Interpretation of Incidence Rates Data
Incidence Rate Report for California by County
All Cancer Sites (All Stages^), 2018-2022
Asian/Pacific Islander Non-Hispanic, Both Sexes, All Ages
Sorted by CI*Rank
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
California7
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 307.0 with a 95% confidence interval from 305.2 to 308.8 and 23,209 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.3 to 1.2.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 298.9 with a 95% confidence interval from 297.9 to 299.9 and 66,664 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.7.
Nevada County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 395.3 with a 95% confidence interval from 283.4 to 537.9 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 43)
- Recent Trend :
Santa Cruz County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 362.9 with a 95% confidence interval from 320.4 to 409.7 and 57 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 29)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.6.
San Benito County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 358.7 with a 95% confidence interval from 266.4 to 473.5 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 43)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.8 to 2.8.
Siskiyou County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 338.7 with a 95% confidence interval from 199.0 to 561.1 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 44)
- Recent Trend :
Sonoma County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 355.9 with a 95% confidence interval from 326.1 to 387.8 and 112 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 23)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.2 to 2.0.
Yuba County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 349.0 with a 95% confidence interval from 278.5 to 431.2 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 42)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.9 to 4.1.
Mendocino County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 347.4 with a 95% confidence interval from 252.2 to 468.3 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 44)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -3.1 to 4.8.
Santa Barbara County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 343.9 with a 95% confidence interval from 311.8 to 378.5 and 89 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (2, 33)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.1 to 1.8.
Humboldt County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 335.7 with a 95% confidence interval from 256.9 to 430.5 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 43)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -2.3 to 3.9.
Monterey County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 341.4 with a 95% confidence interval from 315.1 to 369.6 and 136 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (2, 30)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.9 to -0.1.
Placer County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 341.6 with a 95% confidence interval from 316.9 to 367.7 and 146 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (2, 26)
- Recent Trend : The trend is because the trend is 2.0 with a 95% confidence interval from 0.8 to 5.8.
San Luis Obispo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 341.4 with a 95% confidence interval from 295.0 to 393.3 and 41 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 39)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.7 to 2.0.
Shasta County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 335.4 with a 95% confidence interval from 270.9 to 410.1 and 20 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 42)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.2 to 1.8.
San Mateo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 334.7 with a 95% confidence interval from 325.3 to 344.4 and 985 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (5, 21)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.3 to 0.2.
San Francisco County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 329.2 with a 95% confidence interval from 321.3 to 337.3 and 1,451 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (7, 23)
- Recent Trend : The trend is because the trend is 3.4 with a 95% confidence interval from 1.7 to 4.5.
Kings County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 325.5 with a 95% confidence interval from 268.2 to 391.8 and 24 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (1, 43)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.4 to 2.5.
Yolo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 325.1 with a 95% confidence interval from 293.0 to 359.7 and 79 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (3, 39)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.2 to 2.7.
Contra Costa County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 324.9 with a 95% confidence interval from 315.2 to 334.9 and 869 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (8, 25)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.4 to 0.2.
Ventura County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 324.2 with a 95% confidence interval from 307.5 to 341.6 and 293 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (6, 31)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.4 to 0.9.
Solano County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 322.8 with a 95% confidence interval from 307.3 to 338.9 and 352 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (7, 31)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.7.
Butte County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 320.2 with a 95% confidence interval from 269.3 to 377.4 and 29 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (1, 42)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.5 to 2.0.
Tuolumne County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 372.5 with a 95% confidence interval from 205.8 to 619.2 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (1, 44)
- Recent Trend :
Stanislaus County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 316.4 with a 95% confidence interval from 291.7 to 342.7 and 128 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (5, 39)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.4 to 2.1.
San Joaquin County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 310.3 with a 95% confidence interval from 297.4 to 323.6 and 451 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (13, 36)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.2 to 0.9.
Tehama County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 311.9 with a 95% confidence interval from 180.3 to 503.2 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (1, 44)
- Recent Trend :
Madera County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 316.7 with a 95% confidence interval from 244.5 to 404.1 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (1, 44)
- Recent Trend :
San Diego County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 309.0 with a 95% confidence interval from 302.0 to 316.1 and 1,532 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (16, 33)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.9 to -0.3.
Santa Clara County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 305.0 with a 95% confidence interval from 299.6 to 310.5 and 2,475 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (19, 35)
- Recent Trend : The trend is because the trend is 2.2 with a 95% confidence interval from 0.9 to 3.7.
Los Angeles County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 304.0 with a 95% confidence interval from 300.6 to 307.5 and 6,352 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (20, 34)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.3 to 1.1.
Sacramento County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 303.7 with a 95% confidence interval from 295.1 to 312.6 and 972 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (18, 37)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.3 to 0.4.
Fresno County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 303.4 with a 95% confidence interval from 288.1 to 319.3 and 307 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (14, 39)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.3 to 3.0.
Alameda County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 302.2 with a 95% confidence interval from 296.0 to 308.5 and 1,870 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (20, 36)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.3 to 0.1.
Marin County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 300.2 with a 95% confidence interval from 269.6 to 333.5 and 74 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (8, 42)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.4.
Napa County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 298.0 with a 95% confidence interval from 260.8 to 339.3 and 48 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (5, 43)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.7.
San Bernardino County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 295.9 with a 95% confidence interval from 285.5 to 306.6 and 643 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (20, 40)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.1.
Orange County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 295.7 with a 95% confidence interval from 290.6 to 301.0 and 2,571 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (26, 39)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.5 to 0.1.
Kern County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 293.2 with a 95% confidence interval from 272.2 to 315.4 and 154 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (16, 42)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.4.
Riverside County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 291.7 with a 95% confidence interval from 281.4 to 302.3 and 633 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (24, 40)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.8 to 3.5.
Merced County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 273.6 with a 95% confidence interval from 241.7 to 308.5 and 55 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (17, 43)
- Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from 0.3 to 2.9.
Sutter County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 273.2 with a 95% confidence interval from 241.9 to 307.6 and 58 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (17, 43)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.4 to 2.5.
El Dorado County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 262.3 with a 95% confidence interval from 222.5 to 307.4 and 33 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (14, 44)
- Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.4 to -0.2.
Tulare County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 259.8 with a 95% confidence interval from 228.1 to 294.7 and 51 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (24, 44)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.4 to 1.3.
Lake County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 204.7 with a 95% confidence interval from 115.2 to 344.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (2, 44)
- Recent Trend : The trend is because the trend is -4.5 with a 95% confidence interval from -9.8 to 1.7.
Imperial County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 202.8 with a 95% confidence interval from 138.2 to 290.3 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (19, 44)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.8 to 1.6.
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 7:20 pm.
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.
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.


