Interpretation of Incidence Rates Data
Incidence Rate Report for California by County
All Cancer Sites (All Stages^), 2015-2019
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
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
California7
- Rate : The incidence rate is 402.4 with a 95% confidence interval from 401.6 to 403.3 and 174,350 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.
US (SEER+NPCR)1
- Rate : The incidence rate is 449.4 with a 95% confidence interval from 449.1 to 449.7 and 1,728,431 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.2.
Glenn County7
- Rate : The incidence rate is 508.5 with a 95% confidence interval from 474.1 to 544.9 and 169 average annual cases over 2015-2019.
- CI*Rank⋔ : 1 (1, 6)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -0.5 to 0.9.
Shasta County7
- Rate : The incidence rate is 481.8 with a 95% confidence interval from 469.2 to 494.7 and 1,222 average annual cases over 2015-2019.
- CI*Rank⋔ : 2 (1, 5)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -0.8 to 0.0.
Yuba County7
- Rate : The incidence rate is 468.3 with a 95% confidence interval from 446.1 to 491.3 and 355 average annual cases over 2015-2019.
- CI*Rank⋔ : 3 (1, 14)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.1.
Tehama County7
- Rate : The incidence rate is 465.1 with a 95% confidence interval from 444.3 to 486.6 and 408 average annual cases over 2015-2019.
- CI*Rank⋔ : 4 (1, 14)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.3.
Butte County7
- Rate : The incidence rate is 459.4 with a 95% confidence interval from 447.8 to 471.1 and 1,318 average annual cases over 2015-2019.
- CI*Rank⋔ : 5 (2, 12)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.
Marin County7
- Rate : The incidence rate is 451.7 with a 95% confidence interval from 441.8 to 461.7 and 1,770 average annual cases over 2015-2019.
- CI*Rank⋔ : 6 (3, 14)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -0.9 to -0.4.
Placer County7
- Rate : The incidence rate is 449.6 with a 95% confidence interval from 441.3 to 458.0 and 2,357 average annual cases over 2015-2019.
- CI*Rank⋔ : 7 (3, 14)
- Recent Trend : The trend is falling
because the trend is -2.7 with a 95% confidence interval from -5.0 to -0.3.
Amador County7
- Rate : The incidence rate is 449.5 with a 95% confidence interval from 425.6 to 474.7 and 308 average annual cases over 2015-2019.
- CI*Rank⋔ : 8 (2, 29)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.
Lake County7
- Rate : The incidence rate is 447.0 with a 95% confidence interval from 427.1 to 467.7 and 438 average annual cases over 2015-2019.
- CI*Rank⋔ : 9 (2, 25)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.4.
San Luis Obispo County7
- Rate : The incidence rate is 444.3 with a 95% confidence interval from 434.5 to 454.4 and 1,715 average annual cases over 2015-2019.
- CI*Rank⋔ : 10 (4, 16)
- Recent Trend : The trend is stable
because the trend is 1.0 with a 95% confidence interval from -0.9 to 3.0.
Santa Cruz County7
- Rate : The incidence rate is 442.1 with a 95% confidence interval from 431.5 to 452.9 and 1,445 average annual cases over 2015-2019.
- CI*Rank⋔ : 11 (4, 18)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.8 to -0.2.
Santa Barbara County7
- Rate : The incidence rate is 440.5 with a 95% confidence interval from 432.1 to 449.1 and 2,176 average annual cases over 2015-2019.
- CI*Rank⋔ : 12 (5, 17)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.0.
Humboldt County7
- Rate : The incidence rate is 436.8 with a 95% confidence interval from 422.3 to 451.7 and 750 average annual cases over 2015-2019.
- CI*Rank⋔ : 13 (4, 27)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.7.
Mendocino County7
- Rate : The incidence rate is 431.8 with a 95% confidence interval from 414.6 to 449.5 and 543 average annual cases over 2015-2019.
- CI*Rank⋔ : 14 (5, 32)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -1.2 to -0.1.
El Dorado County7
- Rate : The incidence rate is 427.9 with a 95% confidence interval from 416.5 to 439.6 and 1,191 average annual cases over 2015-2019.
- CI*Rank⋔ : 15 (9, 29)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.7.
Solano County7
- Rate : The incidence rate is 427.5 with a 95% confidence interval from 419.3 to 435.7 and 2,239 average annual cases over 2015-2019.
- CI*Rank⋔ : 16 (11, 27)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.3 to -1.0.
Sonoma County7
- Rate : The incidence rate is 426.4 with a 95% confidence interval from 419.2 to 433.7 and 2,901 average annual cases over 2015-2019.
- CI*Rank⋔ : 17 (12, 27)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.0 to -1.2.
Stanislaus County7
- Rate : The incidence rate is 425.5 with a 95% confidence interval from 417.8 to 433.4 and 2,374 average annual cases over 2015-2019.
- CI*Rank⋔ : 18 (12, 28)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.5 to 0.0.
San Diego County7
- Rate : The incidence rate is 423.8 with a 95% confidence interval from 420.7 to 426.9 and 15,239 average annual cases over 2015-2019.
- CI*Rank⋔ : 19 (14, 25)
- Recent Trend : The trend is stable
because the trend is 0.7 with a 95% confidence interval from -0.5 to 2.0.
Sacramento County7
- Rate : The incidence rate is 421.4 with a 95% confidence interval from 416.9 to 425.9 and 7,027 average annual cases over 2015-2019.
- CI*Rank⋔ : 20 (15, 28)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.2.
Ventura County7
- Rate : The incidence rate is 419.8 with a 95% confidence interval from 414.0 to 425.6 and 4,173 average annual cases over 2015-2019.
- CI*Rank⋔ : 21 (15, 30)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.2.
Contra Costa County7
- Rate : The incidence rate is 417.7 with a 95% confidence interval from 412.8 to 422.7 and 5,691 average annual cases over 2015-2019.
- CI*Rank⋔ : 22 (17, 31)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.2.
Inyo County7
- Rate : The incidence rate is 417.6 with a 95% confidence interval from 381.9 to 456.2 and 117 average annual cases over 2015-2019.
- CI*Rank⋔ : 23 (3, 53)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.4.
San Joaquin County7
- Rate : The incidence rate is 415.6 with a 95% confidence interval from 409.1 to 422.3 and 3,142 average annual cases over 2015-2019.
- CI*Rank⋔ : 24 (16, 34)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.3.
Napa County7
- Rate : The incidence rate is 414.9 with a 95% confidence interval from 401.6 to 428.6 and 779 average annual cases over 2015-2019.
- CI*Rank⋔ : 25 (13, 40)
- Recent Trend : The trend is falling
because the trend is -2.8 with a 95% confidence interval from -3.7 to -2.0.
Orange County7
- Rate : The incidence rate is 412.3 with a 95% confidence interval from 409.3 to 415.3 and 14,852 average annual cases over 2015-2019.
- CI*Rank⋔ : 26 (22, 33)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.7.
Sutter County7
- Rate : The incidence rate is 410.0 with a 95% confidence interval from 393.0 to 427.5 and 453 average annual cases over 2015-2019.
- CI*Rank⋔ : 27 (13, 46)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.7.
Kern County7
- Rate : The incidence rate is 409.7 with a 95% confidence interval from 403.4 to 416.2 and 3,300 average annual cases over 2015-2019.
- CI*Rank⋔ : 28 (21, 37)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.0 to -0.4.
Nevada County7
- Rate : The incidence rate is 409.3 with a 95% confidence interval from 394.3 to 424.7 and 692 average annual cases over 2015-2019.
- CI*Rank⋔ : 29 (14, 45)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.9.
Calaveras County7
- Rate : The incidence rate is 408.1 with a 95% confidence interval from 386.3 to 431.0 and 328 average annual cases over 2015-2019.
- CI*Rank⋔ : 30 (10, 51)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.1.
San Mateo County7
- Rate : The incidence rate is 407.3 with a 95% confidence interval from 401.4 to 413.3 and 3,786 average annual cases over 2015-2019.
- CI*Rank⋔ : 31 (24, 38)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.4 to -1.0.
Plumas County7
- Rate : The incidence rate is 407.0 with a 95% confidence interval from 372.9 to 443.9 and 137 average annual cases over 2015-2019.
- CI*Rank⋔ : 32 (4, 55)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.3.
Yolo County7
- Rate : The incidence rate is 405.4 with a 95% confidence interval from 393.0 to 418.0 and 845 average annual cases over 2015-2019.
- CI*Rank⋔ : 33 (18, 45)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -1.2 to -0.5.
Tuolumne County7
- Rate : The incidence rate is 405.0 with a 95% confidence interval from 385.2 to 425.8 and 370 average annual cases over 2015-2019.
- CI*Rank⋔ : 34 (13, 50)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -2.8 to -1.4.
San Bernardino County7
- Rate : The incidence rate is 402.4 with a 95% confidence interval from 398.5 to 406.4 and 8,327 average annual cases over 2015-2019.
- CI*Rank⋔ : 35 (28, 40)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.6.
Riverside County7
- Rate : The incidence rate is 401.4 with a 95% confidence interval from 397.9 to 404.9 and 10,581 average annual cases over 2015-2019.
- CI*Rank⋔ : 36 (29, 40)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -1.0 to -0.8.
Trinity County7
- Rate : The incidence rate is 397.3 with a 95% confidence interval from 357.5 to 441.2 and 91 average annual cases over 2015-2019.
- CI*Rank⋔ : 37 (5, 56)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -2.2 to -0.3.
Madera County7
- Rate : The incidence rate is 395.5 with a 95% confidence interval from 381.7 to 409.6 and 646 average annual cases over 2015-2019.
- CI*Rank⋔ : 38 (25, 51)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -1.0 to -0.1.
Colusa County7
- Rate : The incidence rate is 395.5 with a 95% confidence interval from 359.4 to 434.3 and 92 average annual cases over 2015-2019.
- CI*Rank⋔ : 39 (6, 56)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -1.4 to 1.6.
Fresno County7
- Rate : The incidence rate is 394.4 with a 95% confidence interval from 388.7 to 400.2 and 3,733 average annual cases over 2015-2019.
- CI*Rank⋔ : 40 (33, 45)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.0 to -0.5.
San Francisco County7
- Rate : The incidence rate is 390.2 with a 95% confidence interval from 384.8 to 395.8 and 4,041 average annual cases over 2015-2019.
- CI*Rank⋔ : 41 (35, 48)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.0 to -1.4.
Monterey County7
- Rate : The incidence rate is 389.2 with a 95% confidence interval from 380.9 to 397.6 and 1,747 average annual cases over 2015-2019.
- CI*Rank⋔ : 42 (34, 51)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.6.
Merced County7
- Rate : The incidence rate is 387.5 with a 95% confidence interval from 376.4 to 398.8 and 959 average annual cases over 2015-2019.
- CI*Rank⋔ : 43 (32, 53)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.6.
Santa Clara County7
- Rate : The incidence rate is 385.4 with a 95% confidence interval from 381.6 to 389.3 and 7,998 average annual cases over 2015-2019.
- CI*Rank⋔ : 44 (39, 50)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.4.
San Benito County7
- Rate : The incidence rate is 384.8 with a 95% confidence interval from 362.9 to 407.8 and 241 average annual cases over 2015-2019.
- CI*Rank⋔ : 45 (23, 55)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.2.
Mariposa County7
- Rate : The incidence rate is 384.0 with a 95% confidence interval from 351.4 to 419.5 and 122 average annual cases over 2015-2019.
- CI*Rank⋔ : 46 (13, 56)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.8.
Alameda County7
- Rate : The incidence rate is 383.9 with a 95% confidence interval from 379.8 to 388.1 and 6,988 average annual cases over 2015-2019.
- CI*Rank⋔ : 47 (39, 51)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -1.8 to -1.3.
Imperial County7
- Rate : The incidence rate is 383.4 with a 95% confidence interval from 370.5 to 396.6 and 685 average annual cases over 2015-2019.
- CI*Rank⋔ : 48 (33, 54)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.9 to -0.1.
Kings County7
- Rate : The incidence rate is 376.2 with a 95% confidence interval from 361.3 to 391.6 and 494 average annual cases over 2015-2019.
- CI*Rank⋔ : 49 (36, 56)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.5.
Los Angeles County7
- Rate : The incidence rate is 376.0 with a 95% confidence interval from 374.3 to 377.6 and 40,772 average annual cases over 2015-2019.
- CI*Rank⋔ : 50 (45, 54)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -1.8 to -1.3.
Tulare County7
- Rate : The incidence rate is 376.0 with a 95% confidence interval from 367.6 to 384.5 and 1,588 average annual cases over 2015-2019.
- CI*Rank⋔ : 51 (42, 55)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.8.
Lassen County7
- Rate : The incidence rate is 367.6 with a 95% confidence interval from 338.9 to 398.2 and 128 average annual cases over 2015-2019.
- CI*Rank⋔ : 52 (24, 57)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.5.
Del Norte County7
- Rate : The incidence rate is 367.6 with a 95% confidence interval from 339.3 to 397.7 and 134 average annual cases over 2015-2019.
- CI*Rank⋔ : 53 (26, 57)
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -2.8 to -0.8.
Siskiyou County7
- Rate : The incidence rate is 358.1 with a 95% confidence interval from 337.0 to 380.3 and 256 average annual cases over 2015-2019.
- CI*Rank⋔ : 54 (40, 57)
- Recent Trend : The trend is falling
because the trend is -2.9 with a 95% confidence interval from -3.9 to -1.8.
Modoc County7
- Rate : The incidence rate is 340.4 with a 95% confidence interval from 294.1 to 392.7 and 48 average annual cases over 2015-2019.
- CI*Rank⋔ : 55 (23, 58)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.1.
Sierra County7
- Rate : The incidence rate is 307.6 with a 95% confidence interval from 236.4 to 397.9 and 17 average annual cases over 2015-2019.
- CI*Rank⋔ : 56 (13, 58)
- Recent Trend : The trend is stable
because the trend is -1.4 with a 95% confidence interval from -3.4 to 0.6.
Alpine County7
- Rate : The incidence rate is 298.7 with a 95% confidence interval from 175.2 to 484.4 and 5 average annual cases over 2015-2019.
- CI*Rank⋔ : 57 (1, 58)
- 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).
Mono County7
- Rate : The incidence rate is 270.7 with a 95% confidence interval from 235.6 to 309.7 and 48 average annual cases over 2015-2019.
- CI*Rank⋔ : 58 (55, 58)
- Recent Trend : The trend is stable
because the trend is -1.3 with a 95% confidence interval from -3.0 to 0.6.
Notes:
Created by statecancerprofiles.cancer.gov on 05/30/2023 10:39 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.
⋔ 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.
† 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. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.
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).
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2021 submission.
7 Source: SEER November 2021 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 modifed by NCI. The US Population Data File is used with SEER November 2021 data.
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 the United States does not include data from Nevada.
Data for the United States does not include Puerto Rico.
When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.