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