Table 30-A

Three-Year Age-Adjusted Invasive Cancer Incidence Rates
by Race, Sex and County
Michigan Residents, 2018-2020
County All Races White Black
Total Male Female Total Male Female Total Male Female
Michigan 428.6 ±2.0 464.4 ±2.9 403.6 ±2.8 422.5 ±2.2 451.0 ±3.1 404.1 ±3.1 421.1 ±5.7 483.3 ±9.2 378.4 ±7.3
Berrien 434.4 ±15.9 450.3 ±22.4 427.3 ±22.6 431.2 ±17.1 443.0 ±23.7 428.2 ±24.9 456.4 ±48.3 513.5 ±76.5 410.8 ±61.3
Calhoun 463.7 ±17.8 503.0 ±26.0 437.4 ±24.8 456.0 ±19.1 489.4 ±27.5 435.2 ±26.7 480.4 ±56.8 554.6 ±87.8 420.1 ±74.5
Genesee 374.0 ±9.3 412.9 ±13.9 345.4 ±12.6 376.1 ±10.4 399.1 ±15.1 361.3 ±14.5 307.7 ±20.0 380.5 ±33.0 253.1 ±24.7
Ingham 425.7 ±13.0 451.3 ±19.2 409.1 ±17.9 414.2 ±14.1 430.1 ±20.5 405.8 ±19.6 416.6 ±39.1 516.4 ±62.6 339.5 ±49.3
Jackson 486.0 ±16.7 548.3 ±24.5 436.3 ±23.2 476.2 ±17.2 527.7 ±25.1 436.2 ±24.1 637.7 ±82.6 936.4 ±140.3 369.8 ±96.9
Kalamazoo 436.2 ±13.2 468.2 ±19.4 416.2 ±18.4 436.9 ±14.2 463.9 ±20.6 421.5 ±20.0 445.8 ±45.0 543.8 ±71.2 374.0 ±57.3
Kent 409.8 ±8.2 435.9 ±12.2 394.2 ±11.4 405.3 ±8.8 425.6 ±12.8 394.6 ±12.2 421.3 ±29.4 519.1 ±50.0 354.3 ±35.9
Macomb 459.5 ±6.9 495.2 ±10.2 437.8 ±9.6 452.6 ±7.4 474.9 ±10.7 443.2 ±10.6 448.3 ±25.0 547.4 ±43.6 395.0 ±30.4
Muskegon 315.0 ±13.1 350.9 ±19.4 288.7 ±18.1 316.5 ±14.1 346.9 ±20.5 295.2 ±19.8 289.1 ±37.8 353.1 ±61.4 240.8 ±48.0
Oakland 438.8 ±5.7 486.2 ±8.4 406.3 ±7.7 435.9 ±6.4 474.0 ±9.3 410.6 ±8.9 409.0 ±14.8 472.0 ±24.2 371.1 ±18.9
Saginaw 472.0 ±15.0 539.3 ±22.4 424.0 ±20.4 456.4 ±16.4 510.6 ±23.9 420.2 ±23.0 521.4 ±39.2 633.0 ±63.8 437.7 ±48.8
Washtenaw 419.6 ±11.1 455.9 ±16.3 395.3 ±15.2 421.6 ±12.3 457.0 ±18.0 398.3 ±17.2 453.8 ±34.7 528.7 ±54.5 402.5 ±45.3
Wayne 452.7 ±5.0 494.5 ±7.6 424.3 ±6.8 452.3 ±6.5 477.1 ±9.4 440.1 ±9.3 434.4 ±8.2 483.8 ±13.1 400.0 ±10.6
 


Table 30-B

Three-Year Age-Adjusted Invasive Breast Cancer Incidence Rates
by Race, Sex and County
Michigan Residents, 2018-2020
County All Races White Black
Total Male Female Total Male Female Total Male Female
Michigan 64.9 ±0.8 1.4 ±0.2 122.4 ±1.6 64.8 ±0.9 1.3 ±0.2 123.7 ±1.8 65.2 ±2.4 2.2 ±0.7 113.5 ±4.2
Berrien 64.1 ±6.6 * 121.1 ±12.8 65.9 ±7.3 * 125.9 ±14.3 44.1 ±15.7 * 75.6 ±27.2
Calhoun 68.1 ±7.4 * 127.8 ±14.1 68.6 ±8.0 * 129.2 ±15.3 54.8 ±20.5 * 100.3 ±39.2
Genesee 54.2 ±3.8 * 99.5 ±7.0 56.9 ±4.3 * 105.6 ±8.2 39.6 ±7.4 - 70.1 ±13.2
Ingham 74.5 ±5.8 * 138.0 ±10.8 75.0 ±6.3 * 138.8 ±11.9 56.4 ±15.0 * 103.6 ±28.0
Jackson 59.1 ±6.0 * 114.4 ±12.1 60.5 ±6.3 * 116.0 ±12.6 * * *
Kalamazoo 70.1 ±5.6 * 131.0 ±10.7 69.8 ±6.0 * 131.1 ±11.6 64.4 ±17.4 * 118.0 ±32.4
Kent 69.4 ±3.6 * 130.9 ±6.8 71.8 ±3.9 * 136.4 ±7.5 53.6 ±10.7 * 95.5 ±19.2
Macomb 70.3 ±2.9 * 130.8 ±5.5 71.0 ±3.2 * 134.1 ±6.1 66.0 ±9.8 * 109.9 ±16.2
Muskegon 38.5 ±4.8 * 72.2 ±9.2 37.8 ±5.1 * 71.4 ±9.8 44.9 ±16.0 * 80.3 ±29.1
Oakland 69.3 ±2.4 1.6 ±0.5 129.1 ±4.5 68.2 ±2.7 1.6 ±0.6 129.3 ±5.2 77.9 ±6.8 * 129.2 ±11.5
Saginaw 72.9 ±6.3 * 134.5 ±12.0 70.8 ±7.0 * 132.2 ±13.5 84.0 ±16.3 * 146.6 ±28.6
Washtenaw 69.3 ±4.8 * 131.0 ±9.2 70.4 ±5.4 * 134.2 ±10.5 62.1 ±13.8 * 113.8 ±25.4
Wayne 67.9 ±2.1 1.9 ±0.5 123.6 ±3.8 68.2 ±2.7 1.8 ±0.7 129.2 ±5.3 69.3 ±3.4 * 119.0 ±6.0
 


 
Table 30-C

Three-Year Age-Adjusted Invasive Colorectal Cancer Incidence Rates
by Race, Sex and County
Michigan Residents, 2018-2020
County All Races White Black
Total Male Female Total Male Female Total Male Female
Michigan 36.0 ±0.6 39.5 ±0.9 33.0 ±0.8 35.2 ±0.6 38.3 ±1.0 32.4 ±0.9 41.0 ±1.8 47.6 ±3.0 35.9 ±2.3
Berrien 40.4 ±4.9 44.9 ±7.4 36.6 ±6.5 40.1 ±5.3 43.1 ±7.9 37.2 ±7.2 47.8 ±14.9 71.3 ±26.8 *
Calhoun 40.6 ±5.5 48.0 ±8.8 34.0 ±6.7 41.1 ±5.9 46.8 ±9.4 35.9 ±7.4 * * *
Genesee 28.4 ±2.7 30.0 ±3.9 26.8 ±3.6 29.8 ±3.0 30.8 ±4.4 28.8 ±4.2 20.6 ±5.5 23.2 ±8.6 18.3 ±7.1
Ingham 31.8 ±3.7 32.2 ±5.5 31.4 ±4.9 30.6 ±3.9 32.5 ±6.1 28.7 ±5.1 35.9 ±11.2 * 38.5 ±16.6
Jackson 42.3 ±5.1 47.6 ±7.8 36.5 ±6.6 39.7 ±5.2 43.0 ±7.8 36.1 ±6.7 84.7 ±31.3 130.5 ±56.2 *
Kalamazoo 34.4 ±3.8 37.4 ±5.8 31.6 ±4.9 34.6 ±4.1 38.1 ±6.3 31.2 ±5.2 26.7 ±11.6 * *
Kent 34.3 ±2.5 37.0 ±3.7 31.8 ±3.3 33.9 ±2.6 36.9 ±4.0 31.1 ±3.5 38.1 ±8.7 45.4 ±14.5 33.2 ±10.9
Macomb 38.4 ±2.1 43.4 ±3.2 34.2 ±2.7 37.4 ±2.2 42.1 ±3.4 33.3 ±2.8 44.3 ±8.5 59.2 ±15.4 36.3 ±9.9
Muskegon 25.8 ±4.0 26.5 ±5.6 25.2 ±5.6 26.1 ±4.3 26.8 ±6.1 25.8 ±6.2 26.9 ±11.2 * *
Oakland 35.5 ±1.6 39.1 ±2.5 32.6 ±2.2 34.4 ±1.8 38.3 ±2.8 31.3 ±2.4 40.4 ±4.7 47.4 ±8.4 35.3 ±5.6
Saginaw 44.7 ±4.9 51.0 ±7.5 39.7 ±6.4 42.4 ±5.2 48.1 ±7.8 38.1 ±7.0 55.9 ±14.0 62.7 ±21.9 49.9 ±17.8
Washtenaw 29.0 ±2.9 31.0 ±4.4 26.7 ±3.8 25.8 ±3.1 27.5 ±4.6 23.3 ±3.9 55.0 ±12.5 61.0 ±19.2 50.9 ±16.3
Wayne 40.7 ±1.6 45.7 ±2.4 36.6 ±2.0 39.6 ±2.0 43.4 ±3.0 36.7 ±2.7 43.3 ±2.7 50.9 ±4.5 37.5 ±3.3
 


Table 30-D

Three-Year Age-Adjusted Invasive Lung Cancer Incidence Rates
by Race, Sex and County
Michigan Residents, 2018-2020
County All Races White Black
Total Male Female Total Male Female Total Male Female
Michigan 57.5 ±0.7 63.1 ±1.1 53.4 ±1.0 57.4 ±0.8 62.6 ±1.2 53.5 ±1.0 60.7 ±2.2 68.6 ±3.6 55.1 ±2.8
Berrien 69.2 ±6.0 67.1 ±8.6 71.1 ±8.5 67.8 ±6.3 65.6 ±8.9 70.5 ±9.1 85.9 ±21.8 77.9 ±31.8 87.8 ±28.6
Calhoun 64.6 ±6.5 62.5 ±9.1 67.2 ±9.3 64.9 ±7.0 63.7 ±9.9 66.6 ±10.0 70.7 ±20.7 * 75.5 ±30.0
Genesee 57.8 ±3.5 67.5 ±5.5 50.5 ±4.5 58.5 ±3.9 66.5 ±6.1 52.4 ±5.1 53.8 ±8.4 71.9 ±14.5 41.1 ±10.0
Ingham 51.7 ±4.5 55.8 ±7.0 48.0 ±5.9 50.4 ±4.8 54.3 ±7.4 47.2 ±6.3 52.6 ±13.9 54.5 ±20.3 48.7 ±18.1
Jackson 75.5 ±6.5 89.6 ±10.0 63.8 ±8.5 74.7 ±6.7 89.3 ±10.3 62.6 ±8.7 97.7 ±36.2 * *
Kalamazoo 56.8 ±4.7 62.8 ±7.1 52.9 ±6.3 56.2 ±5.0 61.2 ±7.5 53.3 ±6.8 69.6 ±17.7 92.6 ±26.4 53.9 ±23.3
Kent 53.1 ±3.0 60.1 ±4.6 47.8 ±3.9 51.0 ±3.1 57.3 ±4.7 46.3 ±4.0 81.1 ±14.1 103.8 ±25.7 67.0 ±16.5
Macomb 63.8 ±2.5 71.0 ±3.9 58.6 ±3.3 64.2 ±2.7 70.1 ±4.1 60.1 ±3.6 66.9 ±10.8 87.1 ±19.8 55.0 ±12.4
Muskegon 44.6 ±4.8 51.1 ±7.4 39.9 ±6.3 46.1 ±5.2 50.8 ±7.7 42.9 ±7.0 32.3 ±12.9 * *
Oakland 48.6 ±1.9 52.1 ±2.8 46.4 ±2.5 51.0 ±2.1 54.7 ±3.2 48.6 ±2.8 41.8 ±4.7 45.3 ±7.4 40.5 ±6.1
Saginaw 55.6 ±4.9 68.2 ±7.8 46.4 ±6.2 54.3 ±5.3 65.8 ±8.3 45.8 ±6.8 65.1 ±14.4 82.9 ±24.9 52.9 ±17.3
Washtenaw 43.2 ±3.5 47.5 ±5.5 40.3 ±4.7 42.8 ±3.9 47.8 ±6.0 39.4 ±5.1 45.7 ±11.3 48.6 ±17.6 43.1 ±14.8
Wayne 64.1 ±1.9 69.5 ±2.9 60.3 ±2.5 63.8 ±2.4 68.2 ±3.6 61.2 ±3.3 65.6 ±3.2 72.1 ±5.2 60.7 ±4.0
 


 
Table 30-E

Three-Year Age-Adjusted Invasive Prostate Cancer Incidence Rates
by Race, Sex and County
Michigan Residents, 2018-2020
County All Races White Black
Total Male Female Total Male Female Total Male Female
Michigan 52.9 ±0.7 113.3 ±1.4 - 47.4 ±0.7 100.4 ±1.5 - 67.8 ±2.3 158.7 ±5.4 -
Berrien 47.5 ±5.0 102.0 ±10.6 - 45.0 ±5.2 95.8 ±10.9 - 71.1 ±19.6 165.8 ±44.6 -
Calhoun 52.6 ±5.8 113.6 ±12.2 - 45.5 ±5.7 98.3 ±12.2 - 95.6 ±25.0 204.8 ±53.1 -
Genesee 42.2 ±3.0 92.3 ±6.5 - 34.8 ±3.0 75.4 ±6.5 - 48.9 ±7.8 112.7 ±17.9 -
Ingham 50.7 ±4.3 111.2 ±9.4 - 43.1 ±4.3 94.8 ±9.4 - 91.7 ±18.1 201.4 ±39.6 -
Jackson 63.1 ±5.9 131.4 ±12.1 - 57.3 ±5.8 120.0 ±11.9 - 170.5 ±44.4 339.4 ±90.3 -
Kalamazoo 50.5 ±4.4 109.8 ±9.5 - 47.4 ±4.5 103.0 ±9.7 - 87.1 ±21.0 190.5 ±45.5 -
Kent 40.3 ±2.6 87.1 ±5.5 - 39.4 ±2.7 84.6 ±5.7 - 54.6 ±10.5 127.2 ±24.3 -
Macomb 56.5 ±2.4 123.7 ±5.2 - 48.3 ±2.4 104.7 ±5.0 - 72.3 ±10.0 186.7 ±25.0 -
Muskegon 41.8 ±4.5 89.5 ±9.6 - 39.0 ±4.6 83.2 ±9.7 - 58.4 ±16.8 128.9 ±37.0 -
Oakland 61.6 ±2.1 133.8 ±4.5 - 52.6 ±2.1 112.2 ±4.5 - 68.0 ±6.1 168.4 ±14.9 -
Saginaw 67.8 ±5.4 149.2 ±11.6 - 60.1 ±5.5 131.4 ±11.8 - 97.0 ±16.7 223.0 ±37.9 -
Washtenaw 59.2 ±4.1 128.0 ±8.7 - 56.5 ±4.4 121.7 ±9.2 - 95.0 ±16.3 211.6 ±35.7 -
Wayne 57.9 ±1.8 128.4 ±3.9 - 46.0 ±2.0 98.6 ±4.3 - 62.7 ±3.1 148.8 ±7.4 -
 



Notes: Age-Adjusted Rates are per 100,000 population. Age-adjusted rates are computed by the direct method, using as the standard population the age distribution of the total population of the United States for the year 2000. Adding and subtracting the number shown after the ± symbol from the rate creates a confidence interval indicating that the true rate lies between the lower and upper bounds of this interval with 95 % statistical confidence. Case: A case is defined as a person with any newly diagnosed cancer with a behavior code of 3 (malignant primary site). Both in-situ and invasive urinary bladder cancer cases are included, in order to be consistent with SEER tabulations from the National Cancer Institute.

Includes all Michigan counties with 10,000 or more resident black population.

*: A rate is not calculated when there are fewer than 20 events, because the width of the confidence interval would negate any usefulness for comparative purposes.

-: A dash indicates quantity zero.


COVID-19 Pandemic: In 2020, the highly publicized impact of the COVID-19 pandemic on health services and the consequential delays and reductions in cancer screening and diagnosis led to a decline in the 2020 incidence rates for most cancer sites. Because 2020 was a temporary, anomalous year, it can bias estimates such as cancer incidence trends.
Source: Michigan Resident Cancer Incidence File. Updated with cases processed through November 30, 2022. Division for Vital Records & Health Statistics, Michigan Department of Health & Human Services.
Last Updated: April 13, 2023