State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for North Carolina by County

All Cancer Sites, 2019-2023

Black Non-Hispanic, Both Sexes, All Ages

Sorted by CI*Rank

Explanation of Column Headers

Death Rate (95% Confidence Interval) - The death rate is based upon 100,000 people and is for 5 year(s). Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population (the Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal).

Recent Trends - This is an interpretation of the AAPC:

• 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.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Yadkin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 295.9 with a 95% confidence interval from 175.2 to 467.4 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 82)
• Recent Trend :

Camden County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 257.9 with a 95% confidence interval from 140.9 to 435.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 82)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -5.2 to 2.6.

Alexander County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 239.7 with a 95% confidence interval from 158.9 to 348.2 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 81)
• Recent Trend :

Davie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 234.9 with a 95% confidence interval from 173.8 to 313.2 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 78)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.8 to 3.8.

Tyrrell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 223.7 with a 95% confidence interval from 129.8 to 369.4 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 82)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -5.8 to 1.7.

Surry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 222.8 with a 95% confidence interval from 160.2 to 303.9 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 81)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.2 to 0.6.

Moore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 222.1 with a 95% confidence interval from 189.8 to 258.6 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 57)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.1 to 0.5.

Alamance County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 221.4 with a 95% confidence interval from 200.2 to 244.2 and 87 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (2, 38)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.0 to -0.1.

Rutherford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 217.0 with a 95% confidence interval from 172.1 to 270.6 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 76)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.8 to 1.1.

Wayne County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 216.9 with a 95% confidence interval from 197.6 to 237.7 and 99 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (2, 36)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.0 to 0.1.

Halifax County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 216.1 with a 95% confidence interval from 194.3 to 240.0 and 77 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (2, 44)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.

Jones County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 215.9 with a 95% confidence interval from 154.9 to 297.0 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (1, 81)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.7 to 1.2.

Richmond County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 215.2 with a 95% confidence interval from 182.1 to 252.6 and 33 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 66)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.0 to 0.7.

Martin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 211.6 with a 95% confidence interval from 177.6 to 251.0 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (1, 70)
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.6 to 11.1.

McDowell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 211.5 with a 95% confidence interval from 129.7 to 326.9 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 82)
• Recent Trend :

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 210.3 with a 95% confidence interval from 163.1 to 267.8 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 79)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -2.9 to 17.1.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 209.1 with a 95% confidence interval from 168.8 to 255.9 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (1, 76)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.2.

Stokes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 208.2 with a 95% confidence interval from 136.6 to 307.8 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (1, 82)
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -4.4 to 26.1.

Anson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 203.0 with a 95% confidence interval from 169.3 to 241.7 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (2, 76)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.2 to 1.5.

Vance County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 199.7 with a 95% confidence interval from 174.8 to 227.3 and 51 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (4, 67)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.7.

New Hanover County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 197.7 with a 95% confidence interval from 176.1 to 221.3 and 66 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (5, 64)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.2 to -0.3.

Cleveland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 197.5 with a 95% confidence interval from 170.6 to 227.4 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (3, 71)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.4.

Scotland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 197.2 with a 95% confidence interval from 165.8 to 233.0 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (3, 75)
• Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -12.3 to 1.0.

Craven County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 197.1 with a 95% confidence interval from 173.1 to 223.6 and 52 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (5, 68)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.2 to -1.2.

Forsyth County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 196.3 with a 95% confidence interval from 183.9 to 209.4 and 203 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (10, 48)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.1 to -1.0.

Stanly County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 196.0 with a 95% confidence interval from 152.0 to 248.8 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (1, 80)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.2 to 0.2.

Edgecombe County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 195.1 with a 95% confidence interval from 175.0 to 217.1 and 75 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (6, 64)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.4.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 194.9 with a 95% confidence interval from 162.8 to 231.7 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (3, 77)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.4.

Catawba County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 194.7 with a 95% confidence interval from 162.3 to 231.6 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (3, 77)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.1 to -0.5.

Northampton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 193.6 with a 95% confidence interval from 162.2 to 230.2 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (3, 77)
• Recent Trend : The trend is stable because the trend is 10.6 with a 95% confidence interval from -1.8 to 21.7.

Harnett County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 193.2 with a 95% confidence interval from 169.5 to 219.3 and 52 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (6, 72)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -2.7 to 0.0.

Perquimans County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 193.1 with a 95% confidence interval from 139.8 to 263.9 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (1, 82)
• Recent Trend : The trend is stable because the trend is 19.6 with a 95% confidence interval from -4.7 to 41.0.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 192.5 with a 95% confidence interval from 145.4 to 251.4 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (2, 81)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.1 to 1.3.

Pitt County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 191.8 with a 95% confidence interval from 175.6 to 209.1 and 114 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (10, 61)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.2 to -1.2.

Sampson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 191.7 with a 95% confidence interval from 165.9 to 220.9 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (5, 74)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.5 to -0.2.

Columbus County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 191.1 with a 95% confidence interval from 164.0 to 221.7 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (5, 75)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.2 to -0.1.

Wilson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 190.5 with a 95% confidence interval from 170.7 to 212.0 and 73 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (7, 67)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.2 to -0.4.

Carteret County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 188.1 with a 95% confidence interval from 136.7 to 254.0 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (1, 82)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.6 to 0.9.

Robeson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 188.0 with a 95% confidence interval from 166.8 to 211.3 and 61 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (7, 71)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.2.

Warren County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 187.4 with a 95% confidence interval from 157.3 to 222.5 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (5, 78)
• Recent Trend : The trend is stable because the trend is 10.2 with a 95% confidence interval from -1.6 to 20.1.

Henderson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 187.3 with a 95% confidence interval from 127.5 to 264.7 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (1, 82)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.3 to 1.1.

Person County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.9 with a 95% confidence interval from 149.3 to 215.6 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (6, 80)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.4.

Gaston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.4 with a 95% confidence interval from 159.8 to 200.6 and 68 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (11, 75)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.2.

Duplin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.2 with a 95% confidence interval from 151.0 to 211.5 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (6, 79)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.1.

Beaufort County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 178.7 with a 95% confidence interval from 148.9 to 213.3 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (7, 80)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.5.

Granville County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 178.4 with a 95% confidence interval from 155.4 to 204.2 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (11, 77)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.5 to -0.7.

Gates County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 178.1 with a 95% confidence interval from 132.1 to 239.5 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (2, 82)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.9 to -0.6.

Rowan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 177.6 with a 95% confidence interval from 154.5 to 203.4 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (12, 78)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.1.

Rockingham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 177.6 with a 95% confidence interval from 153.3 to 204.9 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (10, 79)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 to -0.8.

Onslow County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.6 with a 95% confidence interval from 152.1 to 201.6 and 43 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (11, 79)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.7.

Pender County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.1 with a 95% confidence interval from 141.5 to 214.9 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (6, 81)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.2 to 1.1.

Caldwell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.5 with a 95% confidence interval from 126.1 to 235.9 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (2, 82)
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -5.0 to 0.3.

Guilford County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.1 with a 95% confidence interval from 164.8 to 183.7 and 291 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (29, 69)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.8.

Cumberland County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 173.0 with a 95% confidence interval from 162.6 to 184.0 and 217 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (29, 71)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Durham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 171.7 with a 95% confidence interval from 160.6 to 183.3 and 195 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (31, 72)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.3 to -1.1.

Currituck County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 171.0 with a 95% confidence interval from 99.4 to 277.5 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (1, 82)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.5 to 1.3.

Cabarrus County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.7 with a 95% confidence interval from 149.8 to 191.3 and 61 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (19, 79)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.3 to -0.4.

Mecklenburg County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.5 with a 95% confidence interval from 162.4 to 176.9 and 491 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (39, 70)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.3 to -1.6.

Nash County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.1 with a 95% confidence interval from 152.2 to 187.4 and 80 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (25, 78)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.9 to -1.4.

Davidson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.9 with a 95% confidence interval from 143.7 to 197.4 and 34 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (14, 80)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.9 to -0.3.

Orange County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.6 with a 95% confidence interval from 142.5 to 198.2 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (11, 81)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.1 to -1.1.

Bertie County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.8 with a 95% confidence interval from 138.6 to 201.9 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (10, 81)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.8 to -1.3.

Union County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.7 with a 95% confidence interval from 144.3 to 191.6 and 44 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (17, 80)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.7 to -0.7.

Buncombe County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.6 with a 95% confidence interval from 139.3 to 195.5 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (14, 81)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.5 to -0.8.

Bladen County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.1 with a 95% confidence interval from 136.0 to 199.3 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (11, 81)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.4 to -0.6.

Johnston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.9 with a 95% confidence interval from 145.2 to 186.5 and 59 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (23, 80)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.9 to -0.1.

Lenoir County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.4 with a 95% confidence interval from 143.6 to 185.5 and 54 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (24, 80)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.5 to -1.2.

Iredell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.2 with a 95% confidence interval from 140.5 to 188.6 and 39 average annual counts over 2019-2023.
• CI*Rank ⋔ : 68 (21, 81)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.7 to -0.1.

Brunswick County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.2 with a 95% confidence interval from 137.3 to 193.0 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 69 (16, 81)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.3 to 0.1.

Chowan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 161.7 with a 95% confidence interval from 120.3 to 214.4 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 70 (5, 82)
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -11.3 to -2.1.

Hertford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 161.6 with a 95% confidence interval from 134.6 to 193.0 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 71 (14, 81)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.4 to -1.7.

Caswell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.1 with a 95% confidence interval from 129.0 to 197.9 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 72 (12, 82)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.2 to -0.9.

Pasquotank County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.7 with a 95% confidence interval from 133.1 to 188.1 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 73 (19, 81)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.4 to -0.9.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.2 with a 95% confidence interval from 131.6 to 179.7 and 35 average annual counts over 2019-2023.
• CI*Rank ⋔ : 74 (23, 81)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.8 to -0.5.

Wake County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 153.0 with a 95% confidence interval from 144.7 to 161.5 and 296 average annual counts over 2019-2023.
• CI*Rank ⋔ : 75 (58, 79)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.7 to -1.3.

Chatham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.8 with a 95% confidence interval from 125.1 to 185.8 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 76 (21, 82)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -2.8 to 0.0.

Hoke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.5 with a 95% confidence interval from 120.2 to 172.4 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 77 (35, 82)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.3 to -1.0.

Pamlico County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 143.6 with a 95% confidence interval from 92.1 to 219.2 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 78 (5, 82)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.8 to 1.7.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 141.6 with a 95% confidence interval from 107.8 to 183.4 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 79 (20, 82)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.5 to 0.3.

Lincoln County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.7 with a 95% confidence interval from 100.1 to 190.2 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 80 (11, 82)
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -5.8 to -0.6.

Burke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 136.4 with a 95% confidence interval from 99.7 to 183.3 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 81 (21, 82)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.8 to 0.3.

Wilkes County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 101.2 with a 95% confidence interval from 62.6 to 156.9 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 82 (43, 82)
• Recent Trend : The trend is falling because the trend is -6.7 with a 95% confidence interval from -19.9 to -3.1.

Alleghany County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Ashe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Avery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Dare County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Graham County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Haywood County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Hyde County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Mitchell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Polk County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Swain County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Transylvania County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Watauga County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Yancey County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 6:23 am.

State Cancer Registries may provide more current or more local data.

† 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+).

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.

If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Data for United States does not include Puerto Rico.