State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for North Carolina by County

All Cancer Sites, 2019-2023

White Non-Hispanic, Both Sexes, All Ages

Sorted by Recentaapc

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

North Carolina

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.0 with a 95% confidence interval from 152.9 to 155.1 and 15,260 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.2 to -1.1.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.2 with a 95% confidence interval from 151.0 to 151.4 and 464,032 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.3 to -1.0.

Wake County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 120.5 with a 95% confidence interval from 117.1 to 124.1 and 957 average annual counts over 2019-2023.
• CI*Rank ⋔ : 100 (92, 100)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -5.6 to -2.4.

Hyde County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.0 with a 95% confidence interval from 91.8 to 195.4 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 91 (2, 100)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -5.0 to -0.9.

Rowan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.7 with a 95% confidence interval from 159.5 to 178.3 and 268 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (20, 71)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.8 to -1.6.

Durham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 125.3 with a 95% confidence interval from 118.2 to 132.7 and 245 average annual counts over 2019-2023.
• CI*Rank ⋔ : 97 (87, 100)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -2.7 to -2.0.

Tyrrell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 185.6 with a 95% confidence interval from 126.2 to 272.0 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (1, 100)
• Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -5.3 to 0.2.

Avery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 132.0 with a 95% confidence interval from 113.1 to 154.0 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 93 (48, 100)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.5 to -1.1.

Orange County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 122.1 with a 95% confidence interval from 113.6 to 131.2 and 160 average annual counts over 2019-2023.
• CI*Rank ⋔ : 98 (88, 100)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.6.

Granville County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.8 with a 95% confidence interval from 153.9 to 187.1 and 89 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (9, 85)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -10.5 to -0.4.

Mecklenburg County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 121.2 with a 95% confidence interval from 117.3 to 125.2 and 761 average annual counts over 2019-2023.
• CI*Rank ⋔ : 99 (91, 100)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.2 to -1.7.

Cabarrus County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 140.5 with a 95% confidence interval from 132.7 to 148.5 and 257 average annual counts over 2019-2023.
• CI*Rank ⋔ : 86 (69, 95)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.2 to -1.4.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.4 with a 95% confidence interval from 140.6 to 169.3 and 99 average annual counts over 2019-2023.
• CI*Rank ⋔ : 74 (26, 92)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.5 to -1.0.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 129.3 with a 95% confidence interval from 115.4 to 144.6 and 69 average annual counts over 2019-2023.
• CI*Rank ⋔ : 95 (68, 100)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.8.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 156.1 with a 95% confidence interval from 136.7 to 177.9 and 51 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (12, 95)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.6 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 135.9 with a 95% confidence interval from 130.5 to 141.5 and 499 average annual counts over 2019-2023.
• CI*Rank ⋔ : 90 (80, 96)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.9 to -1.3.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 126.6 with a 95% confidence interval from 106.1 to 151.6 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 96 (48, 100)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.5 to -0.6.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.3 with a 95% confidence interval from 136.7 to 169.6 and 85 average annual counts over 2019-2023.
• CI*Rank ⋔ : 76 (27, 95)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.0 to -0.9.

Dare County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.6 with a 95% confidence interval from 144.1 to 176.6 and 88 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (17, 91)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.6.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 149.2 with a 95% confidence interval from 135.4 to 164.3 and 90 average annual counts over 2019-2023.
• CI*Rank ⋔ : 80 (33, 95)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.2 to -0.8.

Beaufort County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.4 with a 95% confidence interval from 143.7 to 174.6 and 94 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (19, 91)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.4 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 164.1 with a 95% confidence interval from 153.5 to 175.6 and 192 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (22, 83)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 to -0.8.

Chatham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 130.2 with a 95% confidence interval from 120.5 to 140.7 and 150 average annual counts over 2019-2023.
• CI*Rank ⋔ : 94 (79, 100)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 to -0.9.

Gaston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.0 with a 95% confidence interval from 160.5 to 175.8 and 394 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (24, 68)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.7 to -1.1.

Moore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.9 with a 95% confidence interval from 136.9 to 155.4 and 222 average annual counts over 2019-2023.
• CI*Rank ⋔ : 83 (55, 94)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.9 to -0.8.

New Hanover County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.7 with a 95% confidence interval from 139.0 to 152.6 and 381 average annual counts over 2019-2023.
• CI*Rank ⋔ : 84 (62, 91)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 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 164.6 with a 95% confidence interval from 137.2 to 197.8 and 33 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (3, 98)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.6 to -0.1.

Pasquotank 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 142.7 to 182.8 and 56 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (11, 94)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.4 to -0.4.

Union County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 142.5 with a 95% confidence interval from 135.1 to 150.3 and 289 average annual counts over 2019-2023.
• CI*Rank ⋔ : 85 (64, 94)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.9 to -0.8.

Vance County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 183.1 with a 95% confidence interval from 161.7 to 207.3 and 57 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (3, 78)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -3.7 to -0.1.

Iredell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.4 with a 95% confidence interval from 142.7 to 158.4 and 301 average annual counts over 2019-2023.
• CI*Rank ⋔ : 79 (50, 90)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.9.

Catawba County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.5 with a 95% confidence interval from 152.2 to 169.1 and 301 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (31, 79)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.8.

Rockingham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.5 with a 95% confidence interval from 164.3 to 187.4 and 195 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (12, 65)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.8.

Transylvania County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 132.9 with a 95% confidence interval from 119.7 to 147.7 and 89 average annual counts over 2019-2023.
• CI*Rank ⋔ : 92 (63, 100)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.3.

Wilson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.1 with a 95% confidence interval from 150.1 to 179.4 and 106 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (17, 86)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.4.

Brunswick County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.9 with a 95% confidence interval from 148.2 to 164.1 and 403 average annual counts over 2019-2023.
• CI*Rank ⋔ : 69 (39, 85)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.6.

Hoke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 217.8 with a 95% confidence interval from 188.4 to 250.5 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 39)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.2 to 0.1.

Lincoln County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 156.1 with a 95% confidence interval from 145.6 to 167.3 and 175 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (32, 88)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.5.

Pitt County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 149.1 with a 95% confidence interval from 139.1 to 159.7 and 171 average annual counts over 2019-2023.
• CI*Rank ⋔ : 81 (46, 93)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Polk County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.6 with a 95% confidence interval from 120.6 to 161.7 and 54 average annual counts over 2019-2023.
• CI*Rank ⋔ : 87 (37, 100)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.3 to -0.1.

Scotland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 191.3 with a 95% confidence interval from 166.8 to 219.1 and 47 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (1, 72)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.2 to 0.0.

Warren County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 138.4 with a 95% confidence interval from 113.3 to 170.3 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 88 (19, 100)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.2 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 167.0 with a 95% confidence interval from 156.0 to 178.7 and 189 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (18, 77)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.5.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 177.0 with a 95% confidence interval from 148.4 to 210.6 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (1, 94)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.4.

Guilford County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 146.9 with a 95% confidence interval from 141.6 to 152.3 and 619 average annual counts over 2019-2023.
• CI*Rank ⋔ : 82 (64, 90)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.7.

Johnston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.4 with a 95% confidence interval from 157.8 to 175.5 and 296 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (24, 73)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.6.

Nash County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 161.0 with a 95% confidence interval from 148.3 to 174.7 and 128 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (22, 88)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.4.

Northampton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.8 with a 95% confidence interval from 123.7 to 185.1 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 78 (9, 100)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.5 to 0.5.

Stokes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.3 with a 95% confidence interval from 153.3 to 182.5 and 113 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (13, 84)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.3.

Watauga County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 136.8 with a 95% confidence interval from 123.2 to 151.7 and 80 average annual counts over 2019-2023.
• CI*Rank ⋔ : 89 (56, 100)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.1.

Yadkin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.4 with a 95% confidence interval from 149.7 to 182.7 and 87 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (13, 87)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.4.

Yancey County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.9 with a 95% confidence interval from 136.4 to 176.0 and 53 average annual counts over 2019-2023.
• CI*Rank ⋔ : 72 (16, 96)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.0 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 167.4 with a 95% confidence interval from 138.9 to 201.5 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (2, 97)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.2 to 0.3.

Cumberland County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 183.4 with a 95% confidence interval from 174.1 to 193.1 and 301 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (8, 45)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.2 to -0.5.

Gates County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.4 with a 95% confidence interval from 120.5 to 198.4 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 71 (3, 100)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.5 to 0.6.

Hertford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 186.2 with a 95% confidence interval from 153.0 to 226.4 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (1, 92)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.3 to 0.4.

Jones County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 161.3 with a 95% confidence interval from 127.3 to 203.7 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (2, 100)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.1 to 1.3.

Lenoir County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 177.0 with a 95% confidence interval from 159.5 to 196.1 and 83 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (6, 81)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.2.

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.9 with a 95% confidence interval from 140.7 to 170.5 and 102 average annual counts over 2019-2023.
• CI*Rank ⋔ : 73 (25, 93)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.2.

Person County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.6 with a 95% confidence interval from 152.0 to 189.0 and 71 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (9, 86)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.0.

Wilkes County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.9 with a 95% confidence interval from 155.3 to 179.3 and 166 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (18, 79)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.4.

Caswell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.3 with a 95% confidence interval from 151.4 to 202.6 and 41 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (3, 89)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.0 to 0.4.

Harnett County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 181.3 with a 95% confidence interval from 169.7 to 193.6 and 187 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (8, 56)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.1.

Haywood County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.0 with a 95% confidence interval from 147.8 to 170.9 and 166 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (26, 87)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.1.

Henderson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 156.0 with a 95% confidence interval from 147.7 to 164.8 and 300 average annual counts over 2019-2023.
• CI*Rank ⋔ : 68 (40, 85)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.3.

Perquimans County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 161.8 with a 95% confidence interval from 136.0 to 192.6 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (5, 98)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.2.

Alamance County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.2 with a 95% confidence interval from 158.3 to 176.4 and 282 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (21, 71)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.3.

Alexander County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.0 with a 95% confidence interval from 152.8 to 186.7 and 84 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (10, 84)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.1.

Bertie County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 197.7 with a 95% confidence interval from 162.1 to 241.4 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 87)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.6.

Duplin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 176.3 with a 95% confidence interval from 158.2 to 196.2 and 77 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (6, 82)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Pender County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 172.6 with a 95% confidence interval from 158.4 to 187.8 and 117 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (9, 77)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.2.

Stanly County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.1 with a 95% confidence interval from 160.7 to 188.3 and 133 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (10, 71)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.4 to -0.1.

Ashe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 156.7 with a 95% confidence interval from 140.7 to 174.5 and 77 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (20, 93)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Burke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 170.0 with a 95% confidence interval from 159.4 to 181.2 and 208 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (15, 72)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.0.

Davie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.0 with a 95% confidence interval from 138.1 to 167.1 and 93 average annual counts over 2019-2023.
• CI*Rank ⋔ : 77 (31, 94)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.3.

Edgecombe County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 195.2 with a 95% confidence interval from 173.1 to 220.0 and 62 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 61)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.2.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 173.5 with a 95% confidence interval from 164.6 to 182.9 and 300 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (15, 62)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.0 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 175.5 with a 95% confidence interval from 163.0 to 188.8 and 158 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (10, 68)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.1.

Caldwell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 191.4 with a 95% confidence interval from 179.6 to 203.8 and 213 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (4, 39)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.0.

Cleveland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 185.5 with a 95% confidence interval from 173.9 to 197.8 and 202 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (6, 49)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -0.9 to 0.0.

Columbus County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 200.0 with a 95% confidence interval from 182.2 to 219.3 and 99 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 40)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.2.

Davidson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 181.2 with a 95% confidence interval from 172.9 to 189.8 and 377 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (11, 47)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.0.

Graham County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.3 with a 95% confidence interval from 136.0 to 205.5 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (1, 100)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.9 to 1.0.

Wayne County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 190.7 with a 95% confidence interval from 177.8 to 204.3 and 173 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (4, 42)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -0.9 to 0.0.

Halifax County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 183.9 with a 95% confidence interval from 162.9 to 207.5 and 62 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (2, 75)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.1 to 0.2.

Surry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 186.2 with a 95% confidence interval from 174.1 to 199.1 and 187 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (6, 49)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.8 to 0.1.

Bladen County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 187.9 with a 95% confidence interval from 165.3 to 213.4 and 56 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 71)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.5.

Onslow County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 205.9 with a 95% confidence interval from 194.1 to 218.1 and 241 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 22)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.9 to 0.6.

Alleghany County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.8 with a 95% confidence interval from 134.6 to 192.2 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (7, 99)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -11.6 to 9.6.

Richmond County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 216.7 with a 95% confidence interval from 195.7 to 239.6 and 83 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 24)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.5.

McDowell 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 176.4 to 208.1 and 123 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (2, 47)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.6.

Robeson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 214.8 with a 95% confidence interval from 196.2 to 235.1 and 104 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 21)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.

Sampson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 203.1 with a 95% confidence interval from 185.2 to 222.6 and 99 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 37)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.8.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 176.5 with a 95% confidence interval from 140.6 to 222.8 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (1, 100)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.8 to 1.9.

Martin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.2 with a 95% confidence interval from 144.3 to 198.2 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (4, 94)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.7 to 8.4.

Anson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 197.3 with a 95% confidence interval from 166.8 to 232.7 and 33 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 83)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.0 to 1.6.

Camden County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.9 with a 95% confidence interval from 134.1 to 205.9 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (2, 100)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -2.8 to 4.6.

Swain County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 227.9 with a 95% confidence interval from 192.8 to 268.6 and 34 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 40)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.1 to 2.3.

Forsyth 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 147.0 to 159.2 and 519 average annual counts over 2019-2023.
• CI*Rank ⋔ : 75 (51, 85)
• Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 0.7 to 4.5.

Currituck County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.5 with a 95% confidence interval from 136.1 to 177.1 and 53 average annual counts over 2019-2023.
• CI*Rank ⋔ : 70 (16, 97)
• Recent Trend : The trend is rising because the trend is 3.6 with a 95% confidence interval from 0.5 to 9.4.

Mitchell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 196.3 with a 95% confidence interval from 170.9 to 225.2 and 48 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 63)
• Recent Trend : The trend is stable because the trend is 7.4 with a 95% confidence interval from -0.6 to 13.3.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.6 with a 95% confidence interval from 140.2 to 183.8 and 51 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (10, 95)
• Recent Trend : The trend is stable because the trend is 8.8 with a 95% confidence interval from -0.8 to 15.5.

Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 4:30 pm.

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+).

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.

‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

⋔ 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.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.

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 for United States does not include Puerto Rico.