Interpretation of Incidence Rates Data
Incidence Rate Report for Massachusetts by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages <65
Sorted by Name
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
Massachusetts2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 211.5 with a 95% confidence interval from 209.9 to 213.0 and 15,760 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -5.7 to -1.3.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 223.5 with a 95% confidence interval from 223.3 to 223.8 and 753,674 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 -0.3 to -0.1.
Barnstable County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 215.8 with a 95% confidence interval from 206.7 to 225.3 and 571 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (2, 9)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.7.
Berkshire County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 231.9 with a 95% confidence interval from 219.9 to 244.4 and 344 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 5)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.9 to 4.6.
Bristol County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 216.3 with a 95% confidence interval from 211.0 to 221.8 and 1,374 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (3, 8)
- Recent Trend : The trend is because the trend is -6.2 with a 95% confidence interval from -10.0 to -2.4.
Dukes County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 164.8 with a 95% confidence interval from 140.7 to 192.3 and 41 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (11, 14)
- Recent Trend : The trend is because the trend is -10.0 with a 95% confidence interval from -23.6 to -3.0.
Essex County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 214.8 with a 95% confidence interval from 210.2 to 219.4 and 1,878 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (4, 9)
- Recent Trend : The trend is because the trend is -5.4 with a 95% confidence interval from -8.6 to -1.3.
Franklin County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 196.9 with a 95% confidence interval from 182.5 to 212.2 and 165 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (7, 13)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.2.
Hampden County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 214.8 with a 95% confidence interval from 208.7 to 221.0 and 1,051 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (4, 9)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.3.
Hampshire County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 196.5 with a 95% confidence interval from 186.0 to 207.5 and 306 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (9, 13)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.5.
Middlesex County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 199.4 with a 95% confidence interval from 196.3 to 202.5 and 3,368 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (9, 12)
- Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -4.8 to -1.4.
Nantucket County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 174.7 with a 95% confidence interval from 146.3 to 207.4 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (7, 14)
- Recent Trend : The trend is because the trend is -5.6 with a 95% confidence interval from -14.4 to -3.4.
Norfolk County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 217.3 with a 95% confidence interval from 212.5 to 222.1 and 1,712 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (3, 8)
- Recent Trend : The trend is because the trend is -4.7 with a 95% confidence interval from -6.6 to -1.9.
Plymouth County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 226.5 with a 95% confidence interval from 220.8 to 232.4 and 1,345 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 4)
- Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -6.7 to -0.7.
Suffolk County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 195.8 with a 95% confidence interval from 191.1 to 200.6 and 1,414 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (9, 13)
- Recent Trend : The trend is because the trend is -6.3 with a 95% confidence interval from -10.1 to -2.2.
Worcester County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 227.2 with a 95% confidence interval from 222.7 to 231.7 and 2,163 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 4)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.2.
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 1:17 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 for United States does not include Puerto Rico.


