Interpretation of Incidence Rates Data
Incidence Rate Report for California by County
All Cancer Sites (All Stages^), 2016-2020
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Recentaapc
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 394.7 with a 95% confidence interval from 393.8 to 395.5 and 174,052 average annual cases over 2016-2020.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.1 to 0.1.
US (SEER+NPCR)1
- Rate : The incidence rate is 442.3 with a 95% confidence interval from 442.0 to 442.6 and 1,698,328 average annual cases over 2016-2020.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.
Tuolumne County7
- Rate : The incidence rate is 412.0 with a 95% confidence interval from 392.1 to 432.8 and 384 average annual cases over 2016-2020.
- CI*Rank⋔ : 23 (8, 41)
- Recent Trend : The trend is falling
because the trend is -3.3 with a 95% confidence interval from -11.2 to -1.3.
Napa County7
- Rate : The incidence rate is 410.5 with a 95% confidence interval from 397.3 to 424.1 and 776 average annual cases over 2016-2020.
- CI*Rank⋔ : 24 (13, 37)
- Recent Trend : The trend is falling
because the trend is -2.6 with a 95% confidence interval from -4.0 to -1.7.
Siskiyou County7
- Rate : The incidence rate is 352.5 with a 95% confidence interval from 331.6 to 374.5 and 255 average annual cases over 2016-2020.
- CI*Rank⋔ : 52 (38, 56)
- Recent Trend : The trend is falling
because the trend is -2.6 with a 95% confidence interval from -5.5 to -1.7.
Sierra County7
- Rate : The incidence rate is 307.7 with a 95% confidence interval from 238.6 to 395.3 and 18 average annual cases over 2016-2020.
- CI*Rank⋔ : 56 (12, 58)
- Recent Trend : The trend is stable
because the trend is -2.5 with a 95% confidence interval from -20.3 to 2.2.
Placer County7
- Rate : The incidence rate is 439.2 with a 95% confidence interval from 431.1 to 447.5 and 2,371 average annual cases over 2016-2020.
- CI*Rank⋔ : 10 (5, 15)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -4.0 to -0.6.
Del Norte County7
- Rate : The incidence rate is 340.6 with a 95% confidence interval from 313.6 to 369.4 and 127 average annual cases over 2016-2020.
- CI*Rank⋔ : 54 (38, 57)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.7.
San Mateo County7
- Rate : The incidence rate is 397.6 with a 95% confidence interval from 391.8 to 403.4 and 3,741 average annual cases over 2016-2020.
- CI*Rank⋔ : 32 (25, 38)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -3.0 to -0.2.
San Francisco County7
- Rate : The incidence rate is 380.0 with a 95% confidence interval from 374.6 to 385.4 and 3,968 average annual cases over 2016-2020.
- CI*Rank⋔ : 40 (36, 48)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.0 to -1.4.
Contra Costa County7
- Rate : The incidence rate is 405.9 with a 95% confidence interval from 401.1 to 410.8 and 5,645 average annual cases over 2016-2020.
- CI*Rank⋔ : 25 (21, 33)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.4 to -1.1.
Solano County7
- Rate : The incidence rate is 415.6 with a 95% confidence interval from 407.7 to 423.6 and 2,228 average annual cases over 2016-2020.
- CI*Rank⋔ : 21 (14, 30)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.5 to -1.0.
Alameda County7
- Rate : The incidence rate is 371.5 with a 95% confidence interval from 367.5 to 375.5 and 6,890 average annual cases over 2016-2020.
- CI*Rank⋔ : 47 (41, 51)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -2.6 to -1.0.
Modoc County7
- Rate : The incidence rate is 310.6 with a 95% confidence interval from 266.1 to 361.2 and 44 average annual cases over 2016-2020.
- CI*Rank⋔ : 55 (39, 58)
- Recent Trend : The trend is stable
because the trend is -1.4 with a 95% confidence interval from -3.4 to 0.5.
Sonoma County7
- Rate : The incidence rate is 424.2 with a 95% confidence interval from 417.0 to 431.4 and 2,929 average annual cases over 2016-2020.
- CI*Rank⋔ : 15 (11, 23)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -2.3 to -1.0.
Nevada County7
- Rate : The incidence rate is 402.4 with a 95% confidence interval from 387.6 to 417.6 and 694 average annual cases over 2016-2020.
- CI*Rank⋔ : 29 (15, 41)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.7.
Sacramento County7
- Rate : The incidence rate is 412.3 with a 95% confidence interval from 407.9 to 416.7 and 7,022 average annual cases over 2016-2020.
- CI*Rank⋔ : 22 (18, 28)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.8 to -1.1.
Mariposa County7
- Rate : The incidence rate is 385.1 with a 95% confidence interval from 351.9 to 421.2 and 122 average annual cases over 2016-2020.
- CI*Rank⋔ : 39 (10, 55)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.4.
Mono County7
- Rate : The incidence rate is 250.6 with a 95% confidence interval from 217.8 to 287.4 and 47 average annual cases over 2016-2020.
- CI*Rank⋔ : 58 (55, 58)
- Recent Trend : The trend is stable
because the trend is -1.2 with a 95% confidence interval from -3.4 to 1.3.
Trinity County7
- Rate : The incidence rate is 378.8 with a 95% confidence interval from 339.3 to 422.4 and 85 average annual cases over 2016-2020.
- CI*Rank⋔ : 43 (9, 56)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -2.2 to -0.2.
El Dorado County7
- Rate : The incidence rate is 416.6 with a 95% confidence interval from 405.4 to 428.1 and 1,187 average annual cases over 2016-2020.
- CI*Rank⋔ : 20 (12, 32)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.5.
Humboldt County7
- Rate : The incidence rate is 435.8 with a 95% confidence interval from 421.4 to 450.7 and 755 average annual cases over 2016-2020.
- CI*Rank⋔ : 12 (4, 23)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.4.
Merced County7
- Rate : The incidence rate is 379.7 with a 95% confidence interval from 368.8 to 390.7 and 960 average annual cases over 2016-2020.
- CI*Rank⋔ : 41 (32, 51)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.6.
Plumas County7
- Rate : The incidence rate is 372.1 with a 95% confidence interval from 339.8 to 407.2 and 128 average annual cases over 2016-2020.
- CI*Rank⋔ : 46 (14, 56)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.1.
Tulare County7
- Rate : The incidence rate is 365.0 with a 95% confidence interval from 356.8 to 373.3 and 1,566 average annual cases over 2016-2020.
- CI*Rank⋔ : 50 (42, 54)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.6.
Kings County7
- Rate : The incidence rate is 364.5 with a 95% confidence interval from 350.0 to 379.5 and 488 average annual cases over 2016-2020.
- CI*Rank⋔ : 51 (37, 55)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.5.
Los Angeles County7
- Rate : The incidence rate is 367.9 with a 95% confidence interval from 366.3 to 369.5 and 40,485 average annual cases over 2016-2020.
- CI*Rank⋔ : 48 (44, 52)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.2.
Lake County7
- Rate : The incidence rate is 445.8 with a 95% confidence interval from 425.9 to 466.5 and 440 average annual cases over 2016-2020.
- CI*Rank⋔ : 6 (2, 21)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.4.
Monterey County7
- Rate : The incidence rate is 379.2 with a 95% confidence interval from 371.1 to 387.4 and 1,731 average annual cases over 2016-2020.
- CI*Rank⋔ : 42 (35, 49)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.4.
Riverside County7
- Rate : The incidence rate is 389.6 with a 95% confidence interval from 386.2 to 393.0 and 10,550 average annual cases over 2016-2020.
- CI*Rank⋔ : 35 (31, 42)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.7.
San Benito County7
- Rate : The incidence rate is 378.0 with a 95% confidence interval from 356.6 to 400.4 and 244 average annual cases over 2016-2020.
- CI*Rank⋔ : 45 (24, 54)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.0.
San Bernardino County7
- Rate : The incidence rate is 393.8 with a 95% confidence interval from 390.0 to 397.7 and 8,326 average annual cases over 2016-2020.
- CI*Rank⋔ : 34 (29, 39)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.6.
Yolo County7
- Rate : The incidence rate is 398.0 with a 95% confidence interval from 385.8 to 410.4 and 846 average annual cases over 2016-2020.
- CI*Rank⋔ : 31 (20, 43)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.2.
Amador County7
- Rate : The incidence rate is 435.0 with a 95% confidence interval from 411.7 to 459.6 and 303 average annual cases over 2016-2020.
- CI*Rank⋔ : 13 (3, 31)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.1.
Fresno County7
- Rate : The incidence rate is 389.1 with a 95% confidence interval from 383.4 to 394.8 and 3,754 average annual cases over 2016-2020.
- CI*Rank⋔ : 36 (31, 43)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -0.9 to -0.4.
Kern County7
- Rate : The incidence rate is 405.0 with a 95% confidence interval from 398.8 to 411.4 and 3,322 average annual cases over 2016-2020.
- CI*Rank⋔ : 27 (21, 34)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.0 to -0.3.
Calaveras County7
- Rate : The incidence rate is 398.7 with a 95% confidence interval from 377.3 to 421.2 and 327 average annual cases over 2016-2020.
- CI*Rank⋔ : 30 (13, 49)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.1.
Marin County7
- Rate : The incidence rate is 442.0 with a 95% confidence interval from 432.3 to 451.9 and 1,754 average annual cases over 2016-2020.
- CI*Rank⋔ : 9 (5, 15)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.4.
Mendocino County7
- Rate : The incidence rate is 431.7 with a 95% confidence interval from 414.6 to 449.4 and 550 average annual cases over 2016-2020.
- CI*Rank⋔ : 14 (5, 29)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.2.
Tehama County7
- Rate : The incidence rate is 466.0 with a 95% confidence interval from 445.3 to 487.5 and 413 average annual cases over 2016-2020.
- CI*Rank⋔ : 4 (1, 13)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -1.0 to -0.1.
Butte County7
- Rate : The incidence rate is 474.9 with a 95% confidence interval from 463.0 to 486.9 and 1,347 average annual cases over 2016-2020.
- CI*Rank⋔ : 3 (1, 6)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.9 to -0.1.
Imperial County7
- Rate : The incidence rate is 367.4 with a 95% confidence interval from 354.8 to 380.2 and 667 average annual cases over 2016-2020.
- CI*Rank⋔ : 49 (37, 54)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -0.9 to 0.0.
Inyo County7
- Rate : The incidence rate is 388.3 with a 95% confidence interval from 353.9 to 425.6 and 109 average annual cases over 2016-2020.
- CI*Rank⋔ : 37 (7, 55)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.7 to 0.7.
Madera County7
- Rate : The incidence rate is 387.3 with a 95% confidence interval from 373.8 to 401.2 and 645 average annual cases over 2016-2020.
- CI*Rank⋔ : 38 (24, 49)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.1.
Santa Barbara County7
- Rate : The incidence rate is 436.3 with a 95% confidence interval from 427.9 to 444.8 and 2,186 average annual cases over 2016-2020.
- CI*Rank⋔ : 11 (6, 17)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.
Shasta County7
- Rate : The incidence rate is 475.2 with a 95% confidence interval from 462.7 to 488.0 and 1,218 average annual cases over 2016-2020.
- CI*Rank⋔ : 2 (1, 6)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.1.
Santa Clara County7
- Rate : The incidence rate is 378.6 with a 95% confidence interval from 374.9 to 382.4 and 7,969 average annual cases over 2016-2020.
- CI*Rank⋔ : 44 (37, 47)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.8.
Stanislaus County7
- Rate : The incidence rate is 422.3 with a 95% confidence interval from 414.6 to 430.0 and 2,390 average annual cases over 2016-2020.
- CI*Rank⋔ : 16 (12, 25)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.1.
Ventura County7
- Rate : The incidence rate is 422.0 with a 95% confidence interval from 416.2 to 427.9 and 4,271 average annual cases over 2016-2020.
- CI*Rank⋔ : 17 (12, 24)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.9 to 1.1.
Glenn County7
- Rate : The incidence rate is 509.8 with a 95% confidence interval from 475.3 to 546.2 and 170 average annual cases over 2016-2020.
- CI*Rank⋔ : 1 (1, 5)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -0.6 to 1.1.
Orange County7
- Rate : The incidence rate is 404.2 with a 95% confidence interval from 401.3 to 407.2 and 14,854 average annual cases over 2016-2020.
- CI*Rank⋔ : 28 (23, 33)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.1.
San Joaquin County7
- Rate : The incidence rate is 405.6 with a 95% confidence interval from 399.2 to 412.1 and 3,133 average annual cases over 2016-2020.
- CI*Rank⋔ : 26 (20, 34)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -0.2 to 0.9.
Colusa County7
- Rate : The incidence rate is 394.6 with a 95% confidence interval from 358.9 to 433.1 and 94 average annual cases over 2016-2020.
- CI*Rank⋔ : 33 (5, 54)
- Recent Trend : The trend is stable
because the trend is 0.3 with a 95% confidence interval from -1.3 to 2.0.
Lassen County7
- Rate : The incidence rate is 346.7 with a 95% confidence interval from 319.0 to 376.2 and 122 average annual cases over 2016-2020.
- CI*Rank⋔ : 53 (35, 57)
- Recent Trend : The trend is stable
because the trend is 0.3 with a 95% confidence interval from -0.8 to 1.6.
San Diego County7
- Rate : The incidence rate is 418.5 with a 95% confidence interval from 415.5 to 421.5 and 15,343 average annual cases over 2016-2020.
- CI*Rank⋔ : 18 (15, 24)
- Recent Trend : The trend is rising
because the trend is 1.1 with a 95% confidence interval from 0.3 to 1.7.
San Luis Obispo County7
- Rate : The incidence rate is 445.2 with a 95% confidence interval from 435.4 to 455.2 and 1,747 average annual cases over 2016-2020.
- CI*Rank⋔ : 7 (4, 14)
- Recent Trend : The trend is stable
because the trend is 1.2 with a 95% confidence interval from -0.5 to 2.3.
Santa Cruz County7
- Rate : The incidence rate is 444.8 with a 95% confidence interval from 434.2 to 455.5 and 1,481 average annual cases over 2016-2020.
- CI*Rank⋔ : 8 (4, 15)
- Recent Trend : The trend is rising
because the trend is 2.4 with a 95% confidence interval from 0.1 to 4.5.
Sutter County7
- Rate : The incidence rate is 416.8 with a 95% confidence interval from 399.8 to 434.4 and 467 average annual cases over 2016-2020.
- CI*Rank⋔ : 19 (8, 36)
- Recent Trend : The trend is stable
because the trend is 3.7 with a 95% confidence interval from -0.1 to 6.3.
Yuba County7
- Rate : The incidence rate is 461.1 with a 95% confidence interval from 439.5 to 483.6 and 360 average annual cases over 2016-2020.
- CI*Rank⋔ : 5 (1, 14)
- Recent Trend : The trend is stable
because the trend is 3.9 with a 95% confidence interval from -0.6 to 7.1.
Alpine County7
- Rate : The incidence rate is 271.7 with a 95% confidence interval from 154.2 to 450.9 and 4 average annual cases over 2016-2020.
- 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).
Notes:
Created by statecancerprofiles.cancer.gov on 12/04/2023 7:21 am.
State Cancer Registries may provide more current or more local data.
⋔ 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.
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 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.