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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2019-2023

Missouri Counties versus United States

Breast

All Races, Female

Sorted by name

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 - 42,257 19.2 (19.1, 19.3) - -1.5 (-1.7, -1.3)
Missouri - stable - 858 20.2 (19.5, 20.8) - 0.4 (-1.7, 2.3)
Wright County
**
 		** similar 4 28.3 (16.2, 46.6) 1.5
**
Worth County
**
 		**
*
3 or fewer
*
*
**
Webster County
**
 		** similar 5 19.3 (11.9, 29.7) 1.0
**
Wayne County
**
 		**
*
3 or fewer
*
*
**
Washington County
**
 		**
*
3 or fewer
*
*
**
Warren County 2 rising similar 7 27.0 (18.5, 38.5) 1.4 22.6 (3.2, 51.0)
Vernon County
**
 		**
*
3 or fewer
*
*
**
Texas County 8 falling similar 3 16.5 (9.2, 28.4) 0.9 -3.7 (-6.2, -1.6)
Taney County 6 stable similar 8 20.4 (14.3, 28.4) 1.1 -1.8 (-4.5, 1.0)
Sullivan County
**
 		**
*
3 or fewer
*
*
**
Stone County 9 falling lower 3 8.8 (5.0, 16.4) 0.5 -3.1 (-6.2, -0.2)
Stoddard County
**
 		** similar 5 26.3 (16.7, 39.8) 1.4
**
Ste. Genevieve County
**
 		**
*
3 or fewer
*
*
**
St. Louis County 8 falling similar 156 20.8 (19.3, 22.4) 1.1 -1.6 (-2.3, -1.1)
St. Louis City 8 falling similar 40 22.0 (19.0, 25.5) 1.2 -1.6 (-2.2, -1.0)
St. Francois County 6 stable similar 10 24.1 (17.8, 31.9) 1.3 0.3 (-1.7, 2.5)
St. Clair County
**
 		**
*
3 or fewer
*
*
**
St. Charles County 9 falling lower 45 16.4 (14.2, 18.7) 0.9 -2.6 (-3.6, -1.5)
Shelby County
**
 		**
*
3 or fewer
*
*
**
Shannon County
**
 		**
*
3 or fewer
*
*
**
Scott County 6 stable similar 7 25.0 (17.0, 35.7) 1.3 -2.1 (-5.3, 0.9)
Scotland County
**
 		**
*
3 or fewer
*
*
**
Schuyler County
**
 		**
*
3 or fewer
*
*
**
Saline County
**
 		**
*
3 or fewer
*
*
**
Ripley County
**
 		**
*
3 or fewer
*
*
**
Reynolds County
**
 		**
*
3 or fewer
*
*
**
Ray County
**
 		** similar 4 27.0 (16.5, 42.2) 1.4
**
Randolph County 6 stable similar 4 26.1 (15.9, 40.9) 1.4 1.1 (-1.7, 4.1)
Ralls County
**
 		**
*
3 or fewer
*
*
**
Putnam County
**
 		**
*
3 or fewer
*
*
**
Pulaski County
**
 		** similar 4 19.9 (12.2, 30.6) 1.0
**
Polk County 2 rising similar 6 24.9 (16.2, 36.9) 1.3 25.4 (0.8, 48.7)
Platte County 6 stable similar 11 15.4 (11.6, 20.3) 0.8 -1.6 (-4.0, 0.9)
Pike County
**
 		**
*
3 or fewer
*
*
**
Phelps County 6 stable similar 6 22.0 (14.8, 31.6) 1.1 -0.6 (-3.2, 1.9)
Pettis County 6 stable similar 5 18.5 (12.0, 27.4) 1.0 -1.7 (-4.9, 1.4)
Perry County
**
 		**
*
3 or fewer
*
*
**
Pemiscot County
**
 		**
*
3 or fewer
*
*
**
Ozark County
**
 		**
*
3 or fewer
*
*
**
Osage County
**
 		**
*
3 or fewer
*
*
**
Oregon County
**
 		**
*
3 or fewer
*
*
**
Nodaway County
**
 		**
*
3 or fewer
*
*
**
Newton County 6 stable similar 10 21.3 (15.6, 28.8) 1.1 -0.8 (-2.9, 1.4)
New Madrid County
**
 		** similar 4 29.4 (17.0, 48.2) 1.5
**
Morgan County 6 stable similar 5 27.7 (17.1, 43.5) 1.4 0.4 (-3.7, 5.0)
Montgomery County
**
 		**
*
3 or fewer
*
*
**
Monroe County
**
 		**
*
3 or fewer
*
*
**
Moniteau County
**
 		**
*
3 or fewer
*
*
**
Mississippi County
**
 		**
*
3 or fewer
*
*
**
Miller County 6 stable similar 4 18.9 (11.1, 30.9) 1.0 0.3 (-3.7, 4.9)
Mercer County
**
 		**
*
3 or fewer
*
*
**
McDonald County
**
 		**
*
3 or fewer
*
*
**
Marion County 6 stable similar 4 18.3 (10.4, 30.1) 1.0 -1.9 (-5.0, 0.8)
Maries County
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Macon County
**
 		**
*
3 or fewer
*
*
**
Livingston County
**
 		** similar 4 30.2 (17.4, 50.0) 1.6
**
Linn County
**
 		**
*
3 or fewer
*
*
**
Lincoln County 6 stable similar 6 19.2 (13.0, 27.4) 1.0 -2.4 (-5.2, 0.5)
Lewis County
**
 		**
*
3 or fewer
*
*
**
Lawrence County 1 rising higher 10 39.4 (28.9, 52.8) 2.1 8.7 (2.8, 30.8)
Lafayette County 4 stable higher 7 29.9 (20.6, 42.3) 1.6 -0.5 (-4.0, 2.9)
Laclede County 6 stable similar 4 15.6 (9.6, 24.4) 0.8 -2.5 (-6.2, 1.2)
Knox County
**
 		**
*
3 or fewer
*
*
**
Johnson County 6 stable similar 5 17.6 (11.3, 26.4) 0.9 -1.7 (-5.1, 1.6)
Jefferson County 8 falling similar 28 20.0 (16.8, 23.8) 1.0 -1.7 (-3.1, -0.4)
Jasper County 6 stable similar 17 22.2 (17.7, 27.7) 1.2 3.0 (-1.0, 15.1)
Jackson County 5 falling higher 101 22.0 (20.1, 24.1) 1.1 -1.7 (-2.5, -1.0)
Iron County
**
 		**
*
3 or fewer
*
*
**
Howell County 6 stable similar 6 18.8 (12.8, 27.3) 1.0 -1.2 (-4.0, 1.6)
Howard County
**
 		**
*
3 or fewer
*
*
**
Holt County
**
 		**
*
3 or fewer
*
*
**
Hickory County
**
 		**
*
3 or fewer
*
*
**
Henry County
**
 		**
*
3 or fewer
*
*
**
Harrison County
**
 		**
*
3 or fewer
*
*
**
Grundy County
**
 		**
*
3 or fewer
*
*
**
Greene County 9 falling lower 33 15.9 (13.5, 18.7) 0.8 -1.9 (-3.7, -0.2)
Gentry County
**
 		**
*
3 or fewer
*
*
**
Gasconade County
**
 		**
*
3 or fewer
*
*
**
Franklin County 6 stable similar 16 22.2 (17.3, 28.0) 1.2 -1.3 (-3.2, 0.7)
Dunklin County 6 stable similar 4 21.9 (13.0, 34.7) 1.1 -2.7 (-6.8, 0.8)
Douglas County
**
 		**
*
3 or fewer
*
*
**
Dent County
**
 		** similar 4 33.4 (19.0, 55.6) 1.7
**
DeKalb County
**
 		**
*
3 or fewer
*
*
**
Daviess County
**
 		**
*
3 or fewer
*
*
**
Dallas County
**
 		**
*
3 or fewer
*
*
**
Dade County
**
 		**
*
3 or fewer
*
*
**
Crawford County
**
 		** similar 4 23.8 (13.6, 39.1) 1.2
**
Cooper County
**
 		**
*
3 or fewer
*
*
**
Cole County 9 falling lower 7 12.9 (8.9, 18.3) 0.7 -14.4 (-35.0, -5.2)
Clinton County
**
 		** similar 3 23.5 (12.9, 39.5) 1.2
**
Clay County 8 falling similar 31 19.5 (16.5, 22.8) 1.0 -1.8 (-3.6, 0.0)
Clark County
**
 		**
*
3 or fewer
*
*
**
Christian County 8 falling similar 9 16.4 (11.8, 22.1) 0.9 -3.5 (-6.4, -0.6)
Chariton County
**
 		**
*
3 or fewer
*
*
**
Cedar County
**
 		**
*
3 or fewer
*
*
**
Cass County 6 stable similar 17 23.1 (18.3, 28.9) 1.2 -1.4 (-3.4, 0.8)
Carter County
**
 		**
*
3 or fewer
*
*
**
Carroll County
**
 		**
*
3 or fewer
*
*
**
Cape Girardeau County 6 stable similar 11 20.3 (15.1, 26.9) 1.1 -0.7 (-2.8, 1.5)
Camden County 8 falling similar 7 15.8 (10.7, 23.5) 0.8 -3.3 (-7.8, -1.1)
Callaway County 6 stable similar 7 22.5 (15.4, 32.1) 1.2 -0.3 (-2.6, 2.2)
Caldwell County
**
 		**
*
3 or fewer
*
*
**
Butler County 6 stable similar 7 25.5 (17.6, 35.9) 1.3 -1.1 (-3.3, 1.1)
Buchanan County 6 stable similar 14 24.8 (19.2, 31.8) 1.3 13.4 (-1.4, 27.5)
Boone County 8 falling similar 18 18.5 (14.8, 22.9) 1.0 -2.7 (-4.3, -1.0)
Bollinger County
**
 		**
*
3 or fewer
*
*
**
Benton County 6 stable similar 5 23.8 (15.1, 38.1) 1.2 -0.9 (-3.6, 2.1)
Bates County
**
 		**
*
3 or fewer
*
*
**
Barton County
**
 		**
*
3 or fewer
*
*
**
Barry County 6 stable similar 5 19.2 (11.9, 29.6) 1.0 -1.5 (-12.2, 1.7)
Audrain County
**
 		**
*
3 or fewer
*
*
**
Atchison County
**
 		**
*
3 or fewer
*
*
**
Andrew County
**
 		**
*
3 or fewer
*
*
**
Adair County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/16/2026 12:08 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. 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 (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+). The Healthy People 2030 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:
Adair County, Andrew County, Atchison County, Audrain County, Barton County, Bates County, Bollinger County, Caldwell County, Carroll County, Carter County, Cedar County, Chariton County, Clark County, Cooper County, Dade County, Dallas County, Daviess County, DeKalb County, Douglas County, Gasconade County, Gentry County, Grundy County, Harrison County, Henry County, Hickory County, Holt County, Howard County, Iron County, Knox County, Lewis County, Linn County, Macon County, Madison County, Maries County, McDonald County, Mercer County, Mississippi County, Moniteau County, Monroe County, Montgomery County, Nodaway County, Oregon County, Osage County, Ozark County, Pemiscot County, Perry County, Pike County, Putnam County, Ralls County, Reynolds County, Ripley County, Saline County, Schuyler County, Scotland County, Shannon County, Shelby County, St. Clair County, Ste. Genevieve County, Sullivan County, Vernon County, Washington County, Wayne County, Worth County

Trend for the following could not be reliably determined due to small number of deaths per year:
Clinton County, Crawford County, Dent County, Livingston County, New Madrid County, Pulaski County, Ray County, Stoddard County, Webster County, Wright 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 do not include Puerto Rico.

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