TABLE 2. Age-adjusted incidence rate* of cancer† among persons aged <20 years, by state, overall and by race/ethnicity — United States,§ 2003–2014.
| Total | Race/Ethnicity¶ | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| White | Black | Hispanic | AI/AN | API | ||||||||
| State** | No. | Rate (95% CI) | No. | Rate (95% CI) | No. | Rate (95% CI) | No. | Rate (95% CI) | No. | Rate (95% CI) | No. | Rate (95% CI) |
| Northeast | ||||||||||||
| Connecticut | 2,060 | 185.8 (177.8–194.0) | 1,399 | 194.8 (184.7–205.4) | 199 | 144.6 (125.2–166.3) | 361 | 176.8 (159.0–196.1) | —†† | —†† | 63 | 133.1 (102.2–170.5) |
| Maine | 725 | 190.5 (176.9–205.0) | 685 | 194.8 (180.4–210.0) | —†† | —†† | —†† | —†† | —†† | —†† | —†† | —†† |
| Massachusetts | 3,584 | 181.5 (175.6–187.5) | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ |
| New Hampshire | 816 | 205.5 (191.6–220.2) | 746 | 207.6 (192.9–223.2) | —†† | —†† | 31 | 177.8 (120.6–252.5) | —†† | —†† | 18 | 157.1 (92.6–249.7) |
| New Jersey | 5,308 | 192.3 (187.1–197.5) | 3,168 | 211.8 (204.4–219.3) | 633 | 148.6 (137.2–160.6) | 1,043 | 175.2 (164.7–186.2) | —§§ | —§§ | 345 | 145.7 (130.7–162.0) |
| New York | 11,378 | 190.0 (186.5–193.5) | 6,679 | 209.3 (204.3–214.4) | 1,538 | 147.9 (140.6–155.5) | 2,290 | 175.9 (168.7–183.2) | —§§ | —§§ | 701 | 164.5 (152.5–177.1) |
| Pennsylvania | 7,167 | 186.6 (182.3–191.0) | —§§ | —§§ | —§§ | —§§ | 494 | 150.6 (137.6–164.6) | —§§ | —§§ | —§§ | —§§ |
| Rhode Island | 547 | 170.0 (156.0–185.0) | 429 | 196.3 (177.9–216.0) | 28 | 105.8 (70.2–153.0) | 59 | 96.8 (73.7–124.9) | —†† | —†† | —†† | —†† |
| Vermont | 308 | 164.2 (146.2–183.9) | 299 | 171.1 (152.0–191.9) | —†† | —†† | —†† | —†† | —†† | —†† | —†† | —†† |
| Midwest | ||||||||||||
| Illinois | 7,227 | 171.8 (167.9–175.8) | 4,320 | 183.9 (178.4–189.4) | 934 | 124.4 (116.5–132.7) | 1,548 | 171.2 (162.8–180.0) | —§§ | —§§ | 273 | 146.7 (129.7–165.2) |
| Indiana | 3,691 | 171.5 (166.0–177.2) | 2,957 | 178.4 (172.0–185.0) | 336 | 127.6 (114.4–142.1) | 296 | 160.7 (142.7–180.4) | —†† | —†† | 55 | 139.2 (104.7–181.3) |
| Iowa | 1,762 | 178.6 (170.4–187.2) | 1,508 | 181.2 (172.1–190.6) | 60 | 115.7 (88.2–149.1) | 130 | 166.2 (138.6–197.8) | —†† | —†† | 30 | 140.0 (94.3–200.1) |
| Kansas | 1,713 | 177.0 (168.8–185.6) | —§§ | —§§ | —§§ | —§§ | 254 | 172.8 (152.0–195.7) | —§§ | —§§ | —§§ | —§§ |
| Michigan | 5,786 | 178.9 (174.3–183.6) | 4,339 | 188.1 (182.6–193.8) | 826 | 140.5 (131.1–150.4) | 296 | 135.8 (120.7–152.3) | 34 | 127.1 (87.8–178.1) | 116 | 122.3 (101.1–146.8) |
| Minnesota | 3,109 | 179.9 (173.6–186.3) | 2,420 | 181.4 (174.3–188.8) | 177 | 122.8 (105.2–142.4) | 203 | 162.6 (140.6–187.0) | 46 | 159.1 (116.4–212.2) | 159 | 162.2 (137.9–189.5) |
| Missouri | 3,120 | 163.1 (157.4–168.9) | 2,481 | 168.9 (162.3–175.6) | 400 | 135.8 (122.8–149.8) | 139 | 137.2 (115.0–162.3) | —†† | —†† | 44 | 116.5 (84.6–156.5) |
| Nebraska | 1,133 | 183.2 (172.7–194.2) | 868 | 184.9 (172.8–197.7) | 69 | 161.3 (125.3–204.2) | 142 | 165.8 (139.2–196.0) | —†† | —†† | 20 | 151.2 (92.2–233.7) |
| North Dakota | 341 | 158.7 (142.3–176.6) | 295 | 163.4 (145.2–183.2) | —†† | —†† | —†† | —†† | 33 | 174.0 (119.6–244.7) | —†† | —†† |
| Ohio | 6,225 | 168.3 (164.1–172.5) | 4,999 | 175.6 (170.8–180.6) | 751 | 124.5 (115.8–133.7) | 206 | 122.2 (105.9–140.3) | —†† | —†† | 106 | 147.5 (120.7–178.6) |
| South Dakota | 413 | 150.3 (136.1–165.5) | 347 | 162.4 (145.8–180.5) | —†† | —†† | —†† | —†† | 49 | 126.9 (93.8–167.8) | —†† | —†† |
| Wisconsin | 3,182 | 175.6 (169.5–181.8) | 2,525 | 181.9 (174.8–189.1) | 220 | 125.1 (109.1–142.7) | 247 | 154.7 (135.7–175.4) | 41 | 181.8 (130.3–246.7) | 92 | 150.1 (120.9–184.1) |
| South | ||||||||||||
| Alabama | 2,377 | 157.0 (150.7–163.4) | 1,600 | 172.2 (163.8–180.8) | 619 | 129.4 (119.4–140.1) | 102 | 124.4 (100.7–152.0) | —†† | —†† | 25 | 133.2 (86.1–196.8) |
| Arkansas | 1,523 | 161.7 (153.7–170.1) | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ |
| Delaware | 504 | 180.9 (165.5–197.5) | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ |
| District of Columbia | 306 | 194.0 (172.6–217.3) | 77 | 215.2 (165.9–274.7) | 152 | 152.0 (128.7–178.2) | 28 | 159.2 (104.6–231.4) | —†† | —†† | —†† | —†† |
| Florida | 9,160 | 169.9 (166.4–173.4) | 4,625 | 174.8 (169.8–179.9) | 1,526 | 130.9 (124.4–137.6) | 2,714 | 191.8 (184.7–199.2) | —†† | —†† | 165 | 111.9 (95.5–130.4) |
| Georgia | 5,291 | 161.9 (157.6–166.3) | 2,884 | 177.1 (170.7–183.6) | 1,556 | 136.2 (129.5–143.2) | 634 | 166.9 (153.8–180.7) | —†† | —†† | 159 | 144.2 (122.6–168.4) |
| Kentucky | 2,377 | 174.4 (167.4–181.5) | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ | —§§ |
| Louisiana | 2,378 | 156.9 (150.7–163.4) | 1,453 | 177.7 (168.7–187.1) | 753 | 127.1 (118.2–136.5) | 113 | 164.2 (134.8–198.0) | —†† | —†† | 42 | 173.9 (125.3–235.1) |
| Maryland | 2,942 | 160.0 (154.2–165.9) | 1,664 | 179.7 (171.2–188.6) | 773 | 125.1 (116.4–134.3) | 286 | 156.0 (138.1–175.4) | —†† | —†† | 99 | 95.1 (77.2–115.8) |
| Mississippi | 1,476 | 145.2 (137.9–152.8) | 860 | 166.0 (155.1–177.5) | 548 | 121.7 (111.7–132.4) | 45 | 138.5 (100.2–186.3) | —†† | —†† | —†† | —†† |
| North Carolina | 4,834 | 161.6 (157.1–166.2) | 3,052 | 175.2 (169.0–181.5) | 991 | 129.3 (121.4–137.7) | 560 | 155.6 (142.6–169.4) | 38 | 88.7 (62.8–121.8) | 111 | 138.6 (113.9–167.1) |
| Oklahoma | 2,082 | 168.3 (161.1–175.6) | 1,273 | 166.1 (157.0–175.4) | 170 | 131.0 (112.0–152.2) | 276 | 168.9 (149.2–190.4) | 296 | 194.1 (172.6–217.5) | 36 | 142.5 (99.8–197.4) |
| South Carolina | 2,162 | 149.3 (143.1–155.8) | 1,370 | 164.7 (156.1–173.6) | 600 | 122.2 (112.6–132.4) | 149 | 154.4 (130.0–182.0) | —†† | —†† | 24 | 114.2 (73.1–170.0) |
| Tennessee | 3,411 | 172.1 (166.4–178.0) | 2,500 | 180.4 (173.4–187.6) | 614 | 144.5 (133.3–156.4) | 211 | 160.4 (138.7–184.4) | —†† | —†† | 48 | 142.2 (104.7–188.6) |
| Texas | 16,368 | 183.2 (180.4–186.0) | 6,598 | 200.7 (195.8–205.6) | 1,571 | 140.0 (133.1–147.1) | 7,503 | 179.7 (175.6–183.8) | 47 | 162.0 (118.8–216.0) | 431 | 134.0 (121.6–147.3) |
| Virginia | 3,899 | 156.4 (151.5–161.4) | 2,553 | 169.2 (162.7–175.9) | 710 | 124.1 (115.1–133.6) | 355 | 139.1 (124.8–154.5) | —†† | —†† | 175 | 118.2 (101.3–137.1) |
| West Virginia | 908 | 172.0 (160.9–183.5) | 855 | 175.4 (163.8–187.5) | 28 | 110.2 (73.1–159.3) | —†† | —†† | —†† | —†† | —†† | —†† |
| West | ||||||||||||
| Alaska | 424 | 169.4 (153.6–186.3) | 232 | 158.0 (138.3–179.7) | —†† | —†† | 25 | 138.7 (89.5–204.3) | 115 | 217.2 (179.3–260.7) | 40 | 232.0 (165.7–316.0) |
| Arizona | 3,590 | 168.8 (163.3–174.4) | 1,683 | 176.1 (167.8–184.7) | 130 | 122.4 (102.2–145.3) | 1,454 | 164.4 (156.1–173.1) | 199 | 164.2 (142.1–188.7) | 79 | 132.7 (105.0–165.5) |
| California | 21,725 | 173.2 (170.9–175.6) | 7,505 | 189.9 (185.6–194.2) | 1,184 | 137.9 (130.1–146.0) | 10,525 | 170.1 (166.9–173.4) | 101 | 138.7 (112.8–168.8) | 2,187 | 148.3 (142.1–154.6) |
| Colorado | 2,767 | 171.3 (165.0–177.8) | 1,754 | 175.6 (167.4–184.0) | 103 | 121.7 (99.3–147.6) | 762 | 162.4 (151.1–174.5) | 20 | 153.2 (93.2–237.6) | 88 | 171.8 |
| Hawaii | 652 | 160.1 (148.0–172.9) | 134 | 255.2 (213.7–302.4) | —†† | —†† | 46 | 75.0 (54.3–101.0) | —†† | —†† | 439 | 155.6 |
| Idaho | 941 | 170.0 (159.3–181.3) | 789 | 178.3 (166.0–191.2) | —†† | —†† | 121 | 136.5 (113.1–163.3) | —†† | —†† | —†† | —†† |
| Montana | 488 | 160.2 (146.2–175.0) | 398 | 157.0 (141.9–173.2) | —†† | —†† | 24 | 162.8 (104.0–242.7) | 56 | 182.4 (137.7–237.0) | —†† | —†† |
| New Mexico | 1,077 | 157.0 (147.7–166.6) | 393 | 198.7 (179.5–219.4) | 20 | 126.9 (77.5–196.1) | 539 | 139.7 (128.2–152.0) | 101 | 131.0 (106.7–159.2) | 16 | 186.7 (106.6–303.7) |
| Oregon | 2,114 | 182.6 (174.9–190.6) | 1,591 | 192.1 (182.7–201.8) | 40 | 111.6 (79.7–152.0) | 343 | 155.1 (139.0–172.6) | 27 | 134.5 (88.5–196.4) | 81 | 146.1 (116.0–181.6) |
| Utah | 1,984 | 178.3 (170.5–186.4) | 1,596 | 182.2 (173.3–191.3) | 23 | 130.1 (82.1–195.9) | 309 | 180.9 (161.1–202.5) | —†† | —†† | 40 | 120.5 (86.0–164.0) |
| Washington | 3,797 | 180.7 (175.0–186.5) | 2,656 | 189.8 (182.6–197.2) | 163 | 135.8 (115.8–158.4) | 542 | 146.9 (134.6–159.9) | 83 | 200.1 (159.3–248.2) | 276 | 158.1 (140.0–177.9) |
| Wyoming | 280 | 156.8 (139.0–176.3) | 232 | 159.1 (139.3–181.0) | —†† | —†† | 26 | 118.1 (76.8–173.4) | —†† | —†† | —†† | —†† |
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.
§ 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.
¶ White, black, AI/AN, and API are non-Hispanic. Hispanic persons might be of any race. Counts exclude unspecified or unknown race/ethnicity; the counts in the total column may not equal the sum of the individual race/ethnicity columns.
** States are grouped by U.S. Census region.
†† Case counts <16 are suppressed.
§§ Race/ethnicity data was suppressed for states that elected to be excluded from race/ethnicity analysis.