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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

California Counties versus United States

Melanoma of the Skin

All Races, Both Sexes

Sorted by name
Counties
sort alphabetically by name descending 		Priority Index1
1=highest
9=lowest
sort by priority index descending 		Recent Trend2
 County Death
Rate
Compared
to
US Rate
 Average Annual Count
sort by count descending 		Age-Adjusted Death Rate

deaths per 100,000
(95% Confidence Interval)
sort by rate descending 		Rate
Ratio3
County
to
US
sort by rate descending 		Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
sort by trend descending
United States - falling falling trend - 8,150 2.1 (2.1, 2.1) - -2.5 (-4.5, -0.5)
California - falling falling trend - 807 1.8 (1.8, 1.9) - -5.2 (-7.0, -3.4)
Alameda County 9 falling falling trend lower 27 1.5 (1.2, 1.8) 0.7 -1.4 (-2.1, -0.6)
Alpine County
**
 		**
*
3 or fewer
*
*
**
Amador County
**
 		**
*
3 or fewer
*
*
**
Butte County 6 stable stable trend similar 8 2.5 (1.8, 3.5) 1.2 -1.4 (-2.9, 0.1)
Calaveras County
**
 		**
*
3 or fewer
*
*
**
Colusa County
**
 		**
*
3 or fewer
*
*
**
Contra Costa County 8 falling falling trend similar 28 2.0 (1.7, 2.4) 1.0 -1.3 (-2.2, -0.4)
Del Norte County
**
 		**
*
3 or fewer
*
*
**
El Dorado County 6 stable stable trend similar 7 2.3 (1.6, 3.2) 1.1 -0.9 (-2.4, 0.6)
Fresno County 9 falling falling trend lower 15 1.5 (1.2, 1.9) 0.7 -2.5 (-3.4, -1.7)
Glenn County
**
 		**
*
3 or fewer
*
*
**
Humboldt County
**
 		** similar 4 2.6 (1.6, 4.0) 1.2
**
Imperial County
**
 		**
*
3 or fewer
*
*
**
Inyo County
**
 		**
*
3 or fewer
*
*
**
Kern County 8 falling falling trend similar 16 2.0 (1.6, 2.5) 1.0 -1.8 (-3.1, -0.5)
Kings County
**
 		**
*
3 or fewer
*
*
**
Lake County
**
 		** similar 4 3.9 (2.2, 6.5) 1.9
**
Lassen County
**
 		**
*
3 or fewer
*
*
**
Los Angeles County 9 falling falling trend lower 139 1.3 (1.2, 1.4) 0.6 -5.3 (-6.7, -3.9)
Madera County 6 stable stable trend similar 4 2.5 (1.5, 3.8) 1.2 -2.2 (-4.4, 0.1)
Marin County 6 stable stable trend similar 10 2.5 (1.8, 3.3) 1.2 -0.6 (-2.0, 0.8)
Mariposa County
**
 		**
*
3 or fewer
*
*
**
Mendocino County
**
 		** similar 3 2.5 (1.4, 4.2) 1.2
**
Merced County
**
 		** similar 4 1.6 (1.0, 2.6) 0.8
**
Modoc County
**
 		**
*
3 or fewer
*
*
**
Mono County
**
 		**
*
3 or fewer
*
*
**
Monterey County 6 stable stable trend similar 11 2.4 (1.8, 3.2) 1.2 -1.0 (-2.5, 0.6)
Napa County 6 stable stable trend similar 5 2.6 (1.7, 3.9) 1.3 -0.7 (-2.1, 0.7)
Nevada County 8 falling falling trend similar 6 3.2 (2.1, 4.9) 1.5 -1.8 (-3.4, -0.1)
Orange County 8 falling falling trend similar 72 2.0 (1.8, 2.2) 0.9 -1.8 (-2.4, -1.2)
Placer County 8 falling falling trend similar 12 2.0 (1.5, 2.7) 1.0 -1.5 (-3.0, 0.0)
Plumas County
**
 		**
*
3 or fewer
*
*
**
Riverside County 8 falling falling trend similar 54 2.0 (1.8, 2.2) 1.0 -1.2 (-1.9, -0.5)
Sacramento County 8 falling falling trend similar 37 2.2 (1.9, 2.6) 1.1 -1.2 (-2.0, -0.4)
San Benito County
**
 		**
*
3 or fewer
*
*
**
San Bernardino County 8 falling falling trend similar 39 2.0 (1.7, 2.3) 0.9 -7.6 (-13.3, -1.5)
San Diego County 5 falling falling trend higher 86 2.3 (2.1, 2.6) 1.1 -5.3 (-8.4, -2.1)
San Francisco County 9 falling falling trend lower 12 1.1 (0.8, 1.4) 0.5 -2.6 (-3.8, -1.4)
San Joaquin County 6 stable stable trend similar 15 2.0 (1.6, 2.5) 1.0 -0.5 (-1.9, 0.8)
San Luis Obispo County 4 stable stable trend higher 12 2.9 (2.2, 3.9) 1.4 -1.2 (-2.6, 0.2)
San Mateo County 8 falling falling trend similar 17 1.8 (1.4, 2.2) 0.9 -1.6 (-2.8, -0.5)
Santa Barbara County 6 stable stable trend similar 10 1.9 (1.4, 2.5) 0.9 -1.2 (-2.6, 0.3)
Santa Clara County 9 falling falling trend lower 26 1.2 (1.0, 1.5) 0.6 -6.8 (-8.6, -5.0)
Santa Cruz County 6 stable stable trend similar 7 2.3 (1.6, 3.2) 1.1 -1.3 (-2.8, 0.2)
Shasta County 4 stable stable trend higher 8 3.2 (2.3, 4.4) 1.5 0.5 (-1.1, 2.2)
Sierra County
**
 		**
*
3 or fewer
*
*
**
Siskiyou County
**
 		** higher 3 4.9 (2.7, 8.5) 2.4
**
Solano County 6 stable stable trend similar 12 2.4 (1.8, 3.1) 1.1 0.0 (-1.4, 1.4)
Sonoma County 8 falling falling trend similar 17 2.4 (1.9, 3.0) 1.2 -1.0 (-1.9, 0.0)
Stanislaus County 8 falling falling trend similar 11 2.0 (1.5, 2.6) 0.9 -1.5 (-2.6, -0.4)
Sutter County
**
 		**
*
3 or fewer
*
*
**
Tehama County
**
 		** higher 4 4.4 (2.7, 7.0) 2.1
**
Trinity County
**
 		**
*
3 or fewer
*
*
**
Tulare County 9 falling falling trend lower 6 1.4 (0.9, 2.0) 0.7 -8.0 (-11.9, -3.9)
Tuolumne County
**
 		** similar 4 4.0 (2.3, 6.8) 1.9
**
Ventura County 4 stable stable trend higher 26 2.5 (2.1, 3.0) 1.2 -0.7 (-1.5, 0.2)
Yolo County
**
 		** similar 4 1.9 (1.2, 2.9) 0.9
**
Yuba County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/03/2024 3:35 pm.

Trend2
     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 county 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:
Alpine County, Amador County, Calaveras County, Colusa County, Del Norte County, Glenn County, Imperial County, Inyo County, Kings County, Lassen County, Mariposa County, Modoc County, Mono County, Plumas County, San Benito County, Sierra County, Sutter County, Trinity County, Yuba County

Trend for the following could not be reliably determined due to small number of deaths per year:
Humboldt County, Lake County, Mendocino County, Merced County, Siskiyou County, Tehama County, Tuolumne County, Yolo County


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.

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