Special Report

This Is How Many People Cancer Kills in North Dakota

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Even though the COVID-19 pandemic claimed the lives of over 340,000 in the U.S. in 2020, Americans were still much more likely to die from cancer, the second leading cause of death in the country.

24/7 Tempo reviewed the population-adjusted cancer mortality rate in every state using data compiled by the Centers for Disease Control and Prevention to identify the states where the largest share of the population dies from cancer.

More than 1.7 million Americans were diagnosed with cancer in 2017, the latest year for which data on cancer incidence rate is available. Nearly 600,000 died from the disease that year. Two years later, in 2019, again, almost 600,000 people died of cancer. The difference in cancer mortality rate per capita varies from state to state.

North Dakota has the 14th lowest mortality rate in the U.S. In 2019, there were 141 age-adjusted cancer deaths per 100,000 residents in the state, compared to a national average of 149 per 100,000 people.

Lung cancer is the deadliest type of cancer in both men and women. In 2017, 310 people in North Dakota died of the disease, 35 per 100,000 residents, the 17th lowest rate among all states.

The states with the highest cancer mortality rates do not necessarily have the highest incidence of new diagnoses, suggesting that other risk factors — such as access to health care, smoking, and obesity — may have an impact on cancer survival.

North Dakota has the 17th lowest poverty rate in the U.S., at 10.6%, compared to a national poverty rate of 12.3%. The state’s adult obesity rate of 32.7% is 13th highest of all states in the country. The U.S. obesity rate is 29.0%.

Tobacco is the single biggest cause of cancer, according to the National Cancer Institute. About 18.3% of adults in North Dakota are regular smokers, the 18th highest adult smoking rate in the country, and compared to a 17.0% smoking rate across the country as a whole.

The likelihood of being diagnosed with cancer depends on a range of factors — including racial, economic, and education differences — that contribute to large variations in cancer incidence as well as survival rate —This is the racial divide in cancer deaths in every state and D.C.

State Cancer mortality rate per 100k people (2019) Obesity rate Rank Smoking rate Rank
Utah 117 25.9% 9th lowest 8.9% the lowest
Colorado 126 21.8% the lowest 14.6% 12th lowest
Hawaii 127 23.7% 3rd lowest 12.8% 4th lowest
Arizona 131 27.5% 14th lowest 15.6% 16th lowest
California 132 23.6% 2nd lowest 11.3% 2nd lowest
Connecticut 132 25.8% 8th lowest 12.7% 3rd lowest
New Mexico 132 26.6% 13th lowest 17.5% 20th highest
New York 133 25.5% 5th lowest 14.1% 9th lowest
New Jersey 137 26.4% 11th lowest 13.7% 7th lowest
Idaho 138 29.3% 21st lowest 14.3% 10th lowest
Wyoming 139 28.9% 20th lowest 18.7% 17th highest
Florida 139 26.6% 12th lowest 16.1% 22nd lowest
Massachusetts 140 24.7% 4th lowest 13.7% 6th lowest
North Dakota 141 32.7% 13th highest 18.3% 18th highest
Montana 141 25.8% 7th lowest 17.2% 25th highest
Texas 141 30.1% 25th lowest 15.7% 18th lowest
Minnesota 142 27.9% 16th lowest 14.5% 11th lowest
Washington 143 27.8% 15th lowest 13.5% 5th lowest
Maryland 144 31.0% 23rd highest 13.8% 8th lowest
Virginia 145 29.8% 23rd lowest 16.4% 23rd lowest
Oregon 145 28.8% 19th lowest 16.1% 21st lowest
Alaska 147 32.5% 14th highest 21.0% 9th highest
Nebraska 147 32.2% 16th highest 15.4% 14th lowest
New Hampshire 147 27.9% 17th lowest 15.7% 17th lowest
Nevada 149 25.7% 6th lowest 17.6% 19th highest
Wisconsin 150 31.3% 22nd highest 16.0% 20th lowest
Vermont 150 26.3% 10th lowest 15.8% 19th lowest
Iowa 151 33.2% 10th highest 17.1% 25th lowest
Georgia 151 32.0% 19th highest 17.5% 21st highest
Delaware 152 30.9% 24th highest 17.0% 24th lowest
Illinois 152 29.7% 22nd lowest 15.5% 15th lowest
North Carolina 152 31.4% 21st highest 17.2% 24th highest
South Dakota 153 31.8% 20th highest 19.3% 14th highest
Pennsylvania 154 30.3% 25th highest 18.7% 16th highest
Rhode Island 154 28.1% 18th lowest 14.9% 13th lowest
Kansas 154 33.2% 11th highest 17.4% 22nd highest
South Carolina 154 32.9% 12th highest 18.8% 15th highest
Michigan 157 32.0% 18th highest 19.3% 13th highest
Missouri 160 32.2% 17th highest 20.8% 11th highest
Alabama 161 35.5% 3rd highest 20.9% 10th highest
Ohio 163 32.3% 15th highest 21.1% 8th highest
Indiana 163 33.4% 8th highest 21.8% 7th highest
Maine 164 29.9% 24th lowest 17.3% 23rd highest
Arkansas 166 34.2% 5th highest 22.3% 5th highest
Tennessee 167 33.2% 9th highest 22.6% 4th highest
Louisiana 168 35.4% 4th highest 23.1% 3rd highest
Oklahoma 173 33.7% 7th highest 20.1% 12th highest
West Virginia 175 36.7% 2nd highest 26.0% the highest
Kentucky 176 33.8% 6th highest 24.6% 2nd highest
Mississippi 179 36.8% the highest 22.2% 6th highest

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