Interpretation of Rate/Trend Comparison by State/County Data
Death Rate/Trend Comparison by State/County, 2016-2020
Alaska versus United States
All Races, Both Sexes
Sorted by priority index
Explanation of Column HeadersCancer Site and Sex - The site and sex combination for this comparison.
Priority Index 1 - The priority index is based upon the direction of the trend and the rate comparison. An index of 1 is the highest priority - that trend is rising and the rate is already higher. An index of 9 is the lowest priority - the trend is falling and the rate is already lower.
Recent Trends - This is an interpretation of the AAPC:
- 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.
AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
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
Ovary (Female)
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.5 to -1.2.
- Borough or census area Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 5.0 with a 95% confidence interval from 4.0 to 6.2 and 18 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.8
Breast (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.2.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 17.1 with a 95% confidence interval from 15.2 to 19.2 and 63 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.9
Colon & Rectum (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.9 to -1.4.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 16.0 with a 95% confidence interval from 14.0 to 18.3 and 53 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.0
Lung & Bronchus (Female)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -5.7 with a 95% confidence interval from -7.7 to -3.5.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 29.1 with a 95% confidence interval from 26.5 to 31.9 and 99 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.0
Lung & Bronchus (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -7.0 with a 95% confidence interval from -9.8 to -4.1.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 36.8 with a 95% confidence interval from 33.6 to 40.1 and 123 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.9
Prostate (Male)
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.0 to -1.3.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 19.6 with a 95% confidence interval from 17.0 to 22.3 and 49 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.0
Bladder (Male)
- Priority Index(1) : The priority index is 7.
- Recent Trend(2) : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.8 to 0.5.
- Borough or census area Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 5.7 with a 95% confidence interval from 4.4 to 7.2 and 16 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.8
Brain & ONS (Female)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.2 to 3.4.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 3.8 with a 95% confidence interval from 2.9 to 4.9 and 13 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.1
Brain & ONS (Male)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.3 to 1.4.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 5.1 with a 95% confidence interval from 4.0 to 6.3 and 20 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.9
Esophagus (Male)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.7 to 0.9.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 7.1 with a 95% confidence interval from 5.8 to 8.6 and 25 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.1
Leukemia (Male)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.7 to 1.3.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 7.4 with a 95% confidence interval from 6.0 to 9.1 and 22 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.9
Pancreas (Female)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.3 to 0.7.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 8.8 with a 95% confidence interval from 7.4 to 10.4 and 32 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.9
Pancreas (Male)
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.8 to 1.1.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 12.2 with a 95% confidence interval from 10.5 to 14.2 and 43 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.0
Colon & Rectum (Female)
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.6 to -1.2.
- Borough or census area Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 13.8 with a 95% confidence interval from 12.0 to 15.8 and 46 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.3
Stomach (Female)
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.2.
- Borough or census area Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 3.1 with a 95% confidence interval from 2.3 to 4.1 and 11 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.5
Liver & Bile Duct (Male)
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.4 to 3.0.
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 9.4 with a 95% confidence interval from 7.9 to 11.1 and 34 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.0
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.1 with a 95% confidence interval from 1.4 to 2.9 and 7 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.0
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 1.7 with a 95% confidence interval from 1.1 to 2.4 and 6 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.8
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 3.1 with a 95% confidence interval from 1.8 to 5.1 and 3 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.3
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 2.5 with a 95% confidence interval from 1.8 to 3.4 and 9 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.8
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 1.5 with a 95% confidence interval from 0.9 to 2.2 and 5 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.7
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.9 with a 95% confidence interval from 3.8 to 6.2 and 16 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.0
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 3.9 with a 95% confidence interval from 3.0 to 5.0 and 13 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.9
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.8 with a 95% confidence interval from 3.8 to 6.0 and 17 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.2
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 1.0 with a 95% confidence interval from 0.6 to 1.6 and 4 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.8
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 2.3 with a 95% confidence interval from 1.5 to 3.2 and 7 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.7
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.6 with a 95% confidence interval from 3.6 to 5.9 and 15 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.2
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 6.3 with a 95% confidence interval from 5.0 to 7.8 and 19 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.9
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 1.2 with a 95% confidence interval from 0.8 to 1.9 and 5 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.9
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.0 with a 95% confidence interval from 3.0 to 5.1 and 15 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.0
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 4.5 with a 95% confidence interval from 3.4 to 5.7 and 15 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 1.2
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 3.6 with a 95% confidence interval from 2.8 to 4.7 and 13 average annual deaths.
- Rate Ratio(3) Borough or census area to US : The rate ratio is 0.7
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : *
- Rate : *
- Rate Ratio(3) Borough or census area to US : *
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : *
- Rate : *
- Rate Ratio(3) Borough or census area to US : *
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : *
- Rate : *
- Rate Ratio(3) Borough or census area to US : *
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : *
- Rate : *
- Rate Ratio(3) Borough or census area to US : *
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- Borough or census area Death Rate Compared to US Rate : *
- Rate : *
- Rate Ratio(3) Borough or census area to US : *
Notes:
Created by statecancerprofiles.cancer.gov on 05/08/2024 5:37 pm.
Alaska Census Area Name Change: please note that Wade Hampton Census Area, AK (FIPS code=02270) was renamed effective July 1, 2015, and the new name is Kusilvak Census Area (FIPS Code=02158). This website will use Kusilvak/Wade Hampton until the next incidence/mortality data release.
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.
Rate Comparison
Above when 95% confident the rate is above and Rate Ratio3 > 1.10
Similar when unable to conclude above or below with confidence.
Below when 95% confident the rate is below and Rate Ratio3 < 0.90
* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
1 Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.
2 Recent trend in death rates is usually an Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint Version 4.8.0.0. Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected geographic areas.
3 Rate ratio is the borough or census area rate divided by the US rate. Previous versions of this table used one-year rates for states and five-year rates for counties. As of June 2018, only five-year rates are used.
Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with mortality data.
Note: 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. Suppression is used to avoid misinterpretation when rates are unstable.
State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Childhood (Ages <15, All Sites) (Female), Childhood (Ages <15, All Sites) (Male), Childhood (Ages <20, All Sites) (Female), Thyroid (Female), Thyroid (Male)
Trend for the following could not be reliably determined due to small number of deaths per year:
Bladder (Female), Cervix (Female), Childhood (Ages <20, All Sites) (Male), Esophagus (Female), Kidney & Renal Pelvis (Female), Kidney & Renal Pelvis (Male), Leukemia (Female), Liver & Bile Duct (Female), Melanoma of the Skin (Female), Melanoma of the Skin (Male), Non-Hodgkin Lymphoma (Female), Non-Hodgkin Lymphoma (Male), Oral Cavity & Pharynx (Female), Oral Cavity & Pharynx (Male), Stomach (Male), Uterus (Corpus & Uterus, NOS) (Female)
Interpret Rankings provides insight into interpreting cancer 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 United States does not include Puerto Rico.