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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Virginia 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)
Virginia - falling falling trend - 3,646 35.3 (34.8, 35.9) - -4.2 (-4.6, -3.8)
Accomack County 5 falling falling trend higher 29 50.0 (42.0, 59.4) 1.4 -1.5 (-2.3, -0.7)
Albemarle County 9 falling falling trend lower 38 25.3 (21.8, 29.3) 0.7 -2.4 (-3.2, -1.6)
Alexandria City 9 falling falling trend lower 31 22.5 (19.0, 26.5) 0.6 -3.4 (-4.0, -2.8)
Alleghany County and Clifton Forge City 6 stable stable trend similar 12 44.8 (33.7, 59.4) 1.3 -0.6 (-1.6, 0.5)
Amelia County 4 stable stable trend higher 11 51.0 (38.1, 67.9) 1.5 -0.6 (-2.3, 1.1)
Amherst County 8 falling falling trend similar 17 33.5 (26.7, 41.7) 1.0 -2.2 (-3.2, -1.2)
Appomattox County 6 stable stable trend similar 10 41.2 (30.2, 55.4) 1.2 -0.4 (-1.9, 1.1)
Arlington County 9 falling falling trend lower 32 16.1 (13.6, 18.8) 0.5 -6.0 (-8.0, -4.0)
Augusta County 9 falling falling trend lower 37 30.4 (26.1, 35.2) 0.9 -4.8 (-7.1, -2.4)
Bath County 6 stable stable trend similar 5 56.1 (35.0, 90.3) 1.6 -0.8 (-2.7, 1.2)
Bedford City and County 8 falling falling trend similar 51 38.4 (33.8, 43.7) 1.1 -1.5 (-2.2, -0.8)
Bland County
**
 		**
*
3 or fewer
*
*
**
Botetourt County 8 falling falling trend similar 19 33.9 (27.3, 42.0) 1.0 -2.1 (-3.1, -1.1)
Bristol City 8 falling falling trend similar 12 45.7 (34.6, 59.6) 1.3 -13.6 (-23.3, -2.7)
Brunswick County 8 falling falling trend similar 11 42.3 (31.9, 55.7) 1.2 -2.0 (-3.0, -1.0)
Buchanan County 5 falling falling trend higher 17 49.4 (39.2, 61.9) 1.4 -1.2 (-2.2, -0.2)
Buckingham County 8 falling falling trend similar 11 41.3 (30.8, 54.8) 1.2 -1.4 (-2.5, -0.3)
Buena Vista City
**
 		** similar 5 48.9 (31.0, 75.0) 1.4
**
Campbell County 8 falling falling trend similar 33 38.8 (33.1, 45.5) 1.1 -1.7 (-2.6, -0.8)
Caroline County 8 falling falling trend similar 17 43.5 (34.5, 54.4) 1.2 -1.7 (-2.8, -0.5)
Carroll County 6 stable stable trend similar 21 38.5 (31.5, 47.1) 1.1 -0.9 (-1.9, 0.2)
Charles City County 8 falling falling trend similar 5 39.1 (25.1, 61.1) 1.1 -3.8 (-5.4, -2.2)
Charlotte County 5 falling falling trend higher 13 61.3 (47.0, 79.6) 1.8 -1.3 (-2.6, 0.0)
Charlottesville City 8 falling falling trend similar 14 32.5 (25.0, 41.4) 0.9 -1.9 (-3.0, -0.8)
Chesapeake City 5 falling falling trend higher 98 38.5 (35.1, 42.2) 1.1 -4.2 (-5.5, -2.8)
Chesterfield County 8 falling falling trend similar 136 34.5 (31.9, 37.3) 1.0 -4.1 (-5.5, -2.7)
Clarke County 8 falling falling trend similar 7 31.3 (21.8, 44.5) 0.9 -2.3 (-3.6, -1.0)
Colonial Heights City 5 falling falling trend higher 14 52.5 (40.7, 67.2) 1.5 -1.4 (-2.3, -0.6)
Covington City 4 stable stable trend higher 6 67.6 (45.1, 99.3) 1.9 0.3 (-1.1, 1.6)
Craig County
**
 		**
*
3 or fewer
*
*
**
Culpeper County 8 falling falling trend similar 20 31.6 (25.6, 38.7) 0.9 -6.6 (-10.9, -2.0)
Cumberland County 8 falling falling trend similar 6 33.5 (22.2, 50.0) 1.0 -2.6 (-4.4, -0.8)
Danville City 5 falling falling trend higher 32 49.9 (42.3, 58.6) 1.4 -1.3 (-2.0, -0.5)
Dickenson County 4 stable stable trend higher 14 55.9 (43.2, 72.1) 1.6 -0.8 (-1.7, 0.1)
Dinwiddie County 5 falling falling trend higher 20 51.2 (41.6, 62.7) 1.5 -1.4 (-2.3, -0.5)
Emporia City
**
 		** similar 4 49.7 (30.1, 78.9) 1.4
**
Essex County 8 falling falling trend similar 8 42.0 (29.5, 59.3) 1.2 -1.7 (-3.0, -0.4)
Fairfax City 8 falling falling trend similar 11 39.6 (29.5, 52.1) 1.1 -2.6 (-3.7, -1.4)
Fairfax County 9 falling falling trend lower 231 19.2 (18.1, 20.3) 0.5 -4.9 (-5.7, -4.0)
Falls Church City 8 falling falling trend similar 4 26.9 (16.1, 42.2) 0.8 -4.2 (-5.7, -2.8)
Fauquier County 8 falling falling trend similar 34 36.1 (30.7, 42.2) 1.0 -2.8 (-3.5, -2.0)
Floyd County 6 stable stable trend similar 9 34.1 (24.8, 46.5) 1.0 -1.1 (-2.3, 0.1)
Fluvanna County 8 falling falling trend similar 13 31.9 (24.4, 41.3) 0.9 -2.1 (-3.3, -0.8)
Franklin City 8 falling falling trend similar 6 48.8 (32.6, 71.6) 1.4 -1.9 (-3.6, -0.1)
Franklin County 8 falling falling trend similar 36 37.8 (32.4, 44.2) 1.1 -1.2 (-2.1, -0.4)
Frederick County 8 falling falling trend similar 46 37.7 (32.9, 43.0) 1.1 -2.4 (-3.1, -1.6)
Fredericksburg City 8 falling falling trend similar 9 34.8 (25.2, 46.8) 1.0 -2.6 (-3.9, -1.3)
Galax City 4 stable stable trend higher 9 102.3 (74.4, 138.4) 2.9 -32.0 (-58.9, 12.6)
Giles County 5 falling falling trend higher 14 50.0 (38.6, 64.3) 1.4 -1.1 (-2.0, -0.1)
Gloucester County 5 falling falling trend higher 29 52.4 (43.9, 62.1) 1.5 -1.6 (-2.4, -0.8)
Goochland County 8 falling falling trend similar 13 32.1 (24.5, 41.9) 0.9 -3.1 (-4.2, -1.9)
Grayson County 6 stable stable trend similar 12 41.7 (31.8, 54.7) 1.2 -0.8 (-2.0, 0.4)
Greene County 8 falling falling trend similar 10 38.1 (28.1, 50.8) 1.1 -2.2 (-3.9, -0.5)
Greensville County 6 stable stable trend similar 6 40.8 (26.7, 60.3) 1.2 -0.9 (-2.5, 0.8)
Halifax County with South Boston City 5 falling falling trend higher 32 52.0 (44.0, 61.3) 1.5 -1.0 (-1.7, -0.3)
Hampton City 5 falling falling trend higher 69 42.7 (38.2, 47.5) 1.2 -1.9 (-2.3, -1.4)
Hanover County 8 falling falling trend similar 53 36.4 (32.1, 41.2) 1.0 -2.5 (-3.2, -1.8)
Harrisonburg City 8 falling falling trend similar 13 33.9 (26.0, 43.2) 1.0 -1.8 (-3.0, -0.5)
Henrico County 8 falling falling trend similar 146 36.1 (33.5, 38.9) 1.0 -2.5 (-2.9, -2.1)
Henry County 4 stable stable trend higher 39 44.0 (37.9, 51.0) 1.3 -0.1 (-0.9, 0.7)
Highland County
**
 		**
*
3 or fewer
*
*
**
Hopewell City 5 falling falling trend higher 14 49.9 (38.7, 63.5) 1.4 -5.1 (-7.9, -2.3)
Isle of Wight County 8 falling falling trend similar 18 33.5 (26.9, 41.6) 1.0 -3.0 (-4.1, -1.9)
James City County 9 falling falling trend lower 41 29.4 (25.4, 34.0) 0.8 -2.4 (-3.1, -1.6)
King George County 8 falling falling trend similar 11 40.5 (30.3, 53.0) 1.2 -2.4 (-3.9, -0.9)
King William County 6 stable stable trend similar 9 40.0 (28.9, 54.3) 1.1 -1.6 (-3.3, 0.1)
King and Queen County 6 stable stable trend similar 6 50.5 (33.4, 75.2) 1.4 0.1 (-1.7, 2.1)
Lancaster County 5 falling falling trend higher 13 50.0 (37.6, 67.5) 1.4 -1.7 (-2.8, -0.5)
Lee County 5 falling falling trend higher 21 52.4 (42.7, 64.3) 1.5 -1.1 (-2.1, -0.1)
Lexington City 4 stable stable trend higher 5 61.9 (39.0, 96.1) 1.8 -1.2 (-3.3, 0.9)
Loudoun County 9 falling falling trend lower 65 20.8 (18.5, 23.2) 0.6 -5.6 (-6.9, -4.2)
Louisa County 8 falling falling trend similar 22 38.2 (31.2, 46.5) 1.1 -2.0 (-3.0, -1.1)
Lunenburg County 6 stable stable trend similar 9 46.7 (34.0, 63.7) 1.3 -0.6 (-2.1, 1.0)
Lynchburg City 5 falling falling trend higher 38 42.9 (36.8, 49.6) 1.2 -1.6 (-2.2, -1.0)
Madison County 6 stable stable trend similar 9 41.2 (29.9, 56.2) 1.2 -0.2 (-1.6, 1.1)
Manassas City 8 falling falling trend similar 13 42.7 (32.6, 54.8) 1.2 -1.9 (-3.2, -0.6)
Manassas Park City
**
 		**
*
3 or fewer
*
*
**
Martinsville City 1 rising rising trend higher 14 75.3 (58.4, 96.1) 2.2 1.6 (0.3, 2.9)
Mathews County 8 falling falling trend similar 8 42.9 (29.7, 62.4) 1.2 -1.9 (-3.3, -0.4)
Mecklenburg County 4 stable stable trend higher 31 52.1 (44.1, 61.7) 1.5 -0.7 (-1.6, 0.1)
Middlesex County 5 falling falling trend higher 11 48.7 (36.2, 66.1) 1.4 -1.6 (-3.1, -0.1)
Montgomery County 8 falling falling trend similar 32 33.1 (28.1, 38.8) 0.9 -1.6 (-2.6, -0.6)
Nelson County 6 stable stable trend similar 12 41.8 (31.5, 55.4) 1.2 -0.8 (-2.0, 0.5)
New Kent County 5 falling falling trend higher 13 48.1 (36.3, 62.6) 1.4 -1.7 (-3.0, -0.4)
Newport News City 5 falling falling trend higher 81 42.6 (38.5, 47.1) 1.2 -8.7 (-15.1, -1.8)
Norfolk City 5 falling falling trend higher 103 45.6 (41.7, 49.9) 1.3 -2.3 (-2.7, -1.9)
Northampton County 5 falling falling trend higher 11 51.5 (37.9, 69.6) 1.5 -1.6 (-2.5, -0.6)
Northumberland County 8 falling falling trend similar 11 34.6 (26.0, 47.8) 1.0 -2.5 (-4.0, -1.0)
Norton City
**
 		** similar 3 60.8 (35.2, 100.2) 1.7
**
Nottoway County 8 falling falling trend similar 10 45.4 (33.6, 60.6) 1.3 -2.9 (-5.0, -0.8)
Orange County 8 falling falling trend similar 21 37.5 (30.7, 45.7) 1.1 -1.8 (-2.7, -0.8)
Page County 4 stable stable trend higher 20 51.5 (41.9, 63.0) 1.5 -0.3 (-1.3, 0.7)
Patrick County 4 stable stable trend higher 16 47.8 (37.8, 60.6) 1.4 -0.4 (-1.4, 0.6)
Petersburg City 5 falling falling trend higher 28 69.4 (58.0, 82.5) 2.0 -1.8 (-2.5, -1.1)
Pittsylvania County 5 falling falling trend higher 44 42.7 (37.1, 49.1) 1.2 -1.2 (-2.1, -0.4)
Poquoson City 8 falling falling trend similar 7 39.5 (27.2, 56.2) 1.1 -2.5 (-3.9, -1.0)
Portsmouth City 5 falling falling trend higher 56 50.1 (44.3, 56.6) 1.4 -1.5 (-2.1, -0.9)
Powhatan County 8 falling falling trend similar 14 35.4 (27.5, 45.2) 1.0 -3.1 (-4.2, -2.0)
Prince Edward County 4 stable stable trend higher 16 56.7 (44.7, 71.3) 1.6 -1.0 (-2.2, 0.1)
Prince George County 5 falling falling trend higher 20 46.7 (37.9, 57.1) 1.3 -2.1 (-3.0, -1.1)
Prince William County 9 falling falling trend lower 105 28.3 (25.8, 30.9) 0.8 -3.4 (-4.0, -2.8)
Pulaski County 5 falling falling trend higher 25 43.9 (36.5, 52.8) 1.3 -1.3 (-2.1, -0.4)
Radford City 8 falling falling trend similar 5 35.2 (22.4, 52.7) 1.0 -2.1 (-3.8, -0.3)
Rappahannock County 6 stable stable trend similar 4 26.8 (16.1, 45.2) 0.8 -1.6 (-3.5, 0.3)
Richmond City 8 falling falling trend similar 83 33.5 (30.3, 37.0) 1.0 -7.0 (-8.7, -5.3)
Richmond County 8 falling falling trend similar 7 50.9 (35.7, 71.8) 1.5 -1.8 (-3.3, -0.4)
Roanoke City 5 falling falling trend higher 65 50.3 (44.8, 56.3) 1.4 -4.6 (-8.1, -1.0)
Roanoke County 8 falling falling trend similar 49 31.5 (27.6, 35.8) 0.9 -1.4 (-2.1, -0.6)
Rockbridge County 9 falling falling trend lower 12 26.1 (19.5, 34.7) 0.7 -2.8 (-4.1, -1.4)
Rockingham County 9 falling falling trend lower 36 30.0 (25.7, 35.0) 0.9 -4.1 (-6.6, -1.6)
Russell County 5 falling falling trend higher 20 45.0 (36.5, 55.2) 1.3 -5.3 (-7.7, -2.8)
Salem City 5 falling falling trend higher 19 50.6 (40.8, 62.5) 1.4 -1.1 (-2.1, 0.0)
Scott County 4 stable stable trend higher 23 58.1 (47.7, 70.6) 1.7 -0.7 (-1.5, 0.1)
Shenandoah County 5 falling falling trend higher 31 43.9 (37.1, 51.7) 1.3 -2.4 (-3.8, -1.0)
Smyth County 5 falling falling trend higher 28 56.6 (47.4, 67.4) 1.6 -4.2 (-6.5, -1.9)
Southampton County 8 falling falling trend similar 11 40.8 (30.8, 53.7) 1.2 -2.1 (-3.0, -1.2)
Spotsylvania County 8 falling falling trend similar 54 36.7 (32.3, 41.4) 1.0 -2.2 (-3.1, -1.4)
Stafford County 8 falling falling trend similar 45 36.0 (31.3, 41.2) 1.0 -6.2 (-8.9, -3.6)
Staunton City 8 falling falling trend similar 16 41.1 (32.6, 51.7) 1.2 -1.0 (-2.0, -0.1)
Suffolk City 8 falling falling trend similar 39 35.9 (31.0, 41.5) 1.0 -4.5 (-6.0, -2.9)
Surry County 8 falling falling trend similar 4 34.4 (20.1, 57.4) 1.0 -2.3 (-4.2, -0.4)
Sussex County 4 stable stable trend higher 12 78.6 (59.5, 102.7) 2.2 -0.9 (-2.1, 0.4)
Tazewell County 5 falling falling trend higher 38 55.3 (47.5, 64.2) 1.6 -1.0 (-1.7, -0.4)
Virginia Beach City 8 falling falling trend similar 177 35.4 (33.0, 37.8) 1.0 -3.4 (-4.3, -2.5)
Warren County 5 falling falling trend higher 25 49.0 (40.6, 58.6) 1.4 -1.3 (-2.2, -0.4)
Washington County 5 falling falling trend higher 42 47.1 (40.8, 54.4) 1.3 -1.6 (-2.2, -0.9)
Waynesboro City 4 stable stable trend higher 17 56.0 (44.7, 69.5) 1.6 -0.5 (-1.3, 0.3)
Westmoreland County 5 falling falling trend higher 18 53.8 (43.1, 67.2) 1.5 -2.0 (-2.9, -1.1)
Williamsburg City
**
 		**
*
3 or fewer
*
*
**
Winchester City 8 falling falling trend similar 14 40.1 (31.3, 50.8) 1.1 -2.4 (-3.6, -1.2)
Wise County 5 falling falling trend higher 33 61.4 (52.2, 71.9) 1.8 -1.2 (-1.8, -0.6)
Wythe County 8 falling falling trend similar 19 41.5 (33.5, 51.2) 1.2 -1.9 (-2.9, -1.0)
York County 9 falling falling trend lower 22 26.3 (21.6, 31.8) 0.8 -3.7 (-4.5, -2.8)
Notes:
Created by statecancerprofiles.cancer.gov on 05/06/2024 6:13 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:
Bland County, Craig County, Highland County, Manassas Park City, Williamsburg City

Trend for the following could not be reliably determined due to small number of deaths per year:
Buena Vista City, Emporia City, Norton City


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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