Interpretation of Incidence Rates Data
Incidence Rate Report for Alaska by Borough or Census Area
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by Recentaapc
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
Alaska2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 421.9 with a 95% confidence interval from 412.2 to 431.8 and 1,557 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (20, 39)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 424.8 with a 95% confidence interval from 424.4 to 425.2 and 891,437 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.1.
North Slope Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 360.0 with a 95% confidence interval from 271.1 to 467.8 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (3, 23)
- Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -18.4 to 0.7.
Kusilvak Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 268.7 with a 95% confidence interval from 181.0 to 381.2 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (12, 23)
- Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -7.3 to 1.3.
Valdez-Cordova Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 312.5 with a 95% confidence interval from 245.1 to 393.3 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (11, 23)
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -4.6 to 1.4.
Haines Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 316.9 with a 95% confidence interval from 206.5 to 481.3 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (3, 23)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -4.9 to 2.1.
Northwest Arctic Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 329.4 with a 95% confidence interval from 236.8 to 444.2 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (4, 23)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -4.6 to 2.4.
Juneau City and Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 369.5 with a 95% confidence interval from 329.7 to 412.9 and 68 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (8, 21)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.3.
Ketchikan Gateway Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 459.8 with a 95% confidence interval from 394.8 to 533.0 and 39 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 16)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.5 to 0.9.
Kodiak Island Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 407.1 with a 95% confidence interval from 337.3 to 487.2 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (2, 21)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.7.
Wrangell Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 407.6 with a 95% confidence interval from 272.3 to 598.3 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 23)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -6.9 to 6.0.
Aleutians West Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 335.1 with a 95% confidence interval from 179.5 to 562.4 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (1, 23)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -7.4 to 6.3.
Fairbanks North Borough2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 434.7 with a 95% confidence interval from 406.2 to 464.6 and 188 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (3, 15)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.7.
Matanuska-Susitna Borough2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 422.9 with a 95% confidence interval from 397.5 to 449.4 and 232 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (4, 16)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.1 to 0.4.
Sitka City and Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 398.8 with a 95% confidence interval from 323.5 to 487.6 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (2, 22)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -2.4 to 1.8.
Kenai Peninsula Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 427.0 with a 95% confidence interval from 395.8 to 460.1 and 159 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (3, 16)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.9.
Anchorage Municipality2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 438.5 with a 95% confidence interval from 423.0 to 454.5 and 644 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (3, 13)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.3.
Prince of Wales-Hyder Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 407.2 with a 95% confidence interval from 307.6 to 530.3 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 22)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -9.0 to 9.9.
Yukon-Koyukuk Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 415.9 with a 95% confidence interval from 312.2 to 543.9 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 22)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -2.0 to 3.2.
Hoonah-Angoon Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 471.0 with a 95% confidence interval from 309.5 to 694.2 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 23)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -25.3 to 35.5.
Southeast Fairbanks Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 538.7 with a 95% confidence interval from 421.1 to 678.3 and 16 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 16)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -2.5 to 4.9.
Nome Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 460.7 with a 95% confidence interval from 356.4 to 583.9 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 20)
- Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -1.7 to 4.0.
Dillingham Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 528.4 with a 95% confidence interval from 388.6 to 700.5 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 19)
- Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from -2.1 to 6.1.
Petersburg Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 380.3 with a 95% confidence interval from 265.5 to 531.4 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (1, 23)
- Recent Trend : The trend is because the trend is 2.8 with a 95% confidence interval from -15.8 to 24.3.
Bethel Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 357.2 with a 95% confidence interval from 291.0 to 433.1 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (5, 23)
- Recent Trend : The trend is because the trend is 6.9 with a 95% confidence interval from -0.1 to 20.9.
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 7:24 am.
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.
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.
† 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.
‡ Incidence data come from different sources. 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.
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.
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.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.
2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).
* 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.


