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), Both Sexes, All Ages
Sorted by CI*Rank
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 432.6 with a 95% confidence interval from 425.6 to 439.6 and 3,287 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (35, 41)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.7 to 1.7.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 448.6 with a 95% confidence interval from 448.3 to 448.9 and 1,821,045 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 -1.6 to -0.5.
Lake and Peninsula Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 566.8 with a 95% confidence interval from 396.4 to 784.3 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 25)
- Recent Trend :
Southeast Fairbanks Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 525.7 with a 95% confidence interval from 447.9 to 613.0 and 39 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 15)
- Recent Trend : The trend is because the trend is 3.2 with a 95% confidence interval from -16.1 to 24.8.
Ketchikan Gateway Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 480.7 with a 95% confidence interval from 434.1 to 531.2 and 85 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 16)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.7 to 0.5.
Nome Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 460.8 with a 95% confidence interval from 382.8 to 548.7 and 32 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 24)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -2.5 to 2.2.
Dillingham Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 457.9 with a 95% confidence interval from 365.0 to 566.4 and 20 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 25)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -2.5 to 3.4.
Anchorage Municipality2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 451.8 with a 95% confidence interval from 440.4 to 463.4 and 1,309 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (3, 13)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.5 to 1.8.
Hoonah-Angoon Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 445.5 with a 95% confidence interval from 347.0 to 567.9 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 26)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -21.0 to 30.3.
Kenai Peninsula Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 443.7 with a 95% confidence interval from 421.7 to 466.5 and 352 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (3, 17)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.1.
Fairbanks North Borough2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 440.3 with a 95% confidence interval from 420.1 to 461.2 and 402 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (4, 17)
- Recent Trend : The trend is because the trend is 4.9 with a 95% confidence interval from -0.2 to 9.7.
Yukon-Koyukuk Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 435.8 with a 95% confidence interval from 362.7 to 519.9 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 25)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -2.4 to 2.5.
Matanuska-Susitna Borough2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 433.1 with a 95% confidence interval from 414.8 to 452.0 and 485 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (5, 18)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.8.
Prince of Wales-Hyder Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 431.3 with a 95% confidence interval from 361.5 to 511.2 and 33 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 25)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -12.0 to 12.6.
Denali Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 425.5 with a 95% confidence interval from 267.7 to 637.4 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 29)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -6.6 to 6.1.
Wrangell Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 405.4 with a 95% confidence interval from 308.7 to 527.6 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (1, 28)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -10.8 to 9.7.
Juneau City and Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 403.3 with a 95% confidence interval from 373.2 to 435.2 and 149 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (8, 23)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.9 to 0.1.
Kodiak Island Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 402.3 with a 95% confidence interval from 351.9 to 457.9 and 52 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (4, 26)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.3.
Northwest Arctic Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 392.5 with a 95% confidence interval from 319.9 to 475.7 and 22 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (3, 28)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.5 to 2.0.
Kusilvak Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 390.2 with a 95% confidence interval from 302.2 to 493.3 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (2, 28)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -3.9 to 2.1.
Bethel Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 389.5 with a 95% confidence interval from 335.0 to 449.7 and 50 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (5, 27)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -3.3 to 1.2.
Haines Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 383.0 with a 95% confidence interval from 290.9 to 501.0 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (2, 29)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -4.1 to 2.1.
Sitka City and Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 365.6 with a 95% confidence interval from 314.6 to 422.9 and 40 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (9, 28)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.0 to 1.0.
Aleutians East Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 362.8 with a 95% confidence interval from 221.3 to 554.1 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (1, 29)
- Recent Trend :
Petersburg Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 358.7 with a 95% confidence interval from 282.0 to 451.6 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (5, 29)
- Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -18.0 to 12.7.
Bristol Bay Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 356.7 with a 95% confidence interval from 211.7 to 572.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (1, 29)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -5.2 to 4.1.
Yakutat City and Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 346.1 with a 95% confidence interval from 192.6 to 588.4 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (1, 29)
- Recent Trend :
Valdez-Cordova Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 344.5 with a 95% confidence interval from 294.9 to 400.5 and 42 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (13, 28)
- Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.5 to -0.6.
Skagway Municipality2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 299.5 with a 95% confidence interval from 184.4 to 470.3 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (3, 29)
- Recent Trend : The trend is because the trend is -4.8 with a 95% confidence interval from -18.6 to 9.6.
North Slope Borough2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 284.4 with a 95% confidence interval from 226.8 to 351.2 and 24 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (19, 29)
- Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -5.5 to 0.6.
Aleutians West Census Area2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 270.5 with a 95% confidence interval from 163.2 to 414.4 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (6, 29)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -5.4 to 3.9.
Notes:
Created by statecancerprofiles.cancer.gov on 03/14/2026 2:34 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.


