Interpretation of Incidence Rates Data
Incidence Rate Report by State
All Cancer Sites (All Stages^), 2017-2021
American Indian/Alaska Native Non-Hispanic, Both Sexes, All Ages
Sorted by Count
Explanation of Column HeadersObjective - The objective of *** is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.
Incidence 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
US (SEER+NPCR)1
- Rate : The incidence rate is 408.9 with a 95% confidence interval from 405.4 to 412.5 and 11,028 average annual cases over 2017-2021.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.4.
West Virginia6
- Rate : The incidence rate is 119.2 with a 95% confidence interval from 81.4 to 172.8 and 7 average annual cases over 2017-2021.
- CI*Rank ⋔ : 44 (40, 45)
- Recent Trend : * 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.
Vermont6
- Rate : The incidence rate is 208.4 with a 95% confidence interval from 143.4 to 295.9 and 8 average annual cases over 2017-2021.
- CI*Rank ⋔ : 37 (24, 44)
- Recent Trend : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Delaware6
- Rate : The incidence rate is 162.0 with a 95% confidence interval from 114.1 to 225.8 and 8 average annual cases over 2017-2021.
- CI*Rank ⋔ : 42 (34, 45)
- Recent Trend : * 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.
New Hampshire6
- Rate : The incidence rate is 287.7 with a 95% confidence interval from 216.3 to 376.0 and 13 average annual cases over 2017-2021.
- CI*Rank ⋔ : 31 (17, 40)
- Recent Trend : * 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.
Rhode Island6
- Rate : The incidence rate is 321.6 with a 95% confidence interval from 255.8 to 399.1 and 17 average annual cases over 2017-2021.
- CI*Rank ⋔ : 25 (15, 36)
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -3.2 to 5.3.
Kentucky7
- Rate : The incidence rate is 183.7 with a 95% confidence interval from 149.3 to 224.5 and 23 average annual cases over 2017-2021.
- CI*Rank ⋔ : 40 (34, 44)
- Recent Trend : The trend is rising because the trend is 7.3 with a 95% confidence interval from 5.1 to 10.9.
Connecticut7
- Rate : The incidence rate is 314.2 with a 95% confidence interval from 262.2 to 373.7 and 28 average annual cases over 2017-2021.
- CI*Rank ⋔ : 26 (18, 35)
- Recent Trend : The trend is rising because the trend is 2.0 with a 95% confidence interval from 0.8 to 3.6.
Tennessee6
- Rate : The incidence rate is 144.3 with a 95% confidence interval from 123.1 to 168.4 and 38 average annual cases over 2017-2021.
- CI*Rank ⋔ : 43 (40, 45)
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -24.2 to 0.2.
Hawaii7
- Rate : The incidence rate is 946.9 with a 95% confidence interval from 807.6 to 1,104.5 and 39 average annual cases over 2017-2021.
- CI*Rank ⋔ : 1 (1, 1)
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.0 to 1.9.
Mississippi6
- Rate : The incidence rate is 284.8 with a 95% confidence interval from 246.3 to 327.6 and 41 average annual cases over 2017-2021.
- CI*Rank ⋔ : 32 (23, 35)
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.4 to 2.2.
Alabama6
- Rate : The incidence rate is 109.3 with a 95% confidence interval from 94.1 to 126.4 and 42 average annual cases over 2017-2021.
- CI*Rank ⋔ : 45 (43, 45)
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.5 to 4.0.
Iowa7
- Rate : The incidence rate is 502.6 with a 95% confidence interval from 435.7 to 576.4 and 45 average annual cases over 2017-2021.
- CI*Rank ⋔ : 11 (5, 18)
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.3 to 1.2.
Maine6
- Rate : The incidence rate is 422.6 with a 95% confidence interval from 367.1 to 484.3 and 47 average annual cases over 2017-2021.
- CI*Rank ⋔ : 16 (11, 23)
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.2 to 1.6.
Wyoming6
- Rate : The incidence rate is 430.2 with a 95% confidence interval from 374.7 to 491.5 and 48 average annual cases over 2017-2021.
- CI*Rank ⋔ : 14 (10, 22)
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.8 to 2.5.
Massachusetts7
- Rate : The incidence rate is 268.9 with a 95% confidence interval from 235.2 to 306.1 and 50 average annual cases over 2017-2021.
- CI*Rank ⋔ : 33 (25, 36)
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -11.5 to 1.4.
Maryland6
- Rate : The incidence rate is 251.7 with a 95% confidence interval from 221.6 to 284.9 and 55 average annual cases over 2017-2021.
- CI*Rank ⋔ : 34 (29, 37)
- Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -12.5 to -1.6.
South Carolina6
- Rate : The incidence rate is 224.2 with a 95% confidence interval from 197.6 to 253.6 and 56 average annual cases over 2017-2021.
- CI*Rank ⋔ : 35 (32, 40)
- Recent Trend : The trend is rising because the trend is 7.0 with a 95% confidence interval from 0.9 to 18.4.
Ohio6
- Rate : The incidence rate is 173.7 with a 95% confidence interval from 154.4 to 194.9 and 65 average annual cases over 2017-2021.
- CI*Rank ⋔ : 41 (37, 43)
- Recent Trend : The trend is rising because the trend is 8.4 with a 95% confidence interval from 0.1 to 15.7.
Louisiana7
- Rate : The incidence rate is 197.7 with a 95% confidence interval from 176.7 to 220.4 and 69 average annual cases over 2017-2021.
- CI*Rank ⋔ : 38 (35, 42)
- Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 0.2 to 4.7.
Nebraska6
- Rate : The incidence rate is 533.1 with a 95% confidence interval from 475.2 to 595.8 and 71 average annual cases over 2017-2021.
- CI*Rank ⋔ : 10 (4, 14)
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.9 to 1.7.
Georgia7
- Rate : The incidence rate is 221.2 with a 95% confidence interval from 198.1 to 246.4 and 73 average annual cases over 2017-2021.
- CI*Rank ⋔ : 36 (33, 40)
- Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 1.4 to 4.5.
Missouri6
- Rate : The incidence rate is 195.5 with a 95% confidence interval from 175.5 to 217.2 and 77 average annual cases over 2017-2021.
- CI*Rank ⋔ : 39 (35, 42)
- Recent Trend : The trend is falling because the trend is -13.5 with a 95% confidence interval from -19.5 to -5.2.
Pennsylvania6
- Rate : The incidence rate is 299.2 with a 95% confidence interval from 269.7 to 331.2 and 82 average annual cases over 2017-2021.
- CI*Rank ⋔ : 29 (23, 34)
- Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 1.2 to 10.7.
Utah7
- Rate : The incidence rate is 342.7 with a 95% confidence interval from 308.9 to 379.0 and 86 average annual cases over 2017-2021.
- CI*Rank ⋔ : 23 (18, 30)
- Recent Trend : The trend is rising because the trend is 2.0 with a 95% confidence interval from 1.3 to 3.0.
Idaho7
- Rate : The incidence rate is 426.1 with a 95% confidence interval from 387.7 to 467.3 and 97 average annual cases over 2017-2021.
- CI*Rank ⋔ : 15 (12, 21)
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.8 to 2.6.
Virginia6
- Rate : The incidence rate is 326.2 with a 95% confidence interval from 296.9 to 357.6 and 100 average annual cases over 2017-2021.
- CI*Rank ⋔ : 24 (20, 32)
- Recent Trend : The trend is rising because the trend is 9.0 with a 95% confidence interval from 6.5 to 17.0.
Arkansas6
- Rate : The incidence rate is 369.2 with a 95% confidence interval from 337.2 to 403.4 and 105 average annual cases over 2017-2021.
- CI*Rank ⋔ : 21 (15, 26)
- Recent Trend : The trend is falling because the trend is -22.3 with a 95% confidence interval from -34.7 to -12.8.
Nevada6
- Rate : The incidence rate is 374.9 with a 95% confidence interval from 345.2 to 406.5 and 126 average annual cases over 2017-2021.
- CI*Rank ⋔ : 20 (15, 25)
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.7 to 2.4.
Colorado6
- Rate : The incidence rate is 376.2 with a 95% confidence interval from 348.5 to 405.5 and 155 average annual cases over 2017-2021.
- CI*Rank ⋔ : 19 (15, 24)
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -9.7 to 8.5.
North Dakota6
- Rate : The incidence rate is 666.2 with a 95% confidence interval from 619.6 to 715.2 and 177 average annual cases over 2017-2021.
- CI*Rank ⋔ : 2 (2, 6)
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.7 to 1.7.
Florida6
- Rate : The incidence rate is 305.4 with a 95% confidence interval from 287.8 to 323.8 and 254 average annual cases over 2017-2021.
- CI*Rank ⋔ : 27 (24, 32)
- Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 1.6 to 4.1.
South Dakota6
- Rate : The incidence rate is 563.8 with a 95% confidence interval from 532.1 to 596.9 and 271 average annual cases over 2017-2021.
- CI*Rank ⋔ : 8 (5, 11)
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.7 to 0.9.
Oregon6
- Rate : The incidence rate is 465.9 with a 95% confidence interval from 441.1 to 491.9 and 287 average annual cases over 2017-2021.
- CI*Rank ⋔ : 13 (10, 16)
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.1 to 0.1.
Wisconsin6
- Rate : The incidence rate is 595.5 with a 95% confidence interval from 564.8 to 627.5 and 317 average annual cases over 2017-2021.
- CI*Rank ⋔ : 6 (3, 9)
- Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.1 to 1.7.
Montana6
- Rate : The incidence rate is 608.6 with a 95% confidence interval from 577.9 to 640.4 and 337 average annual cases over 2017-2021.
- CI*Rank ⋔ : 5 (2, 8)
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.5.
Minnesota6
- Rate : The incidence rate is 630.7 with a 95% confidence interval from 599.5 to 663.0 and 348 average annual cases over 2017-2021.
- CI*Rank ⋔ : 4 (2, 7)
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.4 to 1.5.
Michigan6
- Rate : The incidence rate is 488.8 with a 95% confidence interval from 465.4 to 513.1 and 363 average annual cases over 2017-2021.
- CI*Rank ⋔ : 12 (10, 14)
- Recent Trend : The trend is falling because the trend is -5.1 with a 95% confidence interval from -10.3 to -1.2.
Texas7
- Rate : The incidence rate is 348.1 with a 95% confidence interval from 333.0 to 363.6 and 435 average annual cases over 2017-2021.
- CI*Rank ⋔ : 22 (20, 26)
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.7 to 2.2.
North Carolina6
- Rate : The incidence rate is 407.2 with a 95% confidence interval from 391.2 to 423.8 and 522 average annual cases over 2017-2021.
- CI*Rank ⋔ : 17 (14, 20)
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.2 to 2.0.
New Mexico7
- Rate : The incidence rate is 301.7 with a 95% confidence interval from 290.1 to 313.7 and 538 average annual cases over 2017-2021.
- CI*Rank ⋔ : 28 (24, 32)
- Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -6.0 to -0.7.
Alaska6
- Rate : The incidence rate is 580.9 with a 95% confidence interval from 558.6 to 603.8 and 573 average annual cases over 2017-2021.
- CI*Rank ⋔ : 7 (5, 10)
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.8.
Washington5
- Rate : The incidence rate is 543.4 with a 95% confidence interval from 523.1 to 564.2 and 606 average annual cases over 2017-2021.
- CI*Rank ⋔ : 9 (7, 11)
- Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.1 to 4.4.
Arizona6
- Rate : The incidence rate is 293.5 with a 95% confidence interval from 283.8 to 303.5 and 734 average annual cases over 2017-2021.
- CI*Rank ⋔ : 30 (26, 33)
- Recent Trend : The trend is falling because the trend is -4.4 with a 95% confidence interval from -6.9 to -2.0.
California7
- Rate : The incidence rate is 402.0 with a 95% confidence interval from 390.4 to 413.9 and 979 average annual cases over 2017-2021.
- CI*Rank ⋔ : 18 (14, 20)
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.5 to 0.9.
Oklahoma6
- Rate : The incidence rate is 639.6 with a 95% confidence interval from 627.1 to 652.4 and 2,118 average annual cases over 2017-2021.
- CI*Rank ⋔ : 3 (2, 5)
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from 0.0 to 0.7.
- Rate : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- CI*Rank ⋔ : *
- Recent Trend : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- Rate : §§, §§§ Data not available for this combination of geography, statistic, age, and race/ethnicity.
- CI*Rank ⋔ : N/A
- Recent Trend : §§, §§§ Data not available for this combination of geography, statistic, age, and race/ethnicity.
- Rate : Data not available for this combination of data selections.
- CI*Rank ⋔ : N/A
- Recent Trend : Data not available for this combination of data selections.
- Rate : §§, §§§ Data not available for this combination of geography, statistic, age, and race/ethnicity.
- CI*Rank ⋔ : N/A
- Recent Trend : §§, §§§ Data not available for this combination of geography, statistic, age, and race/ethnicity.
- Rate : §§, §§§ Data not available for this combination of geography, statistic, age, and race/ethnicity.
- CI*Rank ⋔ : N/A
- Recent Trend : §§, §§§ Data not available for this combination of geography, statistic, age, and race/ethnicity.
- Rate : §§, §§§ Data not available for this combination of geography, statistic, age, and race/ethnicity.
- CI*Rank ⋔ : N/A
- Recent Trend : §§, §§§ Data not available for this combination of geography, statistic, age, and race/ethnicity.
- Rate : ¶¶¶ Data for Puerto Rico is only available for All Races (includes Hispanics). For more information see data not available.
- CI*Rank ⋔ : N/A
- Recent Trend : ¶¶¶ Data for Puerto Rico is only available for All Races (includes Hispanics). For more information see data not available.
Notes:
Created by statecancerprofiles.cancer.gov on 10/07/2024 5:04 am.
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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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 in the Surveillance, Epidemiology, and End Results (SEER) Summary/Historic Combined Summary Stage (2004+).
⋔ 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. More information about methodology can be found on the CI*Rank website.
¶¶¶ Data for Puerto Rico is only available for All Races (includes Hispanics). For more information see data not available.
§§, §§§ Data not available for this combination of geography, statistic, age, and race/ethnicity.
* 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 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Data not available for this combination of data selections.
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 2023 submission.
5 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 2023 submission.
6 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 2023 submission).
7 Source: SEER November 2023 submission.
8 Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with SEER November 2023 data.
Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.