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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Michigan Counties versus United States

Lung & Bronchus

All Races, Both Sexes

Sorted by trend
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 ascending
United States - falling falling trend - 142,497 35.0 (34.9, 35.0) - -4.8 (-5.1, -4.6)
Michigan - falling falling trend - 5,405 40.6 (40.1, 41.1) - -3.8 (-4.4, -3.2)
Cass County 4 stable stable trend higher 43 53.3 (46.2, 61.3) 1.5 0.7 (-3.2, 4.7)
Ontonagon County 6 stable stable trend similar 7 48.5 (32.4, 76.8) 1.4 0.0 (-1.4, 1.4)
Oscoda County 4 stable stable trend higher 12 73.0 (55.1, 97.1) 2.1 0.0 (-1.2, 1.3)
Chippewa County 4 stable stable trend higher 27 52.3 (43.7, 62.3) 1.5 0.0 (-0.8, 0.8)
Van Buren County 4 stable stable trend higher 47 43.9 (38.3, 50.2) 1.3 -9.7 (-19.5, 1.3)
Marquette County 8 falling falling trend similar 37 39.4 (33.8, 45.7) 1.1 -8.9 (-16.1, -1.2)
Isabella County 8 falling falling trend similar 26 38.3 (31.9, 45.7) 1.1 -5.5 (-8.6, -2.3)
Jackson County 5 falling falling trend higher 110 50.7 (46.4, 55.2) 1.4 -5.4 (-9.6, -1.1)
Mason County 8 falling falling trend similar 20 40.1 (32.3, 49.6) 1.1 -4.9 (-8.1, -1.6)
Macomb County 5 falling falling trend higher 508 43.7 (41.9, 45.4) 1.2 -4.7 (-7.0, -2.5)
Wayne County 5 falling falling trend higher 920 42.9 (41.6, 44.2) 1.2 -3.9 (-4.7, -3.2)
Oakland County 9 falling falling trend lower 511 30.9 (29.7, 32.1) 0.9 -3.9 (-4.7, -3.1)
Genesee County 5 falling falling trend higher 266 47.4 (44.8, 50.0) 1.4 -3.6 (-5.0, -2.2)
Livingston County 8 falling falling trend similar 90 34.9 (31.7, 38.4) 1.0 -3.2 (-4.0, -2.3)
St. Clair County 5 falling falling trend higher 107 46.6 (42.7, 50.9) 1.3 -3.0 (-4.5, -1.5)
Leelanau County 9 falling falling trend lower 10 23.2 (16.6, 32.3) 0.7 -2.9 (-4.2, -1.5)
Kalamazoo County 8 falling falling trend similar 112 36.8 (33.8, 40.1) 1.1 -2.9 (-4.1, -1.7)
Alger County 8 falling falling trend similar 5 28.1 (18.3, 43.9) 0.8 -2.8 (-4.5, -1.2)
Newaygo County 5 falling falling trend higher 34 46.9 (40.0, 54.7) 1.3 -2.7 (-4.2, -1.2)
Bay County 5 falling falling trend higher 73 46.2 (41.4, 51.4) 1.3 -2.6 (-3.8, -1.4)
Kent County 8 falling falling trend similar 249 34.9 (33.0, 37.0) 1.0 -2.5 (-3.2, -1.8)
Washtenaw County 9 falling falling trend lower 116 29.8 (27.4, 32.4) 0.9 -2.3 (-2.7, -1.9)
Benzie County 8 falling falling trend similar 10 32.3 (23.4, 44.3) 0.9 -2.2 (-3.6, -0.7)
Antrim County 8 falling falling trend similar 15 33.2 (26.0, 42.6) 1.0 -2.2 (-3.2, -1.1)
Clinton County 9 falling falling trend lower 31 29.5 (25.0, 34.8) 0.8 -2.2 (-2.9, -1.5)
Grand Traverse County 9 falling falling trend lower 43 29.8 (25.9, 34.3) 0.9 -2.2 (-2.9, -1.4)
Midland County 8 falling falling trend similar 41 34.8 (30.2, 40.1) 1.0 -1.9 (-2.6, -1.2)
Charlevoix County 8 falling falling trend similar 18 41.9 (33.1, 52.6) 1.2 -1.6 (-2.6, -0.6)
Allegan County 5 falling falling trend higher 66 41.8 (37.3, 46.8) 1.2 -1.6 (-2.5, -0.7)
Mackinac County 8 falling falling trend similar 8 41.0 (28.4, 58.8) 1.2 -1.5 (-2.9, -0.2)
Saginaw County 5 falling falling trend higher 109 38.9 (35.7, 42.4) 1.1 -1.5 (-2.0, -1.0)
Berrien County 5 falling falling trend higher 102 43.6 (39.8, 47.7) 1.2 -1.5 (-1.9, -1.0)
Baraga County 8 falling falling trend similar 6 47.5 (32.1, 69.4) 1.4 -1.4 (-2.6, -0.1)
Delta County 5 falling falling trend higher 30 46.8 (39.5, 55.5) 1.3 -1.4 (-2.4, -0.4)
Iosco County 5 falling falling trend higher 28 55.7 (46.3, 67.0) 1.6 -1.4 (-2.1, -0.6)
Ingham County 8 falling falling trend similar 115 38.0 (34.9, 41.3) 1.1 -1.4 (-1.9, -1.0)
Clare County 5 falling falling trend higher 32 60.3 (51.1, 71.0) 1.7 -1.4 (-1.9, -0.8)
Presque Isle County 6 stable stable trend similar 11 40.5 (29.6, 55.7) 1.2 -1.3 (-2.9, 0.3)
Alcona County 8 falling falling trend similar 12 45.3 (34.2, 62.1) 1.3 -1.3 (-2.4, -0.2)
Crawford County 5 falling falling trend higher 14 52.6 (40.8, 68.0) 1.5 -1.3 (-2.4, -0.1)
Sanilac County 8 falling falling trend similar 27 41.6 (34.6, 49.7) 1.2 -1.3 (-2.0, -0.7)
Monroe County 5 falling falling trend higher 93 43.6 (39.6, 47.9) 1.2 -1.3 (-1.9, -0.8)
Emmet County 8 falling falling trend similar 24 42.0 (34.6, 50.8) 1.2 -1.2 (-2.1, -0.4)
Barry County 8 falling falling trend similar 33 38.5 (32.7, 45.1) 1.1 -1.2 (-2.1, -0.3)
St. Joseph County 5 falling falling trend higher 39 45.5 (39.2, 52.6) 1.3 -1.2 (-1.9, -0.5)
Roscommon County 5 falling falling trend higher 29 54.2 (45.1, 65.5) 1.6 -1.2 (-1.9, -0.4)
Iron County 6 stable stable trend similar 11 45.2 (33.9, 61.1) 1.3 -1.1 (-2.3, 0.2)
Oceana County 8 falling falling trend similar 17 39.4 (31.4, 49.3) 1.1 -1.1 (-2.2, -0.1)
Osceola County 5 falling falling trend higher 18 49.0 (39.3, 60.8) 1.4 -1.1 (-2.2, -0.1)
Lenawee County 5 falling falling trend higher 61 42.5 (37.8, 47.8) 1.2 -1.1 (-1.8, -0.4)
Cheboygan County 6 stable stable trend similar 20 38.5 (31.1, 47.7) 1.1 -1.0 (-2.1, 0.0)
Branch County 5 falling falling trend higher 31 51.1 (43.2, 60.1) 1.5 -1.0 (-1.8, -0.2)
Ottawa County 9 falling falling trend lower 94 28.1 (25.6, 30.8) 0.8 -1.0 (-1.5, -0.5)
Missaukee County 6 stable stable trend similar 10 39.8 (29.3, 53.7) 1.1 -0.9 (-2.2, 0.4)
Menominee County 6 stable stable trend similar 17 39.9 (31.7, 50.2) 1.1 -0.9 (-2.1, 0.4)
Montmorency County 4 stable stable trend higher 11 55.7 (40.7, 76.8) 1.6 -0.9 (-2.1, 0.4)
Ionia County 4 stable stable trend higher 34 43.7 (37.2, 51.0) 1.2 -0.9 (-1.9, 0.0)
Lake County 5 falling falling trend higher 14 62.0 (46.9, 81.7) 1.8 -0.9 (-1.8, 0.0)
Dickinson County 8 falling falling trend similar 17 39.2 (31.2, 49.2) 1.1 -0.9 (-1.7, -0.1)
Mecosta County 5 falling falling trend higher 29 49.3 (41.3, 58.6) 1.4 -0.9 (-1.7, -0.1)
Gladwin County 5 falling falling trend higher 31 61.9 (52.1, 73.4) 1.8 -0.9 (-1.6, -0.1)
Lapeer County 5 falling falling trend higher 57 45.8 (40.6, 51.7) 1.3 -0.9 (-1.5, -0.3)
Tuscola County 5 falling falling trend higher 35 41.7 (35.6, 48.7) 1.2 -0.9 (-1.5, -0.3)
Gogebic County 6 stable stable trend similar 11 39.2 (29.1, 52.7) 1.1 -0.8 (-1.8, 0.2)
Manistee County 4 stable stable trend higher 24 50.7 (41.7, 61.5) 1.4 -0.8 (-1.7, 0.0)
Eaton County 5 falling falling trend higher 64 41.3 (36.8, 46.2) 1.2 -0.8 (-1.5, -0.1)
Montcalm County 5 falling falling trend higher 47 52.6 (46.0, 60.0) 1.5 -0.8 (-1.5, -0.1)
Muskegon County 5 falling falling trend higher 108 46.5 (42.6, 50.7) 1.3 -0.8 (-1.3, -0.2)
Ogemaw County 4 stable stable trend higher 26 63.5 (52.8, 76.5) 1.8 -0.7 (-1.5, 0.2)
Calhoun County 5 falling falling trend higher 88 48.6 (44.1, 53.5) 1.4 -0.7 (-1.3, -0.2)
Kalkaska County 4 stable stable trend higher 13 48.7 (37.1, 63.2) 1.4 -0.6 (-1.8, 0.7)
Wexford County 4 stable stable trend higher 23 47.2 (38.8, 57.0) 1.3 -0.6 (-1.6, 0.3)
Huron County 6 stable stable trend similar 23 39.5 (32.4, 48.2) 1.1 -0.6 (-1.5, 0.4)
Houghton County 4 stable stable trend higher 21 44.4 (36.1, 54.3) 1.3 -0.5 (-1.4, 0.4)
Alpena County 4 stable stable trend higher 25 51.6 (42.6, 62.4) 1.5 -0.5 (-1.2, 0.1)
Shiawassee County 4 stable stable trend higher 49 49.5 (43.3, 56.3) 1.4 -0.4 (-1.1, 0.4)
Arenac County 4 stable stable trend higher 16 57.2 (44.7, 73.0) 1.6 -0.3 (-1.4, 0.9)
Schoolcraft County 4 stable stable trend higher 11 70.4 (52.7, 94.4) 2.0 -0.3 (-1.4, 0.8)
Otsego County 6 stable stable trend similar 16 43.9 (34.5, 55.3) 1.3 -0.2 (-1.3, 0.9)
Gratiot County 4 stable stable trend higher 26 48.1 (40.0, 57.5) 1.4 -0.2 (-1.1, 0.8)
Hillsdale County 4 stable stable trend higher 37 55.1 (47.2, 64.1) 1.6 -0.1 (-0.8, 0.5)
Luce County
**
** similar 5 45.2 (28.5, 70.4) 1.3
**
Keweenaw County
**
**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/11/2024 9:07 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 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:
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 does not include Puerto Rico.

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