Interpretation of Incidence Rates Data
Incidence Rate Report for California by County
All Cancer Sites (All Stages^), 2018-2022
American Indian/Alaska Native Non-Hispanic, Both Sexes, All Ages
Sorted by Count
Explanation of Column HeadersIncidence 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
- 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
Napa County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 400.5 with a 95% confidence interval from 230.2 to 663.5 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (3, 49)
- Recent Trend :
Mariposa County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 566.6 with a 95% confidence interval from 341.1 to 903.5 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 49)
- Recent Trend : The trend is because the trend is 12.2 with a 95% confidence interval from 3.3 to 38.4.
Glenn County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 851.1 with a 95% confidence interval from 525.3 to 1,303.7 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 47)
- Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -4.5 to 10.4.
Calaveras County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 404.2 with a 95% confidence interval from 255.7 to 627.0 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (5, 49)
- Recent Trend :
Lassen County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 449.2 with a 95% confidence interval from 288.8 to 671.0 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (4, 49)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -4.4 to 5.5.
Tuolumne County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 437.8 with a 95% confidence interval from 278.1 to 659.4 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (4, 49)
- Recent Trend :
Nevada County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 388.5 with a 95% confidence interval from 250.0 to 582.8 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (9, 49)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -3.8 to 3.6.
Marin County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 703.8 with a 95% confidence interval from 473.6 to 1,015.5 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 43)
- Recent Trend :
Amador County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 624.0 with a 95% confidence interval from 417.9 to 905.3 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 46)
- Recent Trend :
Kings County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 543.0 with a 95% confidence interval from 361.7 to 777.9 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (1, 49)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -3.6 to 7.4.
Monterey County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 316.5 with a 95% confidence interval from 215.6 to 452.2 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (21, 49)
- Recent Trend :
Merced County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 460.0 with a 95% confidence interval from 314.1 to 651.9 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (4, 49)
- Recent Trend : The trend is because the trend is 2.9 with a 95% confidence interval from -0.3 to 7.2.
Santa Cruz County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 438.8 with a 95% confidence interval from 304.7 to 619.4 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (5, 49)
- Recent Trend :
Sutter County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 575.5 with a 95% confidence interval from 410.8 to 790.9 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 46)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -2.9 to 5.9.
Del Norte County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 410.2 with a 95% confidence interval from 295.0 to 554.8 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (10, 49)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -2.3 to 3.7.
Inyo County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 371.9 with a 95% confidence interval from 269.7 to 501.3 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (14, 49)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.8 to 1.7.
Yuba County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 493.0 with a 95% confidence interval from 351.5 to 675.7 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (4, 49)
- Recent Trend : The trend is because the trend is -4.6 with a 95% confidence interval from -28.0 to 2.5.
San Mateo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 577.2 with a 95% confidence interval from 423.2 to 770.9 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 44)
- Recent Trend : The trend is because the trend is 3.4 with a 95% confidence interval from 1.5 to 6.1.
Siskiyou County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 432.2 with a 95% confidence interval from 316.5 to 577.1 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (8, 49)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -3.7 to 2.7.
Tehama County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 572.0 with a 95% confidence interval from 424.4 to 759.9 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 44)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.9 to 2.0.
San Luis Obispo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 491.8 with a 95% confidence interval from 368.6 to 650.1 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (4, 48)
- Recent Trend : The trend is because the trend is 3.4 with a 95% confidence interval from 0.3 to 8.4.
El Dorado County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 493.3 with a 95% confidence interval from 368.7 to 650.7 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (4, 48)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -2.2 to 3.6.
Yolo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 779.7 with a 95% confidence interval from 592.7 to 1,010.7 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 23)
- Recent Trend : The trend is because the trend is 3.9 with a 95% confidence interval from 1.9 to 6.8.
Madera County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 494.4 with a 95% confidence interval from 377.3 to 640.3 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (5, 48)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -1.7 to 4.4.
Lake County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 628.8 with a 95% confidence interval from 487.2 to 799.6 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 35)
- Recent Trend : The trend is because the trend is 1.9 with a 95% confidence interval from -0.8 to 5.7.
Solano County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 455.6 with a 95% confidence interval from 350.7 to 584.3 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (8, 48)
- Recent Trend : The trend is because the trend is 1.9 with a 95% confidence interval from -1.1 to 5.8.
San Francisco County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 570.0 with a 95% confidence interval from 445.4 to 721.1 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (2, 42)
- Recent Trend : The trend is because the trend is 3.9 with a 95% confidence interval from 2.3 to 6.4.
Santa Barbara County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 506.4 with a 95% confidence interval from 394.2 to 644.0 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (5, 45)
- Recent Trend : The trend is because the trend is 3.5 with a 95% confidence interval from 0.9 to 7.3.
Tulare County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 357.1 with a 95% confidence interval from 279.7 to 450.1 and 16 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (20, 49)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.4 to 4.0.
San Joaquin County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 319.4 with a 95% confidence interval from 252.7 to 400.0 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (32, 49)
- Recent Trend : The trend is because the trend is -5.6 with a 95% confidence interval from -15.7 to 0.4.
Stanislaus County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 393.0 with a 95% confidence interval from 313.1 to 488.7 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (16, 49)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.5 to 4.4.
Placer County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 542.0 with a 95% confidence interval from 436.9 to 667.1 and 20 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (4, 40)
- Recent Trend : The trend is because the trend is 2.7 with a 95% confidence interval from 0.3 to 6.3.
Ventura County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 470.2 with a 95% confidence interval from 378.4 to 579.3 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (7, 46)
- Recent Trend : The trend is because the trend is 3.9 with a 95% confidence interval from 1.5 to 7.7.
Contra Costa County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 431.6 with a 95% confidence interval from 351.2 to 525.7 and 22 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (12, 48)
- Recent Trend : The trend is because the trend is 3.2 with a 95% confidence interval from 1.3 to 6.3.
Santa Clara County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 451.1 with a 95% confidence interval from 373.0 to 540.6 and 25 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (10, 47)
- Recent Trend : The trend is because the trend is 3.9 with a 95% confidence interval from 2.8 to 5.2.
Mendocino County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 605.5 with a 95% confidence interval from 504.7 to 720.8 and 27 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (2, 31)
- Recent Trend : The trend is because the trend is 2.3 with a 95% confidence interval from 0.3 to 4.9.
Alameda County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 435.1 with a 95% confidence interval from 363.6 to 517.1 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (14, 47)
- Recent Trend : The trend is because the trend is 2.9 with a 95% confidence interval from 1.9 to 4.3.
Sonoma County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 693.9 with a 95% confidence interval from 581.3 to 821.9 and 32 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 21)
- Recent Trend : The trend is because the trend is 3.0 with a 95% confidence interval from 1.8 to 4.5.
Kern County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 391.5 with a 95% confidence interval from 331.0 to 460.5 and 33 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (22, 48)
- Recent Trend : The trend is because the trend is 2.8 with a 95% confidence interval from 1.2 to 4.9.
Butte County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 779.8 with a 95% confidence interval from 662.3 to 912.6 and 33 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 11)
- Recent Trend : The trend is because the trend is 2.6 with a 95% confidence interval from 0.9 to 4.7.
Shasta County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 718.2 with a 95% confidence interval from 610.4 to 839.5 and 36 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 15)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -1.0 to 4.0.
Humboldt County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 489.9 with a 95% confidence interval from 418.8 to 569.4 and 36 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (9, 41)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -2.0 to 1.8.
Fresno County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 488.9 with a 95% confidence interval from 422.7 to 563.0 and 41 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (10, 40)
- Recent Trend : The trend is because the trend is 2.2 with a 95% confidence interval from 0.8 to 4.0.
San Bernardino County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 342.6 with a 95% confidence interval from 297.7 to 392.7 and 46 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (34, 49)
- Recent Trend : The trend is because the trend is -8.6 with a 95% confidence interval from -16.3 to 1.5.
Orange County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 460.3 with a 95% confidence interval from 402.2 to 524.9 and 49 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (13, 42)
- Recent Trend : The trend is because the trend is 4.5 with a 95% confidence interval from 3.0 to 6.7.
Sacramento County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 541.1 with a 95% confidence interval from 479.2 to 608.9 and 63 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (7, 31)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -8.8 to 3.6.
Riverside County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 478.1 with a 95% confidence interval from 430.7 to 529.5 and 79 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (13, 38)
- Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -9.5 to 3.4.
San Diego County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 489.5 with a 95% confidence interval from 442.7 to 540.0 and 87 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (12, 37)
- Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -1.1 to 2.1.
Los Angeles County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 349.4 with a 95% confidence interval from 321.2 to 379.5 and 121 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (37, 49)
- Recent Trend : The trend is because the trend is 3.9 with a 95% confidence interval from 3.3 to 4.8.
Notes:
Created by statecancerprofiles.cancer.gov on 03/25/2026 4:17 am.
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 (SEER areas use 20 age groups and NPCR areas use 19 age groups). 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 US Population Data File is used for SEER and NPCR incidence rates.
Rates and trends are computed using different standards for malignancy. For more information see malignant.html.
^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.
⋔ 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. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.
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.
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.
Source: SEER and NPCR data. For more specific information please see the table.
* 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.
Data for United States does not include Puerto Rico.


