Interpretation of Incidence Rates Data
Incidence Rate Report for Virginia by County
All Cancer Sites (All Stages^), 2018-2022
Hispanic (any race), Both Sexes, 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
Virginia2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 261.1 with a 95% confidence interval from 254.4 to 268.0 and 1,482 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.5 to 4.9.
US (SEER+NPCR) § 1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 354.7 with a 95% confidence interval from 353.9 to 355.5 and 165,518 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.5.
Roanoke County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 230.8 with a 95% confidence interval from 137.4 to 357.0 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (3, 44)
- Recent Trend : The trend is because the trend is -9.8 with a 95% confidence interval from -14.7 to -4.8.
Prince George County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 212.2 with a 95% confidence interval from 103.6 to 378.2 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (2, 44)
- Recent Trend : The trend is because the trend is -5.0 with a 95% confidence interval from -13.1 to 4.7.
Hampton City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 154.8 with a 95% confidence interval from 107.7 to 214.2 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (30, 44)
- Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -7.9 to 1.3.
Richmond City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 210.5 with a 95% confidence interval from 166.4 to 261.8 and 25 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (16, 44)
- Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -6.5 to 1.2.
Henrico County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 227.6 with a 95% confidence interval from 187.8 to 272.6 and 30 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (14, 42)
- Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -4.8 to 0.4.
Spotsylvania County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 337.8 with a 95% confidence interval from 278.1 to 405.4 and 32 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (2, 29)
- Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -4.6 to 0.7.
Fairfax County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 263.5 with a 95% confidence interval from 250.8 to 276.7 and 388 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (15, 32)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.5 to -0.9.
Newport News City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 268.5 with a 95% confidence interval from 218.8 to 325.2 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (6, 39)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -4.2 to 1.1.
Arlington County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 220.1 with a 95% confidence interval from 195.6 to 246.8 and 68 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (23, 41)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -3.1 to 0.2.
Alexandria City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 248.7 with a 95% confidence interval from 213.7 to 287.2 and 48 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (11, 40)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -3.2 to 0.5.
Chesterfield County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 290.0 with a 95% confidence interval from 252.4 to 331.1 and 62 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (6, 32)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -3.5 to 1.3.
Chesapeake City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 151.5 with a 95% confidence interval from 112.4 to 198.4 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (33, 44)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -4.2 to 2.8.
Loudoun County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 286.6 with a 95% confidence interval from 259.6 to 315.5 and 111 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (8, 30)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.8.
Albemarle County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 248.9 with a 95% confidence interval from 186.3 to 324.3 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (6, 43)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -3.6 to 4.1.
Winchester City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 229.9 with a 95% confidence interval from 120.1 to 384.1 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (2, 44)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -5.7 to 7.3.
Virginia Beach City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 357.4 with a 95% confidence interval from 321.0 to 396.5 and 85 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (2, 15)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.7 to 2.3.
James City County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 274.8 with a 95% confidence interval from 190.4 to 380.5 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (2, 43)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -3.7 to 6.3.
Manassas City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 249.2 with a 95% confidence interval from 187.0 to 323.0 and 22 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (6, 42)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -3.0 to 6.9.
Norfolk City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 325.6 with a 95% confidence interval from 269.5 to 388.8 and 32 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (2, 30)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -1.1 to 4.6.
Stafford County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 410.4 with a 95% confidence interval from 347.4 to 480.1 and 46 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 12)
- Recent Trend : The trend is because the trend is 2.2 with a 95% confidence interval from -0.5 to 6.7.
Fairfax City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 301.3 with a 95% confidence interval from 210.7 to 414.9 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (2, 42)
- Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from -2.8 to 9.7.
Harrisonburg City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 330.0 with a 95% confidence interval from 238.0 to 440.9 and 16 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 39)
- Recent Trend : The trend is because the trend is 2.8 with a 95% confidence interval from -2.0 to 9.7.
Fredericksburg City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 437.0 with a 95% confidence interval from 289.2 to 626.4 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 36)
- Recent Trend : The trend is because the trend is 3.2 with a 95% confidence interval from -1.9 to 10.8.
Prince William County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 284.2 with a 95% confidence interval from 262.5 to 307.1 and 197 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (9, 28)
- Recent Trend : The trend is because the trend is 5.1 with a 95% confidence interval from 0.0 to 11.1.
Accomack County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 288.8 with a 95% confidence interval from 166.6 to 460.6 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (1, 44)
- Recent Trend :
Bedford City and County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 204.6 with a 95% confidence interval from 112.3 to 338.3 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (4, 44)
- Recent Trend :
Caroline County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 312.3 with a 95% confidence interval from 158.8 to 541.3 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 44)
- Recent Trend :
Charlottesville City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 229.6 with a 95% confidence interval from 133.1 to 366.7 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (3, 44)
- Recent Trend :
Culpeper County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 253.5 with a 95% confidence interval from 164.8 to 367.4 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (3, 44)
- Recent Trend :
Falls Church City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 300.9 with a 95% confidence interval from 160.9 to 502.3 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 44)
- Recent Trend :
Fauquier County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 258.2 with a 95% confidence interval from 188.1 to 343.8 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (4, 43)
- Recent Trend :
Frederick County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 274.9 with a 95% confidence interval from 209.7 to 352.5 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (3, 41)
- Recent Trend :
Hanover County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 249.3 with a 95% confidence interval from 153.5 to 376.0 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (2, 44)
- Recent Trend :
Hopewell City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 274.9 with a 95% confidence interval from 155.9 to 444.9 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (1, 44)
- Recent Trend :
King George County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 618.9 with a 95% confidence interval from 342.7 to 1,000.0 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 35)
- Recent Trend :
Lynchburg City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 199.2 with a 95% confidence interval from 105.9 to 333.3 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (4, 44)
- Recent Trend :
Manassas Park City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 292.0 with a 95% confidence interval from 196.5 to 412.8 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (2, 43)
- Recent Trend :
Portsmouth City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 213.7 with a 95% confidence interval from 120.3 to 344.2 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (4, 44)
- Recent Trend :
Roanoke City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 241.3 with a 95% confidence interval from 174.0 to 324.3 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (6, 43)
- Recent Trend :
Rockingham County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 282.0 with a 95% confidence interval from 201.1 to 382.4 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (2, 42)
- Recent Trend :
Shenandoah County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 299.8 with a 95% confidence interval from 193.9 to 439.4 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 43)
- Recent Trend :
Suffolk City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 247.4 with a 95% confidence interval from 150.5 to 377.0 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (3, 44)
- Recent Trend :
Warren County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 309.2 with a 95% confidence interval from 168.1 to 507.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 44)
- Recent Trend :
York County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 288.2 with a 95% confidence interval from 182.4 to 425.8 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (2, 44)
- Recent Trend :
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 1:35 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.
NHIA (NAACCR Hispanic Identification Algorithm) was used for Hispanic Ethnicity (see Technical Notes section of the USCS).
Data for United States does not include Puerto Rico.


