## Interpretation of Incidence Rates Data

### Incidence Rate Report for California by County

Lung & Bronchus, 2009-2013

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Rate

**Explanation of Column Headers**

**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**

**Line by Line Interpretation of the Report**

#### California^{3,9}

- Rate : The incidence rate is 46.5 with a 95% confidence interval from 46.2 to 46.8 and 17,075 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -6.4 to -2.9.

#### US (SEER+NPCR)^{1,10}

- Rate : The incidence rate is 62.4 with a 95% confidence interval from 62.3 to 62.6 and 214,614 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.0 to -2.0.

#### Del Norte County^{7,9}

- Rate : The incidence rate is 78.4 with a 95% confidence interval from 65.2 to 93.6 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -14.6 with a 95% confidence interval from -39.3 to 20.2.

#### Lake County^{7,9}

- Rate : The incidence rate is 73.7 with a 95% confidence interval from 66.0 to 82.2 and 70 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.3 with a 95% confidence interval from -9.2 to 17.7.

#### Yuba County^{7,9}

- Rate : The incidence rate is 68.1 with a 95% confidence interval from 59.2 to 77.8 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.1 with a 95% confidence interval from -25.2 to 13.1.

#### Trinity County^{7,9}

- Rate : The incidence rate is 66.6 with a 95% confidence interval from 51.3 to 85.7 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -17.4 with a 95% confidence interval from -35.6 to 5.9.

#### Tehama County^{7,9}

- Rate : The incidence rate is 65.2 with a 95% confidence interval from 57.6 to 73.7 and 54 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -11.7 with a 95% confidence interval from -21.6 to -0.6.

#### Shasta County^{7,9}

- Rate : The incidence rate is 62.5 with a 95% confidence interval from 58.1 to 67.2 and 154 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -12.9 to 4.8.

#### Butte County^{7,9}

- Rate : The incidence rate is 61.4 with a 95% confidence interval from 57.3 to 65.8 and 169 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -12.3 to 4.2.

#### Glenn County^{7,9}

- Rate : The incidence rate is 61.2 with a 95% confidence interval from 49.5 to 74.9 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -14.4 to 17.3.

#### Lassen County^{7,9}

- Rate : The incidence rate is 60.9 with a 95% confidence interval from 48.9 to 75.0 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.2 with a 95% confidence interval from -26.6 to 12.4.

#### Siskiyou County^{7,9}

- Rate : The incidence rate is 60.5 with a 95% confidence interval from 52.5 to 69.6 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.7 with a 95% confidence interval from -14.3 to 3.8.

#### Amador County^{7,9}

- Rate : The incidence rate is 58.7 with a 95% confidence interval from 50.5 to 68.1 and 38 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -9.8 to 10.8.

#### Solano County^{7,9}

- Rate : The incidence rate is 58.1 with a 95% confidence interval from 54.8 to 61.6 and 246 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -8.1 to 1.9.

#### Tuolumne County^{7,9}

- Rate : The incidence rate is 58.0 with a 95% confidence interval from 51.0 to 65.7 and 52 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.5 with a 95% confidence interval from -22.8 to 8.3.

#### Stanislaus County^{7,9}

- Rate : The incidence rate is 57.4 with a 95% confidence interval from 54.4 to 60.6 and 273 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.5 with a 95% confidence interval from -12.9 to 0.3.

#### Sacramento County^{7,9}

- Rate : The incidence rate is 56.9 with a 95% confidence interval from 55.1 to 58.7 and 793 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -6.2 to 0.8.

#### Merced County^{7,9}

- Rate : The incidence rate is 56.9 with a 95% confidence interval from 52.3 to 61.7 and 120 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.0 with a 95% confidence interval from -10.2 to -3.7.

#### San Joaquin County^{7,9}

- Rate : The incidence rate is 56.8 with a 95% confidence interval from 54.1 to 59.6 and 353 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.9 with a 95% confidence interval from -12.8 to 1.6.

#### Humboldt County^{7,9}

- Rate : The incidence rate is 56.4 with a 95% confidence interval from 51.1 to 62.2 and 86 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -9.7 to 5.3.

#### Sutter County^{7,9}

- Rate : The incidence rate is 56.3 with a 95% confidence interval from 49.9 to 63.4 and 56 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.3 with a 95% confidence interval from -11.9 to 4.1.

#### Colusa County^{7,9}

- Rate : The incidence rate is 56.0 with a 95% confidence interval from 42.2 to 72.8 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -17.3 with a 95% confidence interval from -43.3 to 20.7.

#### Kern County^{7,9}

- Rate : The incidence rate is 55.7 with a 95% confidence interval from 53.2 to 58.4 and 371 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -6.8 to 0.5.

#### Mariposa County^{7,9}

- Rate : The incidence rate is 54.6 with a 95% confidence interval from 43.2 to 68.8 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.2 with a 95% confidence interval from -32.6 to 19.7.

#### Napa County^{7,9}

- Rate : The incidence rate is 53.3 with a 95% confidence interval from 48.5 to 58.6 and 92 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -9.8 with a 95% confidence interval from -15.3 to -4.1.

#### Calaveras County^{7,9}

- Rate : The incidence rate is 52.3 with a 95% confidence interval from 45.1 to 60.5 and 41 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.2 with a 95% confidence interval from -27.5 to 18.7.

#### Mendocino County^{7,9}

- Rate : The incidence rate is 52.2 with a 95% confidence interval from 46.3 to 58.6 and 62 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -10.7 to 3.2.

#### Madera County^{7,9}

- Rate : The incidence rate is 51.8 with a 95% confidence interval from 46.6 to 57.3 and 76 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.8 with a 95% confidence interval from -19.1 to 7.4.

#### Fresno County^{7,9}

- Rate : The incidence rate is 50.8 with a 95% confidence interval from 48.6 to 53.1 and 411 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -6.3 to 2.8.

#### El Dorado County^{7,9}

- Rate : The incidence rate is 50.0 with a 95% confidence interval from 45.9 to 54.3 and 116 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -11.0 to 4.1.

#### Placer County^{7,9}

- Rate : The incidence rate is 49.6 with a 95% confidence interval from 46.7 to 52.7 and 222 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -14.8 to 7.8.

#### San Bernardino County^{7,9}

- Rate : The incidence rate is 49.5 with a 95% confidence interval from 48.0 to 51.1 and 807 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.4 with a 95% confidence interval from -9.7 to -2.9.

#### Sonoma County^{7,9}

- Rate : The incidence rate is 49.5 with a 95% confidence interval from 46.9 to 52.2 and 288 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.0 with a 95% confidence interval from -9.1 to -4.8.

#### Contra Costa County^{7,8}

- Rate : The incidence rate is 49.2 with a 95% confidence interval from 47.4 to 51.1 and 554 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.6 to -1.0.

#### San Diego County^{7,9}

- Rate : The incidence rate is 49.0 with a 95% confidence interval from 47.9 to 50.1 and 1,485 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -5.4 to -1.6.

#### San Francisco County^{7,8}

- Rate : The incidence rate is 49.0 with a 95% confidence interval from 46.9 to 51.0 and 459 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.6 to -2.0.

#### Kings County^{7,9}

- Rate : The incidence rate is 48.8 with a 95% confidence interval from 43.0 to 55.0 and 54 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -17.1 to 12.0.

#### Tulare County^{7,9}

- Rate : The incidence rate is 47.9 with a 95% confidence interval from 44.8 to 51.3 and 174 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -11.2 with a 95% confidence interval from -16.5 to -5.5.

#### Nevada County^{7,9}

- Rate : The incidence rate is 47.3 with a 95% confidence interval from 42.5 to 52.6 and 75 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.3 with a 95% confidence interval from -18.3 to 9.8.

#### Riverside County^{7,9}

- Rate : The incidence rate is 47.2 with a 95% confidence interval from 45.9 to 48.5 and 1,031 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -8.4 to 2.0.

#### San Luis Obispo County^{7,9}

- Rate : The incidence rate is 46.9 with a 95% confidence interval from 43.6 to 50.3 and 161 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -15.8 to 11.4.

#### Alameda County^{7,8}

- Rate : The incidence rate is 46.0 with a 95% confidence interval from 44.5 to 47.6 and 687 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.5 to -1.8.

#### Inyo County^{7,9}

- Rate : The incidence rate is 45.7 with a 95% confidence interval from 35.2 to 58.8 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -15.5 with a 95% confidence interval from -28.7 to 0.3.

#### San Mateo County^{7,8}

- Rate : The incidence rate is 45.3 with a 95% confidence interval from 43.3 to 47.5 and 375 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.2 to -1.5.

#### Imperial County^{7,9}

- Rate : The incidence rate is 44.3 with a 95% confidence interval from 39.8 to 49.3 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -11.9 to 6.6.

#### Plumas County^{7,9}

- Rate : The incidence rate is 44.2 with a 95% confidence interval from 34.5 to 56.4 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -23.8 to 30.1.

#### Orange County^{7,9}

- Rate : The incidence rate is 44.1 with a 95% confidence interval from 43.0 to 45.2 and 1,326 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.6 with a 95% confidence interval from -10.3 to -2.7.

#### Modoc County^{7,9}

- Rate : The incidence rate is 43.7 with a 95% confidence interval from 29.4 to 63.8 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -19.5 with a 95% confidence interval from -41.4 to 10.6.

#### Monterey County^{7,9}

- Rate : The incidence rate is 42.6 with a 95% confidence interval from 39.7 to 45.7 and 163 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -12.2 to 3.1.

#### Yolo County^{7,9}

- Rate : The incidence rate is 42.3 with a 95% confidence interval from 38.0 to 47.0 and 74 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -16.1 to 15.6.

#### Santa Barbara County^{7,9}

- Rate : The incidence rate is 42.1 with a 95% confidence interval from 39.4 to 44.9 and 189 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -10.0 to 2.4.

#### Marin County^{7,8}

- Rate : The incidence rate is 41.6 with a 95% confidence interval from 38.5 to 44.8 and 145 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.2 to -1.1.

#### Ventura County^{7,9}

- Rate : The incidence rate is 41.5 with a 95% confidence interval from 39.5 to 43.6 and 344 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -5.3 to -1.8.

#### Santa Clara County^{7,9}

- Rate : The incidence rate is 41.1 with a 95% confidence interval from 39.7 to 42.5 and 705 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.8 to 2.9.

#### San Benito County^{7,9}

- Rate : The incidence rate is 40.2 with a 95% confidence interval from 32.2 to 49.5 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.3 with a 95% confidence interval from -26.7 to 2.5.

#### Los Angeles County^{7,9}

- Rate : The incidence rate is 39.9 with a 95% confidence interval from 39.3 to 40.5 and 3,701 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.7 with a 95% confidence interval from -7.0 to -4.5.

#### Santa Cruz County^{7,9}

- Rate : The incidence rate is 37.6 with a 95% confidence interval from 34.2 to 41.2 and 99 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -23.1 to 26.6.

#### Mono County^{7,9}

- Rate : The incidence rate is 24.6 with a 95% confidence interval from 13.6 to 40.8 and 3 average annual cases over 2009-2013.
- 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).

**Alpine County**

^{7,9}- 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).
- 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).

**Sierra County**

^{7,9}- 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).
- 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 10/28/2016 5:34 pm.

Data for the United States does not include data from Nevada

State Cancer Registries may provide more current or more local data.

† 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 1969-2014 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.

* 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: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2015 data submission and SEER November 2015 submission as published in

*United States Cancer Statistics*.

^{3}Source: SEER November 2015 submission. State Cancer Registry also receives funding from CDC's National Program of Cancer Registries.

^{7}Source: SEER November 2015 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 1969-2014 US Population Data File is used with SEER November 2015 data.

^{9}Source: Incidence data provided by the SEER Program. EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates 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. 1969-2014 US Population Data File is used with SEER November 2015 data.

^{10}Source: Incidence data provided by the National Program of Cancer Registries (NPCR). EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates 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 modified by NCI. The 1969-2014 US Population Data File is used with NPCR November 2015 data.

Please note that the data comes from different sources. Due to different years of data availablility, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

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.