Interpretation of Incidence Rates Data
Incidence Rate Report for North Carolina by County
All Cancer Sites (All Stages^), 2018-2022
American Indian/Alaska Native Non-Hispanic, Both Sexes, All Ages
Sorted by Rate
Explanation of Column HeadersIncidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.
Recent Trends - This is an interpretation of the AAPC/APC:
- Rising when 95% confidence interval of AAPC/APC is above 0.
- Stable when 95% confidence interval of AAPC/APC includes 0.
- Falling when 95% confidence interval of AAPC/APC is below 0.
AAPC/APC (95% Confidence Interval) - the change in rate over time
- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.
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 Carolina2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 420.9 with a 95% confidence interval from 404.7 to 437.6 and 549 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.8 to 1.8.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 412.0 with a 95% confidence interval from 408.6 to 415.5 and 11,525 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.4.
Warren County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 228.4 with a 95% confidence interval from 131.1 to 380.8 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (16, 29)
- Recent Trend : The trend is because the trend is 2.9 with a 95% confidence interval from -2.4 to 10.6.
Harnett County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 266.9 with a 95% confidence interval from 161.0 to 419.2 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (11, 29)
- Recent Trend :
Johnston County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 293.7 with a 95% confidence interval from 164.5 to 490.6 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (7, 29)
- Recent Trend :
Halifax County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 303.0 with a 95% confidence interval from 205.7 to 432.9 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (11, 29)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -2.7 to 3.0.
Wake County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 315.9 with a 95% confidence interval from 217.6 to 440.8 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (10, 29)
- Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -2.4 to 6.6.
Onslow County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 320.9 with a 95% confidence interval from 179.8 to 527.2 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (6, 29)
- Recent Trend :
Buncombe County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 363.5 with a 95% confidence interval from 235.2 to 548.8 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (5, 29)
- Recent Trend : The trend is because the trend is 3.4 with a 95% confidence interval from -2.7 to 14.0.
Randolph County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 363.9 with a 95% confidence interval from 214.1 to 589.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (4, 29)
- Recent Trend :
Durham County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 367.1 with a 95% confidence interval from 213.9 to 587.2 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (4, 29)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -6.5 to 6.5.
New Hanover County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 374.6 with a 95% confidence interval from 199.3 to 633.1 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (4, 29)
- Recent Trend :
Richmond County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 378.5 with a 95% confidence interval from 237.7 to 577.2 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (5, 29)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -2.8 to 4.7.
Moore County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 389.6 with a 95% confidence interval from 233.8 to 613.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (4, 29)
- Recent Trend :
Guilford County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 390.2 with a 95% confidence interval from 285.8 to 521.1 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (6, 28)
- Recent Trend : The trend is because the trend is 7.5 with a 95% confidence interval from -0.7 to 37.9.
Jackson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 406.3 with a 95% confidence interval from 315.9 to 514.6 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (7, 27)
- Recent Trend : The trend is because the trend is 2.1 with a 95% confidence interval from 0.0 to 4.7.
Sampson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 426.4 with a 95% confidence interval from 289.2 to 611.6 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (4, 28)
- Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -2.3 to 6.0.
Columbus County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 427.3 with a 95% confidence interval from 305.3 to 583.6 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (4, 27)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -3.7 to 4.4.
Hoke County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 430.7 with a 95% confidence interval from 339.5 to 538.3 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (5, 25)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -3.0 to 5.3.
Robeson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 434.6 with a 95% confidence interval from 408.8 to 461.7 and 230 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (9, 20)
- Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -2.3 to 5.2.
Cumberland County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 455.4 with a 95% confidence interval from 374.2 to 549.1 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (5, 23)
- Recent Trend : The trend is because the trend is -8.0 with a 95% confidence interval from -21.7 to 1.9.
Union County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 491.6 with a 95% confidence interval from 286.5 to 785.5 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (3, 29)
- Recent Trend :
Gaston County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 493.5 with a 95% confidence interval from 327.4 to 721.2 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (4, 27)
- Recent Trend :
Forsyth County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 506.6 with a 95% confidence interval from 340.0 to 727.5 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (3, 26)
- Recent Trend :
Scotland County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 532.0 with a 95% confidence interval from 422.2 to 660.4 and 20 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (4, 20)
- Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -0.8 to 4.1.
Swain County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 558.6 with a 95% confidence interval from 456.4 to 676.8 and 22 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (4, 17)
- Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from 0.0 to 3.7.
Mecklenburg County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 603.2 with a 95% confidence interval from 494.3 to 729.2 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (3, 14)
- Recent Trend : The trend is because the trend is 15.6 with a 95% confidence interval from 9.4 to 25.7.
Cabarrus County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 603.5 with a 95% confidence interval from 389.7 to 898.3 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (3, 25)
- Recent Trend :
Bladen County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 918.5 with a 95% confidence interval from 650.0 to 1,265.3 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 8)
- Recent Trend :
Cherokee County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,225.8 with a 95% confidence interval from 850.7 to 1,732.6 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 4)
- Recent Trend : The trend is because the trend is -4.3 with a 95% confidence interval from -31.8 to 6.8.
Davidson County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,407.5 with a 95% confidence interval from 1,081.6 to 1,808.9 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 3)
- Recent Trend :
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 11:42 pm.
State Cancer Registries may provide more current or more local data.
Trend
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.
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.
† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (SEER areas use 20 age groups and NPCR areas use 19 age groups). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.
‡ Incidence data come from different sources. 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.
Rates and trends are computed using different standards for malignancy. For more information see malignant.html.
^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.
⋔ 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. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.
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.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.
2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).
* 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.
Data for United States does not include Puerto Rico.


