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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Missouri Counties versus United States

Breast

All Races, Female

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 - 42,101 19.6 (19.5, 19.7) - -1.3 (-1.4, -1.1)
Missouri - falling falling trend - 835 19.8 (19.2, 20.5) - -1.6 (-1.8, -1.5)
Adair County
**
 		**
*
3 or fewer
*
*
**
Andrew County
**
 		**
*
3 or fewer
*
*
**
Atchison County
**
 		**
*
3 or fewer
*
*
**
Audrain County
**
 		** similar 4 21.1 (12.7, 33.6) 1.1
**
Barry County 6 stable stable trend similar 5 18.5 (11.7, 28.3) 0.9 -0.9 (-2.5, 0.7)
Barton County
**
 		**
*
3 or fewer
*
*
**
Bates County 6 stable stable trend similar 3 26.2 (14.4, 45.0) 1.3 -1.0 (-3.4, 1.5)
Benton County 6 stable stable trend similar 4 21.0 (13.1, 34.9) 1.1 -1.1 (-3.0, 0.8)
Bollinger County
**
 		**
*
3 or fewer
*
*
**
Boone County 8 falling falling trend similar 17 17.5 (13.9, 21.8) 0.9 -2.7 (-3.7, -1.7)
Buchanan County 8 falling falling trend similar 12 21.3 (16.1, 27.7) 1.1 -1.8 (-2.9, -0.8)
Butler County 6 stable stable trend similar 7 19.8 (13.5, 28.5) 1.0 -1.5 (-3.1, 0.1)
Caldwell County
**
 		**
*
3 or fewer
*
*
**
Callaway County 8 falling falling trend similar 7 22.8 (15.5, 32.6) 1.2 -1.9 (-3.4, -0.3)
Camden County 7 stable stable trend lower 6 12.8 (8.7, 19.2) 0.7 -1.6 (-3.2, 0.1)
Cape Girardeau County 6 stable stable trend similar 11 20.3 (14.9, 27.2) 1.0 -1.2 (-2.6, 0.2)
Carroll County
**
 		**
*
3 or fewer
*
*
**
Carter County
**
 		**
*
3 or fewer
*
*
**
Cass County 8 falling falling trend similar 14 18.9 (14.7, 24.2) 1.0 -2.0 (-3.2, -0.8)
Cedar County
**
 		**
*
3 or fewer
*
*
**
Chariton County
**
 		**
*
3 or fewer
*
*
**
Christian County 8 falling falling trend similar 8 15.6 (11.1, 21.4) 0.8 -1.8 (-3.5, -0.1)
Clark County
**
 		**
*
3 or fewer
*
*
**
Clay County 8 falling falling trend similar 29 18.6 (15.6, 21.9) 0.9 -2.0 (-3.0, -1.0)
Clinton County
**
 		** similar 4 28.8 (16.9, 46.5) 1.5
**
Cole County 8 falling falling trend similar 10 19.4 (14.3, 25.9) 1.0 -2.1 (-3.2, -0.9)
Cooper County
**
 		**
*
3 or fewer
*
*
**
Crawford County
**
 		** similar 4 22.7 (13.4, 36.8) 1.2
**
Dade County
**
 		**
*
3 or fewer
*
*
**
Dallas County
**
 		**
*
3 or fewer
*
*
**
Daviess County
**
 		**
*
3 or fewer
*
*
**
DeKalb County
**
 		**
*
3 or fewer
*
*
**
Dent County
**
 		**
*
3 or fewer
*
*
**
Douglas County
**
 		**
*
3 or fewer
*
*
**
Dunklin County 8 falling falling trend similar 4 18.4 (11.0, 29.4) 0.9 -2.3 (-4.3, -0.2)
Franklin County 8 falling falling trend similar 15 21.2 (16.5, 27.0) 1.1 -1.7 (-2.9, -0.5)
Gasconade County
**
 		**
*
3 or fewer
*
*
**
Gentry County
**
 		**
*
3 or fewer
*
*
**
Greene County 8 falling falling trend similar 37 18.1 (15.5, 21.0) 0.9 -0.9 (-1.7, -0.1)
Grundy County
**
 		**
*
3 or fewer
*
*
**
Harrison County
**
 		**
*
3 or fewer
*
*
**
Henry County
**
 		**
*
3 or fewer
*
*
**
Hickory County
**
 		**
*
3 or fewer
*
*
**
Holt County
**
 		**
*
3 or fewer
*
*
**
Howard County
**
 		**
*
3 or fewer
*
*
**
Howell County
**
 		** similar 5 16.3 (10.4, 24.8) 0.8
**
Iron County
**
 		**
*
3 or fewer
*
*
**
Jackson County 8 falling falling trend similar 95 21.4 (19.4, 23.4) 1.1 -1.3 (-1.8, -0.8)
Jasper County 8 falling falling trend similar 17 22.4 (17.8, 28.0) 1.1 -2.5 (-3.4, -1.6)
Jefferson County 8 falling falling trend similar 27 18.4 (15.4, 22.0) 0.9 -2.5 (-3.3, -1.7)
Johnson County
**
 		** similar 4 14.6 (8.9, 22.7) 0.7
**
Knox County
**
 		**
*
3 or fewer
*
*
**
Laclede County 6 stable stable trend similar 4 16.7 (9.9, 26.7) 0.9 -1.5 (-3.7, 0.7)
Lafayette County 6 stable stable trend similar 7 29.6 (20.3, 42.0) 1.5 -0.7 (-2.3, 0.8)
Lawrence County 4 stable stable trend higher 8 30.5 (21.1, 42.7) 1.6 -0.5 (-2.4, 1.3)
Lewis County
**
 		**
*
3 or fewer
*
*
**
Lincoln County 6 stable stable trend similar 7 21.9 (15.0, 30.8) 1.1 -1.3 (-3.0, 0.4)
Linn County
**
 		**
*
3 or fewer
*
*
**
Livingston County
**
 		**
*
3 or fewer
*
*
**
Macon County
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Maries County
**
 		**
*
3 or fewer
*
*
**
Marion County 6 stable stable trend similar 5 23.5 (15.0, 35.7) 1.2 -0.7 (-2.5, 1.2)
McDonald County
**
 		**
*
3 or fewer
*
*
**
Mercer County
**
 		**
*
3 or fewer
*
*
**
Miller County 6 stable stable trend similar 5 25.7 (16.4, 39.0) 1.3 -0.5 (-2.4, 1.4)
Mississippi County
**
 		**
*
3 or fewer
*
*
**
Moniteau County
**
 		**
*
3 or fewer
*
*
**
Monroe County
**
 		**
*
3 or fewer
*
*
**
Montgomery County
**
 		**
*
3 or fewer
*
*
**
Morgan County 8 falling falling trend similar 3 21.9 (11.7, 38.2) 1.1 -2.2 (-4.4, 0.0)
New Madrid County
**
 		**
*
3 or fewer
*
*
**
Newton County 6 stable stable trend similar 10 24.3 (17.8, 32.7) 1.2 -0.7 (-1.9, 0.6)
Nodaway County
**
 		**
*
3 or fewer
*
*
**
Oregon County
**
 		**
*
3 or fewer
*
*
**
Osage County
**
 		**
*
3 or fewer
*
*
**
Ozark County
**
 		**
*
3 or fewer
*
*
**
Pemiscot County
**
 		** similar 4 34.1 (20.2, 54.6) 1.7
**
Perry County
**
 		**
*
3 or fewer
*
*
**
Pettis County 6 stable stable trend similar 7 23.5 (16.1, 33.5) 1.2 -0.3 (-2.1, 1.5)
Phelps County 8 falling falling trend similar 5 18.4 (11.3, 28.5) 0.9 -1.7 (-3.0, -0.3)
Pike County
**
 		** similar 4 27.9 (16.2, 46.0) 1.4
**
Platte County 8 falling falling trend similar 13 20.5 (15.8, 26.3) 1.0 -1.4 (-2.7, -0.2)
Polk County
**
 		** similar 3 13.3 (7.5, 22.5) 0.7
**
Pulaski County
**
 		** similar 4 18.4 (11.0, 28.8) 0.9
**
Putnam County
**
 		**
*
3 or fewer
*
*
**
Ralls County
**
 		**
*
3 or fewer
*
*
**
Randolph County 4 stable stable trend higher 6 35.9 (23.6, 52.8) 1.8 -0.7 (-2.5, 1.2)
Ray County
**
 		** similar 4 20.9 (12.1, 34.5) 1.1
**
Reynolds County
**
 		**
*
3 or fewer
*
*
**
Ripley County
**
 		**
*
3 or fewer
*
*
**
Saline County
**
 		**
*
3 or fewer
*
*
**
Schuyler County
**
 		**
*
3 or fewer
*
*
**
Scotland County
**
 		**
*
3 or fewer
*
*
**
Scott County 8 falling falling trend similar 6 19.6 (12.9, 29.0) 1.0 -1.9 (-3.4, -0.3)
Shannon County
**
 		**
*
3 or fewer
*
*
**
Shelby County
**
 		**
*
3 or fewer
*
*
**
St. Charles County 9 falling falling trend lower 41 16.3 (14.1, 18.7) 0.8 -2.2 (-2.8, -1.5)
St. Clair County
**
 		**
*
3 or fewer
*
*
**
St. Francois County 6 stable stable trend similar 11 24.5 (18.2, 32.6) 1.2 -19.0 (-37.7, 5.2)
St. Louis City 8 falling falling trend similar 40 22.4 (19.3, 25.9) 1.1 -1.9 (-2.3, -1.5)
St. Louis County 8 falling falling trend similar 155 20.4 (19.0, 22.0) 1.0 -1.6 (-2.0, -1.2)
Ste. Genevieve County
**
 		**
*
3 or fewer
*
*
**
Stoddard County
**
 		** similar 5 22.4 (14.2, 34.3) 1.1
**
Stone County 8 falling falling trend similar 5 16.2 (9.9, 26.2) 0.8 -2.0 (-3.8, -0.1)
Sullivan County
**
 		**
*
3 or fewer
*
*
**
Taney County 8 falling falling trend similar 7 17.5 (12.1, 24.7) 0.9 -1.6 (-2.9, -0.2)
Texas County 8 falling falling trend similar 3 15.9 (8.9, 27.4) 0.8 -2.3 (-4.1, -0.6)
Vernon County
**
 		** similar 4 23.0 (13.9, 37.1) 1.2
**
Warren County 8 falling falling trend similar 4 15.5 (9.4, 24.6) 0.8 -3.2 (-5.1, -1.3)
Washington County
**
 		**
*
3 or fewer
*
*
**
Wayne County
**
 		**
*
3 or fewer
*
*
**
Webster County
**
 		** similar 5 22.4 (14.3, 33.6) 1.1
**
Worth County
**
 		**
*
3 or fewer
*
*
**
Wright County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/14/2024 10:38 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:
Adair County, Andrew County, Atchison County, Barton 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, Dent 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, Livingston County, Macon County, Madison County, Maries County, McDonald County, Mercer County, Mississippi County, Moniteau County, Monroe County, Montgomery County, New Madrid County, Nodaway County, Oregon County, Osage County, Ozark County, Perry 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, Washington County, Wayne County, Worth County, Wright County

Trend for the following could not be reliably determined due to small number of deaths per year:
Audrain County, Clinton County, Crawford County, Howell County, Johnson County, Pemiscot County, Pike County, Polk County, Pulaski County, Ray County, Stoddard County, Vernon County, Webster 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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