KY / county disease rankings
Counties with the highest cancer incidence rates in Kentucky
Among 120 Kentucky counties with published values, the counties with the highest cancer incidence rates are Wolfe County, KY (674.9, 1.49 times the U.S. rate of 453.4), Cumberland County, KY (619.8, 1.37 times the U.S. rate of 453.4) and Powell County, KY (619.3, 1.37 times the U.S. rate of 453.4). Values are per 100,000, age-adjusted. 97 of the 120 are significantly above the U.S. rate.
Source: NCI and CDC State Cancer Profiles, both sexes, all ages. These are county-level figures, age-adjusted as published by the source, compared with the U.S. rate. A high rate does not prove an environmental cause: age, smoking, income, access to care, screening and chance all move county rates, and small counties swing widely. Significant means the lower bound of the county’s 95 percent confidence interval is above the U.S. rate.
All Kentucky counties, highest first
All cancer cancer new cases, per 100,000, age-adjusted.
| Rank | County | State | Value | U.S. rate | Times reference | Significant |
|---|---|---|---|---|---|---|
| 1 | Wolfe County | KY | 674.9 | 453.4 | 1.49x | Significant |
| 2 | Cumberland County | KY | 619.8 | 453.4 | 1.37x | Significant |
| 3 | Powell County | KY | 619.3 | 453.4 | 1.37x | Significant |
| 4 | Livingston County | KY | 615.8 | 453.4 | 1.36x | Significant |
| 5 | Bracken County | KY | 614.7 | 453.4 | 1.36x | Significant |
| 6 | Lincoln County | KY | 606.1 | 453.4 | 1.34x | Significant |
| 7 | Estill County | KY | 604.5 | 453.4 | 1.33x | Significant |
| 8 | Owsley County | KY | 604.3 | 453.4 | 1.33x | Significant |
| 9 | Carter County | KY | 597.9 | 453.4 | 1.32x | Significant |
| 10 | Clay County | KY | 596.7 | 453.4 | 1.32x | Significant |
| 11 | Knox County | KY | 593.8 | 453.4 | 1.31x | Significant |
| 12 | Rockcastle County | KY | 591.6 | 453.4 | 1.3x | Significant |
| 13 | Fulton County | KY | 587.8 | 453.4 | 1.3x | Significant |
| 14 | Floyd County | KY | 587.2 | 453.4 | 1.3x | Significant |
| 15 | Grant County | KY | 579.9 | 453.4 | 1.28x | Significant |
| 16 | Whitley County | KY | 576.5 | 453.4 | 1.27x | Significant |
| 17 | Nelson County | KY | 574.1 | 453.4 | 1.27x | Significant |
| 18 | Trimble County | KY | 574 | 453.4 | 1.27x | Significant |
| 19 | Montgomery County | KY | 572.9 | 453.4 | 1.26x | Significant |
| 20 | Carlisle County | KY | 572.8 | 453.4 | 1.26x | Significant |
| 21 | Harrison County | KY | 565.7 | 453.4 | 1.25x | Significant |
| 22 | Bourbon County | KY | 565.6 | 453.4 | 1.25x | Significant |
| 23 | Perry County | KY | 564.6 | 453.4 | 1.25x | Significant |
| 24 | Bath County | KY | 561.7 | 453.4 | 1.24x | Significant |
| 25 | Adair County | KY | 561.6 | 453.4 | 1.24x | Significant |
| 26 | Grayson County | KY | 560.2 | 453.4 | 1.24x | Significant |
| 27 | Boyd County | KY | 560.1 | 453.4 | 1.24x | Significant |
| 28 | Gallatin County | KY | 558.7 | 453.4 | 1.23x | Significant |
| 29 | Hardin County | KY | 558.5 | 453.4 | 1.23x | Significant |
| 30 | Lawrence County | KY | 557.8 | 453.4 | 1.23x | Significant |
| 31 | Pulaski County | KY | 556.4 | 453.4 | 1.23x | Significant |
| 32 | Mercer County | KY | 554.4 | 453.4 | 1.22x | Significant |
| 33 | Calloway County | KY | 553.5 | 453.4 | 1.22x | Significant |
| 34 | Washington County | KY | 552.6 | 453.4 | 1.22x | Significant |
| 35 | Meade County | KY | 551.4 | 453.4 | 1.22x | Significant |
| 36 | Spencer County | KY | 549.3 | 453.4 | 1.21x | Significant |
| 37 | Taylor County | KY | 548.2 | 453.4 | 1.21x | Significant |
| 38 | McLean County | KY | 546.7 | 453.4 | 1.21x | Significant |
| 39 | Henry County | KY | 546.5 | 453.4 | 1.21x | Significant |
| 40 | Green County | KY | 546.4 | 453.4 | 1.21x | Significant |
| 41 | Magoffin County | KY | 545.4 | 453.4 | 1.2x | Significant |
| 42 | McCreary County | KY | 545 | 453.4 | 1.2x | Significant |
| 43 | Garrard County | KY | 544.6 | 453.4 | 1.2x | Significant |
| 44 | Woodford County | KY | 544.2 | 453.4 | 1.2x | Significant |
| 45 | Pike County | KY | 544 | 453.4 | 1.2x | Significant |
| 46 | Monroe County | KY | 541.7 | 453.4 | 1.19x | Significant |
| 47 | Marion County | KY | 541.1 | 453.4 | 1.19x | Significant |
| 48 | Anderson County | KY | 539.9 | 453.4 | 1.19x | Significant |
| 49 | McCracken County | KY | 539.4 | 453.4 | 1.19x | Significant |
| 50 | Clinton County | KY | 539 | 453.4 | 1.19x | Significant |
| 51 | Wayne County | KY | 539 | 453.4 | 1.19x | Significant |
| 52 | Fleming County | KY | 538.4 | 453.4 | 1.19x | Significant |
| 53 | Pendleton County | KY | 538 | 453.4 | 1.19x | Significant |
| 54 | Boyle County | KY | 537.9 | 453.4 | 1.19x | Significant |
| 55 | Bullitt County | KY | 537.7 | 453.4 | 1.19x | Significant |
| 56 | Marshall County | KY | 536.5 | 453.4 | 1.18x | Significant |
| 57 | Oldham County | KY | 534.8 | 453.4 | 1.18x | Significant |
| 58 | Russell County | KY | 534.8 | 453.4 | 1.18x | Significant |
| 59 | Mason County | KY | 534.5 | 453.4 | 1.18x | Significant |
| 60 | Letcher County | KY | 533.5 | 453.4 | 1.18x | Significant |
| 61 | Ohio County | KY | 533.1 | 453.4 | 1.18x | Significant |
| 62 | Kenton County | KY | 530 | 453.4 | 1.17x | Significant |
| 63 | Madison County | KY | 528.5 | 453.4 | 1.17x | Significant |
| 64 | Metcalfe County | KY | 527.3 | 453.4 | 1.16x | Significant |
| 65 | Clark County | KY | 527 | 453.4 | 1.16x | Significant |
| 66 | Carroll County | KY | 525 | 453.4 | 1.16x | Significant |
| 67 | Robertson County | KY | 523.7 | 453.4 | 1.16x | No |
| 68 | Daviess County | KY | 522.5 | 453.4 | 1.15x | Significant |
| 69 | Ballard County | KY | 522 | 453.4 | 1.15x | Significant |
| 70 | Leslie County | KY | 521.6 | 453.4 | 1.15x | Significant |
| 71 | Jessamine County | KY | 521.5 | 453.4 | 1.15x | Significant |
| 72 | Owen County | KY | 521 | 453.4 | 1.15x | Significant |
| 73 | Bell County | KY | 520.8 | 453.4 | 1.15x | Significant |
| 74 | Campbell County | KY | 520 | 453.4 | 1.15x | Significant |
| 75 | Harlan County | KY | 519.4 | 453.4 | 1.15x | Significant |
| 76 | Christian County | KY | 519.3 | 453.4 | 1.15x | Significant |
| 77 | Laurel County | KY | 518.4 | 453.4 | 1.14x | Significant |
| 78 | Knott County | KY | 518.1 | 453.4 | 1.14x | Significant |
| 79 | Franklin County | KY | 517.4 | 453.4 | 1.14x | Significant |
| 80 | Menifee County | KY | 517.3 | 453.4 | 1.14x | No |
| 81 | Casey County | KY | 516.9 | 453.4 | 1.14x | Significant |
| 82 | Jefferson County | KY | 516 | 453.4 | 1.14x | Significant |
| 83 | Greenup County | KY | 515.6 | 453.4 | 1.14x | Significant |
| 84 | Hart County | KY | 512.8 | 453.4 | 1.13x | Significant |
| 85 | Butler County | KY | 512.4 | 453.4 | 1.13x | Significant |
| 86 | Trigg County | KY | 512.4 | 453.4 | 1.13x | Significant |
| 87 | Larue County | KY | 507.7 | 453.4 | 1.12x | Significant |
| 88 | Boone County | KY | 507.5 | 453.4 | 1.12x | Significant |
| 89 | Lee County | KY | 507 | 453.4 | 1.12x | No |
| 90 | Muhlenberg County | KY | 506.5 | 453.4 | 1.12x | Significant |
| 91 | Breckinridge County | KY | 505.8 | 453.4 | 1.12x | Significant |
| 92 | Graves County | KY | 503.6 | 453.4 | 1.11x | Significant |
| 93 | Simpson County | KY | 502.2 | 453.4 | 1.11x | Significant |
| 94 | Hopkins County | KY | 500.2 | 453.4 | 1.1x | Significant |
| 95 | Logan County | KY | 500 | 453.4 | 1.1x | Significant |
| 96 | Hickman County | KY | 499 | 453.4 | 1.1x | No |
| 97 | Lewis County | KY | 498.3 | 453.4 | 1.1x | No |
| 98 | Barren County | KY | 496.1 | 453.4 | 1.09x | Significant |
| 99 | Fayette County | KY | 496 | 453.4 | 1.09x | Significant |
| 100 | Scott County | KY | 490.4 | 453.4 | 1.08x | Significant |
| 101 | Rowan County | KY | 489.8 | 453.4 | 1.08x | No |
| 102 | Union County | KY | 488.8 | 453.4 | 1.08x | No |
| 103 | Johnson County | KY | 487.2 | 453.4 | 1.07x | No |
| 104 | Lyon County | KY | 487.1 | 453.4 | 1.07x | No |
| 105 | Henderson County | KY | 483.9 | 453.4 | 1.07x | Significant |
| 106 | Allen County | KY | 481.4 | 453.4 | 1.06x | No |
| 107 | Breathitt County | KY | 480.6 | 453.4 | 1.06x | No |
| 108 | Edmonson County | KY | 480.2 | 453.4 | 1.06x | No |
| 109 | Shelby County | KY | 477 | 453.4 | 1.05x | No |
| 110 | Caldwell County | KY | 476.9 | 453.4 | 1.05x | No |
| 111 | Webster County | KY | 476.7 | 453.4 | 1.05x | No |
| 112 | Jackson County | KY | 476.3 | 453.4 | 1.05x | No |
| 113 | Todd County | KY | 476.2 | 453.4 | 1.05x | No |
| 114 | Nicholas County | KY | 474.7 | 453.4 | 1.05x | No |
| 115 | Warren County | KY | 472 | 453.4 | 1.04x | Significant |
| 116 | Morgan County | KY | 469 | 453.4 | 1.03x | No |
| 117 | Hancock County | KY | 466.4 | 453.4 | 1.03x | No |
| 118 | Martin County | KY | 464.9 | 453.4 | 1.03x | No |
| 119 | Elliott County | KY | 437.8 | 453.4 | 0.97x | No |
| 120 | Crittenden County | KY | 434.7 | 453.4 | 0.96x | No |