Data Table for Rate/Trend Comparison by Cancer
Death Rate/Trend Comparison by Cancer, 2019-2023
Iowa Counties versus United States
Lung & Bronchus
All Races, Both Sexes
Sorted by rateratio
Counties
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Priority Index1 1=highest 9=lowest 
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Recent Trend2 |
County Death Rate Compared to US Rate |
Average Annual Count
|
Age-Adjusted Death Rate deaths per 100,000 (95% Confidence Interval)
|
Rate Ratio3 County to US 
|
Recent 5-Year Trend2 in Death Rates (95% Confidence Interval)
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|---|---|---|---|---|---|---|---|
| United States | - | falling | - | 134,732 | 31.5 (31.4, 31.6) | - | -3.7 (-3.9, -3.5) |
| Iowa | - | falling | - | 1,479 | 34.3 (33.5, 35.1) | - | -4.0 (-5.4, -3.4) |
| Sioux County | 9 | falling | lower | 8 | 17.7 (12.6, 24.5) | 0.6 | -2.5 (-4.3, -0.7) |
| Bremer County | 7 | stable | lower | 7 | 19.3 (13.4, 27.2) | 0.6 | -2.3 (-5.1, 0.3) |
| Mitchell County | 7 | stable | lower | 3 | 20.1 (11.5, 33.7) | 0.6 | -2.0 (-5.5, 1.4) |
| Johnson County | 9 | falling | lower | 32 | 21.2 (18.0, 24.8) | 0.7 | -4.8 (-6.6, -3.9) |
| Crawford County | 9 | falling | lower | 5 | 22.1 (14.2, 33.3) | 0.7 | -3.1 (-6.6, -0.2) |
| Buena Vista County | 8 | falling | similar | 6 | 23.2 (15.4, 33.6) | 0.7 | -2.1 (-4.4, -0.1) |
| Clay County | 8 | falling | similar | 7 | 24.1 (16.6, 34.5) | 0.8 | -6.3 (-24.3, -3.8) |
| Winneshiek County | 8 | falling | similar | 8 | 24.2 (17.2, 33.8) | 0.8 | -2.5 (-5.2, 0.0) |
| Dallas County | 9 | falling | lower | 25 | 24.5 (20.4, 29.3) | 0.8 | -3.7 (-5.1, -2.3) |
| Jefferson County | 6 | stable | similar | 6 | 24.8 (16.4, 36.6) | 0.8 | -1.9 (-4.3, 0.4) |
| Kossuth County | 8 | falling | similar | 7 | 25.5 (17.5, 36.8) | 0.8 | -2.6 (-4.5, -0.8) |
| Wright County | 8 | falling | similar | 5 | 26.3 (16.7, 39.9) | 0.8 | -3.3 (-5.9, -1.2) |
| Shelby County | 6 | stable | similar | 5 | 26.3 (17.0, 39.9) | 0.8 | -1.9 (-4.8, 0.7) |
| Dickinson County | 8 | falling | similar | 9 | 26.6 (19.3, 36.6) | 0.8 | -2.4 (-4.8, -0.2) |
| Story County | 9 | falling | lower | 25 | 26.6 (22.0, 31.9) | 0.8 | -2.6 (-4.0, -1.3) |
| Worth County | 8 | falling | similar | 3 | 26.8 (15.2, 45.5) | 0.9 | -3.7 (-6.7, -1.2) |
| Adair County | 6 | stable | similar | 4 | 27.0 (15.9, 45.0) | 0.9 | -2.0 (-5.5, 1.1) |
| Clayton County | 6 | stable | similar | 8 | 27.8 (19.8, 38.6) | 0.9 | -1.9 (-5.0, 1.0) |
| Sac County | 6 | stable | similar | 5 | 27.8 (17.2, 43.8) | 0.9 | -2.1 (-4.9, 0.5) |
| Franklin County | 6 | stable | similar | 4 | 27.9 (17.2, 43.7) | 0.9 | -0.6 (-4.4, 2.8) |
| Muscatine County | 8 | falling | similar | 17 | 28.0 (22.2, 35.0) | 0.9 | -3.6 (-5.2, -2.2) |
| Montgomery County | 6 | stable | similar | 5 | 28.2 (18.1, 43.1) | 0.9 | -2.0 (-5.1, 0.9) |
| Carroll County | 6 | stable | similar | 10 | 28.6 (21.0, 38.5) | 0.9 | -1.5 (-3.4, 4.8) |
| Humboldt County | 6 | stable | similar | 4 | 28.6 (17.1, 45.8) | 0.9 | -0.3 (-3.6, 3.0) |
| Delaware County | 8 | falling | similar | 8 | 28.7 (20.4, 39.9) | 0.9 | -2.3 (-4.5, -0.2) |
| Dubuque County | 8 | falling | similar | 42 | 28.9 (25.1, 33.2) | 0.9 | -4.3 (-13.5, -3.0) |
| Cerro Gordo County | 8 | falling | similar | 21 | 29.1 (23.7, 35.6) | 0.9 | -3.1 (-4.4, -1.9) |
| Warren County | 8 | falling | similar | 20 | 29.5 (24.0, 36.1) | 0.9 | -2.2 (-3.8, -0.6) |
| Mills County | 8 | falling | similar | 6 | 29.8 (20.2, 43.1) | 0.9 | -2.2 (-4.2, -0.2) |
| Winnebago County | 6 | stable | similar | 5 | 30.0 (19.2, 45.6) | 1.0 | 17.0 (-7.1, 40.1) |
| Keokuk County | 8 | falling | similar | 5 | 30.1 (19.4, 45.9) | 1.0 | -2.8 (-5.7, -0.1) |
| Hamilton County | 6 | stable | similar | 7 | 30.2 (21.0, 42.8) | 1.0 | -1.8 (-4.1, 0.3) |
| Hardin County | 8 | falling | similar | 9 | 30.4 (21.8, 41.9) | 1.0 | -2.5 (-4.9, -0.3) |
| Hancock County | 8 | falling | similar | 6 | 30.5 (20.1, 45.6) | 1.0 | -2.6 (-5.1, -0.4) |
| Tama County | 6 | stable | similar | 8 | 30.6 (21.7, 42.4) | 1.0 | -1.4 (-3.1, 0.3) |
| Benton County | 6 | stable | similar | 12 | 30.7 (23.2, 40.2) | 1.0 | -1.4 (-3.1, 0.2) |
| Grundy County | 6 | stable | similar | 6 | 31.2 (20.7, 45.8) | 1.0 | -2.1 (-5.1, 0.6) |
| Cedar County | 6 | stable | similar | 9 | 31.3 (22.5, 42.8) | 1.0 | -1.6 (-4.0, 0.7) |
| Iowa County | 6 | stable | similar | 8 | 31.7 (22.4, 44.1) | 1.0 | -1.7 (-4.4, 0.9) |
| Washington County | 6 | stable | similar | 11 | 32.1 (24.1, 42.3) | 1.0 | -0.6 (-2.2, 1.1) |
| Plymouth County | 6 | stable | similar | 12 | 32.3 (24.4, 42.2) | 1.0 | 0.0 (-2.2, 2.4) |
| Cass County | 6 | stable | similar | 8 | 32.5 (23.0, 45.5) | 1.0 | -1.6 (-3.7, 0.4) |
| Allamakee County | 6 | stable | similar | 7 | 32.7 (22.2, 47.1) | 1.0 | -0.7 (-3.8, 2.2) |
| Madison County | 6 | stable | similar | 7 | 33.4 (23.3, 46.6) | 1.1 | -1.8 (-3.8, 0.3) |
| Marion County | 8 | falling | similar | 16 | 33.5 (26.6, 42.0) | 1.1 | -2.7 (-4.8, -0.8) |
| Cherokee County | 6 | stable | similar | 7 | 33.7 (23.4, 48.2) | 1.1 | -0.9 (-3.5, 1.7) |
| O'Brien County | 6 | stable | similar | 8 | 34.1 (23.8, 47.9) | 1.1 | -1.6 (-3.9, 0.4) |
| Calhoun County | 8 | falling | similar | 6 | 34.2 (22.6, 50.9) | 1.1 | -2.3 (-4.2, -0.8) |
| Howard County | 6 | stable | similar | 5 | 34.3 (22.0, 52.1) | 1.1 | -0.6 (-3.5, 2.2) |
| Lee County | 8 | falling | similar | 19 | 34.5 (27.7, 42.7) | 1.1 | -2.5 (-4.8, -0.4) |
| Linn County | 5 | falling | higher | 103 | 34.7 (31.7, 37.9) | 1.1 | -2.8 (-3.8, -2.4) |
| Butler County | 6 | stable | similar | 8 | 34.8 (24.2, 49.1) | 1.1 | -0.1 (-2.9, 2.6) |
| Marshall County | 8 | falling | similar | 20 | 34.9 (28.3, 42.8) | 1.1 | -2.2 (-3.9, -0.7) |
| Guthrie County | 6 | stable | similar | 7 | 35.2 (24.0, 51.1) | 1.1 | -2.3 (-5.6, 0.6) |
| Emmet County | 6 | stable | similar | 6 | 35.2 (23.2, 52.6) | 1.1 | -2.1 (-5.3, 0.8) |
| Chickasaw County | 8 | falling | similar | 7 | 35.8 (24.8, 51.1) | 1.1 | -2.2 (-4.1, -0.4) |
| Jasper County | 8 | falling | similar | 20 | 36.0 (29.3, 44.0) | 1.1 | -5.3 (-15.9, -3.3) |
| Fayette County | 8 | falling | similar | 11 | 36.0 (27.0, 47.5) | 1.1 | -2.1 (-3.8, -0.6) |
| Poweshiek County | 6 | stable | similar | 11 | 36.0 (27.0, 47.7) | 1.1 | 0.0 (-2.2, 2.2) |
| Scott County | 5 | falling | higher | 84 | 36.1 (32.7, 39.9) | 1.1 | -2.7 (-3.5, -1.9) |
| Harrison County | 8 | falling | similar | 8 | 36.3 (25.8, 50.2) | 1.2 | -4.6 (-12.5, -2.2) |
| Decatur County | 6 | stable | similar | 4 | 36.5 (21.8, 58.4) | 1.2 | -1.0 (-4.3, 2.2) |
| Webster County | 8 | falling | similar | 20 | 36.6 (29.7, 44.8) | 1.2 | -2.8 (-4.5, -1.4) |
| Buchanan County | 8 | falling | similar | 11 | 36.7 (27.3, 48.5) | 1.2 | -5.9 (-26.4, -1.6) |
| Wayne County | 6 | stable | similar | 3 | 37.0 (20.2, 62.9) | 1.2 | -1.7 (-5.0, 1.1) |
| Appanoose County | 8 | falling | similar | 8 | 37.7 (26.7, 52.7) | 1.2 | -2.7 (-14.5, -0.2) |
| Polk County | 5 | falling | higher | 202 | 38.1 (35.8, 40.6) | 1.2 | -3.9 (-5.5, -3.1) |
| Osceola County | 6 | stable | similar | 4 | 38.5 (23.1, 62.3) | 1.2 | -1.1 (-3.7, 1.4) |
| Black Hawk County | 5 | falling | higher | 65 | 38.6 (34.4, 43.1) | 1.2 | -4.0 (-8.0, -2.4) |
| Jones County | 8 | falling | similar | 13 | 38.9 (29.7, 50.5) | 1.2 | -2.2 (-3.9, -0.6) |
| Floyd County | 6 | stable | similar | 10 | 39.9 (29.0, 54.2) | 1.3 | -0.3 (-1.6, 1.1) |
| Jackson County | 6 | stable | similar | 13 | 40.1 (30.7, 51.9) | 1.3 | -0.9 (-2.5, 0.8) |
| Woodbury County | 5 | falling | higher | 50 | 40.4 (35.4, 45.8) | 1.3 | -1.9 (-3.1, -0.8) |
| Lucas County | 6 | stable | similar | 5 | 41.2 (26.7, 61.8) | 1.3 | -1.2 (-4.1, 1.5) |
| Mahaska County | 8 | falling | similar | 13 | 41.4 (31.8, 53.2) | 1.3 | -4.8 (-21.5, -1.6) |
| Monona County | 6 | stable | similar | 7 | 41.7 (28.6, 60.4) | 1.3 | -1.2 (-4.0, 1.5) |
| Pocahontas County | 6 | stable | similar | 6 | 41.9 (27.7, 63.1) | 1.3 | -1.1 (-3.2, 0.9) |
| Greene County | 6 | stable | similar | 7 | 42.2 (28.5, 61.6) | 1.3 | -0.9 (-3.7, 1.8) |
| Des Moines County | 5 | falling | higher | 26 | 43.6 (36.4, 52.0) | 1.4 | -2.0 (-3.4, -0.8) |
| Pottawattamie County | 5 | falling | higher | 57 | 44.8 (39.6, 50.5) | 1.4 | -1.9 (-2.8, -1.1) |
| Clinton County | 5 | falling | higher | 32 | 44.9 (38.1, 52.7) | 1.4 | -1.4 (-2.4, -0.3) |
| Boone County | 4 | stable | higher | 17 | 46.3 (36.8, 57.7) | 1.5 | -1.4 (-3.4, 0.6) |
| Union County | 4 | stable | higher | 9 | 47.1 (33.7, 64.8) | 1.5 | -1.3 (-3.7, 0.9) |
| Wapello County | 5 | falling | higher | 23 | 48.2 (39.7, 58.1) | 1.5 | -2.1 (-3.3, -0.9) |
| Henry County | 4 | stable | higher | 15 | 48.7 (38.1, 61.8) | 1.5 | -0.4 (-2.6, 1.9) |
| Louisa County | 4 | stable | higher | 8 | 49.2 (34.6, 68.6) | 1.6 | -0.5 (-2.9, 1.8) |
| Page County | 4 | stable | higher | 13 | 50.1 (38.2, 65.2) | 1.6 | -0.1 (-2.3, 2.1) |
| Clarke County | 4 | stable | higher | 7 | 52.2 (36.4, 73.5) | 1.7 | 0.6 (-2.2, 3.9) |
| Van Buren County | 4 | stable | higher | 7 | 56.6 (38.6, 81.6) | 1.8 | -0.5 (-3.8, 2.7) |
| Palo Alto County | 4 | stable | higher | 9 | 61.1 (44.1, 83.6) | 1.9 | 1.5 (-1.3, 4.6) |
| Fremont County | 4 | stable | higher | 7 | 62.6 (42.8, 90.1) | 2.0 | -1.4 (-3.5, 0.7) |
| Audubon County |
|
** | similar | 4 | 32.9 (19.3, 55.6) | 1.0 |
|
| Davis County |
|
** | similar | 5 | 34.9 (21.9, 53.7) | 1.1 |
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| Ida County |
|
** | similar | 5 | 43.2 (27.7, 65.9) | 1.4 |
|
| Lyon County |
|
** | similar | 4 | 24.4 (15.1, 37.9) | 0.8 |
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| Adams County |
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** |
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| Monroe County |
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** |
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| Ringgold County |
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** |
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| Taylor County |
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** |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 3:02 pm.
* 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:
Adams County, Monroe County, Ringgold County, Taylor County
Trend for the following could not be reliably determined due to small number of deaths per year:
Audubon County, Davis County, Ida County, Lyon 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.
Created by statecancerprofiles.cancer.gov on 03/12/2026 3:02 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
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 > 1.10Similar
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:
Adams County, Monroe County, Ringgold County, Taylor County
Trend for the following could not be reliably determined due to small number of deaths per year:
Audubon County, Davis County, Ida County, Lyon 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.