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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2019-2023

Michigan Counties versus United States

Lung & Bronchus

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 - 134,732 31.5 (31.4, 31.6) - -3.7 (-3.9, -3.5)
Michigan - falling - 5,181 37.4 (36.9, 37.8) - -3.4 (-4.0, -3.2)
Gladwin County 4 stable higher 30 59.6 (49.8, 71.3) 1.9 -0.1 (-1.3, 1.2)
Roscommon County 4 stable higher 30 59.0 (49.0, 71.4) 1.9 -0.6 (-2.3, 0.8)
Kalkaska County 4 stable higher 17 58.5 (46.0, 73.9) 1.9 -0.4 (-2.4, 1.7)
Ogemaw County 5 falling higher 25 58.4 (48.2, 70.7) 1.9 -1.5 (-2.8, -0.2)
Crawford County 4 stable higher 15 57.6 (45.1, 73.7) 1.8 -0.5 (-2.5, 1.5)
Montmorency County 4 stable higher 11 56.9 (41.9, 77.7) 1.8 -1.1 (-3.0, 0.7)
Oscoda County 4 stable higher 10 56.6 (41.2, 78.0) 1.8 -0.2 (-2.6, 2.2)
Iosco County 4 stable higher 29 56.1 (46.6, 67.5) 1.8 -0.6 (-1.8, 0.6)
Clare County 5 falling higher 30 54.5 (45.6, 64.9) 1.7 -2.0 (-3.3, -0.8)
Alpena County 4 stable higher 27 53.5 (44.4, 64.3) 1.7 -0.1 (-1.5, 1.2)
Iron County 4 stable higher 13 50.7 (38.3, 67.4) 1.6 -1.9 (-4.1, 0.1)
Hillsdale County 4 stable higher 36 50.2 (42.9, 58.5) 1.6 -0.2 (-1.4, 1.1)
Chippewa County 4 stable higher 25 49.8 (41.3, 59.8) 1.6 -0.1 (-1.6, 1.6)
Arenac County 5 falling higher 13 47.3 (35.9, 62.1) 1.5 -5.1 (-16.4, -2.1)
Newaygo County 5 falling higher 37 47.0 (40.3, 54.7) 1.5 -2.4 (-3.3, -1.5)
Montcalm County 5 falling higher 43 46.3 (40.2, 53.2) 1.5 -13.2 (-23.5, -2.1)
Mecosta County 4 stable higher 27 46.3 (38.4, 55.4) 1.5 -1.3 (-2.7, 0.1)
Schoolcraft County 8 falling similar 7 46.2 (32.3, 66.5) 1.5 -13.3 (-31.3, -1.3)
Mason County 5 falling higher 24 45.8 (37.5, 55.8) 1.5 -2.0 (-3.3, -0.7)
Muskegon County 5 falling higher 110 45.7 (41.9, 49.8) 1.5 -1.7 (-2.4, -1.0)
Osceola County 5 falling higher 17 45.7 (36.3, 57.2) 1.5 -1.7 (-3.0, -0.4)
Branch County 5 falling higher 29 45.6 (38.3, 53.9) 1.4 -1.4 (-2.7, -0.1)
Jackson County 5 falling higher 104 45.3 (41.4, 49.5) 1.4 -4.0 (-12.4, -1.9)
Calhoun County 5 falling higher 84 45.3 (41.0, 49.9) 1.4 -2.6 (-5.8, -1.7)
Manistee County 4 stable higher 22 44.9 (36.6, 55.0) 1.4 -0.9 (-2.5, 0.8)
St. Clair County 5 falling higher 108 44.8 (41.0, 48.9) 1.4 -2.9 (-4.7, -2.2)
Lake County 4 stable higher 11 44.8 (33.0, 60.7) 1.4 -1.4 (-3.5, 0.6)
Shiawassee County 4 stable higher 46 44.6 (38.9, 51.0) 1.4 -2.6 (-16.5, 0.1)
Cass County 5 falling higher 37 44.6 (38.2, 51.9) 1.4 -2.9 (-13.6, -1.3)
Bay County 5 falling higher 71 44.3 (39.7, 49.4) 1.4 -2.0 (-2.9, -1.1)
Alcona County 4 stable higher 11 43.8 (32.6, 60.5) 1.4 -1.7 (-3.6, 0.1)
St. Joseph County 5 falling higher 38 43.6 (37.5, 50.5) 1.4 -1.9 (-3.1, -0.7)
Genesee County 5 falling higher 246 43.1 (40.7, 45.7) 1.4 -2.9 (-3.7, -2.4)
Ontonagon County 6 stable similar 7 43.0 (29.7, 67.6) 1.4 -0.7 (-3.3, 2.0)
Delta County 4 stable higher 28 42.6 (35.6, 50.8) 1.4 -1.4 (-3.1, 0.3)
Ionia County 4 stable higher 34 42.3 (36.0, 49.5) 1.3 -1.4 (-3.2, 0.4)
Wexford County 5 falling higher 21 41.8 (34.0, 51.0) 1.3 -5.0 (-9.2, -2.7)
Gratiot County 4 stable higher 23 41.1 (33.9, 49.5) 1.3 -0.4 (-1.9, 1.1)
Sanilac County 5 falling higher 29 40.9 (34.4, 48.6) 1.3 -1.4 (-2.6, -0.2)
Huron County 4 stable higher 24 40.9 (33.6, 49.7) 1.3 -0.7 (-2.3, 0.8)
Isabella County 5 falling higher 27 40.9 (34.1, 48.7) 1.3 -2.5 (-3.8, -1.3)
Monroe County 5 falling higher 93 40.8 (37.1, 44.9) 1.3 -4.6 (-12.8, -2.3)
Tuscola County 5 falling higher 36 40.6 (34.8, 47.4) 1.3 -1.7 (-2.6, -0.8)
Houghton County 4 stable higher 20 40.3 (32.7, 49.5) 1.3 -1.4 (-3.4, 0.6)
Menominee County 6 stable similar 18 40.1 (32.0, 50.2) 1.3 -1.3 (-3.2, 0.7)
Berrien County 5 falling higher 96 39.9 (36.4, 43.8) 1.3 -2.2 (-2.7, -1.6)
Macomb County 5 falling higher 481 39.8 (38.2, 41.5) 1.3 -3.9 (-7.9, -2.5)
Charlevoix County 8 falling similar 19 39.8 (31.9, 49.7) 1.3 -1.7 (-3.2, -0.2)
Antrim County 6 stable similar 19 39.7 (31.8, 49.7) 1.3 10.6 (-2.7, 21.9)
Van Buren County 5 falling higher 44 39.0 (33.9, 44.8) 1.2 -4.1 (-10.9, -2.4)
Cheboygan County 8 falling similar 20 38.7 (31.3, 48.0) 1.2 -6.5 (-25.5, -2.1)
Oceana County 6 stable similar 17 38.5 (30.4, 48.4) 1.2 0.4 (-1.6, 2.5)
Wayne County 5 falling higher 854 38.4 (37.3, 39.6) 1.2 -3.8 (-4.5, -3.3)
Otsego County 6 stable similar 16 38.4 (30.1, 48.7) 1.2 -1.6 (-3.3, 0.2)
Missaukee County 8 falling similar 10 38.4 (28.2, 51.9) 1.2 -2.5 (-4.4, -0.7)
Lapeer County 5 falling higher 51 38.1 (33.4, 43.4) 1.2 -3.5 (-7.3, -2.1)
Baraga County 6 stable similar 5 37.8 (24.7, 57.1) 1.2 -1.5 (-4.7, 1.5)
Gogebic County 8 falling similar 11 37.4 (27.5, 50.9) 1.2 -4.4 (-14.7, -2.3)
Dickinson County 6 stable similar 17 37.2 (29.4, 46.7) 1.2 -1.2 (-2.7, 0.2)
Lenawee County 5 falling higher 55 36.9 (32.6, 41.7) 1.2 -2.0 (-3.3, -0.7)
Eaton County 5 falling higher 58 36.7 (32.5, 41.4) 1.2 -1.2 (-2.3, -0.1)
Mackinac County 8 falling similar 8 36.7 (25.9, 52.3) 1.2 -3.1 (-5.2, -1.2)
Allegan County 8 falling similar 58 35.6 (31.5, 40.1) 1.1 -1.9 (-2.8, -1.0)
Kalamazoo County 5 falling higher 111 35.5 (32.5, 38.6) 1.1 -2.5 (-3.2, -1.8)
Benzie County 6 stable similar 12 35.2 (26.5, 46.7) 1.1 -2.6 (-5.5, 0.0)
Barry County 8 falling similar 31 35.0 (29.6, 41.1) 1.1 -2.3 (-3.4, -1.3)
Saginaw County 5 falling higher 100 34.9 (31.8, 38.1) 1.1 -2.5 (-3.6, -1.5)
Ingham County 8 falling similar 108 34.6 (31.7, 37.7) 1.1 -1.6 (-2.3, -1.0)
Marquette County 8 falling similar 33 34.2 (29.1, 40.1) 1.1 -16.1 (-24.5, -2.8)
Kent County 8 falling similar 249 34.0 (32.1, 36.0) 1.1 -2.0 (-2.4, -1.6)
Grand Traverse County 8 falling similar 50 33.7 (29.6, 38.4) 1.1 -2.1 (-3.3, -0.8)
Emmet County 8 falling similar 19 32.5 (26.2, 40.3) 1.0 -15.8 (-28.3, -2.8)
Livingston County 8 falling similar 89 32.2 (29.1, 35.4) 1.0 -2.7 (-3.3, -2.2)
Midland County 8 falling similar 41 31.9 (27.6, 36.8) 1.0 -2.7 (-3.8, -1.6)
Oakland County 9 falling lower 489 28.2 (27.0, 29.3) 0.9 -4.7 (-7.7, -3.5)
Clinton County 8 falling similar 30 27.3 (23.0, 32.2) 0.9 -1.7 (-2.7, -0.7)
Ottawa County 9 falling lower 100 27.2 (24.8, 29.7) 0.9 -1.8 (-2.5, -1.1)
Presque Isle County 8 falling similar 8 27.0 (18.7, 39.6) 0.9 -2.3 (-4.8, -0.1)
Washtenaw County 9 falling lower 108 25.9 (23.7, 28.2) 0.8 -3.0 (-3.5, -2.5)
Alger County 8 falling similar 4 24.3 (14.7, 40.1) 0.8 -3.3 (-6.2, -0.8)
Leelanau County 7 stable lower 12 21.8 (16.4, 29.3) 0.7 -2.1 (-4.1, 0.0)
Luce County
**
** similar 5 48.1 (31.6, 72.6) 1.5
**
Keweenaw County
**
**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 12:47 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:
Keweenaw County

Trend for the following could not be reliably determined due to small number of deaths per year:
Luce 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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