## Interpretation of Incidence Rates Data

### Incidence Rate Report for by County

Cervix, 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**

#### Massachusetts^{6,10}

- Rate : The incidence rate is 5.3 with a 95% confidence interval from 5.0 to 5.7 and 194 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -6.7 to 1.6.

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

- Rate : The incidence rate is 7.7 with a 95% confidence interval from 7.6 to 7.8 and 12,476 § average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.4 to -0.9.

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

- Rate : The incidence rate is 7.6 with a 95% confidence interval from 6.1 to 9.4 and 18 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.1 with a 95% confidence interval from -12.0 to 23.0.

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

- Rate : The incidence rate is 6.4 with a 95% confidence interval from 5.1 to 7.8 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -20.1 to 21.7.

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

- Rate : The incidence rate is 6.0 with a 95% confidence interval from 4.9 to 7.3 and 21 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.5 with a 95% confidence interval from -25.7 to 17.5.

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

- Rate : The incidence rate is 5.9 with a 95% confidence interval from 4.6 to 7.3 and 17 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 5.9 with a 95% confidence interval from -18.2 to 37.2.

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

- Rate : The incidence rate is 5.4 with a 95% confidence interval from 3.4 to 8.0 and 6 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).

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

- Rate : The incidence rate is 4.9 with a 95% confidence interval from 4.0 to 6.1 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -10.6 with a 95% confidence interval from -26.3 to 8.5.

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

- Rate : The incidence rate is 4.9 with a 95% confidence interval from 4.0 to 6.0 and 21 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -24.3 to 24.8.

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

- Rate : The incidence rate is 4.9 with a 95% confidence interval from 4.2 to 5.6 and 42 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -12.0 to 13.3.

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

- Rate : The incidence rate is 4.8 with a 95% confidence interval from 3.9 to 5.9 and 21 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -21.2 to 15.1.

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

- Rate : The incidence rate is 4.8 with a 95% confidence interval from 2.8 to 7.8 and 4 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).

**Dukes 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).
- 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).

**Franklin 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).

**Hampshire 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).

**Nantucket County**

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

Created by statecancerprofiles.cancer.gov on 06/25/2016 1:19 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.