State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for North Carolina by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Both Sexes, Ages 50+

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 520.0 with a 95% confidence interval from 516.7 to 523.4 and 19,371 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.3 to -1.2.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 488.7 with a 95% confidence interval from 488.1 to 489.2 and 576,743 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.7 to -1.3.

Hyde County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 407.4 with a 95% confidence interval from 295.1 to 549.5 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 100 (16, 100)
• Recent Trend : The trend is falling because the trend is -12.4 with a 95% confidence interval from -44.2 to -2.2.

Wake County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 416.4 with a 95% confidence interval from 406.0 to 427.1 and 1,267 average annual counts over 2019-2023.
• CI*Rank ⋔ : 98 (92, 100)
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -4.0 to -2.5.

Rowan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 555.4 with a 95% confidence interval from 527.5 to 584.4 and 307 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (20, 75)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -6.3 to -1.5.

Orange County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 408.5 with a 95% confidence interval from 382.4 to 435.8 and 190 average annual counts over 2019-2023.
• CI*Rank ⋔ : 99 (90, 100)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.8 to -1.8.

Avery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 449.7 with a 95% confidence interval from 386.0 to 521.1 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 91 (42, 100)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.4 to -1.0.

Durham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 460.3 with a 95% confidence interval from 440.8 to 480.4 and 439 average annual counts over 2019-2023.
• CI*Rank ⋔ : 88 (80, 97)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.4 to -1.9.

Tyrrell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 627.6 with a 95% confidence interval from 471.9 to 820.0 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (1, 100)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.4 to 0.2.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 502.1 with a 95% confidence interval from 440.6 to 569.8 and 50 average annual counts over 2019-2023.
• CI*Rank ⋔ : 81 (19, 98)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.9 to -0.9.

Mecklenburg County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 444.8 with a 95% confidence interval from 433.6 to 456.2 and 1,268 average annual counts over 2019-2023.
• CI*Rank ⋔ : 93 (86, 97)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.1 to -1.6.

Cabarrus County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 476.7 with a 95% confidence interval from 453.0 to 501.3 and 316 average annual counts over 2019-2023.
• CI*Rank ⋔ : 87 (64, 95)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.3 to -1.3.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 515.9 with a 95% confidence interval from 476.3 to 558.0 and 133 average annual counts over 2019-2023.
• CI*Rank ⋔ : 72 (28, 91)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.0.

Gates County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 521.1 with a 95% confidence interval from 431.3 to 623.9 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 69 (3, 100)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.1 to -0.5.

Bertie County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 569.8 with a 95% confidence interval from 498.7 to 648.2 and 48 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (2, 90)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.8 to -0.7.

Hoke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 588.3 with a 95% confidence interval from 527.1 to 654.7 and 75 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (2, 81)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.8 to -0.5.

Pasquotank County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 527.3 with a 95% confidence interval from 477.2 to 581.4 and 83 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (19, 92)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.8.

Buncombe County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 460.1 with a 95% confidence interval from 442.5 to 478.4 and 526 average annual counts over 2019-2023.
• CI*Rank ⋔ : 89 (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.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 491.6 with a 95% confidence interval from 444.6 to 542.3 and 86 average annual counts over 2019-2023.
• CI*Rank ⋔ : 85 (33, 97)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.2 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 523.4 with a 95% confidence interval from 473.7 to 577.0 and 88 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (19, 93)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.6 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 416.8 with a 95% confidence interval from 367.6 to 471.1 and 54 average annual counts over 2019-2023.
• CI*Rank ⋔ : 97 (74, 100)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.4 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 429.6 with a 95% confidence interval from 401.2 to 459.6 and 172 average annual counts over 2019-2023.
• CI*Rank ⋔ : 95 (84, 100)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.9.

Currituck County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 524.0 with a 95% confidence interval from 460.5 to 594.0 and 56 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (11, 98)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.7.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 429.1 with a 95% confidence interval from 385.4 to 476.5 and 74 average annual counts over 2019-2023.
• CI*Rank ⋔ : 96 (74, 100)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.7.

Pitt County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 528.7 with a 95% confidence interval from 500.6 to 558.0 and 275 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (31, 85)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.1.

Union County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 482.5 with a 95% confidence interval from 459.0 to 506.9 and 334 average annual counts over 2019-2023.
• CI*Rank ⋔ : 86 (62, 94)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.0 to -0.8.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 452.2 with a 95% confidence interval from 381.7 to 532.4 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 90 (29, 100)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.6.

Iredell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 493.6 with a 95% confidence interval from 469.6 to 518.4 and 330 average annual counts over 2019-2023.
• CI*Rank ⋔ : 84 (57, 91)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.9 to -0.9.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 514.1 with a 95% confidence interval from 473.2 to 557.7 and 120 average annual counts over 2019-2023.
• CI*Rank ⋔ : 74 (29, 93)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.6.

Lenoir County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 562.7 with a 95% confidence interval from 520.4 to 607.6 and 135 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (11, 79)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 to -0.8.

Nash County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 538.1 with a 95% confidence interval from 504.9 to 573.0 and 203 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (23, 85)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -0.9.

New Hanover County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 502.9 with a 95% confidence interval from 481.7 to 524.7 and 438 average annual counts over 2019-2023.
• CI*Rank ⋔ : 80 (54, 88)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -0.9.

Pamlico County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 495.0 with a 95% confidence interval from 424.6 to 574.1 and 37 average annual counts over 2019-2023.
• CI*Rank ⋔ : 83 (13, 100)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.4 to -0.3.

Rockingham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 577.5 with a 95% confidence interval from 544.2 to 612.2 and 231 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (10, 67)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -0.9.

Beaufort County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 538.1 with a 95% confidence interval from 494.9 to 584.1 and 119 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (19, 89)
• Recent Trend : The trend is falling because the trend is -1.3 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 523.3 with a 95% confidence interval from 497.9 to 549.8 and 325 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (40, 85)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.7 to -1.0.

Gaston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 552.8 with a 95% confidence interval from 529.9 to 576.5 and 452 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (25, 71)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.7 to -1.0.

Lincoln County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 508.5 with a 95% confidence interval from 474.9 to 543.7 and 179 average annual counts over 2019-2023.
• CI*Rank ⋔ : 76 (37, 92)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.8.

Carteret County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 566.8 with a 95% confidence interval from 531.4 to 603.9 and 201 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (12, 71)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.7.

Caswell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 564.0 with a 95% confidence interval from 501.0 to 632.8 and 60 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (4, 91)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.3.

Chowan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 547.6 with a 95% confidence interval from 471.5 to 632.7 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (3, 95)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.2.

Craven County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 576.1 with a 95% confidence interval from 543.4 to 610.3 and 240 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (11, 66)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.5 to -1.0.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 554.0 with a 95% confidence interval from 478.8 to 637.7 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (2, 95)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.1.

Moore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 506.1 with a 95% confidence interval from 478.2 to 535.2 and 255 average annual counts over 2019-2023.
• CI*Rank ⋔ : 77 (45, 90)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.6 to -0.7.

Person County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 573.6 with a 95% confidence interval from 522.6 to 628.4 and 96 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (6, 82)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 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 514.4 with a 95% confidence interval from 491.1 to 538.4 and 431 average annual counts over 2019-2023.
• CI*Rank ⋔ : 73 (46, 87)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.5.

Duplin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 544.2 with a 95% confidence interval from 498.8 to 592.7 and 108 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (15, 88)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.4.

Forsyth County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 538.2 with a 95% confidence interval from 520.5 to 556.3 and 720 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (35, 74)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.3 to -0.9.

Guilford County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 504.8 with a 95% confidence interval from 490.0 to 520.0 and 902 average annual counts over 2019-2023.
• CI*Rank ⋔ : 78 (59, 86)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.7.

Watauga County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 447.4 with a 95% confidence interval from 403.6 to 494.7 and 79 average annual counts over 2019-2023.
• CI*Rank ⋔ : 92 (64, 100)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.2.

Wilson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 572.0 with a 95% confidence interval from 534.3 to 611.7 and 176 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (10, 73)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Yadkin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 540.1 with a 95% confidence interval from 490.6 to 593.3 and 88 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (15, 89)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 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 563.8 with a 95% confidence interval from 520.6 to 609.8 and 131 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (10, 82)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -1.8 to 1.6.

Perquimans County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 551.0 with a 95% confidence interval from 476.5 to 634.4 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (3, 94)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -1.9 to 0.0.

Scotland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 643.8 with a 95% confidence interval from 582.2 to 710.2 and 82 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 54)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.2.

Wilkes County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 538.7 with a 95% confidence interval from 502.5 to 577.0 and 166 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (23, 86)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.5.

Bladen County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 569.6 with a 95% confidence interval from 513.6 to 630.2 and 79 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (4, 87)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.0.

Cumberland County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 581.2 with a 95% confidence interval from 558.9 to 604.2 and 531 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (15, 54)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.6.

Harnett County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 608.3 with a 95% confidence interval from 573.6 to 644.5 and 239 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (4, 49)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.4.

Henderson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 500.3 with a 95% confidence interval from 475.0 to 526.6 and 302 average annual counts over 2019-2023.
• CI*Rank ⋔ : 82 (50, 91)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.3.

Johnston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 556.6 with a 95% confidence interval from 529.9 to 584.3 and 356 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (21, 71)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.5.

Transylvania County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 438.9 with a 95% confidence interval from 397.7 to 483.2 and 90 average annual counts over 2019-2023.
• CI*Rank ⋔ : 94 (70, 100)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.1.

Warren County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 533.6 with a 95% confidence interval from 470.7 to 602.8 and 54 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (9, 96)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.3.

Alamance County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 579.8 with a 95% confidence interval from 553.3 to 607.2 and 366 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (14, 59)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.4.

Burke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 546.9 with a 95% confidence interval from 514.3 to 581.0 and 214 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (21, 82)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 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 504.3 with a 95% confidence interval from 460.2 to 551.4 and 102 average annual counts over 2019-2023.
• CI*Rank ⋔ : 79 (32, 95)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.6 to 0.0.

Ashe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 517.7 with a 95% confidence interval from 466.1 to 573.6 and 75 average annual counts over 2019-2023.
• CI*Rank ⋔ : 70 (19, 95)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.4.

Cleveland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 607.8 with a 95% confidence interval from 573.1 to 644.1 and 238 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (5, 48)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Graham County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 572.0 with a 95% confidence interval from 470.1 to 689.6 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (1, 97)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.3 to 0.9.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 565.3 with a 95% confidence interval from 537.2 to 594.4 and 314 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (18, 67)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.3.

Rutherford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 588.0 with a 95% confidence interval from 548.7 to 629.4 and 171 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (6, 64)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.

Vance County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 630.6 with a 95% confidence interval from 577.2 to 687.7 and 106 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 54)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.

Wayne County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 637.0 with a 95% confidence interval from 602.6 to 672.8 and 265 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 34)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Caldwell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 623.0 with a 95% confidence interval from 585.8 to 662.0 and 216 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (3, 40)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.1.

Columbus County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 639.6 with a 95% confidence interval from 591.5 to 690.6 and 135 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 46)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.3 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 595.4 with a 95% confidence interval from 569.4 to 622.3 and 404 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (10, 49)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.1.

Davie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 517.5 with a 95% confidence interval from 473.2 to 564.9 and 101 average annual counts over 2019-2023.
• CI*Rank ⋔ : 71 (23, 93)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.2.

Haywood County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 522.2 with a 95% confidence interval from 486.5 to 559.8 and 164 average annual counts over 2019-2023.
• CI*Rank ⋔ : 68 (30, 89)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Pender County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 582.5 with a 95% confidence interval from 538.3 to 629.5 and 135 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (6, 74)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.1.

Stanly County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 596.2 with a 95% confidence interval from 553.0 to 641.8 and 146 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (3, 65)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.0.

Alexander County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 573.3 with a 95% confidence interval from 520.3 to 630.3 and 88 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (3, 83)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.3.

Jones County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 587.2 with a 95% confidence interval from 489.3 to 699.1 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (1, 95)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.3 to 1.3.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 538.0 with a 95% confidence interval from 478.9 to 602.6 and 62 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (11, 94)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.6.

Yancey County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 545.8 with a 95% confidence interval from 481.4 to 616.6 and 53 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (5, 93)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.5.

Alleghany County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 514.1 with a 95% confidence interval from 436.6 to 601.7 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 75 (7, 100)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -6.2 to 7.2.

Halifax County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 647.4 with a 95% confidence interval from 599.0 to 698.6 and 138 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 39)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.0.

Surry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 622.0 with a 95% confidence interval from 583.0 to 663.0 and 192 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (2, 45)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.1.

Onslow County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 648.6 with a 95% confidence interval from 614.2 to 684.5 and 280 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 27)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.5.

Sampson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 649.7 with a 95% confidence interval from 602.4 to 699.9 and 143 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 39)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.2.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 590.1 with a 95% confidence interval from 503.8 to 687.4 and 34 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (1, 94)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.3.

Stokes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 541.3 with a 95% confidence interval from 497.5 to 587.9 and 114 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (17, 88)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.1 to 5.0.

McDowell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 631.9 with a 95% confidence interval from 582.4 to 684.5 and 124 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (1, 49)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.5.

Edgecombe County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 655.7 with a 95% confidence interval from 606.1 to 708.4 and 135 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 39)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.4 to 1.1.

Hertford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 563.7 with a 95% confidence interval from 495.2 to 639.0 and 51 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (3, 91)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.8 to 8.1.

Anson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 641.9 with a 95% confidence interval from 569.5 to 721.0 and 58 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 64)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.4 to 1.2.

Robeson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 669.9 with a 95% confidence interval from 633.2 to 708.2 and 261 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 21)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.3 to 3.8.

Camden County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 542.8 with a 95% confidence interval from 441.6 to 660.4 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (1, 100)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.9 to 12.3.

Swain County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 717.0 with a 95% confidence interval from 621.6 to 823.1 and 41 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 39)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.4 to 2.4.

Martin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 608.8 with a 95% confidence interval from 543.5 to 679.8 and 65 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (1, 79)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.7 to 7.1.

Richmond County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 700.6 with a 95% confidence interval from 643.1 to 761.9 and 113 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 23)
• Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -0.5 to 8.3.

Northampton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 551.0 with a 95% confidence interval from 486.9 to 621.5 and 55 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (5, 93)
• Recent Trend : The trend is stable because the trend is 7.7 with a 95% confidence interval from -1.2 to 14.9.

Mitchell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 622.8 with a 95% confidence interval from 544.1 to 709.7 and 46 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 81)
• Recent Trend : The trend is stable because the trend is 8.3 with a 95% confidence interval from -0.6 to 14.2.

Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 8:55 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 for United States does not include Puerto Rico.