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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

Breast

All Races, Female

Sorted by priority index
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 falling trend - 42,101 19.6 (19.5, 19.7) - -1.3 (-1.4, -1.1)
Michigan - falling falling trend - 1,395 20.2 (19.7, 20.7) - -1.8 (-2.0, -1.7)
Kent County 3 rising rising trend lower 70 17.5 (15.7, 19.5) 0.9 11.0 (2.9, 19.7)
Lapeer County 4 stable stable trend higher 16 26.5 (20.7, 33.6) 1.4 -0.6 (-1.9, 0.7)
Sanilac County 4 stable stable trend higher 9 30.2 (21.2, 42.0) 1.5 -0.4 (-2.3, 1.6)
Genesee County 5 falling falling trend higher 63 22.2 (19.8, 25.0) 1.1 -1.5 (-2.1, -1.0)
Wayne County 5 falling falling trend higher 265 23.0 (21.7, 24.3) 1.2 -1.8 (-2.0, -1.5)
Clare County 6 stable stable trend similar 5 23.8 (15.0, 36.4) 1.2 0.3 (-1.4, 2.1)
Delta County 6 stable stable trend similar 6 20.6 (13.0, 31.3) 1.0 -1.8 (-3.6, 0.1)
Eaton County 6 stable stable trend similar 18 21.9 (17.5, 27.3) 1.1 -0.7 (-1.5, 0.1)
Gratiot County 6 stable stable trend similar 6 20.3 (13.0, 30.5) 1.0 -1.1 (-3.0, 0.8)
Hillsdale County 6 stable stable trend similar 6 19.8 (13.0, 29.1) 1.0 -0.4 (-1.9, 1.1)
Houghton County 6 stable stable trend similar 5 19.3 (12.1, 30.0) 1.0 -1.1 (-2.8, 0.7)
Isabella County 6 stable stable trend similar 7 19.6 (13.3, 28.0) 1.0 -0.6 (-1.9, 0.8)
Mason County 6 stable stable trend similar 5 18.3 (11.7, 28.5) 0.9 -1.7 (-3.8, 0.5)
Mecosta County 6 stable stable trend similar 6 21.4 (14.1, 31.5) 1.1 -0.6 (-2.5, 1.2)
Menominee County 6 stable stable trend similar 5 21.5 (13.0, 34.9) 1.1 0.1 (-2.2, 2.4)
Oceana County 6 stable stable trend similar 4 19.0 (11.5, 30.7) 1.0 -1.0 (-3.1, 1.2)
Osceola County 6 stable stable trend similar 3 21.7 (12.0, 36.6) 1.1 -0.9 (-3.0, 1.3)
Roscommon County 6 stable stable trend similar 5 20.0 (13.0, 32.1) 1.0 -0.3 (-2.2, 1.7)
Van Buren County 6 stable stable trend similar 11 22.2 (16.5, 29.3) 1.1 -1.0 (-2.3, 0.3)
Montcalm County 7 stable stable trend lower 5 11.3 (7.2, 17.2) 0.6 -1.1 (-2.9, 0.7)
Alpena County 8 falling falling trend similar 6 21.6 (14.0, 33.0) 1.1 -2.1 (-3.8, -0.3)
Barry County 8 falling falling trend similar 8 19.3 (13.4, 27.1) 1.0 -2.4 (-3.7, -1.1)
Bay County 8 falling falling trend similar 15 20.3 (15.6, 26.0) 1.0 -1.4 (-2.6, -0.2)
Berrien County 8 falling falling trend similar 26 21.0 (17.4, 25.3) 1.1 -2.2 (-3.0, -1.3)
Branch County 8 falling falling trend similar 5 14.9 (9.2, 23.2) 0.8 -2.0 (-3.5, -0.5)
Calhoun County 8 falling falling trend similar 18 18.6 (14.8, 23.2) 0.9 -1.7 (-2.6, -0.7)
Cheboygan County 8 falling falling trend similar 5 21.6 (13.6, 34.0) 1.1 -2.0 (-3.9, -0.1)
Clinton County 8 falling falling trend similar 10 18.6 (13.8, 24.7) 0.9 -1.5 (-2.6, -0.3)
Dickinson County 8 falling falling trend similar 4 22.9 (13.6, 36.8) 1.2 -1.9 (-3.6, -0.2)
Emmet County 8 falling falling trend similar 5 20.8 (13.1, 32.0) 1.1 -2.4 (-4.3, -0.5)
Grand Traverse County 8 falling falling trend similar 11 15.7 (11.5, 21.0) 0.8 -2.0 (-3.2, -0.7)
Huron County 8 falling falling trend similar 6 16.6 (10.7, 25.8) 0.8 -2.0 (-3.4, -0.5)
Ingham County 8 falling falling trend similar 33 20.6 (17.5, 24.1) 1.1 -1.8 (-2.6, -1.1)
Ionia County 8 falling falling trend similar 7 17.1 (11.6, 24.4) 0.9 -2.1 (-3.5, -0.7)
Iosco County 8 falling falling trend similar 4 16.4 (9.7, 27.8) 0.8 -3.1 (-4.6, -1.6)
Jackson County 8 falling falling trend similar 22 19.8 (16.1, 24.2) 1.0 -2.2 (-2.9, -1.4)
Kalamazoo County 8 falling falling trend similar 33 20.9 (17.7, 24.5) 1.1 -1.6 (-2.4, -0.9)
Leelanau County 8 falling falling trend similar 4 19.7 (10.6, 34.8) 1.0 -3.5 (-5.6, -1.4)
Lenawee County 8 falling falling trend similar 13 19.5 (14.9, 25.1) 1.0 -1.6 (-2.8, -0.5)
Livingston County 8 falling falling trend similar 25 19.9 (16.4, 23.9) 1.0 -2.1 (-3.1, -1.1)
Macomb County 8 falling falling trend similar 137 21.4 (19.8, 23.1) 1.1 -1.8 (-2.2, -1.4)
Marquette County 8 falling falling trend similar 8 17.4 (12.3, 24.2) 0.9 -2.5 (-3.8, -1.3)
Midland County 8 falling falling trend similar 12 18.4 (13.8, 24.3) 0.9 -2.0 (-3.2, -0.8)
Monroe County 8 falling falling trend similar 21 20.2 (16.4, 24.8) 1.0 -1.8 (-2.8, -0.8)
Muskegon County 8 falling falling trend similar 28 23.2 (19.3, 27.6) 1.2 -1.5 (-2.2, -0.8)
Oakland County 8 falling falling trend similar 171 19.2 (17.9, 20.6) 1.0 -1.9 (-2.2, -1.7)
Ottawa County 8 falling falling trend similar 31 17.9 (15.1, 21.0) 0.9 -2.4 (-3.3, -1.5)
Saginaw County 8 falling falling trend similar 26 17.7 (14.6, 21.2) 0.9 -2.2 (-3.0, -1.4)
Shiawassee County 8 falling falling trend similar 10 20.9 (15.3, 28.1) 1.1 -1.7 (-2.9, -0.5)
St. Clair County 8 falling falling trend similar 26 22.1 (18.3, 26.6) 1.1 -1.3 (-2.1, -0.5)
St. Joseph County 8 falling falling trend similar 8 18.0 (12.8, 25.0) 0.9 -1.7 (-3.0, -0.4)
Tuscola County 8 falling falling trend similar 9 20.8 (14.8, 28.8) 1.1 -1.5 (-2.8, -0.2)
Washtenaw County 8 falling falling trend similar 45 21.5 (18.7, 24.6) 1.1 -1.5 (-2.2, -0.8)
Allegan County 9 falling falling trend lower 11 14.3 (10.7, 18.8) 0.7 -2.2 (-3.5, -1.0)
Cass County 9 falling falling trend lower 5 13.9 (9.0, 20.9) 0.7 -3.0 (-4.5, -1.4)
Newaygo County 9 falling falling trend lower 4 12.1 (7.1, 19.4) 0.6 -3.6 (-5.5, -1.8)
Charlevoix County
**
 		** similar 5 21.8 (13.1, 35.0) 1.1
**
Lake County
**
 		** similar 3 27.4 (14.8, 50.8) 1.4
**
Manistee County
**
 		** similar 4 15.7 (9.1, 27.0) 0.8
**
Ogemaw County
**
 		** similar 4 21.6 (12.5, 36.2) 1.1
**
Wexford County
**
 		** similar 4 15.4 (9.1, 24.9) 0.8
**
Alcona County
**
 		**
*
3 or fewer
*
*
**
Alger County
**
 		**
*
3 or fewer
*
*
**
Antrim County
**
 		**
*
3 or fewer
*
*
**
Arenac County
**
 		**
*
3 or fewer
*
*
**
Baraga County
**
 		**
*
3 or fewer
*
*
**
Benzie County
**
 		**
*
3 or fewer
*
*
**
Chippewa County
**
 		**
*
3 or fewer
*
*
**
Crawford County
**
 		**
*
3 or fewer
*
*
**
Gladwin County
**
 		**
*
3 or fewer
*
*
**
Gogebic County
**
 		**
*
3 or fewer
*
*
**
Iron County
**
 		**
*
3 or fewer
*
*
**
Kalkaska County
**
 		**
*
3 or fewer
*
*
**
Keweenaw County
**
 		**
*
3 or fewer
*
*
**
Luce County
**
 		**
*
3 or fewer
*
*
**
Mackinac County
**
 		**
*
3 or fewer
*
*
**
Missaukee County
**
 		**
*
3 or fewer
*
*
**
Montmorency County
**
 		**
*
3 or fewer
*
*
**
Ontonagon County
**
 		**
*
3 or fewer
*
*
**
Oscoda County
**
 		**
*
3 or fewer
*
*
**
Otsego County
**
 		**
*
3 or fewer
*
*
**
Presque Isle County
**
 		**
*
3 or fewer
*
*
**
Schoolcraft County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/07/2024 7:26 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:
Alcona County, Alger County, Antrim County, Arenac County, Baraga County, Benzie County, Chippewa County, Crawford County, Gladwin County, Gogebic County, Iron County, Kalkaska County, Keweenaw County, Luce County, Mackinac County, Missaukee County, Montmorency County, Ontonagon County, Oscoda County, Otsego County, Presque Isle County, Schoolcraft County

Trend for the following could not be reliably determined due to small number of deaths per year:
Charlevoix County, Lake County, Manistee County, Ogemaw County, Wexford 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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