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Rate/Trend Comparison by Cancer Table

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Death Rate/Trend Comparison by Cancer, 2015-2019

Virginia Counties versus United States

Breast

All Races, Female
  Above US Rate Similar to US Rate Below US Rate
Rising
Trend		 Priority 1: rising and above

Colonial Heights City		 Priority 2: rising and similar

Priority 3: rising and below

Stable
Trend		 Priority 4: stable and above

Halifax County with South Boston City
Hopewell City
Petersburg City
Shenandoah County
Spotsylvania County		 Priority 6: stable and similar

Accomack County
Botetourt County
Bristol City
Buchanan County
Campbell County
Culpeper County
Danville City
Fairfax City
Franklin County
Hanover County
Henry County
Isle of Wight County
Lee County
Louisa County
Martinsville City
Orange County
Portsmouth City
Pulaski County
Roanoke County
Rockingham County
Russell County
Salem City
Scott County
Tazewell County
Wise County
Wythe County		 Priority 7: stable and below

Falling
Trend		 Priority 5: falling and above

Chesapeake City
Frederick County
Newport News City
Norfolk City
Richmond City
Suffolk City		 Priority 8: falling and similar

Alexandria City
Amherst County
Augusta County
Bedford City and County
Charlottesville City
Chesterfield County
Fauquier County
Fluvanna County
Goochland County
Hampton City
Harrisonburg City
Henrico County
Loudoun County
Lynchburg City
Manassas City
Mecklenburg County
Montgomery County
Pittsylvania County
Prince William County
Roanoke City
Rockbridge County
Smyth County
Stafford County
Virginia Beach City
Warren County
Washington County
York County		 Priority 9: falling and below

Albemarle County
Arlington County
Fairfax County
Notes:
Created by statecancerprofiles.cancer.gov on 07/02/2022 4:37 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

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 1969-2018 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:
Alleghany County and Clifton Forge City, Amelia County, Appomattox County, Bath County, Bland County, Buckingham County, Buena Vista City, Carroll County, Charles City County, Charlotte County, Clarke County, Covington City, Craig County, Cumberland County, Dickenson County, Emporia City, Falls Church City, Floyd County, Franklin City, Galax City, Grayson County, Highland County, King George County, King William County, King and Queen County, Lancaster County, Lexington City, Lunenburg County, Madison County, Manassas Park City, Mathews County, Middlesex County, Nelson County, New Kent County, Northampton County, Northumberland County, Norton City, Patrick County, Poquoson City, Prince Edward County, Prince George County, Radford City, Rappahannock County, Richmond County, Southampton County, Surry County, Sussex County, Williamsburg City

Trend for the following could not be reliably determined due to small number of deaths per year:
Brunswick County, Caroline County, Dinwiddie County, Essex County, Fredericksburg City, Giles County, Gloucester County, Greene County, Greensville County, James City County, Nottoway County, Page County, Powhatan County, Staunton City, Waynesboro City, Westmoreland County, Winchester 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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