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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2019-2023

Iowa Counties versus United States

Colon & Rectum

All Races, Both Sexes

Sorted by name

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 - 52,648 12.9 (12.8, 12.9) - -0.8 (-1.5, -0.4)
Iowa - falling - 552 13.3 (12.8, 13.8) - -2.2 (-2.5, -1.9)
Wright County
**
**
*
3 or fewer
*
*
**
Worth County
**
**
*
3 or fewer
*
*
**
Woodbury County 6 stable similar 16 13.4 (10.6, 16.7) 1.0 -1.4 (-3.3, 0.3)
Winneshiek County 6 stable similar 5 14.3 (8.6, 22.8) 1.1 -2.4 (-5.0, 0.1)
Winnebago County
**
** similar 3 19.2 (10.5, 33.2) 1.5
**
Webster County 6 stable similar 6 12.7 (8.4, 18.6) 1.0 -1.2 (-3.5, 1.0)
Wayne County
**
**
*
3 or fewer
*
*
**
Washington County
**
** similar 4 11.9 (7.0, 19.2) 0.9
**
Warren County 6 stable similar 9 14.0 (10.1, 18.9) 1.1 -1.8 (-3.7, 0.2)
Wapello County 6 stable similar 7 14.8 (10.1, 20.9) 1.1 -1.4 (-4.2, 1.0)
Van Buren County
**
**
*
3 or fewer
*
*
**
Union County 6 stable similar 4 20.0 (11.6, 33.0) 1.6 -1.9 (-5.5, 1.2)
Taylor County
**
**
*
3 or fewer
*
*
**
Tama County 6 stable similar 4 14.1 (8.4, 22.9) 1.1 -2.2 (-6.1, 0.9)
Story County 8 falling similar 11 12.3 (9.2, 16.1) 1.0 -1.8 (-3.6, 0.0)
Sioux County 6 stable similar 5 10.9 (7.1, 16.1) 0.8 -2.8 (-6.4, 0.3)
Shelby County
**
**
*
3 or fewer
*
*
**
Scott County 8 falling similar 25 11.5 (9.5, 13.7) 0.9 -2.4 (-3.9, -1.0)
Sac County
**
**
*
3 or fewer
*
*
**
Ringgold County
**
**
*
3 or fewer
*
*
**
Poweshiek County 8 falling similar 4 13.5 (8.3, 21.4) 1.0 -2.5 (-5.1, -0.3)
Pottawattamie County 8 falling similar 19 15.2 (12.2, 18.8) 1.2 -2.4 (-4.1, -0.9)
Polk County 8 falling similar 69 13.5 (12.1, 15.0) 1.0 -2.3 (-3.0, -1.6)
Pocahontas County
**
**
*
3 or fewer
*
*
**
Plymouth County
**
** similar 6 15.7 (10.4, 23.1) 1.2
**
Palo Alto County
**
**
*
3 or fewer
*
*
**
Page County
**
** similar 4 14.1 (8.2, 23.6) 1.1
**
Osceola County
**
**
*
3 or fewer
*
*
**
O'Brien County 6 stable similar 3 14.4 (7.7, 25.1) 1.1 -0.6 (-5.0, 3.4)
Muscatine County 8 falling similar 7 13.1 (9.2, 18.4) 1.0 -2.8 (-4.4, -1.4)
Montgomery County
**
**
*
3 or fewer
*
*
**
Monroe County
**
**
*
3 or fewer
*
*
**
Monona County
**
**
*
3 or fewer
*
*
**
Mitchell County
**
** similar 4 20.3 (11.6, 33.9) 1.6
**
Mills County
**
**
*
3 or fewer
*
*
**
Marshall County 8 falling similar 6 10.1 (6.7, 14.9) 0.8 -5.6 (-8.7, -4.5)
Marion County 6 stable similar 9 17.6 (12.6, 24.2) 1.4 -2.7 (-19.2, 0.4)
Mahaska County 6 stable similar 4 16.2 (9.9, 25.1) 1.3 -1.6 (-4.2, 0.8)
Madison County 4 stable higher 4 22.5 (14.0, 34.6) 1.8 1.6 (-1.0, 4.7)
Lyon County
**
**
*
3 or fewer
*
*
**
Lucas County
**
**
*
3 or fewer
*
*
**
Louisa County
**
**
*
3 or fewer
*
*
**
Linn County 9 falling lower 31 11.0 (9.3, 12.9) 0.9 -2.3 (-3.7, -1.0)
Lee County 8 falling similar 8 15.3 (10.8, 21.3) 1.2 -2.3 (-3.9, -0.7)
Kossuth County
**
**
*
3 or fewer
*
*
**
Keokuk County
**
**
*
3 or fewer
*
*
**
Jones County 8 falling similar 4 12.1 (7.0, 19.9) 0.9 -2.4 (-5.0, 0.0)
Johnson County 9 falling lower 13 8.6 (6.6, 11.1) 0.7 -3.4 (-5.5, -1.1)
Jefferson County
**
** similar 3 10.1 (5.6, 18.1) 0.8
**
Jasper County 6 stable similar 7 12.8 (8.9, 17.9) 1.0 -2.0 (-4.7, 0.6)
Jackson County 8 falling similar 4 15.4 (9.3, 24.4) 1.2 -3.4 (-6.7, -0.8)
Iowa County
**
**
*
3 or fewer
*
*
**
Ida County
**
**
*
3 or fewer
*
*
**
Humboldt County
**
**
*
3 or fewer
*
*
**
Howard County
**
**
*
3 or fewer
*
*
**
Henry County
**
**
*
3 or fewer
*
*
**
Harrison County
**
** similar 4 17.1 (10.1, 27.7) 1.3
**
Hardin County
**
**
*
3 or fewer
*
*
**
Hancock County
**
**
*
3 or fewer
*
*
**
Hamilton County
**
**
*
3 or fewer
*
*
**
Guthrie County
**
**
*
3 or fewer
*
*
**
Grundy County
**
**
*
3 or fewer
*
*
**
Greene County 4 stable higher 4 26.4 (15.2, 43.7) 2.0 1.6 (-2.2, 5.3)
Fremont County
**
**
*
3 or fewer
*
*
**
Franklin County
**
**
*
3 or fewer
*
*
**
Floyd County
**
**
*
3 or fewer
*
*
**
Fayette County 6 stable similar 4 12.6 (7.4, 20.5) 1.0 -2.2 (-5.3, 0.4)
Emmet County 6 stable similar 4 23.7 (13.6, 39.6) 1.8 0.6 (-3.5, 4.8)
Dubuque County 6 stable similar 16 12.5 (9.8, 15.8) 1.0 4.8 (-1.5, 23.7)
Dickinson County 8 falling similar 5 15.9 (9.7, 25.2) 1.2 -3.7 (-6.6, -1.3)
Des Moines County 2 rising similar 9 17.7 (12.7, 24.1) 1.4 27.2 (3.2, 43.1)
Delaware County 8 falling similar 4 12.7 (7.3, 21.1) 1.0 -3.7 (-6.5, -1.5)
Decatur County
**
**
*
3 or fewer
*
*
**
Davis County
**
**
*
3 or fewer
*
*
**
Dallas County 8 falling similar 10 10.2 (7.6, 13.5) 0.8 -3.9 (-6.6, -1.1)
Crawford County
**
** similar 3 13.8 (7.8, 23.1) 1.1
**
Clinton County 8 falling similar 10 13.7 (10.1, 18.5) 1.1 -1.8 (-3.5, -0.3)
Clayton County 6 stable similar 6 17.7 (11.9, 26.4) 1.4 -1.3 (-3.8, 1.2)
Clay County
**
**
*
3 or fewer
*
*
**
Clarke County
**
**
*
3 or fewer
*
*
**
Chickasaw County
**
**
*
3 or fewer
*
*
**
Cherokee County 6 stable similar 4 20.1 (11.2, 33.9) 1.6 -1.6 (-6.3, 2.7)
Cerro Gordo County 6 stable similar 7 11.0 (7.5, 15.8) 0.9 -0.4 (-2.9, 2.1)
Cedar County
**
**
*
3 or fewer
*
*
**
Cass County
**
**
*
3 or fewer
*
*
**
Carroll County 8 falling similar 6 16.7 (10.7, 25.2) 1.3 -3.4 (-6.3, -1.0)
Calhoun County
**
**
*
3 or fewer
*
*
**
Butler County 6 stable similar 4 15.5 (9.1, 25.6) 1.2 -1.7 (-4.5, 0.9)
Buena Vista County 8 falling similar 4 16.5 (9.8, 26.1) 1.3 -2.2 (-4.7, -0.1)
Buchanan County 6 stable similar 4 15.9 (9.6, 25.1) 1.2 -2.2 (-5.3, 0.4)
Bremer County 6 stable similar 4 13.0 (7.9, 20.4) 1.0 -0.2 (-3.1, 2.9)
Boone County 6 stable similar 5 15.2 (9.8, 22.8) 1.2 1.0 (-1.1, 3.3)
Black Hawk County 8 falling similar 20 12.2 (9.9, 15.1) 1.0 -1.8 (-2.9, -0.8)
Benton County
**
** similar 4 11.4 (6.6, 18.6) 0.9
**
Audubon County
**
**
*
3 or fewer
*
*
**
Appanoose County 6 stable similar 4 16.6 (9.7, 27.8) 1.3 -1.2 (-5.2, 2.5)
Allamakee County
**
** similar 5 21.6 (13.5, 33.5) 1.7
**
Adams County
**
**
*
3 or fewer
*
*
**
Adair County
**
**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/17/2026 4:55 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. 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 (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+). The Healthy People 2030 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:
Adair County, Adams County, Audubon County, Calhoun County, Cass County, Cedar County, Chickasaw County, Clarke County, Clay County, Davis County, Decatur County, Floyd County, Franklin County, Fremont County, Grundy County, Guthrie County, Hamilton County, Hancock County, Hardin County, Henry County, Howard County, Humboldt County, Ida County, Iowa County, Keokuk County, Kossuth County, Louisa County, Lucas County, Lyon County, Mills County, Monona County, Monroe County, Montgomery County, Osceola County, Palo Alto County, Pocahontas County, Ringgold County, Sac County, Shelby County, Taylor County, Van Buren County, Wayne County, Worth County, Wright County

Trend for the following could not be reliably determined due to small number of deaths per year:
Allamakee County, Benton County, Crawford County, Harrison County, Jefferson County, Mitchell County, Page County, Plymouth County, Washington County, Winnebago 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 do not include Puerto Rico.

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