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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 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 - 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)
Adair County 6 stable stable trend similar 5 45.2 (29.1, 68.8) 1.3 0.3 (-1.4, 2.1)
Adams County
**
 		**
*
3 or fewer
*
*
**
Allamakee County
**
 		** similar 7 35.8 (24.4, 51.3) 1.0
**
Appanoose County 6 stable stable trend similar 10 42.5 (31.3, 57.6) 1.2 0.6 (-1.0, 2.3)
Audubon County
**
 		**
*
3 or fewer
*
*
**
Benton County 6 stable stable trend similar 15 41.6 (32.7, 52.4) 1.2 -0.7 (-1.5, 0.1)
Black Hawk County 5 falling falling trend higher 70 41.7 (37.3, 46.4) 1.2 -1.6 (-2.1, -1.0)
Boone County 4 stable stable trend higher 16 46.5 (36.7, 58.2) 1.3 -0.4 (-1.5, 0.7)
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)
Cerro Gordo County 8 falling falling trend similar 25 35.1 (29.1, 42.2) 1.0 -2.3 (-3.0, -1.7)
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)
Clarke County 4 stable stable trend higher 7 52.8 (37.0, 74.0) 1.5 1.1 (-0.7, 3.0)
Clay County 6 stable stable trend similar 8 30.8 (21.9, 42.9) 0.9 -1.4 (-2.9, 0.2)
Clayton County 8 falling falling trend similar 9 31.6 (23.0, 43.1) 0.9 -1.4 (-2.6, -0.2)
Clinton County 5 falling falling trend higher 32 43.6 (37.1, 51.2) 1.2 -1.5 (-2.1, -0.9)
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)
Davis County
**
 		** similar 4 27.5 (16.1, 44.9) 0.8
**
Decatur County 6 stable stable trend similar 4 35.6 (21.4, 56.9) 1.0 -0.3 (-2.2, 1.7)
Delaware County 8 falling falling trend similar 8 30.3 (21.5, 42.1) 0.9 -1.8 (-2.9, -0.6)
Des Moines County 4 stable stable trend higher 30 48.6 (41.0, 57.4) 1.4 -0.4 (-1.3, 0.5)
Dickinson County 6 stable stable trend similar 11 32.6 (24.1, 43.8) 0.9 -1.4 (-2.8, 0.0)
Dubuque County 8 falling falling trend similar 42 32.0 (27.8, 36.8) 0.9 -8.8 (-14.6, -2.6)
Emmet County 6 stable stable trend similar 6 45.6 (30.2, 67.0) 1.3 0.1 (-1.3, 1.5)
Fayette County 8 falling falling trend similar 12 38.5 (29.3, 50.2) 1.1 -1.1 (-2.0, -0.1)
Floyd County 6 stable stable trend similar 10 41.7 (30.7, 56.0) 1.2 -0.7 (-1.7, 0.2)
Franklin County 7 stable stable trend lower 4 22.5 (13.2, 37.2) 0.6 -39.4 (-67.2, 12.2)
Fremont County 6 stable stable trend similar 5 39.3 (25.2, 60.6) 1.1 -1.0 (-2.4, 0.4)
Greene County 4 stable stable trend higher 8 53.9 (38.2, 75.2) 1.5 0.9 (-0.8, 2.6)
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)
Hamilton County 8 falling falling trend similar 9 36.6 (26.5, 50.0) 1.0 -1.6 (-2.8, -0.4)
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)
Harrison County 8 falling falling trend similar 10 47.4 (34.9, 63.5) 1.4 -1.4 (-2.5, -0.3)
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)
Ida County
**
 		** higher 6 54.9 (37.1, 80.1) 1.6
**
Iowa County 6 stable stable trend similar 8 34.3 (24.3, 47.5) 1.0 -0.5 (-2.1, 1.1)
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)
Jefferson County 6 stable stable trend similar 7 27.8 (19.0, 39.8) 0.8 -1.3 (-2.6, 0.0)
Johnson County 9 falling falling trend lower 34 24.7 (21.1, 28.9) 0.7 -4.5 (-6.3, -2.7)
Jones County 8 falling falling trend similar 10 32.8 (24.3, 43.8) 0.9 -1.6 (-2.8, -0.4)
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)
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)
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)
Lyon County
**
 		** similar 6 34.7 (22.8, 51.2) 1.0
**
Madison County 8 falling falling trend similar 7 30.8 (21.2, 43.7) 0.9 -1.8 (-3.1, -0.4)
Mahaska County 4 stable stable trend higher 15 46.7 (36.5, 59.3) 1.3 0.2 (-1.0, 1.5)
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)
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)
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)
O'Brien County 6 stable stable trend similar 9 38.0 (27.0, 52.6) 1.1 0.3 (-1.1, 1.7)
Osceola County
**
 		** similar 4 41.0 (25.2, 65.4) 1.2
**
Page County 6 stable stable trend similar 11 42.2 (31.7, 55.9) 1.2 -0.3 (-1.4, 0.8)
Palo Alto County 4 stable stable trend higher 10 63.2 (46.3, 85.7) 1.8 0.6 (-0.9, 2.2)
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)
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)
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)
Scott County 5 falling falling trend higher 92 41.8 (38.0, 45.9) 1.2 -3.3 (-4.7, -1.8)
Shelby County 6 stable stable trend similar 7 32.9 (22.4, 48.0) 0.9 -0.1 (-1.7, 1.5)
Sioux County 7 stable stable trend lower 9 20.4 (14.7, 27.8) 0.6 -0.7 (-1.9, 0.5)
Story County 9 falling falling trend lower 24 27.0 (22.3, 32.5) 0.8 -1.2 (-2.1, -0.3)
Tama County 6 stable stable trend similar 10 38.3 (28.1, 51.5) 1.1 -0.4 (-1.5, 0.8)
Taylor County
**
 		**
*
3 or fewer
*
*
**
Union County 6 stable stable trend similar 9 49.6 (35.5, 68.1) 1.4 -0.3 (-1.7, 1.0)
Van Buren County 1 rising rising trend higher 8 71.2 (50.4, 99.2) 2.0 1.8 (0.0, 3.7)
Wapello County 4 stable stable trend higher 24 50.0 (41.3, 60.0) 1.4 -0.6 (-1.6, 0.3)
Warren County 8 falling falling trend similar 21 33.4 (27.2, 40.7) 1.0 -1.1 (-2.1, -0.1)
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)
Webster County 8 falling falling trend similar 21 40.7 (33.1, 49.7) 1.2 -1.5 (-2.3, -0.7)
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)
Woodbury County 5 falling falling trend higher 60 49.7 (44.1, 55.8) 1.4 -0.8 (-1.4, -0.2)
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)
Notes:
Created by statecancerprofiles.cancer.gov on 05/19/2024 1:36 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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