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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2019-2023

North Carolina Counties versus United States

Brain & ONS

All Races, Both Sexes

Sorted by name

Counties
sort alphabetically by name descending 		Priority Index1
1=highest
9=lowest
sort by priority index descending 		Recent Trend2
 County Death
Rate
Compared
to
US Rate
 Average Annual Count
sort by count descending 		Age-Adjusted Death Rate

deaths per 100,000
(95% Confidence Interval)
sort by rate descending 		Rate
Ratio3
County
to
US
sort by rate descending 		Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
sort by trend descending
United States - stable - 17,853 4.4 (4.4, 4.4) - -0.3 (-1.1, 0.0)
North Carolina - falling - 545 4.2 (4.0, 4.4) - -0.7 (-1.9, -0.2)
Alamance County 6 stable similar 9 4.0 (2.8, 5.4) 0.9 0.0 (-2.3, 2.6)
Alexander County
**
 		**
*
3 or fewer
*
*
**
Alleghany County
**
 		**
*
3 or fewer
*
*
**
Anson County
**
 		**
*
3 or fewer
*
*
**
Ashe County
**
 		**
*
3 or fewer
*
*
**
Avery County
**
 		**
*
3 or fewer
*
*
**
Beaufort County
**
 		** similar 4 5.1 (2.9, 8.4) 1.2
**
Bertie County
**
 		**
*
3 or fewer
*
*
**
Bladen County
**
 		**
*
3 or fewer
*
*
**
Brunswick County 6 stable similar 12 4.3 (3.1, 5.8) 1.0 -0.4 (-3.1, 3.1)
Buncombe County 6 stable similar 19 4.9 (3.9, 6.1) 1.1 -0.6 (-2.4, 1.4)
Burke County 6 stable similar 6 4.0 (2.7, 6.0) 0.9 -1.2 (-3.8, 1.7)
Cabarrus County 6 stable similar 10 4.1 (3.0, 5.5) 0.9 -1.8 (-3.9, 0.5)
Caldwell County 6 stable similar 4 3.3 (2.0, 5.4) 0.8 -0.6 (-4.0, 3.0)
Camden County
**
 		**
*
3 or fewer
*
*
**
Carteret County 6 stable similar 6 5.7 (3.7, 8.6) 1.3 2.6 (-0.3, 6.0)
Caswell County
**
 		**
*
3 or fewer
*
*
**
Catawba County 6 stable similar 9 4.2 (3.0, 5.7) 1.0 -1.9 (-4.3, 0.5)
Chatham County
**
 		** similar 6 4.8 (3.2, 7.2) 1.1
**
Cherokee County
**
 		**
*
3 or fewer
*
*
**
Chowan County
**
 		**
*
3 or fewer
*
*
**
Clay County
**
 		**
*
3 or fewer
*
*
**
Cleveland County 6 stable similar 7 5.3 (3.6, 7.5) 1.2 0.7 (-2.2, 4.0)
Columbus County
**
 		**
*
3 or fewer
*
*
**
Craven County 6 stable similar 8 5.5 (3.8, 7.6) 1.2 -0.7 (-3.9, 3.0)
Cumberland County 6 stable similar 13 4.0 (3.1, 5.1) 0.9 1.0 (-1.4, 3.7)
Currituck County
**
 		**
*
3 or fewer
*
*
**
Dare County
**
 		**
*
3 or fewer
*
*
**
Davidson County 6 stable similar 9 3.6 (2.6, 4.9) 0.8 0.5 (-1.9, 3.3)
Davie County
**
 		** similar 3 5.3 (2.9, 9.0) 1.2
**
Duplin County
**
 		** similar 4 7.5 (4.4, 11.8) 1.7
**
Durham County 7 stable lower 11 3.2 (2.4, 4.2) 0.7 -1.1 (-2.9, 1.1)
Edgecombe County
**
 		**
*
3 or fewer
*
*
**
Forsyth County 6 stable similar 21 4.4 (3.6, 5.4) 1.0 0.0 (-1.6, 1.7)
Franklin County
**
 		** similar 4 4.5 (2.8, 7.1) 1.0
**
Gaston County 6 stable similar 13 4.7 (3.6, 6.0) 1.1 0.2 (-1.3, 1.8)
Gates County
**
 		**
*
3 or fewer
*
*
**
Graham County
**
 		**
*
3 or fewer
*
*
**
Granville County
**
 		** similar 4 4.7 (2.7, 7.7) 1.1
**
Greene County
**
 		**
*
3 or fewer
*
*
**
Guilford County 7 stable lower 22 3.6 (3.0, 4.4) 0.8 -1.1 (-2.5, 0.4)
Halifax County
**
 		**
*
3 or fewer
*
*
**
Harnett County 6 stable similar 5 3.4 (2.2, 5.1) 0.8 -0.6 (-4.1, 3.2)
Haywood County
**
 		** similar 4 3.7 (2.2, 6.1) 0.8
**
Henderson County 4 stable higher 12 6.9 (5.0, 9.2) 1.6 0.8 (-1.8, 3.4)
Hertford County
**
 		**
*
3 or fewer
*
*
**
Hoke County
**
 		**
*
3 or fewer
*
*
**
Hyde County
**
 		**
*
3 or fewer
*
*
**
Iredell County 6 stable similar 9 3.8 (2.7, 5.1) 0.9 -1.1 (-3.2, 1.2)
Jackson County
**
 		**
*
3 or fewer
*
*
**
Johnston County 6 stable similar 9 3.7 (2.7, 5.0) 0.8 -1.0 (-2.9, 1.5)
Jones County
**
 		**
*
3 or fewer
*
*
**
Lee County
**
 		**
*
3 or fewer
*
*
**
Lenoir County
**
 		** similar 3 3.7 (2.1, 6.2) 0.8
**
Lincoln County 6 stable similar 5 3.9 (2.5, 5.9) 0.9 -0.4 (-3.7, 3.8)
Macon County
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Martin County
**
 		**
*
3 or fewer
*
*
**
McDowell County
**
 		**
*
3 or fewer
*
*
**
Mecklenburg County 9 falling lower 39 3.5 (3.0, 4.0) 0.8 -1.6 (-2.8, -0.2)
Mitchell County
**
 		**
*
3 or fewer
*
*
**
Montgomery County
**
 		**
*
3 or fewer
*
*
**
Moore County 6 stable similar 8 5.2 (3.6, 7.3) 1.2 0.2 (-1.9, 2.7)
Nash County 6 stable similar 5 3.8 (2.3, 5.8) 0.9 -1.2 (-4.2, 2.0)
New Hanover County 6 stable similar 13 4.5 (3.4, 5.8) 1.0 -1.0 (-3.4, 1.5)
Northampton County
**
 		**
*
3 or fewer
*
*
**
Onslow County 6 stable similar 8 4.9 (3.4, 6.7) 1.1 1.3 (-1.1, 4.5)
Orange County 6 stable similar 7 4.2 (2.9, 5.9) 0.9 -2.0 (-4.7, 1.0)
Pamlico County
**
 		**
*
3 or fewer
*
*
**
Pasquotank County
**
 		**
*
3 or fewer
*
*
**
Pender County 6 stable similar 4 4.5 (2.7, 7.3) 1.0 0.6 (-2.7, 4.9)
Perquimans County
**
 		**
*
3 or fewer
*
*
**
Person County
**
 		** similar 4 6.9 (4.0, 11.2) 1.6
**
Pitt County 6 stable similar 8 4.5 (3.2, 6.2) 1.0 -1.1 (-4.8, 2.9)
Polk County
**
 		**
*
3 or fewer
*
*
**
Randolph County 6 stable similar 9 4.6 (3.3, 6.2) 1.0 0.9 (-1.2, 3.3)
Richmond County
**
 		**
*
3 or fewer
*
*
**
Robeson County 6 stable similar 5 3.3 (2.1, 5.1) 0.8 -1.0 (-4.1, 2.1)
Rockingham County 6 stable similar 4 3.0 (1.8, 4.9) 0.7 -0.6 (-4.5, 3.3)
Rowan County 2 rising similar 11 5.7 (4.2, 7.5) 1.3 1.9 (0.1, 4.0)
Rutherford County
**
 		** similar 6 6.3 (4.0, 9.4) 1.4
**
Sampson County
**
 		** similar 4 4.7 (2.8, 7.6) 1.1
**
Scotland County
**
 		**
*
3 or fewer
*
*
**
Stanly County 6 stable similar 4 5.0 (3.0, 7.8) 1.1 0.8 (-3.5, 5.7)
Stokes County
**
 		** similar 4 6.8 (4.0, 10.8) 1.5
**
Surry County 6 stable similar 5 4.5 (2.7, 6.9) 1.0 -1.2 (-4.4, 2.0)
Swain County
**
 		**
*
3 or fewer
*
*
**
Transylvania County
**
 		**
*
3 or fewer
*
*
**
Tyrrell County
**
 		**
*
3 or fewer
*
*
**
Union County 6 stable similar 12 4.3 (3.2, 5.6) 1.0 -0.8 (-3.1, 2.1)
Vance County
**
 		**
*
3 or fewer
*
*
**
Wake County 6 stable similar 50 4.2 (3.7, 4.8) 1.0 0.3 (-0.7, 1.7)
Warren County
**
 		**
*
3 or fewer
*
*
**
Washington County
**
 		**
*
3 or fewer
*
*
**
Watauga County
**
 		**
*
3 or fewer
*
*
**
Wayne County 6 stable similar 6 4.5 (3.0, 6.5) 1.0 0.3 (-2.1, 2.9)
Wilkes County 8 falling similar 4 3.9 (2.3, 6.4) 0.9 -11.9 (-35.6, -0.1)
Wilson County
**
 		** similar 4 4.1 (2.5, 6.4) 0.9
**
Yadkin County
**
 		**
*
3 or fewer
*
*
**
Yancey County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 10:25 pm.

Trend2
     Rising    when 95% confidence interval of average annual percent change is above 0.
     Stable    when 95% confidence interval of average annual percent change includes 0.
     Falling    when 95% confidence interval of average annual percent change is below 0.
Rate Comparison
     Above    when 95% confident the rate is above and Rate Ratio3 > 1.10
     Similar    when unable to conclude above or below with confidence.
     Below    when 95% confident the rate is below and Rate Ratio3 < 0.90

* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
1 Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.
2 Recent trend in death rates is usually an Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint. Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected geographic areas.
3 Rate ratio is the county rate divided by the US rate. Previous versions of this table used one-year rates for states and five-year rates for counties. As of June 2018, only five-year rates are used.
Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+). The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with mortality data.
Note: When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate. Suppression is used to avoid misinterpretation when rates are unstable.

State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).

Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Alexander County, Alleghany County, Anson County, Ashe County, Avery County, Bertie County, Bladen County, Camden County, Caswell County, Cherokee County, Chowan County, Clay County, Columbus County, Currituck County, Dare County, Edgecombe County, Gates County, Graham County, Greene County, Halifax County, Hertford County, Hoke County, Hyde County, Jackson County, Jones County, Lee County, Macon County, Madison County, Martin County, McDowell County, Mitchell County, Montgomery County, Northampton County, Pamlico County, Pasquotank County, Perquimans County, Polk County, Richmond County, Scotland County, Swain County, Transylvania County, Tyrrell County, Vance County, Warren County, Washington County, Watauga County, Yadkin County, Yancey County

Trend for the following could not be reliably determined due to small number of deaths per year:
Beaufort County, Chatham County, Davie County, Duplin County, Franklin County, Granville County, Haywood County, Lenoir County, Person County, Rutherford County, Sampson County, Stokes County, Wilson County

Interpret Rankings provides insight into interpreting cancer statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.

Data for United States do not include Puerto Rico.

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