Interpretation of Incidence Rates Data
Incidence Rate Report for Virginia by County
Brain & ONS (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
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
Virginia2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 5.6 with a 95% confidence interval from 5.4 to 5.9 and 545 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 -8.6 to 0.6.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 6.3 with a 95% confidence interval from 6.2 to 6.3 and 23,548 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.1.
Albemarle County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.3 with a 95% confidence interval from 3.7 to 7.4 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (4, 42)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -3.5 to 1.8.
Alexandria City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 6.9 with a 95% confidence interval from 5.1 to 9.1 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 37)
- Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from -0.3 to 3.6.
Arlington County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 4.6 with a 95% confidence interval from 3.4 to 6.1 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (10, 42)
- Recent Trend : The trend is because the trend is -8.1 with a 95% confidence interval from -26.6 to -3.5.
Augusta County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.6 with a 95% confidence interval from 3.7 to 8.1 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (2, 42)
- Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -5.0 to 0.5.
Bedford City and County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 4.9 with a 95% confidence interval from 3.0 to 7.6 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (3, 42)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -4.4 to 3.4.
Botetourt County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 7.4 with a 95% confidence interval from 4.1 to 12.6 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 42)
- Recent Trend :
Campbell County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.7 with a 95% confidence interval from 3.4 to 9.1 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (1, 42)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -6.5 to 3.4.
Chesapeake City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 6.2 with a 95% confidence interval from 4.9 to 7.7 and 16 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (3, 37)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -3.2 to 1.7.
Chesterfield County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 6.4 with a 95% confidence interval from 5.4 to 7.7 and 27 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (3, 32)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.6 to 1.4.
Culpeper County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 6.5 with a 95% confidence interval from 3.9 to 10.3 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 42)
- Recent Trend :
Danville City2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 6.2 with a 95% confidence interval from 3.6 to 10.2 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 42)
- Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -2.7 to 5.8.
Fairfax County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.7 with a 95% confidence interval from 5.1 to 6.3 and 69 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (9, 34)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.6 to 1.2.
Fauquier County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 4.7 with a 95% confidence interval from 2.8 to 7.3 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (4, 42)
- Recent Trend :
Franklin County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.1 with a 95% confidence interval from 2.8 to 8.5 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (2, 42)
- Recent Trend : The trend is because the trend is -4.1 with a 95% confidence interval from -9.6 to 1.0.
Frederick County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 7.8 with a 95% confidence interval from 5.5 to 10.7 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 35)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -1.5 to 4.0.
Hampton City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 3.8 with a 95% confidence interval from 2.5 to 5.6 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (15, 42)
- Recent Trend : The trend is because the trend is -19.8 with a 95% confidence interval from -38.7 to -0.6.
Hanover County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 7.6 with a 95% confidence interval from 5.6 to 10.1 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 34)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -4.0 to 2.1.
Henrico County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 6.0 with a 95% confidence interval from 5.0 to 7.3 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (4, 36)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.6 to 1.6.
Henry County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 5.2 with a 95% confidence interval from 2.8 to 8.9 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (2, 42)
- Recent Trend : The trend is because the trend is 13.3 with a 95% confidence interval from 3.0 to 41.0.
James City County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 4.8 with a 95% confidence interval from 3.1 to 7.3 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (4, 42)
- Recent Trend : The trend is because the trend is -2.8 with a 95% confidence interval from -5.3 to -0.2.
King George County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 11.0 with a 95% confidence interval from 6.3 to 17.9 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 36)
- Recent Trend :
Loudoun County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.6 with a 95% confidence interval from 4.6 to 6.7 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (6, 39)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.9 to 2.0.
Louisa County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 6.5 with a 95% confidence interval from 3.5 to 11.2 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 42)
- Recent Trend :
Lynchburg City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.4 with a 95% confidence interval from 3.2 to 8.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (2, 42)
- Recent Trend :
Mecklenburg County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 6.4 with a 95% confidence interval from 3.4 to 11.4 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 42)
- Recent Trend :
Montgomery County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.1 with a 95% confidence interval from 3.3 to 7.8 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (3, 42)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -4.7 to 1.1.
Newport News City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.9 with a 95% confidence interval from 4.4 to 7.7 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (3, 40)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -4.9 to 2.1.
Norfolk City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 4.9 with a 95% confidence interval from 3.7 to 6.5 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (7, 42)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -2.4 to 3.0.
Pittsylvania County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 5.3 with a 95% confidence interval from 3.1 to 8.5 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (2, 42)
- Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from -5.1 to 8.6.
Portsmouth City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 4.9 with a 95% confidence interval from 3.2 to 7.3 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (4, 42)
- Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -5.2 to 0.5.
Prince William County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.9 with a 95% confidence interval from 4.9 to 7.0 and 27 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (5, 37)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.7 to 1.6.
Richmond City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.2 with a 95% confidence interval from 3.9 to 6.8 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (6, 42)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -3.9 to 6.5.
Roanoke City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 4.7 with a 95% confidence interval from 3.0 to 7.0 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (5, 42)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -6.2 to 3.4.
Roanoke County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.7 with a 95% confidence interval from 3.8 to 8.2 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (2, 42)
- Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -6.3 to 1.5.
Rockingham County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.8 with a 95% confidence interval from 3.8 to 8.5 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (2, 42)
- Recent Trend : The trend is because the trend is -2.8 with a 95% confidence interval from -5.4 to -0.3.
Shenandoah County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 5.2 with a 95% confidence interval from 2.9 to 8.7 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (2, 42)
- Recent Trend :
Spotsylvania County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.7 with a 95% confidence interval from 4.1 to 7.7 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (3, 41)
- Recent Trend : The trend is because the trend is -3.0 with a 95% confidence interval from -5.8 to -0.1.
Stafford County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 6.3 with a 95% confidence interval from 4.6 to 8.4 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (2, 40)
- Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -5.2 to 0.5.
Staunton City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 9.2 with a 95% confidence interval from 5.3 to 15.2 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 41)
- Recent Trend :
Suffolk City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.3 with a 95% confidence interval from 3.4 to 7.8 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (3, 42)
- Recent Trend :
Virginia Beach City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 5.2 with a 95% confidence interval from 4.3 to 6.2 and 25 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (10, 40)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -3.4 to 0.6.
Washington County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 4.3 with a 95% confidence interval from 2.3 to 7.5 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (4, 42)
- Recent Trend :
Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 3:11 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.


