Data Table for Rate/Trend Comparison by Cancer
Counties
|
Priority Index1 1=highest 9=lowest 
|
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)
|
|---|---|---|---|---|---|---|---|
| United States | - |
falling 
|
- | 142,497 | 35.0 (34.9, 35.0) | - | -4.8 (-5.1, -4.6) |
| Missouri | - |
falling
|
- | 3,584 | 44.5 (43.8, 45.1) | - | -4.4 (-5.1, -3.6) |
| Pemiscot County | 4 |
stable 
|
higher | 17 | 76.5 (60.7, 95.4) | 2.2 | -0.3 (-1.4, 0.8) |
| Montgomery County | 4 |
stable
|
higher | 13 | 75.7 (58.4, 97.3) | 2.2 | 1.1 (-0.1, 2.3) |
| Madison County | 4 |
stable
|
higher | 14 | 73.6 (57.0, 94.3) | 2.1 | -0.9 (-1.9, 0.2) |
| New Madrid County | 4 |
stable
|
higher | 18 | 72.3 (58.0, 89.4) | 2.1 | 0.2 (-0.9, 1.2) |
| St. Francois County | 4 |
stable
|
higher | 62 | 72.0 (64.2, 80.6) | 2.1 | -0.5 (-1.1, 0.1) |
| Crawford County | 4 |
stable
|
higher | 26 | 71.6 (59.6, 85.6) | 2.0 | 0.1 (-0.6, 0.8) |
| Butler County | 4 |
stable
|
higher | 43 | 69.9 (60.7, 80.1) | 2.0 | -0.6 (-1.4, 0.3) |
| Mississippi County | 4 |
stable
|
higher | 13 | 69.4 (53.5, 89.1) | 2.0 | -0.6 (-1.7, 0.5) |
| Dunklin County | 4 |
stable
|
higher | 28 | 69.2 (58.0, 82.1) | 2.0 | -0.2 (-1.1, 0.8) |
| Wayne County | 4 |
stable
|
higher | 15 | 63.7 (49.4, 81.7) | 1.8 | -0.6 (-1.6, 0.4) |
| Ripley County | 4 |
stable
|
higher | 14 | 62.9 (48.7, 80.6) | 1.8 | -0.1 (-1.4, 1.2) |
| Iron County | 5 |
falling
|
higher | 10 | 62.3 (46.0, 83.6) | 1.8 | -1.6 (-2.6, -0.5) |
| Laclede County | 5 |
falling
|
higher | 31 | 61.7 (52.3, 72.5) | 1.8 | -1.0 (-1.6, -0.3) |
| Randolph County | 1 |
rising 
|
higher | 19 | 61.4 (49.6, 75.4) | 1.8 | 1.2 (0.3, 2.1) |
| DeKalb County | 4 |
stable
|
higher | 9 | 60.9 (44.6, 81.8) | 1.7 | -1.0 (-2.9, 0.8) |
| Stoddard County | 4 |
stable
|
higher | 27 | 60.9 (50.9, 72.6) | 1.7 | -0.3 (-1.1, 0.5) |
| Ray County | 4 |
stable
|
higher | 20 | 60.6 (49.2, 74.2) | 1.7 | -0.7 (-1.6, 0.2) |
| Washington County | 4 |
stable
|
higher | 20 | 60.5 (49.1, 74.1) | 1.7 | -0.7 (-2.1, 0.7) |
| Benton County | 5 |
falling
|
higher | 26 | 60.5 (49.7, 73.9) | 1.7 | -1.5 (-2.6, -0.5) |
| Morgan County | 4 |
stable
|
higher | 21 | 60.1 (48.5, 74.0) | 1.7 | -0.5 (-1.5, 0.5) |
| Audrain County | 4 |
stable
|
higher | 20 | 58.4 (47.5, 71.3) | 1.7 | 0.1 (-0.8, 1.1) |
| Carter County | 4 |
stable
|
higher | 5 | 58.0 (37.5, 87.3) | 1.7 | -0.4 (-2.4, 1.6) |
| Livingston County | 4 |
stable
|
higher | 13 | 57.6 (44.0, 74.6) | 1.6 | 0.8 (-0.6, 2.2) |
| Howell County | 5 |
falling
|
higher | 34 | 57.3 (48.8, 67.0) | 1.6 | -1.0 (-1.6, -0.4) |
| Callaway County | 4 |
stable
|
higher | 32 | 57.0 (48.4, 66.8) | 1.6 | -0.6 (-1.4, 0.1) |
| McDonald County | 4 |
stable
|
higher | 15 | 55.4 (43.4, 69.9) | 1.6 | -0.6 (-1.7, 0.4) |
| Macon County | 4 |
stable
|
higher | 14 | 55.4 (42.8, 71.2) | 1.6 | 0.4 (-1.0, 1.8) |
| Caldwell County | 4 |
stable
|
higher | 7 | 55.0 (37.5, 78.5) | 1.6 | 1.2 (-0.7, 3.1) |
| Scott County | 4 |
stable
|
higher | 29 | 54.6 (45.9, 64.6) | 1.6 | -14.5 (-30.4, 5.1) |
| Pettis County | 4 |
stable
|
higher | 30 | 54.4 (45.9, 64.2) | 1.6 | -0.1 (-1.6, 1.4) |
| Shannon County | 5 |
falling
|
higher | 8 | 54.1 (38.3, 76.0) | 1.5 | -1.9 (-3.3, -0.5) |
| Bollinger County | 4 |
stable
|
higher | 10 | 54.0 (39.9, 72.2) | 1.5 | -0.5 (-1.7, 0.7) |
| Chariton County | 6 |
stable
|
similar | 7 | 53.2 (36.4, 76.8) | 1.5 | 1.1 (-0.5, 2.7) |
| Jefferson County | 5 |
falling
|
higher | 146 | 53.0 (49.1, 57.1) | 1.5 | -4.4 (-6.1, -2.7) |
| Jasper County | 5 |
falling
|
higher | 77 | 52.9 (47.6, 58.5) | 1.5 | -0.9 (-1.4, -0.5) |
| Ozark County | 5 |
falling
|
higher | 10 | 52.8 (38.8, 72.4) | 1.5 | -1.7 (-2.8, -0.5) |
| Newton County | 5 |
falling
|
higher | 42 | 51.8 (44.9, 59.5) | 1.5 | -1.0 (-1.6, -0.4) |
| Monroe County | 4 |
stable
|
higher | 8 | 51.8 (36.8, 72.4) | 1.5 | -1.1 (-2.9, 0.6) |
| Henry County | 5 |
falling
|
higher | 19 | 51.7 (41.6, 63.9) | 1.5 | -10.2 (-18.7, -0.7) |
| Hickory County | 4 |
stable
|
higher | 11 | 50.8 (37.2, 70.2) | 1.5 | -1.1 (-2.5, 0.4) |
| Buchanan County | 5 |
falling
|
higher | 57 | 50.8 (45.0, 57.3) | 1.5 | -7.3 (-14.0, -0.1) |
| Oregon County | 4 |
stable
|
higher | 9 | 50.6 (36.7, 69.4) | 1.4 | -0.7 (-2.1, 0.6) |
| Miller County | 5 |
falling
|
higher | 18 | 50.6 (40.5, 62.6) | 1.4 | -7.3 (-12.4, -1.8) |
| Marion County | 5 |
falling
|
higher | 20 | 50.5 (40.8, 61.9) | 1.4 | -1.0 (-2.0, 0.0) |
| Lafayette County | 5 |
falling
|
higher | 25 | 50.5 (41.9, 60.6) | 1.4 | -0.9 (-1.6, -0.1) |
| Clinton County | 4 |
stable
|
higher | 15 | 50.4 (39.6, 63.8) | 1.4 | -0.5 (-1.5, 0.5) |
| Gasconade County | 5 |
falling
|
higher | 13 | 50.4 (38.5, 65.7) | 1.4 | -1.5 (-2.8, -0.3) |
| Texas County | 4 |
stable
|
higher | 21 | 49.9 (40.8, 60.8) | 1.4 | -0.9 (-1.9, 0.2) |
| Dallas County | 5 |
falling
|
higher | 13 | 49.9 (38.5, 64.1) | 1.4 | -1.2 (-2.3, -0.2) |
| Saline County | 4 |
stable
|
higher | 16 | 49.8 (39.4, 62.5) | 1.4 | -0.5 (-1.7, 0.7) |
| Andrew County | 4 |
stable
|
higher | 12 | 49.8 (38.0, 64.5) | 1.4 | 0.0 (-1.5, 1.5) |
| Webster County | 5 |
falling
|
higher | 24 | 49.6 (41.0, 59.6) | 1.4 | -1.6 (-2.3, -0.9) |
| Bates County | 4 |
stable
|
higher | 12 | 49.0 (37.3, 63.7) | 1.4 | -1.0 (-2.0, 0.1) |
| Howard County | 6 |
stable
|
similar | 7 | 48.7 (33.3, 69.4) | 1.4 | -1.5 (-3.0, 0.1) |
| Harrison County | 6 |
stable
|
similar | 7 | 48.4 (32.8, 70.1) | 1.4 | -0.2 (-1.6, 1.3) |
| Reynolds County | 6 |
stable
|
similar | 5 | 48.3 (31.2, 73.9) | 1.4 | -0.5 (-2.3, 1.4) |
| Schuyler County | 6 |
stable
|
similar | 3 | 48.1 (27.3, 80.7) | 1.4 | -0.5 (-2.3, 1.4) |
| Lincoln County | 4 |
stable
|
higher | 31 | 47.7 (40.3, 56.2) | 1.4 | -0.9 (-1.9, 0.1) |
| Shelby County | 6 |
stable
|
similar | 5 | 47.6 (30.3, 73.3) | 1.4 | -0.9 (-2.8, 1.0) |
| Lawrence County | 5 |
falling
|
higher | 26 | 47.5 (39.6, 56.7) | 1.4 | -1.1 (-2.0, -0.2) |
| St. Louis City | 5 |
falling
|
higher | 162 | 46.8 (43.6, 50.3) | 1.3 | -7.9 (-11.8, -3.8) |
| Adair County | 4 |
stable
|
higher | 13 | 46.3 (35.8, 59.3) | 1.3 | -0.8 (-2.1, 0.6) |
| Carroll County | 6 |
stable
|
similar | 6 | 46.0 (31.0, 66.8) | 1.3 | -0.2 (-1.8, 1.3) |
| Cedar County | 6 |
stable
|
similar | 11 | 45.7 (34.0, 60.9) | 1.3 | -0.9 (-2.0, 0.3) |
| Camden County | 5 |
falling
|
higher | 43 | 45.7 (39.5, 53.0) | 1.3 | -1.3 (-2.2, -0.3) |
| Cass County | 5 |
falling
|
higher | 63 | 45.2 (40.4, 50.6) | 1.3 | -1.3 (-1.9, -0.6) |
| Moniteau County | 6 |
stable
|
similar | 9 | 44.8 (32.4, 60.6) | 1.3 | -0.5 (-2.2, 1.3) |
| Franklin County | 5 |
falling
|
higher | 64 | 44.8 (40.0, 50.1) | 1.3 | -1.6 (-2.1, -1.0) |
| Pulaski County | 5 |
falling
|
higher | 18 | 44.7 (35.7, 55.2) | 1.3 | -1.6 (-2.6, -0.5) |
| Dent County | 6 |
stable
|
similar | 12 | 44.5 (33.7, 58.3) | 1.3 | -1.2 (-2.5, 0.2) |
| Warren County | 4 |
stable
|
higher | 22 | 44.3 (36.3, 53.9) | 1.3 | -0.7 (-1.5, 0.2) |
| Vernon County | 8 |
falling
|
similar | 14 | 44.3 (34.2, 56.8) | 1.3 | -1.2 (-2.3, -0.1) |
| Douglas County | 8 |
falling
|
similar | 11 | 44.0 (33.0, 58.6) | 1.3 | -1.5 (-2.8, -0.3) |
| Sullivan County | 6 |
stable
|
similar | 4 | 43.1 (26.2, 68.6) | 1.2 | -0.4 (-2.1, 1.3) |
| Barry County | 5 |
falling
|
higher | 25 | 42.9 (35.6, 51.5) | 1.2 | -3.0 (-4.4, -1.5) |
| Johnson County | 6 |
stable
|
similar | 23 | 42.8 (35.3, 51.5) | 1.2 | 0.0 (-0.9, 1.0) |
| Maries County | 6 |
stable
|
similar | 6 | 42.4 (28.3, 62.3) | 1.2 | -0.8 (-2.4, 0.7) |
| Perry County | 6 |
stable
|
similar | 11 | 41.5 (31.2, 54.4) | 1.2 | -0.5 (-1.8, 0.8) |
| Greene County | 5 |
falling
|
higher | 150 | 40.9 (38.0, 44.0) | 1.2 | -2.9 (-3.5, -2.3) |
| Jackson County | 5 |
falling
|
higher | 342 | 40.9 (39.0, 42.9) | 1.2 | -3.9 (-4.8, -2.9) |
| Linn County | 6 |
stable
|
similar | 8 | 40.9 (29.2, 56.6) | 1.2 | 0.1 (-1.4, 1.6) |
| Polk County | 8 |
falling
|
similar | 18 | 40.8 (32.8, 50.5) | 1.2 | -1.5 (-2.5, -0.4) |
| Ralls County | 6 |
stable
|
similar | 7 | 40.8 (28.2, 58.5) | 1.2 | -0.4 (-2.1, 1.4) |
| Dade County | 6 |
stable
|
similar | 6 | 40.8 (26.9, 61.5) | 1.2 | -0.8 (-2.6, 0.9) |
| Wright County | 8 |
falling
|
similar | 11 | 40.8 (30.6, 53.8) | 1.2 | -8.4 (-13.7, -2.8) |
| Ste. Genevieve County | 6 |
stable
|
similar | 12 | 40.8 (30.7, 53.6) | 1.2 | -0.2 (-1.4, 1.1) |
| Clay County | 5 |
falling
|
higher | 112 | 40.5 (37.2, 44.1) | 1.2 | -4.2 (-5.6, -2.7) |
| Phelps County | 8 |
falling
|
similar | 22 | 40.1 (32.9, 48.6) | 1.1 | -1.3 (-2.4, -0.3) |
| St. Clair County | 6 |
stable
|
similar | 8 | 39.9 (28.2, 56.9) | 1.1 | -1.6 (-3.2, 0.2) |
| Pike County | 6 |
stable
|
similar | 10 | 39.9 (29.3, 53.4) | 1.1 | -0.5 (-1.7, 0.7) |
| Cooper County | 6 |
stable
|
similar | 9 | 39.7 (28.8, 53.6) | 1.1 | -1.0 (-2.2, 0.3) |
| Taney County | 8 |
falling
|
similar | 35 | 39.5 (33.8, 46.1) | 1.1 | -1.8 (-2.6, -1.1) |
| Lewis County | 6 |
stable
|
similar | 6 | 39.5 (26.2, 58.1) | 1.1 | 0.1 (-1.7, 1.8) |
| Cape Girardeau County | 8 |
falling
|
similar | 40 | 39.4 (34.0, 45.4) | 1.1 | -7.2 (-12.1, -2.0) |
| Clark County | 6 |
stable
|
similar | 4 | 38.9 (22.6, 63.6) | 1.1 | -0.4 (-2.2, 1.5) |
| St. Charles County | 5 |
falling
|
higher | 184 | 38.6 (36.1, 41.2) | 1.1 | -3.3 (-4.2, -2.4) |
| Osage County | 6 |
stable
|
similar | 7 | 38.2 (26.5, 53.9) | 1.1 | -0.3 (-1.6, 1.1) |
| Stone County | 8 |
falling
|
similar | 27 | 37.9 (31.7, 45.7) | 1.1 | -1.9 (-2.8, -1.1) |
| Christian County | 8 |
falling
|
similar | 39 | 37.6 (32.4, 43.3) | 1.1 | -1.6 (-2.4, -0.9) |
| Cole County | 8 |
falling
|
similar | 37 | 37.5 (32.2, 43.4) | 1.1 | -3.3 (-4.9, -1.7) |
| St. Louis County | 8 |
falling
|
similar | 508 | 36.4 (35.0, 37.9) | 1.0 | -2.7 (-3.3, -2.1) |
| Gentry County | 6 |
stable
|
similar | 3 | 35.7 (20.6, 58.8) | 1.0 | -0.1 (-1.8, 1.8) |
| Nodaway County | 6 |
stable
|
similar | 9 | 34.6 (25.3, 46.7) | 1.0 | -0.9 (-2.0, 0.3) |
| Boone County | 8 |
falling
|
similar | 60 | 34.3 (30.5, 38.5) | 1.0 | -1.9 (-2.7, -1.1) |
| Platte County | 8 |
falling
|
similar | 38 | 32.2 (27.7, 37.3) | 0.9 | -2.8 (-3.5, -2.1) |
| Daviess County | 8 |
falling
|
similar | 4 | 31.1 (19.2, 49.2) | 0.9 | -1.8 (-3.4, -0.3) |
| Barton County | 8 |
falling
|
similar | 6 | 30.0 (19.8, 44.4) | 0.9 | -2.5 (-3.9, -1.2) |
| Grundy County | 8 |
falling
|
similar | 5 | 28.8 (18.1, 44.8) | 0.8 | -2.3 (-3.7, -0.9) |
| Mercer County |
|
** | similar | 3 | 60.2 (33.9, 101.9) | 1.7 |
|
| Scotland County |
|
** | similar | 3 | 46.5 (26.4, 77.8) | 1.3 |
|
| Atchison County |
|
** |
|
|
|
|
|
| Holt County |
|
** |
|
|
|
|
|
| Knox County |
|
** |
|
|
|
|
|
| Putnam County |
|
** |
|
|
|
|
|
| Worth County |
|
** |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 05/16/2024 6:53 am.
* 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:
Atchison County, Holt County, Knox County, Putnam County, Worth County
Trend for the following could not be reliably determined due to small number of deaths per year:
Mercer County, Scotland 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.
Created by statecancerprofiles.cancer.gov on 05/16/2024 6:53 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
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 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:
Atchison County, Holt County, Knox County, Putnam County, Worth County
Trend for the following could not be reliably determined due to small number of deaths per year:
Mercer County, Scotland 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.