Interpretation of Incidence Rates Data
Incidence Rate Report for California by County
Breast (All Stages^), 2015-2019
All Races (includes Hispanic), Female, 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 123.1 with a 95% confidence interval from 122.4 to 123.8 and 27,737 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.1 to 0.3.
US (SEER+NPCR)1
- Rate : The incidence rate is 128.1 with a 95% confidence interval from 127.9 to 128.3 and 253,845 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is rising
because the trend is 0.4 with a 95% confidence interval from 0.3 to 0.5.
Modoc County7
- Rate : The incidence rate is 74.4 with a 95% confidence interval from 45.1 to 117.6 and 5 average annual cases over 2015-2019.
- CI*Rank⋔ : 56 (11, 56)
- Recent Trend : The trend is falling
because the trend is -4.0 with a 95% confidence interval from -7.4 to -0.5.
Del Norte County7
- Rate : The incidence rate is 74.5 with a 95% confidence interval from 56.0 to 97.5 and 13 average annual cases over 2015-2019.
- CI*Rank⋔ : 55 (45, 56)
- Recent Trend : The trend is falling
because the trend is -2.6 with a 95% confidence interval from -5.0 to -0.1.
Trinity County7
- Rate : The incidence rate is 84.3 with a 95% confidence interval from 58.1 to 120.2 and 9 average annual cases over 2015-2019.
- CI*Rank⋔ : 54 (11, 56)
- Recent Trend : The trend is stable
because the trend is -1.0 with a 95% confidence interval from -4.0 to 2.2.
Mono County7
- Rate : The incidence rate is 85.5 with a 95% confidence interval from 57.8 to 122.4 and 7 average annual cases over 2015-2019.
- CI*Rank⋔ : 53 (7, 56)
- Recent Trend : The trend is stable
because the trend is -1.5 with a 95% confidence interval from -4.5 to 1.7.
Siskiyou County7
- Rate : The incidence rate is 89.7 with a 95% confidence interval from 74.0 to 108.0 and 30 average annual cases over 2015-2019.
- CI*Rank⋔ : 52 (33, 56)
- Recent Trend : The trend is stable
because the trend is -1.1 with a 95% confidence interval from -2.8 to 0.7.
Merced County7
- Rate : The incidence rate is 99.0 with a 95% confidence interval from 91.4 to 107.1 and 128 average annual cases over 2015-2019.
- CI*Rank⋔ : 51 (40, 54)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.
Madera County7
- Rate : The incidence rate is 99.6 with a 95% confidence interval from 90.2 to 109.8 and 84 average annual cases over 2015-2019.
- CI*Rank⋔ : 50 (36, 55)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.3.
Kings County7
- Rate : The incidence rate is 101.2 with a 95% confidence interval from 90.3 to 113.1 and 64 average annual cases over 2015-2019.
- CI*Rank⋔ : 49 (31, 55)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.6.
Imperial County7
- Rate : The incidence rate is 105.0 with a 95% confidence interval from 95.5 to 115.2 and 94 average annual cases over 2015-2019.
- CI*Rank⋔ : 48 (30, 53)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -1.1 to 1.4.
Mariposa County7
- Rate : The incidence rate is 105.1 with a 95% confidence interval from 79.7 to 137.1 and 16 average annual cases over 2015-2019.
- CI*Rank⋔ : 47 (2, 56)
- Recent Trend : The trend is stable
because the trend is -1.3 with a 95% confidence interval from -3.3 to 0.7.
Tulare County7
- Rate : The incidence rate is 105.6 with a 95% confidence interval from 99.5 to 111.9 and 232 average annual cases over 2015-2019.
- CI*Rank⋔ : 46 (35, 52)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.7.
Yuba County7
- Rate : The incidence rate is 107.8 with a 95% confidence interval from 93.2 to 124.1 and 41 average annual cases over 2015-2019.
- CI*Rank⋔ : 45 (14, 54)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -3.0 to -0.5.
Fresno County7
- Rate : The incidence rate is 108.5 with a 95% confidence interval from 104.3 to 112.7 and 532 average annual cases over 2015-2019.
- CI*Rank⋔ : 44 (35, 50)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.0.
Humboldt County7
- Rate : The incidence rate is 110.2 with a 95% confidence interval from 99.9 to 121.3 and 95 average annual cases over 2015-2019.
- CI*Rank⋔ : 43 (20, 52)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.4 to -0.8.
Tehama County7
- Rate : The incidence rate is 112.8 with a 95% confidence interval from 98.6 to 128.7 and 51 average annual cases over 2015-2019.
- CI*Rank⋔ : 42 (9, 53)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.4.
Riverside County7
- Rate : The incidence rate is 112.8 with a 95% confidence interval from 110.3 to 115.4 and 1,523 average annual cases over 2015-2019.
- CI*Rank⋔ : 41 (32, 45)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.3.
San Bernardino County7
- Rate : The incidence rate is 113.1 with a 95% confidence interval from 110.3 to 116.0 and 1,245 average annual cases over 2015-2019.
- CI*Rank⋔ : 40 (31, 45)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.1.
Colusa County7
- Rate : The incidence rate is 113.2 with a 95% confidence interval from 87.6 to 144.2 and 14 average annual cases over 2015-2019.
- CI*Rank⋔ : 39 (1, 55)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -3.0 to 3.3.
San Benito County7
- Rate : The incidence rate is 113.3 with a 95% confidence interval from 97.1 to 131.5 and 36 average annual cases over 2015-2019.
- CI*Rank⋔ : 38 (6, 54)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -2.4 to 1.6.
Calaveras County7
- Rate : The incidence rate is 113.6 with a 95% confidence interval from 97.0 to 132.6 and 44 average annual cases over 2015-2019.
- CI*Rank⋔ : 37 (5, 54)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.2.
Kern County7
- Rate : The incidence rate is 114.7 with a 95% confidence interval from 110.1 to 119.5 and 476 average annual cases over 2015-2019.
- CI*Rank⋔ : 36 (27, 45)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.3.
Mendocino County7
- Rate : The incidence rate is 115.4 with a 95% confidence interval from 102.8 to 129.2 and 72 average annual cases over 2015-2019.
- CI*Rank⋔ : 35 (9, 52)
- Recent Trend : The trend is stable
because the trend is -1.1 with a 95% confidence interval from -2.2 to 0.1.
San Joaquin County7
- Rate : The incidence rate is 116.5 with a 95% confidence interval from 111.7 to 121.5 and 460 average annual cases over 2015-2019.
- CI*Rank⋔ : 34 (24, 44)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.4.
Sutter County7
- Rate : The incidence rate is 117.8 with a 95% confidence interval from 105.1 to 131.7 and 66 average annual cases over 2015-2019.
- CI*Rank⋔ : 33 (7, 50)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.5.
Monterey County7
- Rate : The incidence rate is 118.2 with a 95% confidence interval from 111.8 to 124.9 and 265 average annual cases over 2015-2019.
- CI*Rank⋔ : 32 (19, 45)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.6.
Los Angeles County7
- Rate : The incidence rate is 119.2 with a 95% confidence interval from 118.0 to 120.5 and 6,867 average annual cases over 2015-2019.
- CI*Rank⋔ : 31 (26, 38)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.4.
Lake County7
- Rate : The incidence rate is 121.5 with a 95% confidence interval from 106.5 to 138.1 and 57 average annual cases over 2015-2019.
- CI*Rank⋔ : 30 (2, 51)
- Recent Trend : The trend is stable
because the trend is 1.5 with a 95% confidence interval from 0.0 to 3.2.
Stanislaus County7
- Rate : The incidence rate is 122.5 with a 95% confidence interval from 116.8 to 128.4 and 359 average annual cases over 2015-2019.
- CI*Rank⋔ : 29 (13, 39)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.7.
Alameda County7
- Rate : The incidence rate is 122.6 with a 95% confidence interval from 119.4 to 125.8 and 1,185 average annual cases over 2015-2019.
- CI*Rank⋔ : 28 (19, 35)
- Recent Trend : The trend is falling
because the trend is -0.4 with a 95% confidence interval from -0.6 to -0.1.
San Francisco County7
- Rate : The incidence rate is 124.0 with a 95% confidence interval from 119.5 to 128.6 and 617 average annual cases over 2015-2019.
- CI*Rank⋔ : 27 (14, 36)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.4 to 0.1.
Santa Clara County7
- Rate : The incidence rate is 124.0 with a 95% confidence interval from 121.0 to 127.1 and 1,329 average annual cases over 2015-2019.
- CI*Rank⋔ : 26 (17, 33)
- Recent Trend : The trend is stable
because the trend is 0.7 with a 95% confidence interval from -0.1 to 1.5.
Tuolumne County7
- Rate : The incidence rate is 124.2 with a 95% confidence interval from 107.2 to 143.4 and 52 average annual cases over 2015-2019.
- CI*Rank⋔ : 25 (2, 50)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -3.3 to -0.8.
Solano County7
- Rate : The incidence rate is 126.7 with a 95% confidence interval from 120.6 to 133.0 and 349 average annual cases over 2015-2019.
- CI*Rank⋔ : 24 (8, 35)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.1.
Sacramento County7
- Rate : The incidence rate is 128.1 with a 95% confidence interval from 124.7 to 131.6 and 1,137 average annual cases over 2015-2019.
- CI*Rank⋔ : 23 (10, 29)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -0.8 to 0.0.
Plumas County7
- Rate : The incidence rate is 128.1 with a 95% confidence interval from 99.8 to 162.9 and 20 average annual cases over 2015-2019.
- CI*Rank⋔ : 22 (1, 54)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -2.3 to 1.8.
El Dorado County7
- Rate : The incidence rate is 128.2 with a 95% confidence interval from 119.3 to 137.7 and 175 average annual cases over 2015-2019.
- CI*Rank⋔ : 21 (4, 37)
- Recent Trend : The trend is stable
because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.2.
Napa County7
- Rate : The incidence rate is 128.8 with a 95% confidence interval from 118.3 to 140.1 and 119 average annual cases over 2015-2019.
- CI*Rank⋔ : 20 (2, 40)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.3.
Butte County7
- Rate : The incidence rate is 129.2 with a 95% confidence interval from 120.4 to 138.5 and 186 average annual cases over 2015-2019.
- CI*Rank⋔ : 19 (3, 36)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.4.
San Diego County7
- Rate : The incidence rate is 129.2 with a 95% confidence interval from 126.9 to 131.6 and 2,402 average annual cases over 2015-2019.
- CI*Rank⋔ : 18 (10, 26)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.0.
Inyo County7
- Rate : The incidence rate is 129.7 with a 95% confidence interval from 100.8 to 164.9 and 17 average annual cases over 2015-2019.
- CI*Rank⋔ : 17 (1, 53)
- Recent Trend : The trend is stable
because the trend is 0.7 with a 95% confidence interval from -1.4 to 2.9.
Orange County7
- Rate : The incidence rate is 129.9 with a 95% confidence interval from 127.6 to 132.3 and 2,455 average annual cases over 2015-2019.
- CI*Rank⋔ : 16 (9, 25)
- Recent Trend : The trend is stable
because the trend is 0.3 with a 95% confidence interval from 0.0 to 0.7.
Sonoma County7
- Rate : The incidence rate is 130.0 with a 95% confidence interval from 124.4 to 135.8 and 459 average annual cases over 2015-2019.
- CI*Rank⋔ : 15 (6, 30)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.2.
Glenn County7
- Rate : The incidence rate is 130.4 with a 95% confidence interval from 106.2 to 158.6 and 22 average annual cases over 2015-2019.
- CI*Rank⋔ : 14 (1, 52)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.6.
Yolo County7
- Rate : The incidence rate is 130.9 with a 95% confidence interval from 121.2 to 141.0 and 144 average annual cases over 2015-2019.
- CI*Rank⋔ : 13 (2, 35)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.2.
Ventura County7
- Rate : The incidence rate is 131.1 with a 95% confidence interval from 126.5 to 135.7 and 678 average annual cases over 2015-2019.
- CI*Rank⋔ : 12 (6, 27)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.4.
Contra Costa County7
- Rate : The incidence rate is 133.3 with a 95% confidence interval from 129.5 to 137.2 and 961 average annual cases over 2015-2019.
- CI*Rank⋔ : 11 (5, 23)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.3.
Amador County7
- Rate : The incidence rate is 135.5 with a 95% confidence interval from 114.9 to 159.2 and 43 average annual cases over 2015-2019.
- CI*Rank⋔ : 10 (1, 46)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -2.3 to 0.7.
San Mateo County7
- Rate : The incidence rate is 136.4 with a 95% confidence interval from 131.7 to 141.3 and 657 average annual cases over 2015-2019.
- CI*Rank⋔ : 9 (3, 19)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.4 to 0.1.
Shasta County7
- Rate : The incidence rate is 136.6 with a 95% confidence interval from 127.0 to 146.8 and 174 average annual cases over 2015-2019.
- CI*Rank⋔ : 8 (2, 29)
- Recent Trend : The trend is stable
because the trend is -4.6 with a 95% confidence interval from -11.3 to 2.6.
Nevada County7
- Rate : The incidence rate is 137.9 with a 95% confidence interval from 125.1 to 151.7 and 113 average annual cases over 2015-2019.
- CI*Rank⋔ : 7 (1, 33)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.6.
Lassen County7
- Rate : The incidence rate is 138.1 with a 95% confidence interval from 111.4 to 169.6 and 21 average annual cases over 2015-2019.
- CI*Rank⋔ : 6 (1, 51)
- Recent Trend : The trend is rising
because the trend is 3.1 with a 95% confidence interval from 1.0 to 5.1.
Santa Cruz County7
- Rate : The incidence rate is 139.6 with a 95% confidence interval from 131.3 to 148.4 and 233 average annual cases over 2015-2019.
- CI*Rank⋔ : 5 (1, 22)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.3.
Santa Barbara County7
- Rate : The incidence rate is 139.9 with a 95% confidence interval from 133.1 to 147.0 and 346 average annual cases over 2015-2019.
- CI*Rank⋔ : 4 (2, 18)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -0.3 to 0.8.
San Luis Obispo County7
- Rate : The incidence rate is 141.1 with a 95% confidence interval from 132.9 to 149.8 and 263 average annual cases over 2015-2019.
- CI*Rank⋔ : 3 (1, 20)
- Recent Trend : The trend is stable
because the trend is 0.6 with a 95% confidence interval from -0.1 to 1.3.
Placer County7
- Rate : The incidence rate is 142.8 with a 95% confidence interval from 136.2 to 149.7 and 385 average annual cases over 2015-2019.
- CI*Rank⋔ : 2 (1, 14)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.
Marin County7
- Rate : The incidence rate is 155.7 with a 95% confidence interval from 147.4 to 164.4 and 306 average annual cases over 2015-2019.
- CI*Rank⋔ : 1 (1, 5)
- Recent Trend : The trend is stable
because the trend is 2.2 with a 95% confidence interval from -0.6 to 5.0.
- 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 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).
Notes:
Created by statecancerprofiles.cancer.gov on 06/09/2023 6:43 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.
⋔ 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.