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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2015-2019

Washington Counties versus United States

Breast

All Races, Female

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 - 41,951 19.9 (19.8, 20.0) - -1.4 (-1.5, -1.3)
Washington - stable stable trend - 892 19.5 (18.9, 20.1) - -0.2 (-1.2, 0.9)
Yakima County 8 falling falling trend similar 24 16.9 (13.9, 20.3) 0.8 -1.6 (-2.4, -0.9)
Whitman County
**
**
*
3 or fewer
*
*
**
Whatcom County 8 falling falling trend similar 28 19.5 (16.3, 23.2) 1.0 -2.0 (-3.0, -1.0)
Walla Walla County 8 falling falling trend similar 7 19.5 (13.2, 27.7) 1.0 -1.8 (-3.4, -0.2)
Wahkiakum County
**
**
*
3 or fewer
*
*
**
Thurston County 8 falling falling trend similar 41 21.7 (18.7, 25.0) 1.1 -1.3 (-1.9, -0.7)
Stevens County 6 stable stable trend similar 7 21.5 (14.7, 30.9) 1.1 -1.0 (-2.9, 1.0)
Spokane County 8 falling falling trend similar 70 21.3 (19.0, 23.7) 1.1 -1.5 (-2.0, -0.9)
Snohomish County 8 falling falling trend similar 89 19.5 (17.7, 21.4) 1.0 -2.0 (-2.5, -1.5)
Skamania County
**
**
*
3 or fewer
*
*
**
Skagit County 8 falling falling trend similar 18 19.3 (15.3, 24.1) 1.0 -1.2 (-2.4, -0.1)
San Juan County
**
** similar 4 26.5 (13.7, 48.0) 1.3
**
Pierce County 8 falling falling trend similar 100 19.8 (18.1, 21.7) 1.0 -1.8 (-2.4, -1.2)
Pend Oreille County
**
**
*
3 or fewer
*
*
**
Pacific County
**
** similar 6 26.2 (17.0, 40.8) 1.3
**
Okanogan County 1 rising rising trend higher 10 32.9 (23.6, 44.9) 1.7 16.5 (7.0, 26.9)
Mason County 6 stable stable trend similar 8 15.1 (10.3, 21.7) 0.8 -1.1 (-2.8, 0.6)
Lincoln County
**
**
*
3 or fewer
*
*
**
Lewis County 8 falling falling trend similar 13 22.3 (16.9, 29.0) 1.1 -2.0 (-3.0, -1.0)
Klickitat County 6 stable stable trend similar 5 25.7 (16.4, 40.0) 1.3 -1.9 (-4.3, 0.6)
Kittitas County 6 stable stable trend similar 5 19.8 (12.8, 29.5) 1.0 -1.4 (-3.3, 0.6)
Kitsap County 8 falling falling trend similar 32 17.8 (15.1, 21.0) 0.9 -1.9 (-2.9, -0.9)
King County 9 falling falling trend lower 218 17.3 (16.2, 18.3) 0.9 -2.4 (-2.7, -2.0)
Jefferson County 8 falling falling trend similar 7 22.1 (13.9, 34.8) 1.1 -2.7 (-5.4, -0.1)
Island County 8 falling falling trend similar 11 15.5 (11.3, 20.9) 0.8 -2.1 (-3.2, -0.9)
Grays Harbor County 6 stable stable trend similar 15 24.4 (18.9, 31.3) 1.2 1.9 (-1.0, 4.9)
Grant County 6 stable stable trend similar 12 23.2 (17.6, 30.2) 1.2 -0.5 (-1.9, 1.0)
Garfield County
**
**
*
3 or fewer
*
*
**
Franklin County
**
** similar 6 16.8 (11.3, 24.1) 0.8
**
Ferry County
**
**
*
3 or fewer
*
*
**
Douglas County
**
** similar 5 16.8 (10.4, 25.8) 0.8
**
Cowlitz County 8 falling falling trend similar 16 21.3 (16.7, 26.9) 1.1 -1.2 (-2.2, -0.3)
Columbia County
**
**
*
3 or fewer
*
*
**
Clark County 8 falling falling trend similar 64 22.1 (19.7, 24.8) 1.1 -1.0 (-1.8, -0.2)
Clallam County 6 stable stable trend similar 18 23.9 (18.7, 30.4) 1.2 -1.1 (-2.3, 0.0)
Chelan County 8 falling falling trend similar 12 22.9 (17.2, 30.0) 1.2 -1.7 (-3.1, -0.2)
Benton County 8 falling falling trend similar 24 20.9 (17.3, 25.1) 1.1 -1.4 (-2.4, -0.4)
Asotin County
**
** similar 4 21.3 (12.1, 35.7) 1.1
**
Adams County
**
**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 12/08/2021 2:07 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 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:
Adams County, Columbia County, Ferry County, Garfield County, Lincoln County, Pend Oreille County, Skamania County, Wahkiakum County, Whitman County

Trend for the following could not be reliably determined due to small number of deaths per year:
Asotin County, Douglas County, Franklin County, Pacific County, San Juan 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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