## Interpretation of Death Rates Data

### Death Rate Report for Puerto Rico

All Cancer Sites, 2011-2015

Hispanic (any race), Both Sexes, All Ages

Sorted by Rate

**Explanation of Column Headers**

**Objective** - The objective of 161.4 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**

**Line by Line Interpretation of the Report**

#### Puerto Rico (8)

- Met Healthy People Objective of 161.4? : ***
- 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).
- 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).

#### United States (6)

- Met Healthy People Objective of 161.4? : Yes
- Rate : The death rate is 115.0 with a 95% confidence interval from 114.5 to 115.6 and 35,185 average annual deaths over 2011-2015.
- Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.3 to -1.1.

**Notes:**

Created by statecancerprofiles.cancer.gov on 02/22/2019 9:56 pm.

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

**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 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 calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2015 US Population Data File is used for 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.

Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.

^{6}Hispanic mortality recent trend data for the United States has been excluded for the following states: Louisiana, New Hampshire, and Oklahoma. The data on Hispanic and non-Hispanic mortality for these states may be unreliable for the time period used in the generation of the recent trend (1990 - 2015) and has been excluded from the calculation of the United States recent trend. This was based on the NCHS Policy.

^{8}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 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.

NHIA (NAACCR Hispanic Identification Algorithm) was used for Hispanic Ethnicity (see Technical Notes section of the USCS).

Statistics for minorities may be affected by inconsistent race identification between the cancer case reports (sources for numerator of rate) and data from the Census Bureau (source for denominator of rate); and from undercounts of some population groups in the census.

Data for United States does not include Puerto Rico.