43. Louisiana
> Pct. change in cancer incidence rate, 2000-2018: -1.55%
> Cancer cases, 2000: 20,755 or 494.3 per 100,000 – 20th highest
> Cancer cases, 2018: 26,935 or 486.6 per 100,000 – 2nd highest
> Adult obesity rate change: 13.2 ppt (from 23.6% in 2000 to 36.8% in 2018)
> Median household income, 2020: $50,800 – 4th lowest

42. Nebraska
> Pct. change in cancer incidence rate, 2000-2018: -1.65%
> Cancer cases, 2000: 8,591 or 485.7 per 100,000 – 25th highest
> Cancer cases, 2018: 10,798 or 477.7 per 100,000 – 6th highest
> Adult obesity rate change: 13.0 ppt (from 21.1% in 2000 to 34.1% in 2018)
> Median household income, 2020: $63,015 – 25th highest

41. Virginia
> Pct. change in cancer incidence rate, 2000-2018: -1.80%
> Cancer cases, 2000: 29,632 or 438.7 per 100,000 – 7th lowest
> Cancer cases, 2018: 40,108 or 430.8 per 100,000 – 19th lowest
> Adult obesity rate change: 12.2 ppt (from 18.2% in 2000 to 30.4% in 2018)
> Median household income, 2020: $76,398 – 10th highest

40. Hawaii
> Pct. change in cancer incidence rate, 2000-2018: -1.88%
> Cancer cases, 2000: 5,263 or 418.8 per 100,000 – 3rd lowest
> Cancer cases, 2018: 7,552 or 410.9 per 100,000 – 12th lowest
> Adult obesity rate change: 9.2 ppt (from 15.7% in 2000 to 24.9% in 2018)
> Median household income, 2020: $83,173 – 4th highest

39. Iowa
> Pct. change in cancer incidence rate, 2000-2018: -2.02%
> Cancer cases, 2000: 15,759 or 485.5 per 100,000 – 25th lowest
> Cancer cases, 2018: 18,715 or 475.7 per 100,000 – 7th highest
> Adult obesity rate change: 13.8 ppt (from 21.5% in 2000 to 35.3% in 2018)
> Median household income, 2020: $61,836 – 24th lowest
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