprofiles.cancer.gov on 05/05/2024 9:42 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 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:
Highland County

Trend for the following could not be reliably determined due to small number of deaths per year:
Craig County, Manassas Park City


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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