Interpretation of Incidence Rates Data
Incidence Rate Report for California by County
All Cancer Sites (All Stages^), 2016-2020
All Races (includes Hispanic), Male, 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 419.9 with a 95% confidence interval from 418.7 to 421.2 and 86,184 average annual cases over 2016-2020.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.2.
US (SEER+NPCR)1
- Rate : The incidence rate is 480.6 with a 95% confidence interval from 480.1 to 481.1 and 863,255 average annual cases over 2016-2020.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -0.8 to 0.0.
Sutter County7
- Rate : The incidence rate is 454.3 with a 95% confidence interval from 428.6 to 481.1 and 240 average annual cases over 2016-2020.
- CI*Rank⋔ : 17 (5, 37)
- Recent Trend : The trend is rising
because the trend is 5.6 with a 95% confidence interval from 0.1 to 8.9.
Santa Cruz County7
- Rate : The incidence rate is 482.7 with a 95% confidence interval from 466.8 to 499.1 and 767 average annual cases over 2016-2020.
- CI*Rank⋔ : 8 (3, 15)
- Recent Trend : The trend is rising
because the trend is 4.0 with a 95% confidence interval from 2.1 to 6.5.
San Luis Obispo County7
- Rate : The incidence rate is 486.8 with a 95% confidence interval from 472.5 to 501.6 and 932 average annual cases over 2016-2020.
- CI*Rank⋔ : 7 (3, 14)
- Recent Trend : The trend is stable
because the trend is 1.7 with a 95% confidence interval from -0.3 to 4.0.
San Diego County7
- Rate : The incidence rate is 449.9 with a 95% confidence interval from 445.3 to 454.5 and 7,681 average annual cases over 2016-2020.
- CI*Rank⋔ : 18 (14, 23)
- Recent Trend : The trend is stable
because the trend is 0.9 with a 95% confidence interval from -0.2 to 2.3.
Orange County7
- Rate : The incidence rate is 431.3 with a 95% confidence interval from 426.8 to 435.8 and 7,345 average annual cases over 2016-2020.
- CI*Rank⋔ : 26 (21, 33)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -0.9 to 1.3.
Glenn County7
- Rate : The incidence rate is 569.9 with a 95% confidence interval from 517.7 to 626.0 and 92 average annual cases over 2016-2020.
- CI*Rank⋔ : 1 (1, 6)
- Recent Trend : The trend is stable
because the trend is 0.3 with a 95% confidence interval from -0.9 to 1.6.
Kern County7
- Rate : The incidence rate is 441.2 with a 95% confidence interval from 431.6 to 451.0 and 1,723 average annual cases over 2016-2020.
- CI*Rank⋔ : 21 (15, 31)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.8 to 2.1.
Solano County7
- Rate : The incidence rate is 432.8 with a 95% confidence interval from 420.9 to 444.9 and 1,073 average annual cases over 2016-2020.
- CI*Rank⋔ : 24 (17, 39)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -2.7 to 2.1.
Ventura County7
- Rate : The incidence rate is 454.5 with a 95% confidence interval from 445.7 to 463.3 and 2,157 average annual cases over 2016-2020.
- CI*Rank⋔ : 16 (11, 22)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -1.0 to 1.4.
San Joaquin County7
- Rate : The incidence rate is 436.6 with a 95% confidence interval from 426.6 to 446.6 and 1,551 average annual cases over 2016-2020.
- CI*Rank⋔ : 23 (16, 34)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -2.0 to 1.9.
Colusa County7
- Rate : The incidence rate is 393.1 with a 95% confidence interval from 343.0 to 448.5 and 47 average annual cases over 2016-2020.
- CI*Rank⋔ : 45 (8, 56)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.8 to 1.1.
Santa Clara County7
- Rate : The incidence rate is 397.6 with a 95% confidence interval from 391.9 to 403.3 and 3,919 average annual cases over 2016-2020.
- CI*Rank⋔ : 44 (38, 49)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.6 to 1.0.
Yuba County7
- Rate : The incidence rate is 500.4 with a 95% confidence interval from 467.7 to 534.6 and 189 average annual cases over 2016-2020.
- CI*Rank⋔ : 4 (1, 18)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.3.
Madera County7
- Rate : The incidence rate is 416.3 with a 95% confidence interval from 396.1 to 437.3 and 332 average annual cases over 2016-2020.
- CI*Rank⋔ : 37 (19, 50)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.1.
Santa Barbara County7
- Rate : The incidence rate is 468.1 with a 95% confidence interval from 455.7 to 480.8 and 1,115 average annual cases over 2016-2020.
- CI*Rank⋔ : 13 (5, 19)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.
Calaveras County7
- Rate : The incidence rate is 423.6 with a 95% confidence interval from 393.8 to 455.6 and 179 average annual cases over 2016-2020.
- CI*Rank⋔ : 30 (10, 51)
- Recent Trend : The trend is stable
because the trend is -0.9 with a 95% confidence interval from -1.7 to 0.0.
Amador County7
- Rate : The incidence rate is 486.9 with a 95% confidence interval from 453.6 to 522.5 and 173 average annual cases over 2016-2020.
- CI*Rank⋔ : 6 (1, 24)
- Recent Trend : The trend is stable
because the trend is -1.0 with a 95% confidence interval from -1.9 to 0.0.
Placer County7
- Rate : The incidence rate is 470.4 with a 95% confidence interval from 458.2 to 482.7 and 1,191 average annual cases over 2016-2020.
- CI*Rank⋔ : 11 (5, 18)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.7.
Shasta County7
- Rate : The incidence rate is 519.8 with a 95% confidence interval from 501.3 to 539.0 and 641 average annual cases over 2016-2020.
- CI*Rank⋔ : 2 (1, 6)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.4.
Tehama County7
- Rate : The incidence rate is 487.5 with a 95% confidence interval from 457.7 to 518.8 and 210 average annual cases over 2016-2020.
- CI*Rank⋔ : 5 (1, 21)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.2.
Butte County7
- Rate : The incidence rate is 510.9 with a 95% confidence interval from 493.4 to 528.8 and 692 average annual cases over 2016-2020.
- CI*Rank⋔ : 3 (1, 8)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.7.
Humboldt County7
- Rate : The incidence rate is 475.7 with a 95% confidence interval from 454.1 to 498.1 and 398 average annual cases over 2016-2020.
- CI*Rank⋔ : 10 (3, 21)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.6.
Lake County7
- Rate : The incidence rate is 480.0 with a 95% confidence interval from 451.4 to 510.1 and 238 average annual cases over 2016-2020.
- CI*Rank⋔ : 9 (2, 25)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.3.
Mono County7
- Rate : The incidence rate is 270.8 with a 95% confidence interval from 224.5 to 324.6 and 27 average annual cases over 2016-2020.
- CI*Rank⋔ : 57 (53, 57)
- Recent Trend : The trend is stable
because the trend is -1.2 with a 95% confidence interval from -4.3 to 2.5.
Trinity County7
- Rate : The incidence rate is 414.9 with a 95% confidence interval from 358.5 to 479.4 and 49 average annual cases over 2016-2020.
- CI*Rank⋔ : 38 (4, 55)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.1.
Fresno County7
- Rate : The incidence rate is 418.5 with a 95% confidence interval from 409.9 to 427.3 and 1,874 average annual cases over 2016-2020.
- CI*Rank⋔ : 35 (25, 43)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.6 to -0.9.
Inyo County7
- Rate : The incidence rate is 383.0 with a 95% confidence interval from 336.6 to 434.9 and 55 average annual cases over 2016-2020.
- CI*Rank⋔ : 51 (13, 56)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -2.6 to -0.2.
Lassen County7
- Rate : The incidence rate is 343.7 with a 95% confidence interval from 305.7 to 385.3 and 64 average annual cases over 2016-2020.
- CI*Rank⋔ : 54 (40, 57)
- Recent Trend : The trend is stable
because the trend is -1.3 with a 95% confidence interval from -9.8 to 0.0.
Riverside County7
- Rate : The incidence rate is 422.5 with a 95% confidence interval from 417.4 to 427.6 and 5,460 average annual cases over 2016-2020.
- CI*Rank⋔ : 31 (26, 40)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.5 to -1.2.
Modoc County7
- Rate : The incidence rate is 326.9 with a 95% confidence interval from 265.5 to 400.1 and 24 average annual cases over 2016-2020.
- CI*Rank⋔ : 56 (23, 57)
- Recent Trend : The trend is stable
because the trend is -1.4 with a 95% confidence interval from -3.1 to 0.2.
Yolo County7
- Rate : The incidence rate is 398.6 with a 95% confidence interval from 380.8 to 417.0 and 392 average annual cases over 2016-2020.
- CI*Rank⋔ : 43 (29, 53)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -2.0 to -0.8.
Los Angeles County7
- Rate : The incidence rate is 386.2 with a 95% confidence interval from 383.7 to 388.7 and 19,340 average annual cases over 2016-2020.
- CI*Rank⋔ : 50 (44, 53)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.4.
Mariposa County7
- Rate : The incidence rate is 413.8 with a 95% confidence interval from 366.9 to 466.3 and 67 average annual cases over 2016-2020.
- CI*Rank⋔ : 39 (5, 55)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.5.
Stanislaus County7
- Rate : The incidence rate is 446.3 with a 95% confidence interval from 434.7 to 458.2 and 1,167 average annual cases over 2016-2020.
- CI*Rank⋔ : 19 (12, 30)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -3.5 to -0.9.
El Dorado County7
- Rate : The incidence rate is 436.9 with a 95% confidence interval from 420.9 to 453.4 and 623 average annual cases over 2016-2020.
- CI*Rank⋔ : 22 (13, 39)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.3 to -0.8.
Kings County7
- Rate : The incidence rate is 387.0 with a 95% confidence interval from 365.3 to 409.7 and 254 average annual cases over 2016-2020.
- CI*Rank⋔ : 49 (33, 55)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.3 to -0.9.
Merced County7
- Rate : The incidence rate is 412.1 with a 95% confidence interval from 395.5 to 429.1 and 489 average annual cases over 2016-2020.
- CI*Rank⋔ : 40 (22, 49)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.1.
Tulare County7
- Rate : The incidence rate is 389.0 with a 95% confidence interval from 376.6 to 401.7 and 780 average annual cases over 2016-2020.
- CI*Rank⋔ : 47 (39, 54)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -1.9 to -1.2.
Nevada County7
- Rate : The incidence rate is 417.5 with a 95% confidence interval from 396.7 to 439.3 and 357 average annual cases over 2016-2020.
- CI*Rank⋔ : 36 (18, 50)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -2.4 to -1.3.
San Bernardino County7
- Rate : The incidence rate is 424.3 with a 95% confidence interval from 418.3 to 430.3 and 4,158 average annual cases over 2016-2020.
- CI*Rank⋔ : 29 (24, 40)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -3.2 to -1.5.
Sonoma County7
- Rate : The incidence rate is 454.6 with a 95% confidence interval from 443.8 to 465.5 and 1,460 average annual cases over 2016-2020.
- CI*Rank⋔ : 15 (10, 24)
- Recent Trend : The trend is falling
because the trend is -2.0 with a 95% confidence interval from -3.0 to -1.5.
Marin County7
- Rate : The incidence rate is 469.7 with a 95% confidence interval from 455.4 to 484.3 and 881 average annual cases over 2016-2020.
- CI*Rank⋔ : 12 (5, 20)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -7.0 to -1.1.
Del Norte County7
- Rate : The incidence rate is 367.2 with a 95% confidence interval from 327.7 to 410.5 and 67 average annual cases over 2016-2020.
- CI*Rank⋔ : 53 (27, 56)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -3.9 to -0.5.
Mendocino County7
- Rate : The incidence rate is 458.1 with a 95% confidence interval from 433.2 to 484.1 and 284 average annual cases over 2016-2020.
- CI*Rank⋔ : 14 (4, 35)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -3.5 to -1.4.
Monterey County7
- Rate : The incidence rate is 409.3 with a 95% confidence interval from 397.1 to 421.7 and 891 average annual cases over 2016-2020.
- CI*Rank⋔ : 41 (27, 48)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -4.5 to -1.6.
Sacramento County7
- Rate : The incidence rate is 431.9 with a 95% confidence interval from 425.2 to 438.7 and 3,339 average annual cases over 2016-2020.
- CI*Rank⋔ : 25 (20, 35)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -4.9 to -1.6.
San Benito County7
- Rate : The incidence rate is 443.3 with a 95% confidence interval from 409.3 to 479.4 and 135 average annual cases over 2016-2020.
- CI*Rank⋔ : 20 (5, 48)
- Recent Trend : The trend is stable
because the trend is -2.2 with a 95% confidence interval from -10.9 to 0.6.
Alameda County7
- Rate : The incidence rate is 388.2 with a 95% confidence interval from 382.1 to 394.3 and 3,301 average annual cases over 2016-2020.
- CI*Rank⋔ : 48 (42, 53)
- Recent Trend : The trend is falling
because the trend is -2.4 with a 95% confidence interval from -2.7 to -2.0.
Contra Costa County7
- Rate : The incidence rate is 427.7 with a 95% confidence interval from 420.4 to 435.1 and 2,739 average annual cases over 2016-2020.
- CI*Rank⋔ : 28 (21, 38)
- Recent Trend : The trend is falling
because the trend is -2.5 with a 95% confidence interval from -3.2 to -1.9.
San Mateo County7
- Rate : The incidence rate is 420.6 with a 95% confidence interval from 411.8 to 429.4 and 1,824 average annual cases over 2016-2020.
- CI*Rank⋔ : 34 (24, 42)
- Recent Trend : The trend is stable
because the trend is -2.5 with a 95% confidence interval from -5.1 to 0.1.
Plumas County7
- Rate : The incidence rate is 389.3 with a 95% confidence interval from 344.2 to 439.9 and 68 average annual cases over 2016-2020.
- CI*Rank⋔ : 46 (12, 56)
- Recent Trend : The trend is stable
because the trend is -2.6 with a 95% confidence interval from -13.3 to 0.7.
San Francisco County7
- Rate : The incidence rate is 401.8 with a 95% confidence interval from 393.9 to 410.0 and 2,022 average annual cases over 2016-2020.
- CI*Rank⋔ : 42 (36, 49)
- Recent Trend : The trend is falling
because the trend is -2.6 with a 95% confidence interval from -3.6 to -1.5.
Tuolumne County7
- Rate : The incidence rate is 420.8 with a 95% confidence interval from 393.6 to 449.7 and 200 average annual cases over 2016-2020.
- CI*Rank⋔ : 33 (14, 51)
- Recent Trend : The trend is falling
because the trend is -2.9 with a 95% confidence interval from -3.9 to -1.8.
Imperial County7
- Rate : The incidence rate is 421.6 with a 95% confidence interval from 402.1 to 441.7 and 363 average annual cases over 2016-2020.
- CI*Rank⋔ : 32 (17, 47)
- Recent Trend : The trend is falling
because the trend is -3.0 with a 95% confidence interval from -5.7 to -1.0.
Sierra County7
- Rate : The incidence rate is 330.5 with a 95% confidence interval from 237.1 to 460.5 and 10 average annual cases over 2016-2020.
- CI*Rank⋔ : 55 (3, 57)
- Recent Trend : The trend is stable
because the trend is -3.6 with a 95% confidence interval from -35.5 to 10.2.
Napa County7
- Rate : The incidence rate is 429.9 with a 95% confidence interval from 410.8 to 449.8 and 395 average annual cases over 2016-2020.
- CI*Rank⋔ : 27 (14, 44)
- Recent Trend : The trend is falling
because the trend is -3.7 with a 95% confidence interval from -5.1 to -2.8.
Siskiyou County7
- Rate : The incidence rate is 379.6 with a 95% confidence interval from 349.4 to 412.0 and 136 average annual cases over 2016-2020.
- CI*Rank⋔ : 52 (27, 56)
- Recent Trend : The trend is falling
because the trend is -3.8 with a 95% confidence interval from -5.7 to -2.7.
- 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 11/30/2023 4:57 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 - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2022 submission.
7 Source: SEER November 2022 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 2022 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.