State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for California by County

All Cancer Sites, 2019-2023

Black Non-Hispanic, Both Sexes, All Ages

Sorted by CI*Rank

Explanation of Column Headers

Death Rate (95% Confidence Interval) - The death rate is based upon 100,000 people and is for 5 year(s). Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population (the Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal).

Recent Trends - This is an interpretation of the AAPC:

• Rising when 95% confidence interval of average annual percent change is above 0.
• Stable when 95% confidence interval of average annual percent change includes 0.
• Falling when 95% confidence interval of average annual percent change is below 0.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

California

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 170.9 with a 95% confidence interval from 168.6 to 173.2 and 4,430 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -1.9 to -1.6.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.5 with a 95% confidence interval from 165.9 to 167.1 and 70,844 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.0 to -1.9.

Butte County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 229.1 with a 95% confidence interval from 160.2 to 315.4 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 31)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.4 to 3.1.

Merced County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 212.2 with a 95% confidence interval from 171.8 to 259.1 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 25)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.2 to 1.5.

Kings County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 200.6 with a 95% confidence interval from 145.0 to 268.2 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 31)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -2.1 to 3.8.

Fresno County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 192.8 with a 95% confidence interval from 174.2 to 212.7 and 85 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 20)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.5 to -0.7.

Kern County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 192.4 with a 95% confidence interval from 172.7 to 213.7 and 77 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 22)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.1.

San Francisco County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 192.2 with a 95% confidence interval from 176.8 to 208.7 and 118 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 19)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.2 to -1.0.

Marin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 189.5 with a 95% confidence interval from 143.9 to 244.6 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 31)
• Recent Trend : The trend is stable because the trend is 4.5 with a 95% confidence interval from -2.4 to 20.2.

Stanislaus County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 187.9 with a 95% confidence interval from 157.5 to 222.3 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 27)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.1 to 1.0.

San Joaquin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 187.1 with a 95% confidence interval from 171.2 to 204.2 and 111 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (2, 22)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.4.

San Bernardino County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 183.5 with a 95% confidence interval from 174.4 to 193.0 and 332 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (4, 19)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -1.5 to 5.3.

Madera County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 181.6 with a 95% confidence interval from 128.5 to 248.7 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 33)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.8 to 7.3.

San Mateo County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 181.1 with a 95% confidence interval from 158.8 to 205.9 and 49 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (2, 26)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.9 to -0.5.

Sacramento County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.3 with a 95% confidence interval from 169.9 to 189.2 and 290 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (5, 22)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.0 to -1.0.

Imperial County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.0 with a 95% confidence interval from 115.2 to 265.1 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (1, 34)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -5.0 to 0.6.

Yolo County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 178.5 with a 95% confidence interval from 127.0 to 242.4 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 33)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.2 to 1.5.

Lake County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.5 with a 95% confidence interval from 103.9 to 280.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 34)
• Recent Trend :

Solano County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.2 with a 95% confidence interval from 161.5 to 189.7 and 131 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (5, 26)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.7.

Tulare County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.8 with a 95% confidence interval from 131.2 to 228.0 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (1, 32)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -3.1 to 2.2.

Los Angeles County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 172.9 with a 95% confidence interval from 169.2 to 176.7 and 1,745 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (11, 22)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -1.9 to -1.6.

Contra Costa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.5 with a 95% confidence interval from 158.9 to 180.7 and 202 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (9, 26)
• Recent Trend : The trend is falling because the trend is -7.2 with a 95% confidence interval from -10.9 to -3.2.

San Diego County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.4 with a 95% confidence interval from 158.9 to 178.4 and 253 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (10, 26)
• Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -1.8 to 5.5.

Alameda County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.9 with a 95% confidence interval from 158.2 to 174.0 and 361 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (12, 26)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.6 to -1.8.

Santa Barbara County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.9 with a 95% confidence interval from 129.4 to 209.4 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (1, 32)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.5 to 0.9.

Riverside County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.5 with a 95% confidence interval from 154.8 to 172.5 and 289 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (13, 27)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.2 to -1.2.

Ventura County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 147.5 with a 95% confidence interval from 122.6 to 175.9 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (9, 33)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.4.

Napa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 143.2 with a 95% confidence interval from 90.9 to 215.2 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (1, 34)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -6.0 to -1.3.

Sonoma County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 142.6 with a 95% confidence interval from 106.5 to 186.3 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (4, 34)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -4.1 to -0.1.

Orange County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 142.1 with a 95% confidence interval from 127.7 to 157.7 and 79 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (20, 33)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.6 to -0.5.

Santa Clara County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.8 with a 95% confidence interval from 121.1 to 151.8 and 66 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (22, 33)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.8 to -0.7.

Placer County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.4 with a 95% confidence interval from 99.5 to 177.0 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (6, 34)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.2 to 1.4.

San Luis Obispo County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 130.4 with a 95% confidence interval from 83.6 to 192.9 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (3, 34)
• Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -6.3 to 0.6.

Monterey County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 123.2 with a 95% confidence interval from 95.6 to 156.3 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (18, 34)
• Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -5.6 to -2.3.

Yuba County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 106.8 with a 95% confidence interval from 63.2 to 170.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (10, 34)
• Recent Trend : The trend is falling because the trend is -17.3 with a 95% confidence interval from -33.6 to -2.2.

Santa Cruz County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 101.0 with a 95% confidence interval from 57.7 to 164.2 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (11, 34)
• Recent Trend :

Alpine County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Amador County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Calaveras County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Colusa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Del Norte County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

El Dorado County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Glenn County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Humboldt County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Inyo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Lassen County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Mariposa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Mendocino County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Modoc County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Mono County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Nevada County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Plumas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

San Benito County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Shasta County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Sierra County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Siskiyou County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Sutter County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Tehama County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Trinity County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Tuolumne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/26/2026 3:44 pm.

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

† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+).

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records 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).

Data for United States does not include Puerto Rico.