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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

Colon & Rectum

All Races, Both Sexes

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 - 52,152 13.1 (13.1, 13.2) - -1.9 (-2.1, -1.8)
Virginia - falling falling trend - 1,318 13.2 (12.8, 13.5) - -1.3 (-2.0, -0.5)
Accomack County 5 falling falling trend higher 10 19.8 (14.5, 26.7) 1.5 -2.1 (-3.2, -1.0)
Albemarle County 9 falling falling trend lower 14 9.6 (7.4, 12.3) 0.7 -2.0 (-3.5, -0.5)
Alexandria City 9 falling falling trend lower 14 9.7 (7.5, 12.3) 0.7 -4.3 (-5.2, -3.5)
Alleghany County and Clifton Forge City 8 falling falling trend similar 4 14.5 (8.1, 24.8) 1.1 -2.0 (-3.9, -0.1)
Amelia County
**
 		**
*
3 or fewer
*
*
**
Amherst County 8 falling falling trend similar 8 17.0 (12.1, 23.6) 1.3 -2.3 (-3.6, -0.9)
Appomattox County
**
 		** similar 4 14.4 (8.5, 23.6) 1.1
**
Arlington County 9 falling falling trend lower 16 7.9 (6.2, 9.9) 0.6 -4.4 (-5.1, -3.7)
Augusta County 8 falling falling trend similar 14 11.8 (9.1, 15.1) 0.9 -2.8 (-4.1, -1.6)
Bath County
**
 		**
*
3 or fewer
*
*
**
Bedford City and County 8 falling falling trend similar 18 15.5 (12.4, 19.3) 1.2 -1.9 (-3.2, -0.5)
Bland County
**
 		**
*
3 or fewer
*
*
**
Botetourt County 6 stable stable trend similar 7 12.5 (8.5, 18.2) 1.0 -1.7 (-3.7, 0.3)
Bristol City
**
 		**
*
3 or fewer
*
*
**
Brunswick County 8 falling falling trend similar 4 16.1 (9.9, 25.6) 1.2 -3.0 (-4.7, -1.4)
Buchanan County 4 stable stable trend higher 7 23.7 (16.4, 33.7) 1.8 0.6 (-0.9, 2.0)
Buckingham County
**
 		**
*
3 or fewer
*
*
**
Buena Vista City
**
 		**
*
3 or fewer
*
*
**
Campbell County 5 falling falling trend higher 15 18.6 (14.6, 23.6) 1.4 -1.9 (-3.2, -0.7)
Caroline County
**
 		** similar 4 12.0 (7.4, 18.5) 0.9
**
Carroll County 6 stable stable trend similar 6 11.7 (7.8, 17.4) 0.9 -1.1 (-2.5, 0.3)
Charles City County
**
 		**
*
3 or fewer
*
*
**
Charlotte County 6 stable stable trend similar 3 18.1 (10.2, 30.6) 1.4 0.1 (-1.6, 1.9)
Charlottesville City 8 falling falling trend similar 5 11.5 (7.4, 17.1) 0.9 -2.9 (-4.2, -1.7)
Chesapeake City 8 falling falling trend similar 38 14.5 (12.5, 16.8) 1.1 -2.6 (-3.4, -1.8)
Chesterfield County 8 falling falling trend similar 48 12.9 (11.2, 14.6) 1.0 -2.3 (-3.1, -1.6)
Clarke County
**
 		**
*
3 or fewer
*
*
**
Colonial Heights City 8 falling falling trend similar 4 16.5 (10.2, 25.8) 1.3 -1.8 (-3.4, -0.1)
Covington City
**
 		**
*
3 or fewer
*
*
**
Craig County
**
 		**
*
3 or fewer
*
*
**
Culpeper County 8 falling falling trend similar 9 13.7 (9.9, 18.7) 1.0 -1.7 (-3.3, 0.0)
Cumberland County
**
 		** similar 3 20.6 (11.9, 34.8) 1.6
**
Danville City 4 stable stable trend higher 15 26.3 (20.3, 33.7) 2.0 0.2 (-1.3, 1.7)
Dickenson County
**
 		** similar 4 18.7 (11.4, 29.7) 1.4
**
Dinwiddie County 6 stable stable trend similar 5 13.6 (8.4, 20.8) 1.0 -1.4 (-3.5, 0.7)
Emporia City
**
 		**
*
3 or fewer
*
*
**
Essex County
**
 		**
*
3 or fewer
*
*
**
Fairfax City 4 stable stable trend higher 7 26.2 (18.2, 36.6) 2.0 -0.8 (-2.7, 1.1)
Fairfax County 9 falling falling trend lower 114 9.3 (8.6, 10.1) 0.7 -3.2 (-3.6, -2.9)
Falls Church City
**
 		**
*
3 or fewer
*
*
**
Fauquier County 8 falling falling trend similar 11 12.6 (9.4, 16.5) 1.0 -2.1 (-3.4, -0.8)
Floyd County
**
 		** similar 3 13.4 (7.6, 22.8) 1.0
**
Fluvanna County
**
 		** similar 4 9.5 (5.7, 15.4) 0.7
**
Franklin City
**
 		**
*
3 or fewer
*
*
**
Franklin County 8 falling falling trend similar 12 12.6 (9.5, 16.7) 1.0 -2.4 (-3.3, -1.5)
Frederick County 8 falling falling trend similar 18 15.4 (12.3, 19.1) 1.2 -1.6 (-3.0, -0.2)
Fredericksburg City
**
 		**
*
3 or fewer
*
*
**
Galax City
**
 		**
*
3 or fewer
*
*
**
Giles County 6 stable stable trend similar 5 20.7 (13.3, 31.3) 1.6 21.8 (-24.5, 96.5)
Gloucester County 8 falling falling trend similar 7 13.8 (9.7, 19.5) 1.1 -2.9 (-4.2, -1.6)
Goochland County 8 falling falling trend similar 5 14.5 (9.0, 22.4) 1.1 -2.7 (-4.4, -1.0)
Grayson County 6 stable stable trend similar 5 18.3 (11.3, 29.0) 1.4 -0.9 (-2.6, 0.9)
Greene County
**
 		**
*
3 or fewer
*
*
**
Greensville County
**
 		** higher 4 31.8 (19.2, 50.0) 2.4
**
Halifax County with South Boston City 4 stable stable trend higher 12 21.7 (16.4, 28.4) 1.6 -0.8 (-2.0, 0.4)
Hampton City 8 falling falling trend similar 21 13.5 (11.0, 16.4) 1.0 -2.7 (-3.6, -1.7)
Hanover County 8 falling falling trend similar 20 14.4 (11.6, 17.6) 1.1 -3.0 (-4.2, -1.9)
Harrisonburg City 8 falling falling trend similar 5 12.9 (8.2, 19.1) 1.0 -2.4 (-4.1, -0.8)
Henrico County 8 falling falling trend similar 50 12.8 (11.3, 14.6) 1.0 -2.1 (-2.7, -1.5)
Henry County 6 stable stable trend similar 13 15.9 (12.0, 20.9) 1.2 -1.3 (-2.7, 0.1)
Highland County
**
 		**
*
3 or fewer
*
*
**
Hopewell City 4 stable stable trend higher 6 22.6 (15.0, 32.9) 1.7 -0.1 (-2.0, 1.8)
Isle of Wight County 8 falling falling trend similar 8 14.2 (10.0, 19.9) 1.1 -2.0 (-3.5, -0.5)
James City County
**
 		** similar 18 13.1 (10.4, 16.4) 1.0
**
King George County
**
 		** similar 5 18.5 (11.9, 27.4) 1.4
**
King William County 6 stable stable trend similar 3 16.9 (9.4, 27.9) 1.3 -1.8 (-3.8, 0.3)
King and Queen County
**
 		**
*
3 or fewer
*
*
**
Lancaster County 6 stable stable trend similar 4 16.6 (9.2, 30.1) 1.3 -1.7 (-3.8, 0.4)
Lee County 6 stable stable trend similar 4 10.8 (6.5, 17.3) 0.8 -1.1 (-3.0, 0.9)
Lexington City
**
 		**
*
3 or fewer
*
*
**
Loudoun County 9 falling falling trend lower 34 10.1 (8.6, 11.8) 0.8 -4.0 (-4.8, -3.1)
Louisa County 4 stable stable trend higher 11 21.6 (16.1, 28.7) 1.6 -1.2 (-2.6, 0.4)
Lunenburg County
**
 		**
*
3 or fewer
*
*
**
Lynchburg City 8 falling falling trend similar 14 15.7 (12.1, 20.0) 1.2 -2.4 (-3.4, -1.3)
Madison County
**
 		**
*
3 or fewer
*
*
**
Manassas City
**
 		** similar 4 10.5 (6.3, 16.5) 0.8
**
Manassas Park City
**
 		**
*
3 or fewer
*
*
**
Martinsville City 4 stable stable trend higher 4 24.6 (14.5, 39.3) 1.9 0.6 (-1.3, 2.5)
Mathews County
**
 		**
*
3 or fewer
*
*
**
Mecklenburg County 8 falling falling trend similar 8 16.3 (11.3, 23.1) 1.2 -2.0 (-3.5, -0.5)
Middlesex County
**
 		**
*
3 or fewer
*
*
**
Montgomery County 8 falling falling trend similar 11 11.4 (8.5, 14.9) 0.9 -1.5 (-2.8, -0.1)
Nelson County
**
 		**
*
3 or fewer
*
*
**
New Kent County
**
 		** similar 4 13.1 (7.9, 20.9) 1.0
**
Newport News City 5 falling falling trend higher 30 16.4 (13.8, 19.3) 1.2 -2.3 (-3.2, -1.5)
Norfolk City 8 falling falling trend similar 32 14.1 (12.0, 16.6) 1.1 -2.8 (-3.4, -2.2)
Northampton County
**
 		** similar 3 13.4 (7.8, 23.6) 1.0
**
Northumberland County
**
 		** similar 5 19.0 (11.4, 32.1) 1.4
**
Norton City
**
 		**
*
3 or fewer
*
*
**
Nottoway County 6 stable stable trend similar 4 19.0 (11.5, 30.2) 1.5 -0.8 (-2.8, 1.3)
Orange County 8 falling falling trend similar 8 14.3 (10.0, 20.0) 1.1 -2.2 (-3.5, -0.9)
Page County 4 stable stable trend higher 8 22.1 (15.5, 30.9) 1.7 0.6 (-1.1, 2.3)
Patrick County
**
 		** similar 3 9.8 (5.7, 17.0) 0.7
**
Petersburg City 5 falling falling trend higher 8 20.8 (14.6, 29.0) 1.6 -2.3 (-3.6, -1.0)
Pittsylvania County 5 falling falling trend higher 17 17.2 (13.7, 21.6) 1.3 -1.0 (-1.9, -0.2)
Poquoson City
**
 		**
*
3 or fewer
*
*
**
Portsmouth City 8 falling falling trend similar 18 16.3 (13.0, 20.2) 1.2 -1.7 (-2.7, -0.7)
Powhatan County
**
 		** similar 4 9.3 (5.4, 15.2) 0.7
**
Prince Edward County 6 stable stable trend similar 5 16.1 (10.0, 24.9) 1.2 -0.5 (-2.5, 1.4)
Prince George County 8 falling falling trend similar 5 13.0 (8.4, 19.3) 1.0 -2.3 (-3.5, -1.1)
Prince William County 8 falling falling trend similar 45 12.3 (10.6, 14.0) 0.9 -3.2 (-3.9, -2.5)
Pulaski County 6 stable stable trend similar 8 15.6 (11.1, 21.5) 1.2 -0.7 (-1.9, 0.5)
Radford City
**
 		**
*
3 or fewer
*
*
**
Rappahannock County
**
 		**
*
3 or fewer
*
*
**
Richmond City 8 falling falling trend similar 31 13.2 (11.1, 15.5) 1.0 -2.2 (-3.1, -1.4)
Richmond County
**
 		** higher 4 24.7 (14.7, 40.6) 1.9
**
Roanoke City 8 falling falling trend similar 20 16.1 (13.0, 19.8) 1.2 -1.8 (-2.4, -1.2)
Roanoke County 9 falling falling trend lower 13 8.7 (6.6, 11.3) 0.7 -2.1 (-3.1, -1.1)
Rockbridge County 8 falling falling trend similar 7 17.5 (11.6, 25.7) 1.3 -2.3 (-3.9, -0.8)
Rockingham County 8 falling falling trend similar 14 12.0 (9.3, 15.5) 0.9 -2.2 (-3.4, -1.0)
Russell County 6 stable stable trend similar 8 18.9 (13.3, 26.4) 1.4 -1.1 (-2.7, 0.5)
Salem City 6 stable stable trend similar 6 17.9 (12.1, 25.8) 1.4 -1.0 (-2.7, 0.7)
Scott County 8 falling falling trend similar 5 15.2 (9.7, 23.3) 1.2 -1.7 (-3.3, -0.1)
Shenandoah County 6 stable stable trend similar 10 16.1 (11.9, 21.5) 1.2 8.3 (-1.3, 18.8)
Smyth County 6 stable stable trend similar 9 17.6 (12.7, 24.1) 1.3 -0.3 (-1.8, 1.1)
Southampton County
**
 		**
*
3 or fewer
*
*
**
Spotsylvania County 8 falling falling trend similar 20 13.8 (11.2, 16.9) 1.1 -2.1 (-3.3, -0.9)
Stafford County 8 falling falling trend similar 19 13.8 (11.1, 17.1) 1.1 -2.2 (-3.3, -1.0)
Staunton City 4 stable stable trend higher 8 22.9 (16.1, 31.9) 1.7 -0.4 (-2.2, 1.4)
Suffolk City 8 falling falling trend similar 16 16.2 (12.8, 20.2) 1.2 -2.1 (-3.2, -0.9)
Surry County
**
 		**
*
3 or fewer
*
*
**
Sussex County
**
 		**
*
3 or fewer
*
*
**
Tazewell County 4 stable stable trend higher 14 21.5 (16.5, 27.8) 1.6 -0.9 (-2.2, 0.5)
Virginia Beach City 9 falling falling trend lower 57 11.5 (10.2, 13.0) 0.9 -2.8 (-3.4, -2.3)
Warren County 8 falling falling trend similar 7 14.6 (9.9, 20.8) 1.1 -2.2 (-3.7, -0.6)
Washington County 8 falling falling trend similar 10 11.9 (8.6, 16.2) 0.9 -1.5 (-2.9, -0.1)
Waynesboro City 6 stable stable trend similar 5 17.3 (10.9, 26.3) 1.3 -0.7 (-2.4, 1.0)
Westmoreland County 8 falling falling trend similar 5 14.6 (9.4, 22.6) 1.1 -1.8 (-3.3, -0.3)
Williamsburg City
**
 		**
*
3 or fewer
*
*
**
Winchester City 8 falling falling trend similar 4 11.0 (6.6, 17.5) 0.8 -2.5 (-4.1, -0.8)
Wise County 4 stable stable trend higher 10 19.1 (14.0, 25.7) 1.5 -0.3 (-1.8, 1.2)
Wythe County 8 falling falling trend similar 6 13.0 (8.5, 19.3) 1.0 -2.2 (-3.3, -1.1)
York County 9 falling falling trend lower 9 10.0 (7.2, 13.6) 0.8 -4.4 (-5.8, -2.9)
Notes:
Created by statecancerprofiles.cancer.gov on 05/14/2024 6:38 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:
Amelia County, Bath County, Bland County, Bristol City, Buckingham County, Buena Vista City, Charles City County, Clarke County, Covington City, Craig County, Emporia City, Essex County, Falls Church City, Franklin City, Fredericksburg City, Galax City, Greene County, Highland County, King and Queen County, Lexington City, Lunenburg County, Madison County, Manassas Park City, Mathews County, Middlesex County, Nelson County, Norton City, Poquoson City, Radford City, Rappahannock County, Southampton County, Surry County, Sussex County, Williamsburg City

Trend for the following could not be reliably determined due to small number of deaths per year:
Appomattox County, Caroline County, Cumberland County, Dickenson County, Floyd County, Fluvanna County, Greensville County, James City County, King George County, Manassas City, New Kent County, Northampton County, Northumberland County, Patrick County, Powhatan County, Richmond 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.

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