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

* 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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