Mortality > Table > Interpret

## Interpretation of Death Rates Data

### Death Rate Report for Massachusetts by CountyAll Cancer Sites, 2016-2020All Races (includes Hispanic), Both Sexes, Ages <65Sorted by Rate

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

#### Massachusetts

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 39.8 with a 95% confidence interval from 39.2 to 40.5 and 3,120 average annual deaths over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -2.7 to -2.5.

#### United States

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 47.3 with a 95% confidence interval from 47.2 to 47.4 and 168,038 average annual deaths over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -2.6 to -2.0.

#### Hampden County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 47.9 with a 95% confidence interval from 45.1 to 50.7 and 249 average annual deaths over 2016-2020.
• CI*Rank⋔ : 1 (1, 4)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.3 to -1.8.

#### Berkshire County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 46.0 with a 95% confidence interval from 41.1 to 51.4 and 75 average annual deaths over 2016-2020.
• CI*Rank⋔ : 2 (1, 8)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.5 to -1.5.

#### Bristol County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 44.6 with a 95% confidence interval from 42.2 to 47.0 and 298 average annual deaths over 2016-2020.
• CI*Rank⋔ : 3 (1, 7)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.2 to -1.7.

#### Worcester County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 42.9 with a 95% confidence interval from 41.0 to 44.9 and 423 average annual deaths over 2016-2020.
• CI*Rank⋔ : 4 (2, 8)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.5 to -2.1.

#### Nantucket County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 41.7 with a 95% confidence interval from 27.2 to 62.0 and 5 average annual deaths over 2016-2020.
• CI*Rank⋔ : 5 (1, 14)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.5 to -1.2.

#### Barnstable County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 41.2 with a 95% confidence interval from 37.4 to 45.3 and 113 average annual deaths over 2016-2020.
• CI*Rank⋔ : 6 (2, 12)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.3 to -1.5.

#### Plymouth County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 41.1 with a 95% confidence interval from 38.7 to 43.5 and 263 average annual deaths over 2016-2020.
• CI*Rank⋔ : 7 (4, 11)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.1 to -2.6.

#### Franklin County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 40.4 with a 95% confidence interval from 34.3 to 47.6 and 37 average annual deaths over 2016-2020.
• CI*Rank⋔ : 8 (1, 14)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.0 to -1.6.

#### Essex County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 38.8 with a 95% confidence interval from 37.0 to 40.8 and 362 average annual deaths over 2016-2020.
• CI*Rank⋔ : 9 (6, 13)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -2.8 to -2.4.

#### Suffolk County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 38.5 with a 95% confidence interval from 36.4 to 40.6 and 285 average annual deaths over 2016-2020.
• CI*Rank⋔ : 10 (6, 13)
• Recent Trend : The trend is falling because the trend is -8.8 with a 95% confidence interval from -13.8 to -3.6.

#### Hampshire County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 37.7 with a 95% confidence interval from 33.4 to 42.4 and 66 average annual deaths over 2016-2020.
• CI*Rank⋔ : 11 (5, 14)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.7.

#### Dukes County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 36.9 with a 95% confidence interval from 25.5 to 52.5 and 8 average annual deaths over 2016-2020.
• CI*Rank⋔ : 12 (1, 14)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.1 to -1.3.

#### Norfolk County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 36.9 with a 95% confidence interval from 35.0 to 38.9 and 305 average annual deaths over 2016-2020.
• CI*Rank⋔ : 13 (8, 14)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -2.9 to -2.5.

#### Middlesex County

• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 35.6 with a 95% confidence interval from 34.4 to 37.0 and 631 average annual deaths over 2016-2020.
• CI*Rank⋔ : 14 (10, 14)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -3.1 to -2.7.

Notes:
Created by statecancerprofiles.cancer.gov on 12/04/2023 6:19 pm.

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.

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.