Table 1.
2000–2017 | Incidence Rate cases/100000 PY | Trend 1/ Trend 3 |
Trend 2/ Trend 4 |
2000–2017 | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Demographic factors | No of new cases | Age adjusted/ 100 000 (95% CI) | 2000 | 2009 | 2015 | 2017 | Years | APC (95%CI) | P Value | Years | APC (95%CI) | P Value | AAPC (95%CI) | P Value | |
Overall | 683,157 | 12.1(12.1,12.1) | 7.4 | 13.6 | 14.7 | 13.2 | 2000–2009 | 7.3a (6.8, 7.7) | < 0.001 | 2009–2015 | 1.6a (0.9, 2.3) | < 0.001 | 3.6a (3.2, 4.1) | < 0.05 | |
2015–2017 | -5.8a (-8.7, -2.8) | 0.002 | |||||||||||||
Sex | |||||||||||||||
Female | 514,414 | 17.9(17.8,17.9) | 10.9 | 20.1 | 21.8 | 19.4 | 2000–2009 | 7.2a (7.0, 7.5) | < 0.001 | 2009–2012 | 2.3a (0.6, 4.2) | 0.017 | 3.6a (3.2, 4.0) | < 0.05 | |
2012–2015 | 0.5 (-1.1, 2.2) | 0.468 | 2015–2017 | -5.6a (-7.3, -3.9) | < 0.001 | ||||||||||
Male | 168,743 | 6.2(6.1,6.2) | 3.9 | 6.9 | 7.4 | 6.9 | 2000–2009 | 6.9a (6.2, 7.7) | < 0.001 | 2009–2014 | 2.0a (0.4, 3.7) | 0.021 | 3.8a (3.1, 4.5) | < 0.05 | |
2014–2017 | -2.3 (-4.8, 0.2) | 0.068 | |||||||||||||
Race/ethnicity | |||||||||||||||
AI/AN | 3719 | 9.0 (8.7,9.3) | 4.8 | 9.6 | 11.2 | 10.8 | 2000–2013 | 7.3a (6.1, 8.6) | < 0.001 | 2013–2017 | -1.7 (-6.7, 3.6) | 0.493 | 5.1a (3.7, 6.6) | < 0.05 | |
API | 37,351 | 13.2 (13.0,13.3) | 8.6 | 14.1 | 15.9 | 14.3 | 2000–2003 | 2.3a (0.4, 4.3) | 0.025 | 2003–2009 | 7.4a (6.7, 8.1) | < 0.001 | 3.1a (2.7, 3.5) | < 0.05 | |
2009–2014 | 2.8a (2.1–3.5) | < 0.001 | 2014–2017 | -3.9a (-4.9, -2.8) | < 0.001 | ||||||||||
Blacks | 49,909 | 7.8 (7.7,7.9) | 4.9 | 8.5 | 9.6 | 8.1 | 2000–2013 | 5.8a (5.2, 6.5) | < 0.001 | 2013–2017 | -5.4a (-8.0, -2.6) | 0.001 | 3.1a (2.3, 3.9) | < 0.05 | |
Whites | 506,759 | 12.9 (12.9,13.0) | 7.9 | 14.8 | 15.8 | 14.2 | 2000–2009 | 7.5a (7.1, 8.0) | < 0.001 | 2009–2015 | 1.3a (0.5, 2.1) | 0.003 | 3.7a (3.2–4.2) | < 0.05 | |
2015–2017 | -5.7a (-8.9, -2.3) | 0.004 | |||||||||||||
Hispanic | 77,526 | 11.4 (11.3,11,5) | 7.0 | 12.1 | 13.8 | 12.9 | 2000–2009 | 6.3a (5.5, 7.1) | < 0.001 | 2009–2015 | 2.5* (1.1, 3.8) | 0.002 | 3.7a (2.9–4.6) | < 0.05 | |
2015–2017 | -3.4 (-8.7, 2.2) | 0.199 | |||||||||||||
Age (years) | |||||||||||||||
< 30 | 68,650 | 2.9 (2.9–2.9) | 2.1 | 3.0 | 3.5 | 3.3 | 2000–2015 | 3.8a (3.5, 4.2) | < 0.001 | 2015–2017 | -5.5 (-12.4, 1.9) | 0.128 | 2.7a (1.8, 3.6) | < 0.05 | |
30–44 | 183,261 | 16.3 (16.3,16.4) | 10.3 | 17.3 | 20.8 | 18.7 | 2000–2006 | 6.1a (5.0, 7.2) | < 0.001 | 2006–2009 | 8.3a (3.0, 14.0) | 0.007 | 3.6a (2.6, 4.6) | < 0.05 | |
2009–2015 | 2.0a (0.9, 3.0) | 0.003 | 2015–2017 | -5.3a (-9.5, -0.8) | 0.027 | ||||||||||
45–59 | 229,817 | 20.8 (20.7–20.9) | 12.3 | 21.8 | 25.2 | 22.7 | 2000–2009 | 7.5a (7.1, 8.0) | < 0.001 | 2009–2014 | 2.0a (0.9, 3.1) | 0.002 | 3.8a (3.4, 4.3) | < 0.05 | |
2014–2017 | -3.6a (-5.3, -1.9) | 0.001 | |||||||||||||
60–74 | 150,976 | 22.3 (22.2–22.5) | 12.4 | 25.6 | 25.8 | 23.0 | 2000–2008 | 9.4a (8.5, 10.2) | < 0.001 | 2008–2013 | 2.1a (0.4, 3.8) | 0.018 | 4.1a (3.4, 4.7) | < 0.05 | |
2013–2017 | -3.5a (-5.0, 2.0) | < 0.001 | |||||||||||||
≥ 75 | 50,453 | 15.5 (15.3–15.6) | 10.1 | 17.8 | 17.3 | 15.7 | 2000–2008 | 7.7a 6.8,8.5) | < 0.001 | 2008–2014 | 0.8a (-0.5,2.2) | 0.210 | 3.0a (2.2,3.7) | < 0.05 | |
2014–2017 | -4.7a (-7.6,-1.7) | 0.006 |
aThe difference was statistically significant