Mortality > Table > Interpret

## Interpretation of Death Rates Data

### Death Rate Report for by CountyAll Cancer Sites, 2016-2020All Races (includes Hispanic), Both Sexes, Ages 50+Sorted by CI*Rank

Explanation of Column Headers

Objective - The objective of 122.7 is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

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

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 496.0 with a 95% confidence interval from 480.8 to 511.4 and 928 average annual deaths over 2016-2020.
• CI*Rank⋔ : 33 (21, 41)
• Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -3.7 to -1.5.

#### United States

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 501.7 with a 95% confidence interval from 501.1 to 502.3 and 569,776 average annual deaths over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -2.3 to -1.8.

#### Sitka City and Borough

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 404.7 with a 95% confidence interval from 305.4 to 525.9 and 12 average annual deaths over 2016-2020.
• CI*Rank⋔ : 21 (8, 21)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.9 to -0.6.

#### Aleutians West Census Area (3)

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 413.2 with a 95% confidence interval from 179.3 to 790.7 and 4 average annual deaths over 2016-2020.
• CI*Rank⋔ : 20 (1, 21)
• Recent Trend : * 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).

#### Kodiak Island Borough

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 419.2 with a 95% confidence interval from 316.6 to 543.6 and 13 average annual deaths over 2016-2020.
• CI*Rank⋔ : 19 (7, 21)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.0 to -1.3.

#### Skagway-Hoonah-Angoon Census Area (3)

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 426.1 with a 95% confidence interval from 284.6 to 614.9 and 6 average annual deaths over 2016-2020.
• CI*Rank⋔ : 18 (4, 21)
• Recent Trend : * 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).

#### Fairbanks North Borough

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 437.3 with a 95% confidence interval from 395.8 to 481.9 and 96 average annual deaths over 2016-2020.
• CI*Rank⋔ : 17 (12, 21)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.3 to -1.1.

#### Juneau City and Borough

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 450.6 with a 95% confidence interval from 386.4 to 522.2 and 41 average annual deaths over 2016-2020.
• CI*Rank⋔ : 16 (8, 21)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.7.

#### Valdez-Cordova Census Area

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 475.4 with a 95% confidence interval from 352.8 to 624.9 and 13 average annual deaths over 2016-2020.
• CI*Rank⋔ : 15 (4, 21)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.5 to -1.0.

#### Anchorage Municipality

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 495.7 with a 95% confidence interval from 471.5 to 520.7 and 352 average annual deaths over 2016-2020.
• CI*Rank⋔ : 14 (8, 17)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.7 to -1.0.

#### Wrangell-Petersburg Census Area

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 498.7 with a 95% confidence interval from 377.0 to 646.9 and 12 average annual deaths over 2016-2020.
• CI*Rank⋔ : 13 (3, 21)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.5.

#### Ketchikan Gateway Borough

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 499.0 with a 95% confidence interval from 407.5 to 604.5 and 22 average annual deaths over 2016-2020.
• CI*Rank⋔ : 12 (5, 21)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.9 to -0.8.

#### Kenai Peninsula Borough

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 515.7 with a 95% confidence interval from 470.1 to 564.3 and 106 average annual deaths over 2016-2020.
• CI*Rank⋔ : 11 (6, 17)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.3.

#### Matanuska-Susitna Borough

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 527.9 with a 95% confidence interval from 486.0 to 572.2 and 140 average annual deaths over 2016-2020.
• CI*Rank⋔ : 10 (5, 16)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.6.

#### Northwest Arctic Borough

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 529.6 with a 95% confidence interval from 366.8 to 737.9 and 7 average annual deaths over 2016-2020.
• CI*Rank⋔ : 9 (2, 21)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.1 to 0.0.

#### Southeast Fairbanks Census Area

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 529.7 with a 95% confidence interval from 387.4 to 705.4 and 11 average annual deaths over 2016-2020.
• CI*Rank⋔ : 8 (2, 21)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.3.

#### Prince of Wales-Outer Ketchikan Census Area

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 573.5 with a 95% confidence interval from 428.3 to 751.8 and 12 average annual deaths over 2016-2020.
• CI*Rank⋔ : 7 (2, 20)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.0 to 0.7.

#### Kusilvak/Wade Hampton Census Area

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 588.8 with a 95% confidence interval from 392.4 to 846.4 and 7 average annual deaths over 2016-2020.
• CI*Rank⋔ : 6 (1, 21)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.2 to 0.3.

#### Bethel Census Area

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 653.4 with a 95% confidence interval from 507.9 to 825.0 and 19 average annual deaths over 2016-2020.
• CI*Rank⋔ : 5 (1, 16)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.4.

#### Yukon-Koyukuk Census Area

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 714.4 with a 95% confidence interval from 539.3 to 928.5 and 13 average annual deaths over 2016-2020.
• CI*Rank⋔ : 4 (1, 14)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.4 to 1.7.

#### Dillingham Census Area (3)

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 715.0 with a 95% confidence interval from 495.1 to 997.0 and 8 average annual deaths over 2016-2020.
• CI*Rank⋔ : 3 (1, 18)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.0 to 2.1.

#### North Slope Borough

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 772.5 with a 95% confidence interval from 556.1 to 1,039.6 and 11 average annual deaths over 2016-2020.
• CI*Rank⋔ : 2 (1, 15)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.4 to 0.9.

#### Nome Census Area

• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 793.5 with a 95% confidence interval from 589.0 to 1,042.0 and 13 average annual deaths over 2016-2020.
• CI*Rank⋔ : 1 (1, 11)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.0 to 1.9.
Aleutians East Borough (3)
• Met Healthy People Objective of 122.7? : ***
• Rate : * 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).
• CI*Rank⋔ : *
• Recent Trend : * 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).
Bristol Bay Borough
• Met Healthy People Objective of 122.7? : ***
• Rate : * 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).
• CI*Rank⋔ : *
• Recent Trend : * 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).
Denali Borough
• Met Healthy People Objective of 122.7? : ***
• Rate : * 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).
• CI*Rank⋔ : *
• Recent Trend : * 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).
Haines Borough
• Met Healthy People Objective of 122.7? : ***
• Rate : * 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).
• CI*Rank⋔ : *
• Recent Trend : * 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).
Lake and Peninsula Borough (3)
• Met Healthy People Objective of 122.7? : ***
• Rate : * 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).
• CI*Rank⋔ : *
• Recent Trend : * 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).
Yakutat City and Borough (3)
• Met Healthy People Objective of 122.7? : ***
• Rate : * 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).
• CI*Rank⋔ : *
• Recent Trend : * 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).

Notes:
Created by statecancerprofiles.cancer.gov on 09/26/2023 6:30 am.

Alaska Census Area Name Change: please note that Wade Hampton Census Area, AK (FIPS code=02270) was renamed effective July 1, 2015, and the new name is Kusilvak Census Area (FIPS Code=02158). This website will use Kusilvak/Wade Hampton until the next incidence/mortality data release.

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

† 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI.
The US Population Data File is used with mortality data.
‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.

3 Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected 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).

Please note that the data comes 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 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.

Data for United States does not include Puerto Rico.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.