TABLE. Number and rate* of lung cancer cases, absolute rate change, and annual percentage change (APC) in rates in nonmetropolitan and metropolitan counties† by sex and age at diagnosis — United States, § 2007–2016.
| Sex, county status, age group (yrs) | 2007 |
2016 |
Change in rate 2007–2016 |
|||||
|---|---|---|---|---|---|---|---|---|
| No. | Rate (95% CI) | RR | No. | Rate (95% CI) | RR | Absolute rate change | APC | |
|
Males
| ||||||||
|
Metropolitan total
|
91,100
|
83.1 (82.6 to 83.7)
|
1.00
|
89,260
|
63 (62.6 to 63.4)
|
1.00
|
−20.2
|
−2.9 (−3.2 to −2.7)¶ |
| <35 |
215 |
0.4 (0.3 to 0.4) |
1.00 |
226 |
0.3 (0.3 to 0.4) |
1.00 |
0.0 |
−1.6 (−3.2 to −0.1)¶ |
| 35–44 |
1,261 |
7.0 (6.7 to 7.4) |
1.00 |
749 |
4.4 (4.1 to 4.8) |
1.00 |
−2.6 |
−4.8 (−6.1 to −3.5)¶ |
| 45–54 |
8,310 |
46.5 (45.5 to 47.5) |
1.00 |
5,239 |
28.4 (27.6 to 29.2) |
1.00 |
−18.1 |
−5.2 (−5.8 to −4.5)¶ |
| 55–64 |
20,371 |
159.1 (156.9 to 161.3) |
1.00 |
20,914 |
126.4 (124.7 to 128.2) |
1.00 |
−32.6 |
−2.4 (−2.9 to −2.0)¶ |
| 65–74 |
28,977 |
410.8 (406.0 to 415.6) |
1.00 |
31,887 |
304.7 (301.4 to 308.1) |
1.00 |
−106.1 |
−3.2 (−3.4 to −3.0)¶ |
| ≥75 |
31,966 |
572.4 (566.1 to 578.7) |
1.00 |
30,245 |
449.1 (444.0 to 454.2) |
1.00 |
−123.3 |
−2.5 (−2.8 to −2.2)¶ |
|
Nonmetropolitan total
|
24,166
|
99.0 (97.7 to 100.3)
|
1.19** |
23,712
|
81.5 (80.5 to 82.6)
|
1.29** |
−17.4 |
−2.1 (−2.3 to −1.9)¶ |
| <35 |
46 |
0.5 (0.4 to 0.7) |
1.37 |
26 |
0.3 (0.2 to 0.4) |
0.80 |
−0.2 |
−3.9 (−6.8 to −0.9)¶ |
| 35–44 |
283 |
9.6 (8.5 to 10.8) |
1.36** |
163 |
6.5 (5.5 to 7.5) |
1.46** |
−3.1 |
−5.0 (−6.4 to −3.6)¶ |
| 45–54 |
2,058 |
61.5 (58.9 to 64.3) |
1.32** |
1,428 |
47.3 (44.9 to 49.9) |
1.67** |
−14.2 |
−2.8 (−3.6 to −1.9)¶ |
| 55–64 |
5,562 |
205.4 (200.1 to 210.9) |
1.29** |
5,657 |
182.1 (177.4 to 186.9) |
1.44** |
−23.3 |
−1.1 (−1.6 to −0.7)¶ |
| 65–74 |
8,395 |
496.3 (485.7 to 507.1) |
1.21** |
8,810 |
396.7 (388.4 to 405.2) |
1.30** |
−99.6 |
−2.5 (−2.7 to −2.2)¶ |
| ≥75 |
7,822 |
632.6 (618.6 to 646.8) |
1.11** |
7,628 |
528.5 (516.7 to 540.5) |
1.18** |
−104.1 |
−1.9 (−2.1 to −1.7)¶ |
|
Females
| ||||||||
|
Metropolitan total
|
80,316
|
57.3 (56.9 to 57.7)
|
1.00
|
86,220
|
49.7 (49.3 to 50)
|
1.00
|
−7.6 |
−1.5 (−1.7 to −1.3)¶ |
| <35 |
216 |
0.4 (0.3 to 0.4) |
1.00 |
226 |
0.3 (0.3 to 0.4) |
1.00 |
0.0 |
−1.2 (−2.9 to 0.5) |
| 35–44 |
1,343 |
7.4 (7.0 to 7.8) |
1.00 |
832 |
4.8 (4.5 to 5.2) |
1.00 |
−2.5 |
−5.0 (−5.9 to −4.2)¶ |
| 45–54 |
7,495 |
40.2 (39.3 to 41.1) |
1.00 |
5,756 |
30.2 (29.4 to 31.0) |
1.00 |
−10.0 |
−3.0 (−3.8 to −2.1)¶ |
| 55–64 |
16,489 |
118.2 (116.4 to 120.0) |
1.00 |
19,150 |
106.9 (105.4 to 108.4) |
1.00 |
−11.3 |
−0.9 (−1.7 to −0.1)¶ |
| 65–74 |
24,723 |
294.7 (291.1 to 298.4) |
1.00 |
29,402 |
242.4 (239.7 to 245.3) |
1.00 |
−52.3 |
−2.1 (−2.3 to −1.8)¶ |
| ≥75 |
30,050 |
343.4 (339.5 to 347.3) |
1.00 |
30,854 |
320.2 (316.6 to 323.8) |
1.00 |
−23.2 |
−0.8 (−1.2 to −0.5)¶ |
|
Nonmetropolitan total
|
17,694
|
61.2 (60.3 to 62.2)
|
1.07**
|
18,920
|
57.9 (57.1 to 58.8)
|
1.17**
|
−3.3 |
−0.5 (−0.8 to −0.2)¶ |
| <35 |
33 |
0.4 (0.3 to 0.5) |
1.05 |
36 |
0.4 (0.3 to 0.6) |
1.18 |
0.0 |
−0.6 (−5.2 to 4.2) |
| 35–44 |
317 |
11.0 (9.9 to 12.3) |
1.50** |
187 |
7.8 (6.7 to 9.0) |
1.61** |
−3.3 |
−3.6 (−5.1 to −2.2)¶ |
| 45–54 |
1,712 |
51.9 (49.5 to 54.4) |
1.29** |
1,490 |
50.1 (47.6 to 52.7) |
1.66** |
−1.8 |
−0.6 (−1.6 to 0.5) |
| 55–64 |
3,788 |
136.5 (132.2 to 141.0) |
1.16** |
4,584 |
142.8 (138.7 to 147.1) |
1.34** |
6.3 |
0.7 (−0.2 to 1.6) |
| 65–74 |
5,962 |
320.3 (312.2 to 328.5) |
1.09** |
6,673 |
280.5 (273.8 to 287.4) |
1.16** |
−39.8 |
−1.3 (−1.7 to −0.9)¶ |
| ≥75 | 5,882 | 318.0 (309.9 to 326.3) | 0.93** | 5,950 | 309.9 (302.0 to 317.9) | 0.97** | −8.2 | 0.0 (−0.5 to 0.4) |
Abbreviations: CI = confidence interval; RR = rate ratio.
* Per 100,000 persons; overall rates were age-adjusted to the 2000 U.S. standard population.
† The U.S. Department of Agriculture Economic Research Service 2013 vintage rural-urban continuum codes were used to categorize county residence at time of cancer diagnosis as nonmetropolitan (codes 4–9) or metropolitan (codes 1–3). https://www.ers.usda.gov/data-products/rural-urban-continuum-codes.
§ Cancer incidence data were compiled from 49 cancer registries that meet the data quality criteria for all invasive cancer sites combined, representing approximately 97% of the U.S. population. (County-level data were not available for Kansas and Minnesota.)
¶ APC was significantly different from zero at p<0.05. Trends were measured with APC in rates and were considered to increase or decrease if p<0.05; otherwise rates were considered stable.
** Sex-, age-, and year-specific rates in nonmetropolitan counties were significantly different from rates in metropolitan counties.