State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Childhood (Ages <20, All Sites) (All Stages^), 2014-2018

All Races (includes Hispanic), Both Sexes

Sorted by Rate

Explanation of Column Headers

Objective - 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

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.1 with a 95% confidence interval from 19.0 to 19.3 and 15,720 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.2 to 1.0.

Delaware⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 22.3 with a 95% confidence interval from 19.7 to 25.2 and 51 average annual cases over 2014-2018.
• CI*Rank⋔ : 1 (1, 38)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.4 to 2.9.

Maine⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 22.1 with a 95% confidence interval from 19.7 to 24.7 and 64 average annual cases over 2014-2018.
• CI*Rank⋔ : 2 (1, 34)
• Recent Trend : The trend is rising because the trend is 1.2 with a 95% confidence interval from 0.3 to 2.1.

New York⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 21.6 with a 95% confidence interval from 21.0 to 22.2 and 1,013 average annual cases over 2014-2018.
• CI*Rank⋔ : 3 (1, 10)
• Recent Trend : The trend is rising because the trend is 1.4 with a 95% confidence interval from 1.1 to 1.6.

New Hampshire⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 21.2 with a 95% confidence interval from 18.9 to 23.6 and 64 average annual cases over 2014-2018.
• CI*Rank⋔ : 4 (1, 41)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.8 to 1.6.

Kentucky⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 21.0 with a 95% confidence interval from 19.8 to 22.2 and 237 average annual cases over 2014-2018.
• CI*Rank⋔ : 5 (1, 24)
• Recent Trend : The trend is rising because the trend is 1.4 with a 95% confidence interval from 0.8 to 2.0.

District of Columbia⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 20.9 with a 95% confidence interval from 17.7 to 24.6 and 31 average annual cases over 2014-2018.
• CI*Rank⋔ : 6 (1, 49)
• Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 0.4 to 4.9.

New Jersey⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 20.9 with a 95% confidence interval from 20.0 to 21.7 and 458 average annual cases over 2014-2018.
• CI*Rank⋔ : 7 (1, 19)
• Recent Trend : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.3 to 1.2.

Rhode Island⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 20.7 with a 95% confidence interval from 18.3 to 23.5 and 51 average annual cases over 2014-2018.
• CI*Rank⋔ : 8 (1, 45)
• Recent Trend : The trend is rising because the trend is 1.5 with a 95% confidence interval from 0.2 to 2.9.

Florida⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 20.7 with a 95% confidence interval from 20.1 to 21.3 and 958 average annual cases over 2014-2018.
• CI*Rank⋔ : 9 (2, 18)
• Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.3 to 1.4.

Washington⁵

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 20.3 with a 95% confidence interval from 19.3 to 21.2 and 366 average annual cases over 2014-2018.
• CI*Rank⋔ : 10 (2, 29)
• Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.3 to 1.4.

Utah⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 20.1 with a 95% confidence interval from 18.9 to 21.4 and 202 average annual cases over 2014-2018.
• CI*Rank⋔ : 11 (2, 36)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.7 to 1.3.

Iowa⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 20.1 with a 95% confidence interval from 18.8 to 21.5 and 166 average annual cases over 2014-2018.
• CI*Rank⋔ : 12 (2, 38)
• Recent Trend : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.2 to 1.2.

Minnesota⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 20.0 with a 95% confidence interval from 19.0 to 21.1 and 287 average annual cases over 2014-2018.
• CI*Rank⋔ : 13 (3, 33)
• Recent Trend : The trend is rising because the trend is 1.2 with a 95% confidence interval from 0.5 to 1.9.

Oregon⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.9 with a 95% confidence interval from 18.6 to 21.2 and 192 average annual cases over 2014-2018.
• CI*Rank⋔ : 14 (2, 37)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.4 to 1.6.

Vermont⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.8 with a 95% confidence interval from 16.7 to 23.4 and 28 average annual cases over 2014-2018.
• CI*Rank⋔ : 15 (1, 51)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.4 to 1.5.

Nevada⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.7 with a 95% confidence interval from 18.1 to 21.4 and 116 average annual cases over 2014-2018.
• CI*Rank⋔ : 16 (2, 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).

Illinois⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.7 with a 95% confidence interval from 19.0 to 20.4 and 644 average annual cases over 2014-2018.
• CI*Rank⋔ : 17 (7, 31)
• Recent Trend : The trend is rising because the trend is 1.4 with a 95% confidence interval from 1.1 to 1.6.

Nebraska⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.7 with a 95% confidence interval from 18.0 to 21.5 and 104 average annual cases over 2014-2018.
• CI*Rank⋔ : 18 (1, 43)
• Recent Trend : The trend is rising because the trend is 1.3 with a 95% confidence interval from 0.4 to 2.2.

Alabama⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.5 with a 95% confidence interval from 18.4 to 20.7 and 240 average annual cases over 2014-2018.
• CI*Rank⋔ : 19 (4, 40)
• Recent Trend : The trend is stable because the trend is -4.3 with a 95% confidence interval from -14.8 to 7.4.

Pennsylvania⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.5 with a 95% confidence interval from 18.8 to 20.2 and 593 average annual cases over 2014-2018.
• CI*Rank⋔ : 20 (8, 34)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.3 to 0.9.

Wisconsin⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.4 with a 95% confidence interval from 18.4 to 20.4 and 281 average annual cases over 2014-2018.
• CI*Rank⋔ : 21 (6, 40)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from 0.0 to 1.6.

Kansas⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.3 with a 95% confidence interval from 18.0 to 20.7 and 154 average annual cases over 2014-2018.
• CI*Rank⋔ : 22 (4, 43)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.4 to 1.6.

Massachusetts⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.2 with a 95% confidence interval from 18.3 to 20.2 and 308 average annual cases over 2014-2018.
• CI*Rank⋔ : 23 (7, 40)
• Recent Trend : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.2 to 1.3.

Montana⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.2 with a 95% confidence interval from 16.9 to 21.8 and 49 average annual cases over 2014-2018.
• CI*Rank⋔ : 24 (1, 49)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.5 to 2.4.

Texas⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.2 with a 95% confidence interval from 18.8 to 19.6 and 1,549 average annual cases over 2014-2018.
• CI*Rank⋔ : 25 (13, 33)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.6 to 0.7.

California⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 19.1 with a 95% confidence interval from 18.7 to 19.5 and 1,936 average annual cases over 2014-2018.
• CI*Rank⋔ : 26 (14, 33)
• Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.6 to 1.2.

West Virginia⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.9 with a 95% confidence interval from 17.1 to 20.9 and 79 average annual cases over 2014-2018.
• CI*Rank⋔ : 27 (3, 49)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from 0.0 to 1.6.

Ohio⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.8 with a 95% confidence interval from 18.1 to 19.5 and 552 average annual cases over 2014-2018.
• CI*Rank⋔ : 28 (14, 41)
• Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.1 to 1.4.

Connecticut⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.7 with a 95% confidence interval from 17.5 to 20.1 and 163 average annual cases over 2014-2018.
• CI*Rank⋔ : 29 (7, 46)
• Recent Trend : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.4 to 1.1.

Georgia⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.7 with a 95% confidence interval from 18.0 to 19.4 and 521 average annual cases over 2014-2018.
• CI*Rank⋔ : 30 (14, 41)
• Recent Trend : The trend is rising because the trend is 1.4 with a 95% confidence interval from 1.1 to 1.7.

Arizona⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.7 with a 95% confidence interval from 17.8 to 19.6 and 340 average annual cases over 2014-2018.
• CI*Rank⋔ : 31 (12, 43)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.2 to 1.7.

Colorado⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.5 with a 95% confidence interval from 17.5 to 19.6 and 259 average annual cases over 2014-2018.
• CI*Rank⋔ : 32 (12, 45)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from 0.0 to 1.3.

Puerto Rico⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.5 with a 95% confidence interval from 17.2 to 19.9 and 146 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -9.9 to 9.4.

North Carolina⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.4 with a 95% confidence interval from 17.6 to 19.1 and 474 average annual cases over 2014-2018.
• CI*Rank⋔ : 33 (17, 43)
• Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.1 to 1.7.

Michigan⁵

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.2 with a 95% confidence interval from 17.5 to 19.0 and 453 average annual cases over 2014-2018.
• CI*Rank⋔ : 34 (19, 45)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.5 to 0.9.

Missouri⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.1 with a 95% confidence interval from 17.2 to 19.1 and 280 average annual cases over 2014-2018.
• CI*Rank⋔ : 35 (17, 46)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from 0.0 to 1.9.

Indiana⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.1 with a 95% confidence interval from 17.2 to 19.0 and 319 average annual cases over 2014-2018.
• CI*Rank⋔ : 36 (18, 46)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.1.

Wyoming⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 18.0 with a 95% confidence interval from 15.1 to 21.2 and 27 average annual cases over 2014-2018.
• CI*Rank⋔ : 37 (2, 51)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.2 to 3.4.

Tennessee⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 17.9 with a 95% confidence interval from 17.0 to 18.8 and 299 average annual cases over 2014-2018.
• CI*Rank⋔ : 38 (20, 47)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.4 to 1.8.

Arkansas⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 17.9 with a 95% confidence interval from 16.6 to 19.2 and 140 average annual cases over 2014-2018.
• CI*Rank⋔ : 39 (13, 50)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from 0.0 to 2.3.

Louisiana⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 17.8 with a 95% confidence interval from 16.7 to 18.9 and 218 average annual cases over 2014-2018.
• CI*Rank⋔ : 40 (18, 49)
• Recent Trend : The trend is rising because the trend is 1.5 with a 95% confidence interval from 0.8 to 2.2.

Idaho⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 17.7 with a 95% confidence interval from 16.1 to 19.5 and 85 average annual cases over 2014-2018.
• CI*Rank⋔ : 41 (10, 51)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.6.

Hawaii⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 17.6 with a 95% confidence interval from 15.7 to 19.7 and 59 average annual cases over 2014-2018.
• CI*Rank⋔ : 42 (7, 51)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from 0.0 to 1.1.

Maryland⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 17.3 with a 95% confidence interval from 16.4 to 18.3 and 261 average annual cases over 2014-2018.
• CI*Rank⋔ : 43 (27, 50)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from 0.0 to 1.9.

Oklahoma⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 17.0 with a 95% confidence interval from 15.9 to 18.1 and 181 average annual cases over 2014-2018.
• CI*Rank⋔ : 44 (28, 51)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.8 to 1.1.

South Carolina⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 16.8 with a 95% confidence interval from 15.8 to 17.8 and 206 average annual cases over 2014-2018.
• CI*Rank⋔ : 45 (32, 51)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.2 to 1.7.

South Dakota⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 16.6 with a 95% confidence interval from 14.4 to 19.1 and 40 average annual cases over 2014-2018.
• CI*Rank⋔ : 46 (10, 51)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.7 to 2.7.

Virginia⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 16.5 with a 95% confidence interval from 15.7 to 17.3 and 345 average annual cases over 2014-2018.
• CI*Rank⋔ : 47 (39, 51)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.2 to 0.8.

Alaska⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 16.3 with a 95% confidence interval from 13.9 to 19.0 and 34 average annual cases over 2014-2018.
• CI*Rank⋔ : 48 (12, 51)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.7 to 1.5.

New Mexico⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 16.2 with a 95% confidence interval from 14.7 to 17.8 and 89 average annual cases over 2014-2018.
• CI*Rank⋔ : 49 (30, 51)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from 0.0 to 1.2.

Mississippi⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 15.9 with a 95% confidence interval from 14.7 to 17.2 and 128 average annual cases over 2014-2018.
• CI*Rank⋔ : 50 (37, 51)
• 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).

North Dakota⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 15.5 with a 95% confidence interval from 13.1 to 18.1 and 31 average annual cases over 2014-2018.
• CI*Rank⋔ : 51 (18, 51)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.4 to 0.7.

Notes:
Created by statecancerprofiles.cancer.gov on 01/24/2022 1:03 pm.

State Cancer Registries may provide more current or more local data.
† 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 1969-2018 US Population Data File is used for SEER and NPCR incidence rates.
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 stage.
* 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).

Source: SEER and NPCR data. For more specific information please see the table.

Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.

Data for United States does not include Puerto Rico.