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, Ages <65
Sorted by Name
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 199.3 with a 95% confidence interval from 198.7 to 200.0 and 77,309 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.6 to -0.4.
US (SEER+NPCR)1
- Rate : The incidence rate is 228.3 with a 95% confidence interval from 228.1 to 228.5 and 750,680 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.0.
Alameda County7
- Rate : The incidence rate is 190.4 with a 95% confidence interval from 187.4 to 193.4 and 3,217 average annual cases over 2015-2019.
- CI*Rank⋔ : 46 (40, 53)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.5.
Amador County7
- Rate : The incidence rate is 215.2 with a 95% confidence interval from 195.1 to 237.2 and 102 average annual cases over 2015-2019.
- CI*Rank⋔ : 13 (1, 51)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.6.
Butte County7
- Rate : The incidence rate is 231.8 with a 95% confidence interval from 222.3 to 241.6 and 509 average annual cases over 2015-2019.
- CI*Rank⋔ : 4 (1, 13)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.6.
Calaveras County7
- Rate : The incidence rate is 194.8 with a 95% confidence interval from 175.9 to 215.5 and 103 average annual cases over 2015-2019.
- CI*Rank⋔ : 45 (7, 56)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.6.
Colusa County7
- Rate : The incidence rate is 205.2 with a 95% confidence interval from 177.3 to 236.4 and 42 average annual cases over 2015-2019.
- CI*Rank⋔ : 31 (1, 56)
- Recent Trend : The trend is stable
because the trend is 0.6 with a 95% confidence interval from -1.3 to 2.5.
Contra Costa County7
- Rate : The incidence rate is 205.4 with a 95% confidence interval from 201.7 to 209.2 and 2,455 average annual cases over 2015-2019.
- CI*Rank⋔ : 30 (17, 39)
- Recent Trend : The trend is falling
because the trend is -0.4 with a 95% confidence interval from -0.6 to -0.3.
Del Norte County7
- Rate : The incidence rate is 174.2 with a 95% confidence interval from 153.0 to 197.7 and 55 average annual cases over 2015-2019.
- CI*Rank⋔ : 55 (20, 57)
- Recent Trend : The trend is stable
because the trend is -1.3 with a 95% confidence interval from -2.7 to 0.2.
El Dorado County7
- Rate : The incidence rate is 208.2 with a 95% confidence interval from 199.0 to 217.7 and 465 average annual cases over 2015-2019.
- CI*Rank⋔ : 22 (8, 44)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.0.
Fresno County7
- Rate : The incidence rate is 199.4 with a 95% confidence interval from 195.2 to 203.8 and 1,729 average annual cases over 2015-2019.
- CI*Rank⋔ : 37 (26, 46)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.4 to 0.1.
Glenn County7
- Rate : The incidence rate is 228.6 with a 95% confidence interval from 203.5 to 256.1 and 66 average annual cases over 2015-2019.
- CI*Rank⋔ : 5 (1, 48)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -0.7 to 1.4.
Humboldt County7
- Rate : The incidence rate is 219.4 with a 95% confidence interval from 208.0 to 231.4 and 309 average annual cases over 2015-2019.
- CI*Rank⋔ : 11 (2, 34)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.1.
Imperial County7
- Rate : The incidence rate is 206.4 with a 95% confidence interval from 196.3 to 216.9 and 325 average annual cases over 2015-2019.
- CI*Rank⋔ : 28 (8, 46)
- Recent Trend : The trend is rising
because the trend is 0.7 with a 95% confidence interval from 0.1 to 1.3.
Inyo County7
- Rate : The incidence rate is 226.0 with a 95% confidence interval from 194.7 to 261.2 and 46 average annual cases over 2015-2019.
- CI*Rank⋔ : 6 (1, 53)
- Recent Trend : The trend is stable
because the trend is 0.7 with a 95% confidence interval from -0.7 to 2.1.
Kern County7
- Rate : The incidence rate is 202.4 with a 95% confidence interval from 197.9 to 206.9 and 1,593 average annual cases over 2015-2019.
- CI*Rank⋔ : 34 (19, 43)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.1.
Kings County7
- Rate : The incidence rate is 188.0 with a 95% confidence interval from 177.5 to 198.9 and 245 average annual cases over 2015-2019.
- CI*Rank⋔ : 50 (29, 56)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.3.
Lake County7
- Rate : The incidence rate is 242.5 with a 95% confidence interval from 225.2 to 260.9 and 176 average annual cases over 2015-2019.
- CI*Rank⋔ : 1 (1, 14)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -0.3 to 0.8.
Lassen County7
- Rate : The incidence rate is 169.7 with a 95% confidence interval from 149.6 to 191.9 and 54 average annual cases over 2015-2019.
- CI*Rank⋔ : 56 (31, 57)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -1.3 to 1.7.
Los Angeles County7
- Rate : The incidence rate is 188.5 with a 95% confidence interval from 187.3 to 189.7 and 18,835 average annual cases over 2015-2019.
- CI*Rank⋔ : 48 (42, 53)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -0.8 to -0.6.
Madera County7
- Rate : The incidence rate is 197.2 with a 95% confidence interval from 186.8 to 208.0 and 283 average annual cases over 2015-2019.
- CI*Rank⋔ : 41 (14, 53)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.4.
Marin County7
- Rate : The incidence rate is 223.9 with a 95% confidence interval from 215.8 to 232.3 and 659 average annual cases over 2015-2019.
- CI*Rank⋔ : 7 (2, 19)
- Recent Trend : The trend is falling
because the trend is -0.4 with a 95% confidence interval from -0.7 to -0.2.
Mariposa County7
- Rate : The incidence rate is 176.1 with a 95% confidence interval from 149.0 to 207.4 and 40 average annual cases over 2015-2019.
- CI*Rank⋔ : 54 (9, 57)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -3.2 to -1.1.
Mendocino County7
- Rate : The incidence rate is 220.1 with a 95% confidence interval from 205.8 to 235.2 and 205 average annual cases over 2015-2019.
- CI*Rank⋔ : 9 (1, 38)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.5.
Merced County7
- Rate : The incidence rate is 187.1 with a 95% confidence interval from 179.3 to 195.3 and 438 average annual cases over 2015-2019.
- CI*Rank⋔ : 51 (36, 55)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.2.
Modoc County7
- Rate : The incidence rate is 196.6 with a 95% confidence interval from 153.9 to 248.2 and 18 average annual cases over 2015-2019.
- CI*Rank⋔ : 42 (1, 57)
- Recent Trend : The trend is stable
because the trend is -1.0 with a 95% confidence interval from -3.2 to 1.3.
Mono County7
- Rate : The incidence rate is 144.0 with a 95% confidence interval from 118.1 to 174.4 and 25 average annual cases over 2015-2019.
- CI*Rank⋔ : 57 (47, 57)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -2.2 to 2.1.
Monterey County7
- Rate : The incidence rate is 189.1 with a 95% confidence interval from 183.0 to 195.4 and 756 average annual cases over 2015-2019.
- CI*Rank⋔ : 47 (38, 54)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.2.
Napa County7
- Rate : The incidence rate is 198.7 with a 95% confidence interval from 188.2 to 209.7 and 292 average annual cases over 2015-2019.
- CI*Rank⋔ : 39 (13, 52)
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -2.8 to -0.8.
Nevada County7
- Rate : The incidence rate is 211.8 with a 95% confidence interval from 198.6 to 225.8 and 243 average annual cases over 2015-2019.
- CI*Rank⋔ : 17 (4, 44)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.2.
Orange County7
- Rate : The incidence rate is 200.1 with a 95% confidence interval from 197.9 to 202.4 and 6,459 average annual cases over 2015-2019.
- CI*Rank⋔ : 36 (29, 43)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.4.
Placer County7
- Rate : The incidence rate is 216.9 with a 95% confidence interval from 210.2 to 223.8 and 866 average annual cases over 2015-2019.
- CI*Rank⋔ : 12 (5, 27)
- Recent Trend : The trend is falling
because the trend is -0.4 with a 95% confidence interval from -0.6 to -0.1.
Plumas County7
- Rate : The incidence rate is 213.9 with a 95% confidence interval from 183.2 to 248.8 and 48 average annual cases over 2015-2019.
- CI*Rank⋔ : 15 (1, 55)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.7 to 0.8.
Riverside County7
- Rate : The incidence rate is 197.3 with a 95% confidence interval from 194.7 to 199.9 and 4,504 average annual cases over 2015-2019.
- CI*Rank⋔ : 40 (33, 46)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.3.
Sacramento County7
- Rate : The incidence rate is 209.3 with a 95% confidence interval from 205.9 to 212.6 and 3,165 average annual cases over 2015-2019.
- CI*Rank⋔ : 20 (13, 33)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.7.
San Benito County7
- Rate : The incidence rate is 185.0 with a 95% confidence interval from 169.7 to 201.4 and 112 average annual cases over 2015-2019.
- CI*Rank⋔ : 52 (21, 56)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.7.
San Bernardino County7
- Rate : The incidence rate is 203.1 with a 95% confidence interval from 200.3 to 206.0 and 4,122 average annual cases over 2015-2019.
- CI*Rank⋔ : 33 (23, 40)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.4 to 0.0.
San Diego County7
- Rate : The incidence rate is 205.6 with a 95% confidence interval from 203.3 to 207.9 and 6,644 average annual cases over 2015-2019.
- CI*Rank⋔ : 29 (19, 36)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -0.7 to 1.5.
San Francisco County7
- Rate : The incidence rate is 207.7 with a 95% confidence interval from 203.4 to 212.2 and 1,841 average annual cases over 2015-2019.
- CI*Rank⋔ : 24 (13, 37)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -0.9 to -0.5.
San Joaquin County7
- Rate : The incidence rate is 206.6 with a 95% confidence interval from 201.8 to 211.5 and 1,443 average annual cases over 2015-2019.
- CI*Rank⋔ : 26 (14, 39)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.2.
San Luis Obispo County7
- Rate : The incidence rate is 208.3 with a 95% confidence interval from 200.4 to 216.5 and 603 average annual cases over 2015-2019.
- CI*Rank⋔ : 21 (8, 42)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.6.
San Mateo County7
- Rate : The incidence rate is 204.0 with a 95% confidence interval from 199.5 to 208.6 and 1,635 average annual cases over 2015-2019.
- CI*Rank⋔ : 32 (17, 41)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -1.5 to 0.9.
Santa Barbara County7
- Rate : The incidence rate is 214.3 with a 95% confidence interval from 207.7 to 221.0 and 863 average annual cases over 2015-2019.
- CI*Rank⋔ : 14 (6, 32)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.5.
Santa Clara County7
- Rate : The incidence rate is 195.6 with a 95% confidence interval from 192.7 to 198.4 and 3,753 average annual cases over 2015-2019.
- CI*Rank⋔ : 43 (35, 47)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.3.
Santa Cruz County7
- Rate : The incidence rate is 219.9 with a 95% confidence interval from 211.8 to 228.2 and 623 average annual cases over 2015-2019.
- CI*Rank⋔ : 10 (4, 24)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.3.
Shasta County7
- Rate : The incidence rate is 237.7 with a 95% confidence interval from 227.3 to 248.5 and 455 average annual cases over 2015-2019.
- CI*Rank⋔ : 2 (1, 10)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.4.
Sierra County7
- Rate : The incidence rate is 195.4 with a 95% confidence interval from 128.9 to 289.9 and 8 average annual cases over 2015-2019.
- CI*Rank⋔ : 44 (1, 57)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -4.3 to 3.3.
Siskiyou County7
- Rate : The incidence rate is 177.7 with a 95% confidence interval from 159.7 to 197.4 and 90 average annual cases over 2015-2019.
- CI*Rank⋔ : 53 (24, 57)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.3.
Solano County7
- Rate : The incidence rate is 211.4 with a 95% confidence interval from 205.3 to 217.7 and 986 average annual cases over 2015-2019.
- CI*Rank⋔ : 18 (8, 36)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.6.
Sonoma County7
- Rate : The incidence rate is 208.1 with a 95% confidence interval from 202.4 to 214.0 and 1,134 average annual cases over 2015-2019.
- CI*Rank⋔ : 23 (11, 38)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.9 to -0.1.
Stanislaus County7
- Rate : The incidence rate is 211.9 with a 95% confidence interval from 206.1 to 217.8 and 1,076 average annual cases over 2015-2019.
- CI*Rank⋔ : 16 (9, 34)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.4.
Sutter County7
- Rate : The incidence rate is 201.8 with a 95% confidence interval from 188.6 to 215.6 and 187 average annual cases over 2015-2019.
- CI*Rank⋔ : 35 (8, 53)
- Recent Trend : The trend is rising
because the trend is 0.8 with a 95% confidence interval from 0.1 to 1.5.
Tehama County7
- Rate : The incidence rate is 221.3 with a 95% confidence interval from 204.8 to 238.9 and 150 average annual cases over 2015-2019.
- CI*Rank⋔ : 8 (1, 41)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.
Trinity County7
- Rate : The incidence rate is 211.4 with a 95% confidence interval from 176.6 to 252.1 and 35 average annual cases over 2015-2019.
- CI*Rank⋔ : 19 (1, 56)
- Recent Trend : The trend is stable
because the trend is 0.3 with a 95% confidence interval from -1.2 to 1.7.
Tulare County7
- Rate : The incidence rate is 188.3 with a 95% confidence interval from 182.1 to 194.5 and 743 average annual cases over 2015-2019.
- CI*Rank⋔ : 49 (39, 54)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.0.
Tuolumne County7
- Rate : The incidence rate is 199.1 with a 95% confidence interval from 182.0 to 217.5 and 125 average annual cases over 2015-2019.
- CI*Rank⋔ : 38 (6, 55)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.7.
Ventura County7
- Rate : The incidence rate is 206.5 with a 95% confidence interval from 202.1 to 211.0 and 1,804 average annual cases over 2015-2019.
- CI*Rank⋔ : 27 (14, 38)
- Recent Trend : The trend is falling
because the trend is -0.4 with a 95% confidence interval from -0.6 to -0.1.
Yolo County7
- Rate : The incidence rate is 207.6 with a 95% confidence interval from 198.2 to 217.3 and 387 average annual cases over 2015-2019.
- CI*Rank⋔ : 25 (8, 44)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.2.
Yuba County7
- Rate : The incidence rate is 233.4 with a 95% confidence interval from 217.2 to 250.6 and 164 average annual cases over 2015-2019.
- CI*Rank⋔ : 3 (1, 24)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.5.
- 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 06/02/2023 8:11 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.