TABLE 1. Age-adjusted incidence rate* of cancer† among persons aged <20 years, by U.S. Census region§ — United States,¶ 2003–2014.
| U.S. Census region | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Total | Northeast |
Midwest |
South |
West |
||||||
| Characteristic | No. | Rate (95% CI) | No. | Rate (95% CI) | No. | Rate (95% CI) | No. | Rate (95% CI) | No. | Rate (95% CI) |
| Overall | 171,432 | 173.7 (172.9–174.5) | 31,893 | 188.0 (185.9–190.0) | 37,702 | 172.9 (171.1–174.6) | 61,998 | 168.0 (166.7–169.3) | 39,839 | 172.9 (171.2–174.6) |
| Sex | ||||||||||
| Male | 91,667 | 181.5 (180.3–182.7) | 16,860 | 194.5 (191.6–197.5) | 20,228 | 180.3 (178.8–182.8) | 33,045 | 175.1 (173.3–177.0) | 21,534 | 182.3 (179.9–184.8) |
| Female | 79,765 | 165.5 (164.3–166.6) | 15,033 | 181.1 (178.2–184.0) | 17,474 | 164.3 (161.6–166.5) | 28,953 | 160.6 (158.7–162.4) | 18,305 | 163.0 (160.7–165.4) |
| Age group (yrs) | ||||||||||
| 0–4 | 54,419 | 228.9 (227.0–230.8) | 9,467 | 242.7 (237.9–247.7) | 12,001 | 227.0 (228.3–230.6) | 20,161 | 222.7 (219.7–225.8) | 12,790 | 226.1 (222.2–230.0) |
| 5–9 | 29,181 | 122.6 (121.2–124.1) | 5,161 | 128.7 (125.2–132.3) | 6,323 | 121.2 (116.7–124.6) | 10,862 | 121.4 (119.1–123.7) | 6,835 | 123.2 (120.3–126.1) |
| 10–14 | 33,042 | 133.0 (131.5–134.4) | 6,256 | 145.1 (141.5–148.7) | 7,128 | 131.5 (126.0–134.0) | 12,042 | 130.4 (128.1–132.7) | 7,616 | 131.9 (128.9–134.8) |
| 15–19 | 54,790 | 213.3 (211.5–215.1) | 11,009 | 238.5 (234.0–243.0) | 12,250 | 211.5 (210.0–215.5) | 18,933 | 200.5 (197.7–203.4) | 12,598 | 213.5 (209.8–217.3) |
| Race/Ethnicity** | ||||||||||
| White | 103,650 | 184.4 (183.3–185.5) | 21,580 | 200.8 (198.1–203.5) | 28,309 | 183.3 (177.7–185.9) | 34,798 | 178.9 (177.0–180.8) | 18,963 | 184.9 (182.3–187.5) |
| Black | 20,188 | 133.3 (131.5–135.2) | 3,402 | 143.6 (138.8–148.5) | 3,894 | 131.5 (125.4–135.6) | 11,194 | 131.9 (129.5–134.4) | 1,698 | 132.7 (126.4–139.1) |
| Hispanic | 36,197 | 168.9 (167.2–170.7) | 4,758 | 170.0 (165.2–175.0) | 3,473 | 167.2 (153.5–170.2) | 13,250 | 175.5 (172.5–178.5) | 14,716 | 165.6 (162.9–168.3) |
| AI/AN | 1,507 | 147.6 (140.2–155.2) | 53 | 93.1 (69.7–121.9) | 262 | 140.2 (118.9–155.2) | 450 | 143.7 (130.7–157.6) | 742 | 162.3 (150.8–174.5) |
| API | 7,089 | 144.6 (141.2–148.0) | 1,488 | 151.8 (144.2–159.8) | 937 | 141.2 (133.6–148.0) | 1,402 | 127.7 (121.1–134.6) | 3,262 | 150.4 (145.3–155.7) |
| County-level economic status by percentile†† | ||||||||||
| ≤25% | 19,536 | 165.7 (163.4–168.0) | 1,848 | 173.7 (165.9–181.9) | 2,888 | 163.4 (162.3–168.7) | 9,902 | 164.6 (161.3–167.8) | 4,898 | 163.9 (159.3–168.5) |
| 25–75% | 98,385 | 171.3 (170.2–172.4) | 15,032 | 182.2 (179.3–185.1) | 21,073 | 170.2 (167.2–172.8) | 38,515 | 167.8 (166.2–169.5) | 23,765 | 172.1 (169.9–174.3) |
| ≥75% | 48,268 | 181.8 (180.2–183.4) | 14,996 | 196.1 (193.0–199.3) | 8,894 | 180.2 (175.8–183.3) | 13,252 | 171.7 (168.8–174.7) | 11,126 | 178.5 (175.2–181.9) |
| County-level rural/urban continuum†† | ||||||||||
| Metropolitan population ≥1 million | 93,181 | 177.1 (176.0–178.3) | 21,451 | 189.2 (186.6–191.7) | 15,634 | 176.0 (171.5–178.0) | 31,810 | 172.0 (170.2–173.9) | 24,286 | 175.9 (173.6–178.1) |
| Metropolitan population 250,000 to <1 million | 35,919 | 171.1 (169.4–172.9) | 6,283 | 184.7 (180.2–189.4) | 6,290 | 169.4 (169.1–172.7) | 14,186 | 164.3 (161.6–167.0) | 9,160 | 172.0 (168.5–175.6) |
| Metropolitan population <250,000 | 14,349 | 165.7 (163.0–168.4) | 1,556 | 183.3 (174.2–192.7) | 3,958 | 163.0 (161.0–168.4) | 5,721 | 162.2 (158.0–166.5) | 3,114 | 164.0 (158.3–169.8) |
| Nonmetropolitan counties | 22,962 | 167.2 (165.0–169.3) | 2,586 | 188.8 (181.5–196.3) | 6,982 | 165.0 (165.3–169.3) | 10,173 | 163.0 (159.9–166.2) | 3,221 | 160.8 (155.3–166.4) |
Sources: CDC’s National Program of Cancer Registries; National Cancer Institute’s Surveillance, Epidemiology, and End Results Program.
Abbreviations: AI/AN = American Indian/Alaska Native; API = Asian/Pacific Islander; CI = confidence interval.
* Rates are per 1 million persons and age-adjusted to the 2000 U.S. standard population.
† Cases included all malignant cancers (with behavior code = 3) as grouped by the International Classification of Childhood Cancer.
§ Northeast: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. Midwest: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin. South: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia. West: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.
¶ Incidence data are compiled from cancer registries that meet the data quality criteria for all years 2003–2014 (covering >99% of the U.S. population). Nevada is excluded. Registry-specific data quality information is available at https://www.cdc.gov/cancer/npcr/uscs/pdf/uscs-2014-technical-notes.pdf. Characteristic values with other, missing, or blank results are not included in this table.
** White, black, AI/AN, and API persons are non-Hispanic. Hispanic persons might be of any race. Counts exclude unspecified or unknown race/ethnicity.
†† Excludes Kansas, Minnesota, and Nevada.