## Interpretation of Incidence Rates Data

### Incidence Rate Report for by County

Lung & Bronchus, 2008-2012

All Races (includes Hispanic), Female, All Ages

Sorted by Rate

**Explanation of Column Headers**

**Incidence Rate (95% Confidence Interval)**- The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

**Recent Trends** - This is an interpretation of the AAPC/APC:

**Rising**when 95% confidence interval of AAPC/APC is above 0.**Stable**when 95% confidence interval of AAPC/APC includes 0.**Falling**when 95% confidence interval of AAPC/APC is below 0.

**AAPC/APC (95% Confidence Interval)** - the change in rate over time

- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.

**Other Notes**

**Line by Line Interpretation of the Report**

#### Alabama^{6,10}

- Rate : The incidence rate is 54.2 with a 95% confidence interval from 53.0 to 55.4 and 1,647 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.8 to 2.2.

#### US (SEER+NPCR)^{1,10}

- Rate : The incidence rate is 54.1 with a 95% confidence interval from 53.9 to 54.2 and 99,801 § average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.6 to -1.5.

#### Bibb County^{6,10}

- Rate : The incidence rate is 82.2 with a 95% confidence interval from 61.9 to 107.5 and 11 average annual cases over 2008-2012.
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Walker County^{6,10}

- Rate : The incidence rate is 77.6 with a 95% confidence interval from 66.7 to 89.9 and 38 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 6.8 with a 95% confidence interval from -11.0 to 28.0.

#### Covington County^{6,10}

- Rate : The incidence rate is 75.4 with a 95% confidence interval from 61.4 to 92.0 and 21 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -14.6 to 23.6.

#### Cleburne County^{6,10}

- Rate : The incidence rate is 71.9 with a 95% confidence interval from 49.5 to 101.7 and 7 average annual cases over 2008-2012.
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Lamar County^{6,10}

- Rate : The incidence rate is 69.7 with a 95% confidence interval from 49.2 to 97.2 and 8 average annual cases over 2008-2012.
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Winston County^{6,10}

- Rate : The incidence rate is 69.6 with a 95% confidence interval from 53.5 to 89.7 and 13 average annual cases over 2008-2012.

#### Cherokee County^{6,10}

- Rate : The incidence rate is 66.8 with a 95% confidence interval from 51.6 to 85.9 and 14 average annual cases over 2008-2012.

#### Lawrence County^{6,10}

- Rate : The incidence rate is 65.5 with a 95% confidence interval from 51.1 to 83.0 and 14 average annual cases over 2008-2012.

#### Fayette County^{6,10}

- Rate : The incidence rate is 65.4 with a 95% confidence interval from 47.2 to 89.5 and 9 average annual cases over 2008-2012.

#### Dale County^{6,10}

- Rate : The incidence rate is 65.2 with a 95% confidence interval from 53.1 to 79.4 and 21 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -10.0 to 16.5.

#### Marshall County^{6,10}

- Rate : The incidence rate is 64.8 with a 95% confidence interval from 56.0 to 74.7 and 39 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.9 with a 95% confidence interval from -23.2 to 13.0.

#### Etowah County^{6,10}

- Rate : The incidence rate is 64.5 with a 95% confidence interval from 56.5 to 73.5 and 48 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -18.9 to 21.4.

#### Morgan County^{6,10}

- Rate : The incidence rate is 63.5 with a 95% confidence interval from 55.8 to 72.1 and 50 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -19.1 to 24.8.

#### Geneva County^{6,10}

- Rate : The incidence rate is 63.4 with a 95% confidence interval from 48.9 to 81.5 and 13 average annual cases over 2008-2012.

#### Calhoun County^{6,10}

- Rate : The incidence rate is 62.1 with a 95% confidence interval from 54.4 to 70.5 and 49 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -19.8 to 21.5.

#### Clay County^{6,10}

- Rate : The incidence rate is 61.9 with a 95% confidence interval from 41.6 to 89.8 and 6 average annual cases over 2008-2012.

#### Autauga County^{6,10}

- Rate : The incidence rate is 60.8 with a 95% confidence interval from 49.0 to 74.7 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 5.4 with a 95% confidence interval from -16.6 to 33.2.

#### Franklin County^{6,10}

- Rate : The incidence rate is 60.6 with a 95% confidence interval from 46.4 to 78.0 and 13 average annual cases over 2008-2012.

#### Chambers County^{6,10}

- Rate : The incidence rate is 60.5 with a 95% confidence interval from 47.4 to 76.5 and 15 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -26.9 to 22.0.

#### Chilton County^{6,10}

- Rate : The incidence rate is 59.5 with a 95% confidence interval from 47.2 to 74.2 and 16 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -25.6 with a 95% confidence interval from -45.4 to 1.4.

#### St. Clair County^{6,10}

- Rate : The incidence rate is 59.4 with a 95% confidence interval from 50.2 to 69.9 and 30 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -19.0 to 21.7.

#### Mobile County^{6,10}

- Rate : The incidence rate is 59.3 with a 95% confidence interval from 55.0 to 63.7 and 150 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -5.1 to 1.2.

#### Blount County^{6,10}

- Rate : The incidence rate is 58.7 with a 95% confidence interval from 48.3 to 71.0 and 23 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -16.1 to 12.2.

#### Coosa County^{6,10}

- Rate : The incidence rate is 58.7 with a 95% confidence interval from 37.8 to 89.0 and 5 average annual cases over 2008-2012.

#### Randolph County^{6,10}

- Rate : The incidence rate is 58.0 with a 95% confidence interval from 42.2 to 78.3 and 9 average annual cases over 2008-2012.

#### Limestone County^{6,10}

- Rate : The incidence rate is 57.7 with a 95% confidence interval from 48.5 to 68.1 and 29 average annual cases over 2008-2012.
- Recent Trend : The trend is rising because the trend is 4.5 with a 95% confidence interval from 0.6 to 8.6.

#### Russell County^{6,10}

- Rate : The incidence rate is 57.6 with a 95% confidence interval from 46.4 to 70.6 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -24.4 to 29.5.

#### Jackson County^{6,10}

- Rate : The incidence rate is 56.6 with a 95% confidence interval from 46.2 to 68.9 and 21 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.5 with a 95% confidence interval from -16.4 to 2.5.

#### Colbert County^{6,10}

- Rate : The incidence rate is 56.2 with a 95% confidence interval from 46.2 to 68.0 and 23 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -14.8 to 10.9.

#### Barbour County^{6,10}

- Rate : The incidence rate is 56.1 with a 95% confidence interval from 41.2 to 75.2 and 10 average annual cases over 2008-2012.

#### Houston County^{6,10}

- Rate : The incidence rate is 55.1 with a 95% confidence interval from 47.4 to 63.8 and 37 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -21.3 to 32.3.

#### Talladega County^{6,10}

- Rate : The incidence rate is 54.7 with a 95% confidence interval from 46.1 to 64.6 and 29 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -10.7 with a 95% confidence interval from -21.8 to 2.0.

#### Elmore County^{6,10}

- Rate : The incidence rate is 54.1 with a 95% confidence interval from 44.8 to 64.9 and 25 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -17.8 to 16.5.

#### Madison County^{6,10}

- Rate : The incidence rate is 54.1 with a 95% confidence interval from 49.5 to 59.0 and 105 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -11.3 to 5.9.

#### Baldwin County^{6,10}

- Rate : The incidence rate is 54.0 with a 95% confidence interval from 48.5 to 60.1 and 70 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -15.2 to 12.9.

#### Escambia County^{6,10}

- Rate : The incidence rate is 53.9 with a 95% confidence interval from 41.7 to 68.9 and 14 average annual cases over 2008-2012.

#### Coffee County^{6,10}

- Rate : The incidence rate is 53.8 with a 95% confidence interval from 43.1 to 66.6 and 18 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -11.6 with a 95% confidence interval from -26.9 to 6.9.

#### Washington County^{6,10}

- Rate : The incidence rate is 53.5 with a 95% confidence interval from 35.9 to 77.5 and 6 average annual cases over 2008-2012.

#### Tallapoosa County^{6,10}

- Rate : The incidence rate is 53.4 with a 95% confidence interval from 42.2 to 67.0 and 16 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 10.7 with a 95% confidence interval from -17.7 to 48.8.

#### Lowndes County^{6,10}

- Rate : The incidence rate is 51.3 with a 95% confidence interval from 30.6 to 81.5 and 4 average annual cases over 2008-2012.

#### Dallas County^{6,10}

- Rate : The incidence rate is 50.8 with a 95% confidence interval from 39.5 to 64.4 and 14 average annual cases over 2008-2012.

#### Shelby County^{6,10}

- Rate : The incidence rate is 49.7 with a 95% confidence interval from 43.6 to 56.5 and 49 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.8 with a 95% confidence interval from -18.4 to 4.2.

#### Lauderdale County^{6,10}

- Rate : The incidence rate is 49.2 with a 95% confidence interval from 42.0 to 57.5 and 34 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -10.4 with a 95% confidence interval from -28.9 to 12.9.

#### Tuscaloosa County^{6,10}

- Rate : The incidence rate is 48.6 with a 95% confidence interval from 42.7 to 55.1 and 50 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -17.3 to 24.1.

#### Montgomery County^{6,10}

- Rate : The incidence rate is 48.3 with a 95% confidence interval from 43.1 to 54.0 and 64 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.5 with a 95% confidence interval from -20.0 to 9.4.

#### Jefferson County^{6,10}

- Rate : The incidence rate is 47.8 with a 95% confidence interval from 44.9 to 50.9 and 202 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -4.4 to 8.1.

#### DeKalb County^{6,10}

- Rate : The incidence rate is 47.6 with a 95% confidence interval from 38.9 to 57.8 and 21 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -9.8 to 16.9.

#### Clarke County^{6,10}

- Rate : The incidence rate is 47.5 with a 95% confidence interval from 34.5 to 64.2 and 9 average annual cases over 2008-2012.

#### Cullman County^{6,10}

- Rate : The incidence rate is 47.0 with a 95% confidence interval from 39.3 to 55.9 and 27 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -20.5 to 21.8.

#### Lee County^{6,10}

- Rate : The incidence rate is 46.6 with a 95% confidence interval from 39.2 to 54.9 and 29 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -16.5 to 18.0.

#### Pike County^{6,10}

- Rate : The incidence rate is 45.8 with a 95% confidence interval from 32.9 to 62.2 and 9 average annual cases over 2008-2012.

#### Pickens County^{6,10}

- Rate : The incidence rate is 45.1 with a 95% confidence interval from 31.4 to 63.7 and 7 average annual cases over 2008-2012.

#### Crenshaw County^{6,10}

- Rate : The incidence rate is 43.7 with a 95% confidence interval from 26.8 to 68.2 and 4 average annual cases over 2008-2012.

#### Wilcox County^{6,10}

- Rate : The incidence rate is 41.8 with a 95% confidence interval from 24.0 to 68.8 and 3 average annual cases over 2008-2012.

#### Henry County^{6,10}

- Rate : The incidence rate is 41.8 with a 95% confidence interval from 27.8 to 61.7 and 6 average annual cases over 2008-2012.

#### Conecuh County^{6,10}

- Rate : The incidence rate is 40.9 with a 95% confidence interval from 24.0 to 66.2 and 4 average annual cases over 2008-2012.

#### Monroe County^{6,10}

- Rate : The incidence rate is 40.2 with a 95% confidence interval from 27.5 to 57.3 and 7 average annual cases over 2008-2012.

#### Hale County^{6,10}

- Rate : The incidence rate is 40.1 with a 95% confidence interval from 24.6 to 62.3 and 4 average annual cases over 2008-2012.

#### Marion County^{6,10}

- Rate : The incidence rate is 38.2 with a 95% confidence interval from 27.9 to 51.6 and 9 average annual cases over 2008-2012.

#### Butler County^{6,10}

- Rate : The incidence rate is 34.6 with a 95% confidence interval from 22.9 to 51.0 and 6 average annual cases over 2008-2012.

#### Macon County^{6,10}

- Rate : The incidence rate is 33.4 with a 95% confidence interval from 20.8 to 51.2 and 5 average annual cases over 2008-2012.

#### Choctaw County^{6,10}

- Rate : The incidence rate is 31.6 with a 95% confidence interval from 18.5 to 52.3 and 4 average annual cases over 2008-2012.

#### Marengo County^{6,10}

- Rate : The incidence rate is 31.2 with a 95% confidence interval from 20.1 to 47.0 and 5 average annual cases over 2008-2012.

**Bullock County**

^{6,10}- Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

**Greene County**

^{6,10}- Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

**Perry County**

^{6,10}- Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

**Sumter County**

^{6,10}**Notes:**

Created by statecancerprofiles.cancer.gov on 05/26/2016 2:50 am.

Data for the United States does not include data from Nevada.

State Cancer Registries may provide more current or more local data.

† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2013 US Population Data File is used for SEER and NPCR incidence rates.

‡ Incidence data come from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

§ The total count for the US (SEER+NPCR) may differ from the summation of the individual states reported in this table. The total uses data from the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) January 2015 data submission for the following states: California, Kentucky, Louisiana, and New Jersey but data for those states when shown individually are sourced from the SEER November 2014 submission.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

^{1}Source: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2014 data submission and SEER November 2014 submission.

^{6}Source: State Cancer Registry and the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2014 data submission. State rates include rates from metropolitan areas funded by SEER.

^{10}Source: Incidence data provided by the National Program of Cancer Registries (NPCR). EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2013 US Population Data File is used with NPCR November 2014 data.

Please note that the data comes from different sources. Due to different years of data availablility, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Interpret Rankings provides insight into interpreting cancer incidence 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.