Interpretation of Incidence Rates Data
Incidence Rate Report for Michigan by County
All Cancer Sites (All Stages^), 2018-2022
Black 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
Michigan2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 450.2 with a 95% confidence interval from 445.3 to 455.1 and 6,859 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -1.6 to -1.3.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 452.3 with a 95% confidence interval from 451.4 to 453.2 and 199,962 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 -0.6.
Montcalm County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 427.0 with a 95% confidence interval from 148.6 to 880.2 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (1, 32)
- Recent Trend :
Newaygo County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 489.7 with a 95% confidence interval from 275.7 to 800.5 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 32)
- Recent Trend : The trend is because the trend is -4.2 with a 95% confidence interval from -10.0 to 0.7.
Lapeer County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 527.6 with a 95% confidence interval from 274.5 to 893.5 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 32)
- Recent Trend :
Ionia County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 337.8 with a 95% confidence interval from 118.6 to 698.8 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (1, 32)
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -9.7 to 7.4.
Branch County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 701.7 with a 95% confidence interval from 376.2 to 1,170.0 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 32)
- Recent Trend :
Livingston County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 317.1 with a 95% confidence interval from 195.6 to 486.3 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (5, 32)
- Recent Trend :
Midland County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 478.9 with a 95% confidence interval from 279.0 to 756.2 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 32)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -5.7 to 9.3.
Bay County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 280.0 with a 95% confidence interval from 169.0 to 431.6 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (10, 32)
- Recent Trend : The trend is because the trend is -5.8 with a 95% confidence interval from -11.0 to -0.9.
Allegan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 352.4 with a 95% confidence interval from 231.9 to 510.3 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (4, 32)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -4.3 to 1.3.
Clinton County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 391.7 with a 95% confidence interval from 249.6 to 580.7 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (2, 32)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -4.8 to 5.2.
St. Joseph County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 354.9 with a 95% confidence interval from 237.4 to 509.1 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (4, 32)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -3.9 to 2.1.
Lenawee County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 508.9 with a 95% confidence interval from 339.4 to 725.8 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 31)
- Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -17.8 to 4.6.
Lake County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 494.5 with a 95% confidence interval from 357.6 to 672.3 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 30)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -3.2 to 2.3.
Ottawa County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 393.1 with a 95% confidence interval from 289.6 to 519.0 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (4, 32)
- Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -7.4 to 1.9.
Van Buren County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 428.9 with a 95% confidence interval from 339.7 to 535.4 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (3, 30)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.2 to 1.2.
Cass County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 454.9 with a 95% confidence interval from 363.7 to 563.4 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (3, 29)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -1.8 to 3.8.
Monroe County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 488.1 with a 95% confidence interval from 389.7 to 602.6 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (2, 27)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -3.5 to 2.9.
St. Clair County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 474.8 with a 95% confidence interval from 383.9 to 580.3 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (2, 28)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -3.5 to 2.6.
Eaton County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 401.1 with a 95% confidence interval from 337.7 to 472.8 and 33 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (7, 30)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.2 to 1.3.
Jackson County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 660.8 with a 95% confidence interval from 591.4 to 735.8 and 74 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 6)
- Recent Trend : The trend is because the trend is 2.4 with a 95% confidence interval from 0.5 to 7.8.
Muskegon County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 334.7 with a 95% confidence interval from 301.4 to 370.7 and 79 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (22, 32)
- Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -3.7 to -1.4.
Calhoun County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 471.5 with a 95% confidence interval from 425.1 to 521.6 and 80 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (3, 24)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -5.4 to 8.3.
Berrien County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 478.2 with a 95% confidence interval from 437.4 to 521.7 and 108 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (3, 23)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.6.
Kalamazoo County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 457.9 with a 95% confidence interval from 419.6 to 498.6 and 115 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (5, 24)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.4.
Ingham County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 451.1 with a 95% confidence interval from 416.4 to 487.8 and 136 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (6, 24)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.9.
Washtenaw County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 463.5 with a 95% confidence interval from 434.6 to 493.9 and 206 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (5, 23)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.
Saginaw County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 506.2 with a 95% confidence interval from 474.4 to 539.7 and 206 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (2, 15)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.9 to 2.3.
Kent County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 433.8 with a 95% confidence interval from 408.2 to 460.5 and 243 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (10, 25)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.3 to -1.0.
Genesee County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 355.3 with a 95% confidence interval from 337.7 to 373.5 and 329 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (22, 31)
- Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -5.5 to -2.5.
Macomb County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 484.7 with a 95% confidence interval from 462.9 to 507.2 and 457 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (4, 18)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.2.
Oakland County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 454.5 with a 95% confidence interval from 441.7 to 467.6 and 1,018 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (9, 22)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.8.
Wayne County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 461.9 with a 95% confidence interval from 454.9 to 468.9 and 3,584 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (8, 20)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.1 to -1.5.
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 5:46 pm.
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.


