State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for North Carolina by County

Colon & Rectum, 2019-2023

All Races (includes 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 8.9? : No
• Rate : The death rate is 12.8 with a 95% confidence interval from 12.5 to 13.1 and 1,645 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 -1.7 to -0.1.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.9 with a 95% confidence interval from 12.8 to 12.9 and 52,648 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.4.

Rowan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.1 with a 95% confidence interval from 10.0 to 14.7 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 68 (23, 88)
• Recent Trend : The trend is falling because the trend is -5.3 with a 95% confidence interval from -15.8 to -2.1.

Yadkin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 9.0 with a 95% confidence interval from 5.7 to 13.7 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 89 (29, 91)
• Recent Trend : The trend is falling because the trend is -4.2 with a 95% confidence interval from -8.1 to -0.9.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : Yes
• Rate : The death rate is 8.5 with a 95% confidence interval from 6.0 to 11.8 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 91 (48, 91)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -6.3 to -2.1.

Hertford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 16.2 with a 95% confidence interval from 10.0 to 25.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (1, 91)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -7.0 to -1.8.

Bertie County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 17.7 with a 95% confidence interval from 11.0 to 27.5 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 90)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -6.1 to -2.1.

Warren County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.0 with a 95% confidence interval from 6.9 to 20.1 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 69 (3, 91)
• Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -7.9 to -0.4.

Craven County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.7 with a 95% confidence interval from 10.1 to 15.8 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (16, 89)
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -5.6 to -1.8.

Nash County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 10.0 with a 95% confidence interval from 7.6 to 12.9 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 83 (39, 91)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -5.8 to -1.2.

Martin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.6 with a 95% confidence interval from 7.2 to 20.8 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (2, 91)
• Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -7.0 to 0.0.

Currituck County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.2 with a 95% confidence interval from 8.0 to 20.7 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (2, 91)
• Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -6.0 to 0.2.

Chowan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.1 with a 95% confidence interval from 7.5 to 22.6 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (1, 91)
• Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -7.0 to 1.0.

New Hanover County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 10.7 with a 95% confidence interval from 9.1 to 12.5 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 80 (47, 90)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.4 to -1.1.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.5 with a 95% confidence interval from 11.0 to 18.8 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (4, 87)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -5.1 to -0.2.

Mecklenburg County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.2 with a 95% confidence interval from 10.3 to 12.2 and 117 average annual counts over 2019-2023.
• CI*Rank ⋔ : 77 (53, 85)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.5 to -1.9.

Union County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 10.6 with a 95% confidence interval from 8.9 to 12.7 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 81 (45, 90)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.9 to -1.3.

Hoke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.5 with a 95% confidence interval from 9.0 to 19.4 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (3, 91)
• Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -5.4 to 0.4.

Cumberland County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.5 with a 95% confidence interval from 10.8 to 14.4 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (29, 82)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.3 to -1.5.

Iredell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.4 with a 95% confidence interval from 10.4 to 14.7 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (26, 86)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.0 to -0.8.

Northampton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.4 with a 95% confidence interval from 6.4 to 19.7 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 76 (4, 91)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.8 to -0.3.

Wilkes County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.8 with a 95% confidence interval from 9.8 to 16.6 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (12, 90)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -5.0 to -0.1.

Ashe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : Yes
• Rate : The death rate is 8.7 with a 95% confidence interval from 5.5 to 13.9 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 90 (30, 91)
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -5.2 to 0.6.

Chatham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 9.3 with a 95% confidence interval from 6.9 to 12.3 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 87 (41, 91)
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -4.9 to 0.2.

Catawba County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.3 with a 95% confidence interval from 12.0 to 16.9 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (11, 78)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.7 to -0.7.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.5 with a 95% confidence interval from 11.2 to 16.1 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (15, 84)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.9 to -0.7.

Cabarrus County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.9 with a 95% confidence interval from 9.9 to 14.0 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 72 (30, 88)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.3 to -0.8.

Henderson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.8 with a 95% confidence interval from 10.5 to 15.6 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (19, 87)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.2 to 0.0.

Davie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.4 with a 95% confidence interval from 8.0 to 16.0 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 75 (14, 91)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.5 to 0.7.

Forsyth County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.1 with a 95% confidence interval from 11.6 to 14.7 and 60 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (28, 77)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.1 to -0.9.

Guilford County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.9 with a 95% confidence interval from 10.7 to 13.3 and 74 average annual counts over 2019-2023.
• CI*Rank ⋔ : 71 (40, 83)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.1 to -0.9.

Lenoir County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.8 with a 95% confidence interval from 11.8 to 20.7 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (2, 85)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -4.1 to -0.1.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.6 with a 95% confidence interval from 10.2 to 23.1 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (1, 91)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.9 to 0.7.

Pender County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 9.9 with a 95% confidence interval from 7.0 to 13.7 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 85 (28, 91)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.9 to 0.9.

Perquimans County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 17.9 with a 95% confidence interval from 10.6 to 29.6 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 91)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -5.1 to 1.2.

Rockingham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.5 with a 95% confidence interval from 12.7 to 18.9 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (5, 76)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.4 to -0.6.

Alexander County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.3 with a 95% confidence interval from 10.1 to 19.9 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (3, 91)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.1 to 1.3.

Brunswick County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.0 with a 95% confidence interval from 9.9 to 14.4 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 70 (25, 88)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -3.7 to 0.2.

Cleveland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.7 with a 95% confidence interval from 12.8 to 19.2 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (4, 74)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.8 to -0.1.

Beaufort County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.6 with a 95% confidence interval from 11.5 to 20.9 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (2, 87)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.7 to -0.1.

Johnston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.2 with a 95% confidence interval from 9.3 to 13.4 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 78 (33, 90)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.1.

Rutherford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 16.8 with a 95% confidence interval from 13.2 to 21.2 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (2, 77)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.0 to 0.1.

Buncombe County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.5 with a 95% confidence interval from 10.0 to 13.2 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 74 (41, 87)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.9 to -0.6.

Burke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.5 with a 95% confidence interval from 9.8 to 15.8 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (13, 90)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.7 to 0.1.

Dare County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.6 with a 95% confidence interval from 7.9 to 16.9 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 73 (9, 91)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.0 to 0.8.

Durham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.2 with a 95% confidence interval from 9.6 to 13.0 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 79 (40, 89)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.3 to 4.5.

Gaston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.7 with a 95% confidence interval from 11.8 to 15.8 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (18, 78)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.6 to -0.8.

Person County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.3 with a 95% confidence interval from 9.4 to 18.7 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (4, 91)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.1 to 0.9.

Alamance County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.1 with a 95% confidence interval from 11.0 to 15.5 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (19, 85)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.5.

Davidson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.9 with a 95% confidence interval from 12.7 to 17.3 and 34 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (9, 73)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.5 to -0.2.

Granville County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 18.7 with a 95% confidence interval from 14.5 to 23.7 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 65)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.7 to 0.9.

Stokes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.6 with a 95% confidence interval from 10.5 to 19.9 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (3, 89)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.6 to 0.8.

Vance County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 18.8 with a 95% confidence interval from 13.9 to 25.0 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 75)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.4 to 0.7.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 17.4 with a 95% confidence interval from 12.6 to 24.2 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 83)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.8 to 1.4.

Edgecombe County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.3 with a 95% confidence interval from 10.5 to 19.2 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (3, 88)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.8 to 0.1.

Wake County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 10.0 with a 95% confidence interval from 9.1 to 10.8 and 110 average annual counts over 2019-2023.
• CI*Rank ⋔ : 84 (67, 90)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -6.5 to 5.5.

Mitchell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 17.5 with a 95% confidence interval from 11.0 to 27.6 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (1, 91)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -4.0 to 1.4.

Scotland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.4 with a 95% confidence interval from 10.5 to 21.9 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (2, 91)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.6 to 1.2.

Yancey County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.5 with a 95% confidence interval from 7.5 to 20.3 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (3, 91)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -5.9 to 3.2.

Wilson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.5 with a 95% confidence interval from 11.3 to 18.4 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (4, 86)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.4 to 1.2.

Carteret County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.1 with a 95% confidence interval from 11.1 to 17.8 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (8, 86)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.8 to 0.7.

Pasquotank County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.9 with a 95% confidence interval from 10.6 to 20.6 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (2, 90)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.4 to 1.5.

Transylvania County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 9.1 with a 95% confidence interval from 6.0 to 13.9 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 88 (25, 91)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.0 to 2.3.

Halifax County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.3 with a 95% confidence interval from 11.3 to 20.4 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (2, 87)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.6 to 0.8.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.8 with a 95% confidence interval from 10.5 to 20.3 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (2, 90)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.6 to 1.9.

Caldwell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.9 with a 95% confidence interval from 12.7 to 19.8 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (3, 80)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.8 to 1.1.

Sampson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 17.3 with a 95% confidence interval from 13.3 to 22.2 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 77)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.5 to 1.0.

Wayne County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 18.5 with a 95% confidence interval from 15.4 to 22.1 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 50)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.4 to 0.8.

McDowell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 17.6 with a 95% confidence interval from 13.2 to 23.1 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 80)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.7 to 1.3.

Bladen County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 17.3 with a 95% confidence interval from 12.3 to 24.1 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (1, 87)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.3 to 1.4.

Pitt County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.5 with a 95% confidence interval from 10.3 to 15.1 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (20, 87)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.9 to 7.0.

Caswell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.1 with a 95% confidence interval from 10.0 to 22.5 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (2, 91)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.9 to 2.5.

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 16.9 with a 95% confidence interval from 12.6 to 22.6 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (1, 82)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.5 to 2.1.

Orange County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 9.8 with a 95% confidence interval from 7.7 to 12.3 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 86 (46, 91)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -3.2 to 11.1.

Surry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 16.6 with a 95% confidence interval from 13.2 to 20.8 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (2, 72)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.8 to 2.3.

Robeson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 19.7 with a 95% confidence interval from 16.4 to 23.4 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 42)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.4 to 1.6.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.9 with a 95% confidence interval from 9.9 to 24.7 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (1, 91)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -3.0 to 3.2.

Anson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 20.5 with a 95% confidence interval from 14.0 to 29.4 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 84)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.1 to 3.0.

Stanly County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 16.4 with a 95% confidence interval from 12.7 to 20.9 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (2, 80)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -7.1 to 10.2.

Harnett County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 16.2 with a 95% confidence interval from 13.3 to 19.6 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (3, 69)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -1.3 to 10.2.

Swain County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 20.9 with a 95% confidence interval from 11.9 to 34.2 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 91)
• Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -0.6 to 5.5.

Moore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.3 with a 95% confidence interval from 9.9 to 15.2 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (21, 89)
• Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -0.2 to 9.4.

Duplin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 16.7 with a 95% confidence interval from 12.4 to 22.0 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (2, 81)
• Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -0.3 to 15.8.

Columbus County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 17.3 with a 95% confidence interval from 13.2 to 22.5 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 77)
• Recent Trend : The trend is stable because the trend is 3.0 with a 95% confidence interval from -0.1 to 16.6.

Onslow County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 16.2 with a 95% confidence interval from 13.4 to 19.4 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (3, 69)
• Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -0.4 to 16.7.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 29.1 with a 95% confidence interval from 16.8 to 47.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 80)
• Recent Trend : The trend is stable because the trend is 5.6 with a 95% confidence interval from -18.4 to 34.1.

Richmond County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 21.3 with a 95% confidence interval from 16.0 to 28.0 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 55)
• Recent Trend : The trend is rising because the trend is 8.2 with a 95% confidence interval from 0.1 to 30.8.

Lincoln County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.6 with a 95% confidence interval from 11.5 to 18.2 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (5, 83)
• Recent Trend : The trend is stable because the trend is 13.6 with a 95% confidence interval from -2.1 to 26.7.

Haywood County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.1 with a 95% confidence interval from 10.8 to 18.2 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (5, 87)
• Recent Trend : The trend is stable because the trend is 21.0 with a 95% confidence interval from -1.8 to 41.7.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.1 with a 95% confidence interval from 7.3 to 24.0 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (2, 91)
• Recent Trend :

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.2 with a 95% confidence interval from 7.5 to 21.7 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (2, 91)
• Recent Trend :

Polk County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.3 with a 95% confidence interval from 9.3 to 24.5 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (1, 91)
• Recent Trend :

Watauga County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 10.3 with a 95% confidence interval from 6.7 to 15.2 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 82 (17, 91)
• Recent Trend :

Alleghany County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Avery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Camden County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Gates County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 8.9? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Graham County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Hyde County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Jones County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Pamlico County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Tyrrell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 8.9? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 4:19 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+).

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 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.