Interpretation of Incidence Rates Data
Incidence Rate Report for Michigan by County
All Cancer Sites (All Stages^), 2018-2022
American Indian/Alaska Native Non-Hispanic, 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
Michigan2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 484.7 with a 95% confidence interval from 461.8 to 508.4 and 373 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -4.1 with a 95% confidence interval from -6.9 to -1.9.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 412.0 with a 95% confidence interval from 408.6 to 415.5 and 11,525 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.4.
Wayne County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 557.7 with a 95% confidence interval from 488.4 to 634.1 and 53 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (4, 19)
- Recent Trend : The trend is because the trend is -9.0 with a 95% confidence interval from -18.1 to 1.1.
Macomb County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 900.6 with a 95% confidence interval from 747.2 to 1,076.0 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 5)
- Recent Trend : The trend is because the trend is -7.8 with a 95% confidence interval from -19.2 to 5.8.
Berrien County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 376.4 with a 95% confidence interval from 228.0 to 589.1 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (5, 29)
- Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -7.4 to 3.7.
Delta County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 437.4 with a 95% confidence interval from 285.2 to 643.8 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (4, 28)
- Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -6.8 to 3.4.
Mackinac County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 433.5 with a 95% confidence interval from 319.0 to 578.9 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (6, 27)
- Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -5.4 to 1.1.
Marquette County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 479.7 with a 95% confidence interval from 325.5 to 682.0 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (3, 27)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -5.9 to 3.4.
Emmet County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 544.3 with a 95% confidence interval from 383.1 to 751.2 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (3, 26)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -4.3 to 2.5.
Chippewa County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 597.6 with a 95% confidence interval from 509.1 to 696.8 and 35 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (3, 17)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.7 to 1.2.
Isabella County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 595.1 with a 95% confidence interval from 435.0 to 793.5 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (2, 24)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -3.4 to 2.6.
Baraga County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 457.3 with a 95% confidence interval from 298.6 to 670.3 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (3, 28)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -4.9 to 4.8.
Grand Traverse County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 626.5 with a 95% confidence interval from 409.2 to 915.8 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 25)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -6.4 to 8.1.
Ingham County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 518.9 with a 95% confidence interval from 357.6 to 727.1 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (3, 26)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -5.0 to 4.5.
Cheboygan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 534.1 with a 95% confidence interval from 354.5 to 779.1 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (2, 27)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -3.3 to 6.1.
Washtenaw County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 363.0 with a 95% confidence interval from 234.0 to 538.7 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (8, 29)
- Recent Trend : The trend is because the trend is 1.8 with a 95% confidence interval from -3.3 to 8.8.
Kent County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 526.2 with a 95% confidence interval from 387.3 to 696.5 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (3, 25)
- Recent Trend : The trend is because the trend is 2.3 with a 95% confidence interval from -1.7 to 7.2.
Bay County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 405.6 with a 95% confidence interval from 234.2 to 667.1 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (4, 29)
- Recent Trend : The trend is because the trend is 3.5 with a 95% confidence interval from -2.4 to 31.3.
Oakland County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 976.5 with a 95% confidence interval from 816.9 to 1,156.0 and 35 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 4)
- Recent Trend : The trend is because the trend is 5.1 with a 95% confidence interval from 2.6 to 8.2.
Allegan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 619.8 with a 95% confidence interval from 382.7 to 949.6 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 27)
- Recent Trend :
Calhoun County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 477.4 with a 95% confidence interval from 298.9 to 726.0 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (3, 28)
- Recent Trend :
Cass County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 561.8 with a 95% confidence interval from 338.3 to 879.3 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 27)
- Recent Trend :
Genesee County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 214.1 with a 95% confidence interval from 143.6 to 310.2 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (24, 29)
- Recent Trend :
Kalamazoo County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 359.9 with a 95% confidence interval from 225.0 to 549.5 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (7, 29)
- Recent Trend :
Manistee County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 424.4 with a 95% confidence interval from 229.0 to 732.3 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (3, 29)
- Recent Trend :
Menominee County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 634.7 with a 95% confidence interval from 346.1 to 1,059.0 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 27)
- Recent Trend :
Muskegon County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 188.3 with a 95% confidence interval from 105.4 to 313.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (24, 29)
- Recent Trend :
Ottawa County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 398.2 with a 95% confidence interval from 236.0 to 631.3 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (4, 29)
- Recent Trend :
Saginaw County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 480.9 with a 95% confidence interval from 291.8 to 752.5 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (3, 28)
- Recent Trend :
Schoolcraft County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 362.2 with a 95% confidence interval from 203.9 to 599.0 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (5, 29)
- Recent Trend :
Van Buren County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 508.7 with a 95% confidence interval from 292.2 to 831.1 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (2, 28)
- Recent Trend :
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 4:29 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.


