State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for North Carolina by County

All Cancer Sites, 2018-2022

All Races (includes Hispanic), Female, All Ages

Sorted by Ruralurban

Explanation of Column Headers

Objective - The objective of 122.7 is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

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 130.8 with a 95% confidence interval from 129.6 to 132.0 and 9,449 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.3 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 126.4 with a 95% confidence interval from 126.2 to 126.6 and 285,526 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.4 to -1.1.

Alleghany County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 128.8 with a 95% confidence interval from 100.1 to 166.5 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 69 (3, 100)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.2.

Ashe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.2 with a 95% confidence interval from 114.3 to 157.5 and 37 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 54 (7, 98)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.0.

Avery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 125.5 with a 95% confidence interval from 98.9 to 158.5 and 17 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 78 (6, 100)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.0.

Beaufort County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.0 with a 95% confidence interval from 118.6 to 153.5 and 54 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 51 (12, 94)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.1 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 157.1 with a 95% confidence interval from 127.1 to 193.2 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 17 (1, 94)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.2 to -0.4.

Bladen County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.6 with a 95% confidence interval from 123.2 to 169.1 and 37 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 31 (3, 92)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.1.

Carteret County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.4 with a 95% confidence interval from 121.5 to 148.7 and 89 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 52 (17, 91)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 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 138.9 with a 95% confidence interval from 115.1 to 167.2 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 39 (4, 99)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.2.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 133.0 with a 95% confidence interval from 114.3 to 154.9 and 42 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 59 (10, 99)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -3.6 to -0.5.

Chowan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 120.2 with a 95% confidence interval from 93.8 to 153.5 and 16 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 88 (8, 100)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.6 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 126.5 with a 95% confidence interval from 96.0 to 166.8 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 73 (3, 100)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.0 to 0.1.

Cleveland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.0 with a 95% confidence interval from 145.1 to 171.8 and 118 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 14 (3, 53)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.4.

Columbus County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.9 with a 95% confidence interval from 147.9 to 185.9 and 67 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 8 (1, 52)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.5.

Craven County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 141.4 with a 95% confidence interval from 129.4 to 154.3 and 112 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 35 (12, 80)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.5.

Dare County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 120.3 with a 95% confidence interval from 102.8 to 140.5 and 37 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 87 (22, 100)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.7.

Duplin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 138.5 with a 95% confidence interval from 121.0 to 157.9 and 51 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 40 (7, 92)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.5.

Graham County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.8 with a 95% confidence interval from 107.1 to 197.3 and 11 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 28 (1, 100)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.2 to 1.5.

Granville County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.4 with a 95% confidence interval from 136.1 to 170.4 and 66 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 20 (3, 71)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.2.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 136.0 with a 95% confidence interval from 108.2 to 169.6 and 18 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 47 (3, 100)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.6 to 0.9.

Halifax County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.0 with a 95% confidence interval from 148.0 to 185.9 and 69 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 7 (1, 50)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.1.

Harnett County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 147.1 with a 95% confidence interval from 135.1 to 159.9 and 113 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 25 (8, 69)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.1 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 128.8 with a 95% confidence interval from 115.7 to 143.4 and 78 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 70 (22, 96)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.2.

Hertford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 130.0 with a 95% confidence interval from 107.0 to 157.5 and 25 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 65 (7, 100)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.6.

Hyde County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 153.1 with a 95% confidence interval from 105.3 to 225.8 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 19 (1, 100)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.5 to 1.4.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 105.0 with a 95% confidence interval from 88.9 to 123.6 and 33 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 100 (51, 100)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -12.0 to -1.6.

Jones County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.6 with a 95% confidence interval from 100.4 to 181.9 and 12 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 48 (1, 100)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.6 to 1.7.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.2 with a 95% confidence interval from 119.0 to 151.0 and 59 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 53 (12, 94)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.

Lenoir County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 137.1 with a 95% confidence interval from 121.8 to 154.1 and 64 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 44 (10, 92)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.2.

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 115.6 with a 95% confidence interval from 100.0 to 133.6 and 45 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 92 (35, 100)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.4 to -0.1.

Martin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.8 with a 95% confidence interval from 134.3 to 187.4 and 33 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 13 (1, 87)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.3.

McDowell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.0 with a 95% confidence interval from 144.9 to 185.4 and 58 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 12 (2, 58)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.1 to 1.3.

Mitchell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.5 with a 95% confidence interval from 133.4 to 204.4 and 22 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 9 (1, 89)
• Recent Trend : The trend is stable because the trend is 12.7 with a 95% confidence interval from -0.1 to 23.1.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 108.6 with a 95% confidence interval from 89.4 to 131.6 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 96 (34, 100)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.1 to -0.1.

Northampton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 128.4 with a 95% confidence interval from 103.1 to 159.6 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 71 (4, 100)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.4.

Pamlico County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 122.5 with a 95% confidence interval from 92.6 to 162.1 and 16 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 83 (3, 100)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.3.

Pasquotank County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 133.1 with a 95% confidence interval from 114.5 to 154.1 and 39 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 58 (8, 99)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -6.8 to -1.1.

Perquimans County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 124.9 with a 95% confidence interval from 98.2 to 158.8 and 17 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 80 (5, 100)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.7.

Polk County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 129.8 with a 95% confidence interval from 104.5 to 160.9 and 28 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 66 (4, 100)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.7 to 0.0.

Richmond County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.9 with a 95% confidence interval from 155.1 to 199.1 and 55 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 4 (1, 37)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.5.

Robeson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.0 with a 95% confidence interval from 139.5 to 165.2 and 116 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 21 (6, 62)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.2.

Rutherford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.7 with a 95% confidence interval from 125.4 to 155.5 and 76 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 37 (10, 87)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.2.

Sampson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.0 with a 95% confidence interval from 137.4 to 172.2 and 66 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 18 (4, 73)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.4 to 0.8.

Scotland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 177.9 with a 95% confidence interval from 154.5 to 204.3 and 45 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 3 (1, 41)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.6 to 0.9.

Stanly County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 147.3 with a 95% confidence interval from 131.8 to 164.3 and 69 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 24 (6, 79)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.4 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 157.9 with a 95% confidence interval from 143.5 to 173.4 and 95 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 15 (3, 54)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.6.

Swain County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 219.1 with a 95% confidence interval from 180.1 to 264.9 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 1 (1, 19)
• Recent Trend : The trend is rising because the trend is 8.0 with a 95% confidence interval from 0.8 to 21.6.

Transylvania County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 105.4 with a 95% confidence interval from 90.1 to 123.6 and 40 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 99 (57, 100)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.5 to -1.0.

Tyrrell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 125.7 with a 95% confidence interval from 77.6 to 205.2 and 4 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 77 (1, 100)
• Recent Trend : * 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).

Vance County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.4 with a 95% confidence interval from 146.4 to 188.6 and 55 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 6 (1, 53)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.8 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 131.3 with a 95% confidence interval from 106.5 to 161.6 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 61 (6, 100)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.0 to 0.4.

Washington 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 136.3 to 224.0 and 17 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 5 (1, 89)
• Recent Trend : The trend is stable because the trend is 4.8 with a 95% confidence interval from -0.3 to 24.1.

Watauga County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 114.4 with a 95% confidence interval from 97.9 to 133.3 and 37 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 94 (33, 100)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.7 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 142.0 with a 95% confidence interval from 127.8 to 157.7 and 81 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 33 (8, 83)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.

Wilson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.4 with a 95% confidence interval from 122.2 to 149.7 and 83 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 50 (15, 90)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -9.8 to -1.0.

Yancey County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 131.0 with a 95% confidence interval from 107.8 to 159.2 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 62 (6, 100)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.6 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 147.0 with a 95% confidence interval from 137.4 to 157.1 and 184 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 26 (10, 62)
• Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.8 to -0.1.

Alexander County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 131.0 with a 95% confidence interval from 112.5 to 152.1 and 38 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 63 (9, 98)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.9 to 0.6.

Anson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.8 with a 95% confidence interval from 137.1 to 197.1 and 28 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 11 (1, 82)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.1 to 0.8.

Brunswick County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 123.5 with a 95% confidence interval from 114.7 to 133.0 and 182 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 82 (41, 95)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.7 to -0.9.

Buncombe County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 118.3 with a 95% confidence interval from 111.8 to 125.2 and 263 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 90 (63, 96)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.7 to -1.1.

Burke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 130.3 with a 95% confidence interval from 118.6 to 143.0 and 97 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 64 (23, 94)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -8.0 to -0.7.

Cabarrus County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 122.0 with a 95% confidence interval from 113.7 to 130.9 and 161 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 86 (46, 96)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.1.

Caldwell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.8 with a 95% confidence interval from 132.4 to 160.3 and 94 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 29 (7, 76)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.5.

Camden County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 119.9 with a 95% confidence interval from 85.4 to 165.0 and 8 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 89 (3, 100)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -4.3 to -0.6.

Catawba County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 126.3 with a 95% confidence interval from 117.2 to 136.0 and 150 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 74 (37, 94)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -4.2 to -1.0.

Chatham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 106.9 with a 95% confidence interval from 96.1 to 118.9 and 80 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 97 (71, 100)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.6.

Cumberland County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.5 with a 95% confidence interval from 142.6 to 158.7 and 279 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 22 (10, 49)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.5.

Currituck 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 102.5 to 152.0 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 79 (10, 100)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.5 to -0.8.

Davidson 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 136.3 to 155.7 and 187 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 30 (12, 64)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.2.

Davie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 129.1 with a 95% confidence interval from 112.9 to 147.6 and 48 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 68 (17, 99)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.7.

Durham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 122.2 with a 95% confidence interval from 115.2 to 129.6 and 234 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 85 (51, 95)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -1.9 to -1.5.

Edgecombe County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 149.6 with a 95% confidence interval from 132.7 to 168.4 and 62 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 23 (4, 79)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.5.

Forsyth County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 137.7 with a 95% confidence interval from 131.4 to 144.3 and 370 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 42 (27, 70)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.2 to -1.0.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 133.9 with a 95% confidence interval from 119.1 to 150.1 and 63 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 55 (12, 95)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.3 to 0.0.

Gaston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.5 with a 95% confidence interval from 127.4 to 144.0 and 217 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 49 (24, 79)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -5.6 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 137.3 with a 95% confidence interval from 101.0 to 184.2 and 11 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 43 (2, 100)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 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 129.7 with a 95% confidence interval from 124.3 to 135.2 and 462 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 67 (42, 83)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.9.

Henderson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 125.8 with a 95% confidence interval from 116.3 to 136.0 and 147 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 76 (36, 93)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.

Hoke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 157.5 with a 95% confidence interval from 135.2 to 182.3 and 38 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 16 (2, 83)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.6 to 0.2.

Iredell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 123.7 with a 95% confidence interval from 115.1 to 132.8 and 159 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 81 (44, 94)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -5.4 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 136.6 with a 95% confidence interval from 127.5 to 146.2 and 174 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 45 (22, 81)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.1.

Lincoln County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 122.4 with a 95% confidence interval from 110.3 to 135.6 and 79 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 84 (34, 98)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 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 133.2 with a 95% confidence interval from 109.3 to 161.7 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 57 (5, 100)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.1.

Mecklenburg County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 114.9 with a 95% confidence interval from 111.0 to 118.9 and 678 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 93 (77, 97)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -5.8 to -1.7.

Moore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 126.7 with a 95% confidence interval from 116.0 to 138.3 and 117 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 72 (31, 95)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.5.

Nash County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 138.9 with a 95% confidence interval from 126.9 to 152.0 and 103 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 38 (13, 84)
• Recent Trend : The trend is falling because the trend is -6.7 with a 95% confidence interval from -12.3 to -0.7.

New Hanover County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 126.3 with a 95% confidence interval from 118.6 to 134.3 and 216 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 75 (43, 93)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.5 to -0.8.

Onslow County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 178.0 with a 95% confidence interval from 165.3 to 191.5 and 149 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 2 (1, 18)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.5.

Orange County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 106.7 with a 95% confidence interval from 97.3 to 116.9 and 98 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 98 (76, 100)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.4 to -2.0.

Pender County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 141.9 with a 95% confidence interval from 126.2 to 159.4 and 62 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 34 (6, 87)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.4.

Person County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.9 with a 95% confidence interval from 121.8 to 160.5 and 46 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 36 (8, 92)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.1.

Pitt County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 137.9 with a 95% confidence interval from 127.6 to 148.7 and 141 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 41 (17, 81)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.4.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 146.7 with a 95% confidence interval from 136.3 to 157.9 and 154 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 27 (10, 66)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.1.

Rockingham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 133.8 with a 95% confidence interval from 122.1 to 146.5 and 103 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 56 (18, 89)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.4 to -1.1.

Rowan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 136.5 with a 95% confidence interval from 126.6 to 147.2 and 146 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 46 (19, 83)
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -6.3 to -1.8.

Stokes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 143.8 with a 95% confidence interval from 126.7 to 163.1 and 56 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 32 (5, 89)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.5.

Union County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 118.0 with a 95% confidence interval from 109.9 to 126.6 and 160 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 91 (59, 98)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.5.

Wake County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 108.8 with a 95% confidence interval from 105.1 to 112.7 and 658 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 95 (85, 100)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.5 to -1.9.

Wayne County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.9 with a 95% confidence interval from 152.2 to 178.5 and 131 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 10 (2, 38)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.0 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 132.8 with a 95% confidence interval from 115.0 to 153.2 and 42 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 60 (11, 97)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.2.

Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2025 5:40 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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.

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

Φ Rural-Urban Continuum Codes provided by the USDA.

* 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).

Please note that the data comes from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Data for United States does not include Puerto Rico.