Table 4.

Invasive cancer IRsa by Appalachian Region and US non-Appalachia, by economic status, males and females, 2004–2011

Southernb Appalachia rate (CI)cCentrald Appalachia rate (CI)Northerne Appalachia rate (CI)All Appalachia rate (CI)United Statesf non-Appalachia rate (CI)
Competitive/attainment454.1 (450.1–458.2)481.7 (469.7–494.0)505.9 (502.8–509.0)486.6 (484.2–489.0)479.1 (478.6–479.7)
Distressed467.9g (461.2–474.6)503.2g (499.2–507.1)h494.4g (491.0–497.8)435.0g (433.5–436.5)
At risk452.9 (447.1–458.8)475.8 (472.8–478.8)497.8 (486.9–508.9)472.7g (470.2–475.3)467.3g (466.3–468.3)
Transitional478.8g (476.7–481.0)480.4 (478.5–482.3)493.1g (491.3–494.9)485.5 (484.4–486.6)466.5g (466.1–466.9)
  • aRates are per 100,000 persons age-adjusted to the 2000 US standard population.

  • bSouthern Appalachia includes all Appalachian counties in Alabama, Georgia, Mississippi, and South Carolina.

  • cCI = 95% confidence interval.

  • dCentral Appalachia includes all Appalachian counties in Kentucky, North Carolina, Tennessee, Virginia, and West Virginia.

  • eNorthern Appalachia includes all Appalachian counties in Maryland, New York, Ohio, and Pennsylvania.

  • fUS non-Appalachia includes all counties not in Appalachia.

  • gThe rate ratio indicates that the rate is significantly different than the US non-Appalachia rate (P < 0.05).

  • hStatistic could not be calculated. Rates are suppressed if fewer than 16 cases are reported in the category.