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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

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)
Virginia - falling falling trend - 1,130 20.6 (20.0, 21.1) - -1.8 (-1.9, -1.7)
Colonial Heights City 1 rising rising trend higher 5 40.0 (25.1, 61.0) 2.0 13.2 (4.5, 22.6)
Halifax County with South Boston City 4 stable stable trend higher 9 34.9 (24.3, 48.9) 1.8 -0.2 (-1.5, 1.2)
Hopewell City 4 stable stable trend higher 6 42.2 (28.3, 60.8) 2.1 1.3 (-0.4, 3.1)
Petersburg City 4 stable stable trend higher 10 47.0 (34.4, 62.9) 2.4 -0.6 (-2.5, 1.3)
Portsmouth City 4 stable stable trend higher 16 26.2 (20.5, 33.1) 1.3 -0.8 (-1.9, 0.3)
Shenandoah County 4 stable stable trend higher 11 30.5 (22.7, 40.5) 1.6 0.2 (-1.1, 1.5)
Spotsylvania County 4 stable stable trend higher 22 27.2 (22.2, 33.1) 1.4 -0.4 (-1.7, 0.8)
Chesapeake City 5 falling falling trend higher 35 23.9 (20.5, 27.9) 1.2 -1.4 (-2.0, -0.9)
Newport News City 5 falling falling trend higher 26 24.7 (20.6, 29.5) 1.3 -1.5 (-2.1, -0.8)
Norfolk City 5 falling falling trend higher 30 23.8 (20.1, 28.1) 1.2 -2.0 (-2.7, -1.3)
Richmond City 5 falling falling trend higher 33 26.0 (22.0, 30.5) 1.3 -1.9 (-2.5, -1.3)
Suffolk City 5 falling falling trend higher 15 26.1 (20.4, 33.0) 1.3 -2.1 (-2.9, -1.3)
Botetourt County 6 stable stable trend similar 6 20.5 (13.6, 30.5) 1.0 0.0 (-1.7, 1.6)
Bristol City 6 stable stable trend similar 4 26.4 (15.8, 42.9) 1.3 0.1 (-1.4, 1.5)
Buchanan County 6 stable stable trend similar 5 25.1 (15.7, 39.7) 1.3 -1.6 (-3.3, 0.1)
Campbell County 6 stable stable trend similar 10 23.5 (17.3, 31.6) 1.2 -0.8 (-2.2, 0.6)
Culpeper County 6 stable stable trend similar 8 25.0 (17.9, 34.2) 1.3 -1.6 (-3.4, 0.1)
Fairfax City 6 stable stable trend similar 4 26.3 (15.8, 41.6) 1.3 -1.7 (-3.7, 0.4)
Hanover County 6 stable stable trend similar 17 20.9 (16.7, 26.1) 1.1 -0.9 (-2.2, 0.4)
Henry County 6 stable stable trend similar 8 18.0 (12.2, 25.9) 0.9 -0.5 (-2.1, 1.1)
Lee County 6 stable stable trend similar 5 25.7 (15.6, 40.8) 1.3 1.0 (-1.6, 3.7)
Martinsville City 6 stable stable trend similar 3 28.2 (16.0, 48.2) 1.4 -0.2 (-2.3, 2.0)
Pulaski County 6 stable stable trend similar 6 19.2 (12.5, 28.9) 1.0 -1.3 (-3.0, 0.5)
Roanoke County 6 stable stable trend similar 16 20.8 (16.4, 26.3) 1.1 -0.6 (-1.9, 0.6)
Rockingham County 6 stable stable trend similar 11 17.2 (12.7, 22.8) 0.9 -1.4 (-2.8, 0.0)
Russell County 6 stable stable trend similar 7 30.3 (20.5, 44.0) 1.5 -0.1 (-1.7, 1.5)
Salem City 6 stable stable trend similar 6 29.6 (19.6, 43.8) 1.5 -1.2 (-3.1, 0.8)
Scott County 6 stable stable trend similar 3 19.8 (10.6, 34.7) 1.0 -1.6 (-3.7, 0.6)
Tazewell County 6 stable stable trend similar 9 27.6 (19.7, 38.0) 1.4 -0.5 (-2.1, 1.1)
Wise County 6 stable stable trend similar 7 27.7 (19.1, 39.3) 1.4 -1.6 (-3.2, 0.0)
Wythe County 6 stable stable trend similar 5 20.3 (12.7, 31.6) 1.0 -1.4 (-2.9, 0.1)
Alexandria City 7 stable stable trend lower 13 14.9 (11.4, 19.3) 0.8 -21.1 (-40.6, 4.8)
Accomack County 8 falling falling trend similar 7 27.4 (18.1, 40.1) 1.4 -2.0 (-3.8, -0.2)
Augusta County 8 falling falling trend similar 10 16.8 (12.3, 22.7) 0.9 -1.8 (-3.0, -0.6)
Bedford City and County 8 falling falling trend similar 13 20.6 (15.7, 26.7) 1.0 -2.2 (-3.2, -1.1)
Charlottesville City 8 falling falling trend similar 5 20.4 (12.9, 30.7) 1.0 -2.3 (-3.7, -0.8)
Chesterfield County 8 falling falling trend similar 46 21.1 (18.4, 24.1) 1.1 -1.9 (-2.6, -1.2)
Danville City 8 falling falling trend similar 7 23.0 (15.6, 33.1) 1.2 -1.6 (-2.9, -0.2)
Fauquier County 8 falling falling trend similar 10 21.6 (16.0, 28.6) 1.1 -2.4 (-3.4, -1.3)
Fluvanna County 8 falling falling trend similar 3 14.8 (8.3, 25.1) 0.8 -4.0 (-5.9, -2.1)
Franklin County 8 falling falling trend similar 8 19.1 (13.3, 26.8) 1.0 -1.4 (-2.7, -0.2)
Frederick County 8 falling falling trend similar 14 24.6 (19.0, 31.4) 1.3 -1.5 (-2.8, -0.3)
Goochland County 8 falling falling trend similar 4 15.9 (9.3, 27.2) 0.8 -3.4 (-5.5, -1.2)
Hampton City 8 falling falling trend similar 20 23.0 (18.6, 28.3) 1.2 -2.0 (-2.7, -1.3)
Harrisonburg City 8 falling falling trend similar 3 16.9 (9.7, 27.2) 0.9 -3.1 (-5.0, -1.2)
Henrico County 8 falling falling trend similar 50 22.4 (19.6, 25.4) 1.1 -1.3 (-1.9, -0.7)
Isle of Wight County 8 falling falling trend similar 5 17.4 (11.0, 26.6) 0.9 -1.8 (-3.6, 0.0)
Loudoun County 8 falling falling trend similar 37 19.4 (16.6, 22.5) 1.0 -2.0 (-2.9, -1.1)
Lynchburg City 8 falling falling trend similar 10 21.1 (15.5, 28.3) 1.1 -1.5 (-2.8, -0.2)
Manassas City 8 falling falling trend similar 4 21.1 (12.6, 33.0) 1.1 -3.0 (-5.3, -0.8)
Mecklenburg County 8 falling falling trend similar 6 22.1 (14.2, 33.8) 1.1 -2.2 (-3.7, -0.8)
Montgomery County 8 falling falling trend similar 8 15.1 (10.6, 20.9) 0.8 -2.5 (-3.8, -1.1)
Orange County 8 falling falling trend similar 5 18.0 (11.5, 27.4) 0.9 -1.8 (-3.4, -0.1)
Pittsylvania County 8 falling falling trend similar 9 19.5 (13.7, 27.0) 1.0 -1.8 (-3.0, -0.5)
Prince William County 8 falling falling trend similar 40 18.0 (15.5, 20.7) 0.9 -2.4 (-3.1, -1.6)
Roanoke City 8 falling falling trend similar 15 21.2 (16.6, 26.9) 1.1 -1.8 (-2.7, -0.9)
Stafford County 8 falling falling trend similar 12 17.1 (13.0, 22.1) 0.9 -1.9 (-3.1, -0.6)
Virginia Beach City 8 falling falling trend similar 61 22.1 (19.6, 24.8) 1.1 -1.3 (-1.9, -0.8)
Warren County 8 falling falling trend similar 6 20.7 (13.9, 30.2) 1.1 -3.6 (-5.4, -1.7)
Washington County 8 falling falling trend similar 8 17.7 (12.4, 25.0) 0.9 -2.5 (-4.0, -1.0)
York County 8 falling falling trend similar 7 16.1 (11.1, 22.8) 0.8 -2.5 (-4.3, -0.7)
Albemarle County 9 falling falling trend lower 11 12.9 (9.7, 17.0) 0.7 -3.1 (-4.4, -1.8)
Amherst County 9 falling falling trend lower 4 12.9 (7.7, 21.4) 0.7 -3.3 (-5.1, -1.5)
Arlington County 9 falling falling trend lower 15 12.9 (10.1, 16.2) 0.7 -3.0 (-3.9, -2.1)
Fairfax County 9 falling falling trend lower 116 17.2 (15.8, 18.6) 0.9 -2.4 (-2.8, -2.0)
Smyth County 9 falling falling trend lower 3 11.4 (6.4, 19.8) 0.6 -3.9 (-5.9, -1.9)
Brunswick County
**
 		** similar 3 28.4 (15.0, 50.1) 1.4
**
Caroline County
**
 		** similar 5 26.4 (17.2, 39.2) 1.3
**
Carroll County
**
 		** similar 5 15.2 (9.6, 24.3) 0.8
**
Dinwiddie County
**
 		** similar 6 30.5 (20.1, 44.7) 1.6
**
Floyd County
**
 		** similar 3 30.4 (16.6, 52.0) 1.5
**
Fredericksburg City
**
 		** similar 3 22.4 (13.0, 36.2) 1.1
**
Giles County
**
 		** similar 3 21.7 (12.6, 37.1) 1.1
**
Gloucester County
**
 		** similar 6 22.3 (15.1, 32.3) 1.1
**
James City County
**
 		** similar 12 19.5 (14.4, 26.0) 1.0
**
Louisa County
**
 		** similar 6 20.9 (13.8, 30.9) 1.1
**
Lunenburg County
**
 		** similar 3 32.9 (17.3, 58.9) 1.7
**
Nottoway County
**
 		** similar 4 33.9 (19.4, 56.4) 1.7
**
Page County
**
 		** similar 4 19.2 (11.7, 31.0) 1.0
**
Powhatan County
**
 		** similar 5 22.6 (14.5, 34.7) 1.2
**
Prince George County
**
 		** similar 3 16.6 (9.3, 27.3) 0.8
**
Staunton City
**
 		** similar 4 22.5 (13.5, 35.7) 1.1
**
Waynesboro City
**
 		** similar 4 26.3 (16.3, 41.0) 1.3
**
Winchester City
**
 		** similar 5 24.4 (15.2, 37.5) 1.2
**
Alleghany County and Clifton Forge City
**
 		**
*
3 or fewer
*
*
**
Amelia County
**
 		**
*
3 or fewer
*
*
**
Appomattox County
**
 		**
*
3 or fewer
*
*
**
Bath County
**
 		**
*
3 or fewer
*
*
**
Bland County
**
 		**
*
3 or fewer
*
*
**
Buckingham County
**
 		**
*
3 or fewer
*
*
**
Buena Vista City
**
 		**
*
3 or fewer
*
*
**
Charles City County
**
 		**
*
3 or fewer
*
*
**
Charlotte County
**
 		**
*
3 or fewer
*
*
**
Clarke County
**
 		**
*
3 or fewer
*
*
**
Covington City
**
 		**
*
3 or fewer
*
*
**
Craig County
**
 		**
*
3 or fewer
*
*
**
Cumberland County
**
 		**
*
3 or fewer
*
*
**
Dickenson County
**
 		**
*
3 or fewer
*
*
**
Emporia City
**
 		**
*
3 or fewer
*
*
**
Essex County
**
 		**
*
3 or fewer
*
*
**
Falls Church City
**
 		**
*
3 or fewer
*
*
**
Franklin City
**
 		**
*
3 or fewer
*
*
**
Galax City
**
 		**
*
3 or fewer
*
*
**
Grayson County
**
 		**
*
3 or fewer
*
*
**
Greene County
**
 		**
*
3 or fewer
*
*
**
Greensville County
**
 		**
*
3 or fewer
*
*
**
Highland County
**
 		**
*
3 or fewer
*
*
**
King George County
**
 		**
*
3 or fewer
*
*
**
King William County
**
 		**
*
3 or fewer
*
*
**
King and Queen County
**
 		**
*
3 or fewer
*
*
**
Lancaster County
**
 		**
*
3 or fewer
*
*
**
Lexington City
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Manassas Park City
**
 		**
*
3 or fewer
*
*
**
Mathews County
**
 		**
*
3 or fewer
*
*
**
Middlesex County
**
 		**
*
3 or fewer
*
*
**
Nelson County
**
 		**
*
3 or fewer
*
*
**
New Kent County
**
 		**
*
3 or fewer
*
*
**
Northampton County
**
 		**
*
3 or fewer
*
*
**
Northumberland County
**
 		**
*
3 or fewer
*
*
**
Norton City
**
 		**
*
3 or fewer
*
*
**
Patrick County
**
 		**
*
3 or fewer
*
*
**
Poquoson City
**
 		**
*
3 or fewer
*
*
**
Prince Edward County
**
 		**
*
3 or fewer
*
*
**
Radford City
**
 		**
*
3 or fewer
*
*
**
Rappahannock County
**
 		**
*
3 or fewer
*
*
**
Richmond County
**
 		**
*
3 or fewer
*
*
**
Rockbridge County
**
 		**
*
3 or fewer
*
*
**
Southampton County
**
 		**
*
3 or fewer
*
*
**
Surry County
**
 		**
*
3 or fewer
*
*
**
Sussex County
**
 		**
*
3 or fewer
*
*
**
Westmoreland County
**
 		**
*
3 or fewer
*
*
**
Williamsburg City
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 04/16/2024 10:05 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:
Alleghany County and Clifton Forge City, Amelia County, Appomattox County, Bath County, Bland County, Buckingham County, Buena Vista City, Charles City County, Charlotte County, Clarke County, Covington City, Craig County, Cumberland County, Dickenson County, Emporia City, Essex County, Falls Church City, Franklin City, Galax City, Grayson County, Greene County, Greensville County, Highland County, King George County, King William County, King and Queen County, Lancaster County, Lexington City, 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, Radford City, Rappahannock County, Richmond County, Rockbridge County, Southampton County, Surry County, Sussex County, Westmoreland County, Williamsburg City

Trend for the following could not be reliably determined due to small number of deaths per year:
Brunswick County, Caroline County, Carroll County, Dinwiddie County, Floyd County, Fredericksburg City, Giles County, Gloucester County, James City County, Louisa County, Lunenburg County, Nottoway County, Page County, Powhatan County, Prince George County, Staunton City, Waynesboro City, 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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