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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 21 Areasb
Rate 2013-2017
Rate per 100,000 persons
SEER 21 Areasb
Trend 2008-2017c
AAPC (%)
SEER 9 Areasb
Trend 2008-2017d
AAPC (%)
Both
Sexes
Males Females Both
Sexes
Males Females Both
Sexes
Males Females
All Races 38.2 43.7 33.6 -2.4* -2.4* -2.2* -2.3* -2.2* -2.2*
White 37.8 43.0 33.3 -2.3* -2.4* -2.0* -2.3* -2.5* -2.1*
White Hispanice 34.6 40.7 29.8 -2.5* -3.2* -1.6* - - -
White Non-Hispanice 38.5 43.7 34.0 -2.1* -2.3* -2.0* - - -
Black 43.6 51.3 38.2 -3.0* -2.8* -3.2* -2.8* -2.7* -3.0*
Asian/Pacific Islander 31.8 37.9 26.8 -2.3* -2.3* -2.9* - - -
American Indian/
Alaska Nativef
39.0 40.4 37.9 -0.8* -1.2* -0.5 - - -
Hispanice 33.7 39.6 29.2 -1.7* -2.4* -1.3* - - -

U.S. Mortalityg, Age-Adjusted Rates and Trendsa By Race/Ethnicity and Sex

Race/Ethnicity Rate 2013-2017b
Rate per 100,000 persons
Trend 2008-2017h
AAPC (%)
Both
Sexes
Males Females Both
Sexes
Males Females
All Races 13.9 16.6 11.8 -2.1* -2.2* -2.1*
White 13.6 16.2 11.5 -2.0* -2.2* -2.0*
White Hispanice 11.8 15.1 9.2 -1.6* -1.4* -1.9*
White Non-Hispanice 13.8 16.3 11.7 -2.0* -2.2* -1.9*
Black 18.5 23.2 15.2 -2.8* -2.7* -3.1*
Asian/Pacific Islander 9.6 11.5 8.1 -1.9* -2.1* -1.9*
American Indian/
Alaska Native
Total U.S.
11.0 13.5 9.1 -1.6* -1.7* -1.6*
American Indian/
Alaska Native
PRCDA Counties
15.8 19.4 13.0 -0.7 -0.8 -0.9
American Indian/
Alaska Native
Non-PRCDA Counties
5.8 7.1 4.8 -2.5* -2.6* -2.4*
Hispanice 11.1 14.2 8.7 -1.7* -1.6* -2.0*

Footnotes:

The AAPC is the Average Annual Percent Change over the time interval. The AAPCs are calculated by the Joinpoint Regression Program Version 4.8, April 2020, 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 21 areas comprise the SEER 9 areas plus San Jose-Monterey, Los Angeles, the Alaska Native Registry, Rural Georgia, California excluding SF/SJM/LA, Kentucky, Louisiana, New Jersey, Georgia excluding ATL/RG, Idaho, New York and Massachusetts.

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints over diagnosis years 2000-2017.

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints over diagnosis years 1975-2017.

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.

f Incidence data for American Indian/Alaska Native are based on the Purchased/Referred Care Delivery Area (PRCDA) counties.

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

h The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017.

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

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