Interpretation of Incidence Rates Data
Incidence Rate Report for California by County
Lung & Bronchus (All Stages^), 2015-2019
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Count
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 39.4 with a 95% confidence interval from 39.1 to 39.6 and 17,021 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -3.0 with a 95% confidence interval from -3.2 to -2.7.
US (SEER+NPCR)1
- Rate : The incidence rate is 56.3 with a 95% confidence interval from 56.2 to 56.4 and 223,216 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -2.6 with a 95% confidence interval from -3.5 to -1.8.
Los Angeles County7
- Rate : The incidence rate is 34.9 with a 95% confidence interval from 34.4 to 35.4 and 3,725 average annual cases over 2015-2019.
- CI*Rank⋔ : 50 (44, 54)
- Recent Trend : The trend is falling
because the trend is -3.2 with a 95% confidence interval from -5.3 to -1.1.
San Diego County7
- Rate : The incidence rate is 41.2 with a 95% confidence interval from 40.2 to 42.1 and 1,467 average annual cases over 2015-2019.
- CI*Rank⋔ : 27 (22, 36)
- Recent Trend : The trend is falling
because the trend is -2.5 with a 95% confidence interval from -2.7 to -2.2.
Orange County7
- Rate : The incidence rate is 38.1 with a 95% confidence interval from 37.2 to 39.0 and 1,373 average annual cases over 2015-2019.
- CI*Rank⋔ : 41 (33, 46)
- Recent Trend : The trend is stable
because the trend is -1.3 with a 95% confidence interval from -2.8 to 0.3.
Riverside County7
- Rate : The incidence rate is 40.0 with a 95% confidence interval from 38.9 to 41.1 and 1,066 average annual cases over 2015-2019.
- CI*Rank⋔ : 33 (25, 40)
- Recent Trend : The trend is falling
because the trend is -2.8 with a 95% confidence interval from -3.2 to -2.4.
Sacramento County7
- Rate : The incidence rate is 49.3 with a 95% confidence interval from 47.7 to 50.8 and 816 average annual cases over 2015-2019.
- CI*Rank⋔ : 14 (8, 20)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -2.5 to -1.9.
San Bernardino County7
- Rate : The incidence rate is 40.0 with a 95% confidence interval from 38.7 to 41.3 and 790 average annual cases over 2015-2019.
- CI*Rank⋔ : 34 (25, 41)
- Recent Trend : The trend is falling
because the trend is -3.1 with a 95% confidence interval from -3.4 to -2.8.
Santa Clara County7
- Rate : The incidence rate is 35.5 with a 95% confidence interval from 34.4 to 36.7 and 727 average annual cases over 2015-2019.
- CI*Rank⋔ : 48 (41, 54)
- Recent Trend : The trend is falling
because the trend is -5.5 with a 95% confidence interval from -9.2 to -1.5.
Alameda County7
- Rate : The incidence rate is 38.6 with a 95% confidence interval from 37.3 to 39.9 and 689 average annual cases over 2015-2019.
- CI*Rank⋔ : 40 (29, 46)
- Recent Trend : The trend is falling
because the trend is -2.5 with a 95% confidence interval from -2.8 to -2.3.
Contra Costa County7
- Rate : The incidence rate is 39.1 with a 95% confidence interval from 37.6 to 40.6 and 535 average annual cases over 2015-2019.
- CI*Rank⋔ : 38 (26, 45)
- Recent Trend : The trend is falling
because the trend is -3.4 with a 95% confidence interval from -4.3 to -2.4.
San Francisco County7
- Rate : The incidence rate is 42.3 with a 95% confidence interval from 40.5 to 44.1 and 446 average annual cases over 2015-2019.
- CI*Rank⋔ : 24 (19, 35)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -2.1 to -1.7.
Fresno County7
- Rate : The incidence rate is 40.9 with a 95% confidence interval from 39.0 to 42.8 and 380 average annual cases over 2015-2019.
- CI*Rank⋔ : 29 (21, 41)
- Recent Trend : The trend is falling
because the trend is -3.6 with a 95% confidence interval from -4.9 to -2.3.
Ventura County7
- Rate : The incidence rate is 37.8 with a 95% confidence interval from 36.1 to 39.5 and 379 average annual cases over 2015-2019.
- CI*Rank⋔ : 42 (29, 50)
- Recent Trend : The trend is falling
because the trend is -2.5 with a 95% confidence interval from -2.9 to -2.1.
San Mateo County7
- Rate : The incidence rate is 37.1 with a 95% confidence interval from 35.4 to 38.9 and 351 average annual cases over 2015-2019.
- CI*Rank⋔ : 45 (32, 52)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -2.5 to -2.0.
Kern County7
- Rate : The incidence rate is 44.7 with a 95% confidence interval from 42.5 to 46.9 and 346 average annual cases over 2015-2019.
- CI*Rank⋔ : 21 (15, 29)
- Recent Trend : The trend is falling
because the trend is -2.8 with a 95% confidence interval from -3.3 to -2.4.
San Joaquin County7
- Rate : The incidence rate is 45.9 with a 95% confidence interval from 43.7 to 48.2 and 343 average annual cases over 2015-2019.
- CI*Rank⋔ : 19 (12, 26)
- Recent Trend : The trend is falling
because the trend is -2.8 with a 95% confidence interval from -3.4 to -2.3.
Stanislaus County7
- Rate : The incidence rate is 48.5 with a 95% confidence interval from 45.9 to 51.2 and 268 average annual cases over 2015-2019.
- CI*Rank⋔ : 17 (7, 23)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -2.7 to -1.5.
Sonoma County7
- Rate : The incidence rate is 37.5 with a 95% confidence interval from 35.4 to 39.6 and 264 average annual cases over 2015-2019.
- CI*Rank⋔ : 43 (29, 52)
- Recent Trend : The trend is falling
because the trend is -3.2 with a 95% confidence interval from -3.9 to -2.5.
Solano County7
- Rate : The incidence rate is 48.9 with a 95% confidence interval from 46.2 to 51.7 and 257 average annual cases over 2015-2019.
- CI*Rank⋔ : 16 (7, 22)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.6.
Placer County7
- Rate : The incidence rate is 40.0 with a 95% confidence interval from 37.6 to 42.4 and 221 average annual cases over 2015-2019.
- CI*Rank⋔ : 35 (22, 46)
- Recent Trend : The trend is falling
because the trend is -2.9 with a 95% confidence interval from -3.6 to -2.3.
Santa Barbara County7
- Rate : The incidence rate is 36.6 with a 95% confidence interval from 34.3 to 39.1 and 188 average annual cases over 2015-2019.
- CI*Rank⋔ : 46 (30, 54)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -2.7 to -1.8.
San Luis Obispo County7
- Rate : The incidence rate is 41.6 with a 95% confidence interval from 38.8 to 44.5 and 171 average annual cases over 2015-2019.
- CI*Rank⋔ : 26 (18, 44)
- Recent Trend : The trend is falling
because the trend is -2.4 with a 95% confidence interval from -3.1 to -1.7.
Butte County7
- Rate : The incidence rate is 54.1 with a 95% confidence interval from 50.4 to 58.0 and 167 average annual cases over 2015-2019.
- CI*Rank⋔ : 7 (3, 16)
- Recent Trend : The trend is falling
because the trend is -2.4 with a 95% confidence interval from -2.9 to -1.9.
Shasta County7
- Rate : The incidence rate is 59.7 with a 95% confidence interval from 55.6 to 64.1 and 165 average annual cases over 2015-2019.
- CI*Rank⋔ : 3 (2, 9)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -3.1 to -1.6.
Tulare County7
- Rate : The incidence rate is 35.5 with a 95% confidence interval from 33.0 to 38.2 and 148 average annual cases over 2015-2019.
- CI*Rank⋔ : 49 (33, 55)
- Recent Trend : The trend is falling
because the trend is -3.2 with a 95% confidence interval from -4.1 to -2.3.
Monterey County7
- Rate : The incidence rate is 32.9 with a 95% confidence interval from 30.5 to 35.4 and 148 average annual cases over 2015-2019.
- CI*Rank⋔ : 55 (43, 56)
- Recent Trend : The trend is falling
because the trend is -3.3 with a 95% confidence interval from -3.9 to -2.7.
Marin County7
- Rate : The incidence rate is 33.2 with a 95% confidence interval from 30.7 to 35.9 and 139 average annual cases over 2015-2019.
- CI*Rank⋔ : 54 (43, 56)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -2.7 to -1.7.
Santa Cruz County7
- Rate : The incidence rate is 35.7 with a 95% confidence interval from 32.7 to 38.8 and 117 average annual cases over 2015-2019.
- CI*Rank⋔ : 47 (30, 55)
- Recent Trend : The trend is falling
because the trend is -2.9 with a 95% confidence interval from -3.9 to -1.9.
El Dorado County7
- Rate : The incidence rate is 37.2 with a 95% confidence interval from 34.0 to 40.6 and 109 average annual cases over 2015-2019.
- CI*Rank⋔ : 44 (25, 54)
- Recent Trend : The trend is falling
because the trend is -8.8 with a 95% confidence interval from -13.4 to -4.1.
Merced County7
- Rate : The incidence rate is 43.7 with a 95% confidence interval from 40.0 to 47.7 and 104 average annual cases over 2015-2019.
- CI*Rank⋔ : 23 (12, 41)
- Recent Trend : The trend is falling
because the trend is -4.7 with a 95% confidence interval from -6.4 to -2.9.
Humboldt County7
- Rate : The incidence rate is 52.5 with a 95% confidence interval from 47.7 to 57.7 and 94 average annual cases over 2015-2019.
- CI*Rank⋔ : 9 (3, 22)
- Recent Trend : The trend is falling
because the trend is -2.5 with a 95% confidence interval from -3.4 to -1.7.
Yolo County7
- Rate : The incidence rate is 42.0 with a 95% confidence interval from 38.1 to 46.3 and 85 average annual cases over 2015-2019.
- CI*Rank⋔ : 25 (14, 46)
- Recent Trend : The trend is falling
because the trend is -3.0 with a 95% confidence interval from -4.2 to -1.8.
Napa County7
- Rate : The incidence rate is 40.3 with a 95% confidence interval from 36.4 to 44.5 and 80 average annual cases over 2015-2019.
- CI*Rank⋔ : 31 (17, 52)
- Recent Trend : The trend is falling
because the trend is -4.9 with a 95% confidence interval from -6.3 to -3.4.
Lake County7
- Rate : The incidence rate is 66.7 with a 95% confidence interval from 59.7 to 74.4 and 72 average annual cases over 2015-2019.
- CI*Rank⋔ : 2 (1, 6)
- Recent Trend : The trend is falling
because the trend is -2.7 with a 95% confidence interval from -3.6 to -1.9.
Nevada County7
- Rate : The incidence rate is 34.8 with a 95% confidence interval from 30.9 to 39.1 and 65 average annual cases over 2015-2019.
- CI*Rank⋔ : 51 (29, 56)
- Recent Trend : The trend is falling
because the trend is -3.7 with a 95% confidence interval from -4.6 to -2.9.
Madera County7
- Rate : The incidence rate is 38.8 with a 95% confidence interval from 34.6 to 43.4 and 64 average annual cases over 2015-2019.
- CI*Rank⋔ : 39 (19, 54)
- Recent Trend : The trend is falling
because the trend is -2.8 with a 95% confidence interval from -3.9 to -1.6.
Mendocino County7
- Rate : The incidence rate is 44.2 with a 95% confidence interval from 39.1 to 49.8 and 60 average annual cases over 2015-2019.
- CI*Rank⋔ : 22 (9, 46)
- Recent Trend : The trend is falling
because the trend is -3.0 with a 95% confidence interval from -4.1 to -1.9.
Imperial County7
- Rate : The incidence rate is 33.3 with a 95% confidence interval from 29.6 to 37.3 and 59 average annual cases over 2015-2019.
- CI*Rank⋔ : 53 (34, 56)
- Recent Trend : The trend is falling
because the trend is -3.0 with a 95% confidence interval from -4.1 to -1.9.
Sutter County7
- Rate : The incidence rate is 51.0 with a 95% confidence interval from 45.3 to 57.3 and 59 average annual cases over 2015-2019.
- CI*Rank⋔ : 11 (3, 25)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.5.
Yuba County7
- Rate : The incidence rate is 72.7 with a 95% confidence interval from 64.1 to 82.1 and 55 average annual cases over 2015-2019.
- CI*Rank⋔ : 1 (1, 4)
- Recent Trend : The trend is falling
because the trend is -2.4 with a 95% confidence interval from -3.8 to -1.0.
Tehama County7
- Rate : The incidence rate is 54.4 with a 95% confidence interval from 47.8 to 61.6 and 51 average annual cases over 2015-2019.
- CI*Rank⋔ : 6 (2, 22)
- Recent Trend : The trend is falling
because the trend is -4.0 with a 95% confidence interval from -5.2 to -2.9.
Tuolumne County7
- Rate : The incidence rate is 49.4 with a 95% confidence interval from 43.3 to 56.4 and 50 average annual cases over 2015-2019.
- CI*Rank⋔ : 13 (4, 32)
- Recent Trend : The trend is falling
because the trend is -3.4 with a 95% confidence interval from -4.6 to -2.1.
Kings County7
- Rate : The incidence rate is 40.2 with a 95% confidence interval from 35.3 to 45.6 and 50 average annual cases over 2015-2019.
- CI*Rank⋔ : 32 (16, 54)
- Recent Trend : The trend is falling
because the trend is -2.4 with a 95% confidence interval from -3.9 to -1.0.
Calaveras County7
- Rate : The incidence rate is 47.0 with a 95% confidence interval from 40.6 to 54.4 and 42 average annual cases over 2015-2019.
- CI*Rank⋔ : 18 (4, 46)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -2.9 to -0.8.
Amador County7
- Rate : The incidence rate is 51.4 with a 95% confidence interval from 44.3 to 59.8 and 39 average annual cases over 2015-2019.
- CI*Rank⋔ : 10 (3, 31)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.8 to -0.7.
Siskiyou County7
- Rate : The incidence rate is 50.1 with a 95% confidence interval from 43.0 to 58.3 and 38 average annual cases over 2015-2019.
- CI*Rank⋔ : 12 (3, 38)
- Recent Trend : The trend is falling
because the trend is -2.6 with a 95% confidence interval from -3.9 to -1.3.
San Benito County7
- Rate : The incidence rate is 34.4 with a 95% confidence interval from 28.0 to 41.9 and 21 average annual cases over 2015-2019.
- CI*Rank⋔ : 52 (20, 56)
- Recent Trend : The trend is stable
because the trend is -1.9 with a 95% confidence interval from -3.9 to 0.2.
Del Norte County7
- Rate : The incidence rate is 54.0 with a 95% confidence interval from 43.9 to 66.0 and 21 average annual cases over 2015-2019.
- CI*Rank⋔ : 8 (1, 41)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -4.2 to -0.4.
Glenn County7
- Rate : The incidence rate is 54.4 with a 95% confidence interval from 43.7 to 67.1 and 18 average annual cases over 2015-2019.
- CI*Rank⋔ : 5 (1, 42)
- Recent Trend : The trend is stable
because the trend is -1.0 with a 95% confidence interval from -3.1 to 1.1.
Plumas County7
- Rate : The incidence rate is 45.8 with a 95% confidence interval from 36.4 to 57.8 and 18 average annual cases over 2015-2019.
- CI*Rank⋔ : 20 (3, 55)
- Recent Trend : The trend is falling
because the trend is -4.4 with a 95% confidence interval from -6.2 to -2.5.
Trinity County7
- Rate : The incidence rate is 59.7 with a 95% confidence interval from 46.4 to 77.0 and 15 average annual cases over 2015-2019.
- CI*Rank⋔ : 4 (1, 37)
- Recent Trend : The trend is falling
because the trend is -3.3 with a 95% confidence interval from -5.7 to -0.9.
Mariposa County7
- Rate : The incidence rate is 41.0 with a 95% confidence interval from 31.6 to 53.3 and 14 average annual cases over 2015-2019.
- CI*Rank⋔ : 28 (5, 56)
- Recent Trend : The trend is falling
because the trend is -3.8 with a 95% confidence interval from -5.4 to -2.2.
Lassen County7
- Rate : The incidence rate is 39.1 with a 95% confidence interval from 29.9 to 50.2 and 13 average annual cases over 2015-2019.
- CI*Rank⋔ : 37 (6, 56)
- Recent Trend : The trend is stable
because the trend is -1.3 with a 95% confidence interval from -4.1 to 1.6.
Inyo County7
- Rate : The incidence rate is 40.3 with a 95% confidence interval from 30.8 to 52.5 and 13 average annual cases over 2015-2019.
- CI*Rank⋔ : 30 (5, 56)
- Recent Trend : The trend is falling
because the trend is -4.1 with a 95% confidence interval from -6.5 to -1.7.
Colusa County7
- Rate : The incidence rate is 49.2 with a 95% confidence interval from 37.1 to 64.1 and 11 average annual cases over 2015-2019.
- CI*Rank⋔ : 15 (1, 55)
- Recent Trend : The trend is stable
because the trend is -1.8 with a 95% confidence interval from -4.5 to 0.9.
Modoc County7
- Rate : The incidence rate is 39.9 with a 95% confidence interval from 27.3 to 58.0 and 7 average annual cases over 2015-2019.
- CI*Rank⋔ : 36 (3, 56)
- Recent Trend : The trend is stable
because the trend is -2.2 with a 95% confidence interval from -5.2 to 0.9.
Mono County7
- Rate : The incidence rate is 23.7 with a 95% confidence interval from 14.0 to 37.7 and 4 average annual cases over 2015-2019.
- CI*Rank⋔ : 56 (25, 56)
- Recent Trend : The trend is falling
because the trend is -4.3 with a 95% confidence interval from -8.2 to -0.3.
- 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).
- 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 05/30/2023 9:38 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.