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Table 6.21

Cancer of the Colon and Rectum (Invasive)

Age-adjusted Rates and Trendsa by Race/Ethnicity and Sex

SEER Incidence, Age-Adjusted Rates and Trendsa By Race/Ethnicity and Sex
Race/Ethnicity SEER 18 Areasb
Rate 2007-2011
Rate per 100,000 persons
SEER 13 Areasb
Trend 2002-2011c
AAPC (%)
SEER 9 Areasb
Trend 2002-2011d
AAPC (%)
Both
Sexes
Males Females Both
Sexes
Males Females Both
Sexes
Males Females
All Races 43.7 50.6 38.2 -2.9* -3.1* -2.8* -3.1* -3.3* -3.0*
White 42.9 49.6 37.3 -3.2* -3.4* -3.0* -3.4* -3.7* -3.2*
White Hispanice 37.7 45.9 31.4 -1.5* -1.5* -1.4* - - -
White Non-Hispanice 43.7 50.4 38.2 -3.3* -3.6* -3.1* - - -
Black 53.6 62.3 47.5 -3.2* -2.9* -3.2* -3.0* -3.3* -3.1*
Asian/Pacific Islander 36.9 43.1 32.0 -2.2* -2.5* -1.1* - - -
American Indian/
Alaska Nativef
40.0 45.5 35.5 -0.3 -0.2 -0.5 - - -
Hispanice 36.6 44.3 30.6 -1.6* -1.2* -1.5* - - -
U.S. Mortalityg, Age-Adjusted Rates and Trendsa By Race/Ethnicity and Sex
Race/Ethnicity Rate 2007-2011b
Rate per 100,000 persons
Trend 2002-2011h
AAPC (%)
Both
Sexes
Males Females Both
Sexes
Males Females
All Races 15.9 19.1 13.5 -2.9* -3.0* -3.0*
White 15.5 18.5 13.0 -3.0* -3.1* -2.9*
White Hispanice 13.1 16.7 10.4 -1.5* -1.1* -1.8*
White Non-Hispanice 15.7 18.7 13.2 -3.0* -3.1* -2.9*
Black 22.1 27.7 18.5 -2.8* -2.6* -3.2*
Asian/Pacific Islander 11.0 13.1 9.5 -1.8* -1.9* -1.5*
American Indian/
Alaska Native
Total U.S.
12.7 14.6 11.3 -1.4* -2.0* -0.8
American Indian/
Alaska Native
CHSDA Counties
17.2 19.2 15.6 -0.5 -1.0 0.1
American Indian/
Alaska Native
Non-CHSDA Counties
7.5 9.5 6.2 -1.8* -2.6* -1.9*
Hispanice 12.4 15.8 9.9 -1.7* -1.4* -2.2*

Footnotes:

The AAPC is the Average Annual Percent Change over the time interval. The AAPCs are calculated by the Joinpoint Regression Program Version 4.1.0, April 2014, National Cancer Institute.

- Statistic not shown. Rate based on less than 16 cases for the time interval. Trend based on less than 10 cases for at least one year within the time interval.

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130). Trends are based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130).

b The SEER 9 areas are San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, and Atlanta.
The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey, Los Angeles, the Alaska Native Registry, and Rural Georgia.
The SEER 18 areas comprise the SEER 13 areas plus California excluding SF/SJM/LA, Kentucky, Louisiana, New Jersey, and Georgia excluding ATL/RG.

c The 2002-2011 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints over diagnosis years 1992-2011.

d The 2002-2011 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints over diagnosis years 1975-2011.

e Hispanic and Non-Hispanic are not mutually exclusive from whites, blacks, Asian/Pacific Islanders, and American Indians/Alaska Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry. The 2002-2011 Hispanic and Non-Hispanic mortality trends exclude deaths from New Hampshire and Oklahoma.

f Incidence data for American Indian/Alaska Native are based on the CHSDA(Contract Health Service Delivery Area) counties.

g US Mortality Files, National Center for Health Statistics, CDC.

h The 2002-2011 mortality AAPCs are based on a Joinpoint analysis using years of death 1992-2011.

* The APC is significantly different from zero (p<.05).

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