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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Iowa Counties versus United States

Lung & Bronchus

All Races, Both Sexes

Sorted by priority index
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 falling trend - 142,497 35.0 (34.9, 35.0) - -4.8 (-5.1, -4.6)
Iowa - falling falling trend - 1,578 37.9 (37.1, 38.8) - -4.8 (-6.3, -3.3)
Van Buren County 1 rising rising trend higher 8 71.2 (50.4, 99.2) 2.0 1.8 (0.0, 3.7)
Boone County 4 stable stable trend higher 16 46.5 (36.7, 58.2) 1.3 -0.4 (-1.5, 0.7)
Clarke County 4 stable stable trend higher 7 52.8 (37.0, 74.0) 1.5 1.1 (-0.7, 3.0)
Des Moines County 4 stable stable trend higher 30 48.6 (41.0, 57.4) 1.4 -0.4 (-1.3, 0.5)
Greene County 4 stable stable trend higher 8 53.9 (38.2, 75.2) 1.5 0.9 (-0.8, 2.6)
Mahaska County 4 stable stable trend higher 15 46.7 (36.5, 59.3) 1.3 0.2 (-1.0, 1.5)
Palo Alto County 4 stable stable trend higher 10 63.2 (46.3, 85.7) 1.8 0.6 (-0.9, 2.2)
Wapello County 4 stable stable trend higher 24 50.0 (41.3, 60.0) 1.4 -0.6 (-1.6, 0.3)
Black Hawk County 5 falling falling trend higher 70 41.7 (37.3, 46.4) 1.2 -1.6 (-2.1, -1.0)
Clinton County 5 falling falling trend higher 32 43.6 (37.1, 51.2) 1.2 -1.5 (-2.1, -0.9)
Polk County 5 falling falling trend higher 196 39.0 (36.5, 41.6) 1.1 -6.2 (-8.9, -3.6)
Pottawattamie County 5 falling falling trend higher 60 49.1 (43.6, 55.1) 1.4 -1.0 (-1.6, -0.4)
Scott County 5 falling falling trend higher 92 41.8 (38.0, 45.9) 1.2 -3.3 (-4.7, -1.8)
Woodbury County 5 falling falling trend higher 60 49.7 (44.1, 55.8) 1.4 -0.8 (-1.4, -0.2)
Adair County 6 stable stable trend similar 5 45.2 (29.1, 68.8) 1.3 0.3 (-1.4, 2.1)
Appanoose County 6 stable stable trend similar 10 42.5 (31.3, 57.6) 1.2 0.6 (-1.0, 2.3)
Benton County 6 stable stable trend similar 15 41.6 (32.7, 52.4) 1.2 -0.7 (-1.5, 0.1)
Bremer County 6 stable stable trend similar 11 30.3 (22.6, 40.1) 0.9 -1.3 (-2.8, 0.2)
Buchanan County 6 stable stable trend similar 11 39.2 (29.6, 51.3) 1.1 -0.8 (-1.9, 0.3)
Buena Vista County 6 stable stable trend similar 8 31.1 (21.9, 43.2) 0.9 -0.5 (-1.8, 0.8)
Butler County 6 stable stable trend similar 9 36.6 (26.4, 50.3) 1.0 -0.4 (-1.6, 0.8)
Calhoun County 6 stable stable trend similar 6 40.2 (27.0, 58.7) 1.1 -1.1 (-2.2, 0.1)
Carroll County 6 stable stable trend similar 12 39.4 (29.7, 51.7) 1.1 -0.8 (-2.3, 0.7)
Cass County 6 stable stable trend similar 9 39.7 (28.7, 54.6) 1.1 -1.1 (-2.5, 0.3)
Cedar County 6 stable stable trend similar 11 38.7 (28.9, 51.3) 1.1 -0.3 (-1.6, 1.0)
Cherokee County 6 stable stable trend similar 9 43.7 (30.9, 61.2) 1.3 0.5 (-1.2, 2.2)
Chickasaw County 6 stable stable trend similar 7 39.0 (26.6, 55.9) 1.1 -0.7 (-2.1, 0.7)
Clay County 6 stable stable trend similar 8 30.8 (21.9, 42.9) 0.9 -1.4 (-2.9, 0.2)
Decatur County 6 stable stable trend similar 4 35.6 (21.4, 56.9) 1.0 -0.3 (-2.2, 1.7)
Dickinson County 6 stable stable trend similar 11 32.6 (24.1, 43.8) 0.9 -1.4 (-2.8, 0.0)
Emmet County 6 stable stable trend similar 6 45.6 (30.2, 67.0) 1.3 0.1 (-1.3, 1.5)
Floyd County 6 stable stable trend similar 10 41.7 (30.7, 56.0) 1.2 -0.7 (-1.7, 0.2)
Fremont County 6 stable stable trend similar 5 39.3 (25.2, 60.6) 1.1 -1.0 (-2.4, 0.4)
Grundy County 6 stable stable trend similar 6 28.5 (19.0, 42.1) 0.8 -0.5 (-2.3, 1.4)
Guthrie County 6 stable stable trend similar 7 39.7 (27.3, 57.1) 1.1 -0.3 (-1.8, 1.1)
Hancock County 6 stable stable trend similar 6 33.6 (22.5, 49.5) 1.0 -1.3 (-2.9, 0.4)
Hardin County 6 stable stable trend similar 11 38.6 (28.8, 51.2) 1.1 -0.4 (-1.9, 1.0)
Henry County 6 stable stable trend similar 12 41.0 (31.1, 53.5) 1.2 -1.0 (-2.1, 0.0)
Howard County 6 stable stable trend similar 6 40.2 (27.1, 58.7) 1.1 1.3 (-0.3, 3.0)
Humboldt County 6 stable stable trend similar 7 46.7 (32.5, 66.1) 1.3 -0.7 (-2.2, 0.9)
Iowa County 6 stable stable trend similar 8 34.3 (24.3, 47.5) 1.0 -0.5 (-2.1, 1.1)
Jefferson County 6 stable stable trend similar 7 27.8 (19.0, 39.8) 0.8 -1.3 (-2.6, 0.0)
Keokuk County 6 stable stable trend similar 7 41.1 (28.2, 59.2) 1.2 -0.6 (-2.3, 1.1)
Kossuth County 6 stable stable trend similar 8 28.8 (20.2, 40.9) 0.8 -0.4 (-1.8, 1.1)
Louisa County 6 stable stable trend similar 6 38.6 (26.1, 56.0) 1.1 0.3 (-1.3, 1.8)
Lucas County 6 stable stable trend similar 5 35.6 (22.6, 54.6) 1.0 -1.4 (-3.3, 0.5)
Monona County 6 stable stable trend similar 8 49.3 (35.3, 68.9) 1.4 0.0 (-1.4, 1.4)
Monroe County 6 stable stable trend similar 5 39.8 (25.1, 61.3) 1.1 -0.1 (-1.6, 1.4)
O'Brien County 6 stable stable trend similar 9 38.0 (27.0, 52.6) 1.1 0.3 (-1.1, 1.7)
Page County 6 stable stable trend similar 11 42.2 (31.7, 55.9) 1.2 -0.3 (-1.4, 0.8)
Plymouth County 6 stable stable trend similar 13 35.8 (27.3, 46.3) 1.0 0.4 (-0.9, 1.7)
Pocahontas County 6 stable stable trend similar 4 34.7 (21.5, 55.7) 1.0 -1.3 (-2.9, 0.4)
Poweshiek County 6 stable stable trend similar 11 39.7 (29.7, 52.6) 1.1 0.0 (-1.3, 1.3)
Ringgold County 6 stable stable trend similar 4 46.8 (28.1, 76.2) 1.3 0.9 (-1.1, 2.9)
Sac County 6 stable stable trend similar 7 40.8 (27.8, 58.9) 1.2 0.5 (-1.4, 2.4)
Shelby County 6 stable stable trend similar 7 32.9 (22.4, 48.0) 0.9 -0.1 (-1.7, 1.5)
Tama County 6 stable stable trend similar 10 38.3 (28.1, 51.5) 1.1 -0.4 (-1.5, 0.8)
Union County 6 stable stable trend similar 9 49.6 (35.5, 68.1) 1.4 -0.3 (-1.7, 1.0)
Washington County 6 stable stable trend similar 12 37.3 (28.2, 48.7) 1.1 0.2 (-0.9, 1.3)
Wayne County 6 stable stable trend similar 4 43.9 (25.9, 70.7) 1.3 -0.8 (-2.7, 1.2)
Worth County 6 stable stable trend similar 4 38.2 (23.8, 59.6) 1.1 -1.5 (-3.5, 0.5)
Wright County 6 stable stable trend similar 7 31.1 (21.4, 44.9) 0.9 -1.3 (-2.8, 0.2)
Franklin County 7 stable stable trend lower 4 22.5 (13.2, 37.2) 0.6 -39.4 (-67.2, 12.2)
Sioux County 7 stable stable trend lower 9 20.4 (14.7, 27.8) 0.6 -0.7 (-1.9, 0.5)
Cerro Gordo County 8 falling falling trend similar 25 35.1 (29.1, 42.2) 1.0 -2.3 (-3.0, -1.7)
Clayton County 8 falling falling trend similar 9 31.6 (23.0, 43.1) 0.9 -1.4 (-2.6, -0.2)
Crawford County 8 falling falling trend similar 7 31.6 (22.0, 44.3) 0.9 -1.4 (-2.8, 0.0)
Dallas County 8 falling falling trend similar 27 32.0 (26.8, 38.0) 0.9 -2.2 (-3.0, -1.4)
Delaware County 8 falling falling trend similar 8 30.3 (21.5, 42.1) 0.9 -1.8 (-2.9, -0.6)
Dubuque County 8 falling falling trend similar 42 32.0 (27.8, 36.8) 0.9 -8.8 (-14.6, -2.6)
Fayette County 8 falling falling trend similar 12 38.5 (29.3, 50.2) 1.1 -1.1 (-2.0, -0.1)
Hamilton County 8 falling falling trend similar 9 36.6 (26.5, 50.0) 1.0 -1.6 (-2.8, -0.4)
Harrison County 8 falling falling trend similar 10 47.4 (34.9, 63.5) 1.4 -1.4 (-2.5, -0.3)
Jackson County 8 falling falling trend similar 12 39.5 (30.0, 51.5) 1.1 -1.3 (-2.4, -0.2)
Jasper County 8 falling falling trend similar 21 36.3 (29.5, 44.3) 1.0 -1.9 (-2.8, -0.9)
Jones County 8 falling falling trend similar 10 32.8 (24.3, 43.8) 0.9 -1.6 (-2.8, -0.4)
Lee County 8 falling falling trend similar 22 40.1 (32.8, 48.8) 1.1 -1.8 (-2.8, -0.7)
Linn County 8 falling falling trend similar 105 37.9 (34.7, 41.3) 1.1 -2.6 (-3.5, -1.8)
Madison County 8 falling falling trend similar 7 30.8 (21.2, 43.7) 0.9 -1.8 (-3.1, -0.4)
Marion County 8 falling falling trend similar 14 31.7 (24.7, 40.2) 0.9 -1.0 (-2.0, 0.0)
Marshall County 8 falling falling trend similar 20 35.7 (28.9, 43.8) 1.0 -2.0 (-2.9, -1.1)
Mills County 8 falling falling trend similar 9 41.6 (29.9, 56.8) 1.2 -1.6 (-2.8, -0.3)
Mitchell County 8 falling falling trend similar 5 28.5 (18.2, 43.6) 0.8 -1.8 (-3.3, -0.3)
Montgomery County 8 falling falling trend similar 7 41.8 (29.0, 59.5) 1.2 -1.3 (-2.4, -0.1)
Muscatine County 8 falling falling trend similar 21 37.8 (30.7, 46.2) 1.1 -1.3 (-2.2, -0.4)
Warren County 8 falling falling trend similar 21 33.4 (27.2, 40.7) 1.0 -1.1 (-2.1, -0.1)
Webster County 8 falling falling trend similar 21 40.7 (33.1, 49.7) 1.2 -1.5 (-2.3, -0.7)
Johnson County 9 falling falling trend lower 34 24.7 (21.1, 28.9) 0.7 -4.5 (-6.3, -2.7)
Story County 9 falling falling trend lower 24 27.0 (22.3, 32.5) 0.8 -1.2 (-2.1, -0.3)
Winnebago County 9 falling falling trend lower 4 23.2 (14.2, 37.1) 0.7 -10.4 (-17.6, -2.4)
Winneshiek County 9 falling falling trend lower 7 20.9 (14.4, 30.0) 0.6 -2.2 (-3.5, -1.0)
Allamakee County
**
** similar 7 35.8 (24.4, 51.3) 1.0
**
Davis County
**
** similar 4 27.5 (16.1, 44.9) 0.8
**
Ida County
**
** higher 6 54.9 (37.1, 80.1) 1.6
**
Lyon County
**
** similar 6 34.7 (22.8, 51.2) 1.0
**
Osceola County
**
** similar 4 41.0 (25.2, 65.4) 1.2
**
Adams County
**
**
*
3 or fewer
*
*
**
Audubon County
**
**
*
3 or fewer
*
*
**
Taylor County
**
**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/07/2024 10:30 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:
Adams County, Audubon County, Taylor County

Trend for the following could not be reliably determined due to small number of deaths per year:
Allamakee County, Davis County, Ida County, Lyon County, Osceola 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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