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Incidence Rates Table

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Incidence Rate Report for North Carolina by County

All Cancer Sites (All Stages^), 2018-2022

Black Non-Hispanic, Both Sexes, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
North Carolina 2 N/A 480.7 (476.7, 484.7) N/A 11,916 falling falling trend -0.5 (-0.7, -0.3)
US (SEER+NPCR) 1 N/A 452.3 (451.4, 453.2) N/A 199,962 falling falling trend -1.0 (-1.5, -0.6)
Currituck County 2 Urban 256.7 (165.1, 383.5) 88 (70, 88) 5 falling falling trend -26.5 (-45.6, -12.3)
Pasquotank County 2 Rural 343.1 (304.6, 385.2) 84 (76, 88) 62 falling falling trend -8.8 (-18.3, -3.0)
Union County 2 Urban 497.4 (460.4, 536.6) 30 (6, 73) 147 falling falling trend -7.4 (-13.2, -3.4)
Franklin County 2 Urban 472.1 (431.5, 515.7) 55 (11, 79) 106 falling falling trend -7.2 (-12.8, -1.1)
Caswell County 2 Rural 522.4 (462.4, 589.2) 13 (1, 74) 63 stable stable trend -6.7 (-12.4, 0.9)
Halifax County 2 Rural 470.6 (438.1, 505.1) 59 (15, 77) 172 falling falling trend -5.4 (-13.1, -0.3)
Dare County 2 Rural 465.7 (291.4, 702.3) 65 (1, 88) 5 falling falling trend -4.5 (-8.1, -1.2)
Camden County 2 Urban 324.6 (207.9, 490.5) 85 (7, 88) 6 falling falling trend -3.9 (-7.7, -0.6)
Randolph County 2 Urban 501.1 (441.9, 566.2) 26 (2, 77) 57 falling falling trend -3.9 (-15.3, -0.7)
Carteret County 2 Rural 378.2 (305.1, 465.0) 83 (27, 88) 21 falling falling trend -3.2 (-5.1, -1.4)
Surry County 2 Rural 519.8 (423.6, 633.9) 15 (1, 83) 22 falling falling trend -3.1 (-14.1, -0.5)
Iredell County 2 Urban 427.4 (390.4, 467.0) 77 (39, 83) 105 falling falling trend -1.7 (-4.0, -0.6)
Gates County 2 Urban 316.7 (252.6, 396.2) 87 (72, 88) 19 stable stable trend -1.6 (-3.1, 0.0)
Lenoir County 2 Rural 468.6 (433.5, 505.9) 63 (16, 78) 150 falling falling trend -1.5 (-2.6, -0.5)
Polk County 2 Rural 441.9 (287.7, 658.0) 76 (1, 88) 6 stable stable trend -1.5 (-5.2, 2.0)
Stokes County 2 Urban 443.4 (337.7, 576.2) 75 (1, 88) 14 stable stable trend -1.5 (-3.6, 0.5)
Rowan County 2 Urban 476.6 (438.9, 516.7) 48 (11, 77) 127 falling falling trend -1.4 (-3.6, -0.2)
Craven County 2 Rural 470.9 (433.4, 511.0) 58 (12, 79) 127 falling falling trend -1.2 (-4.8, -0.5)
Cabarrus County 2 Urban 471.0 (439.1, 504.5) 57 (15, 77) 184 stable stable trend -1.1 (-1.9, 0.0)
Lincoln County 2 Urban 423.4 (351.6, 506.2) 79 (8, 87) 27 stable stable trend -1.1 (-3.4, 1.5)
Nash County 2 Urban 407.6 (381.2, 435.5) 82 (66, 84) 194 stable stable trend -1.1 (-2.3, 0.3)
Durham County 2 Urban 460.6 (443.0, 478.8) 69 (36, 76) 563 falling falling trend -1.0 (-1.6, -0.3)
Henderson County 2 Urban 496.9 (403.6, 605.5) 31 (1, 84) 23 stable stable trend -1.0 (-2.6, 0.7)
Wilkes County 2 Rural 321.7 (248.3, 411.8) 86 (59, 88) 14 stable stable trend -1.0 (-3.1, 1.2)
Mecklenburg County 2 Urban 481.9 (470.5, 493.5) 43 (28, 63) 1,544 falling falling trend -0.9 (-1.8, -0.4)
Perquimans County 2 Rural 411.3 (325.0, 515.9) 81 (6, 87) 19 stable stable trend -0.9 (-3.0, 1.2)
Bertie County 2 Rural 423.9 (376.0, 476.7) 78 (29, 84) 66 stable stable trend -0.8 (-2.2, 0.6)
Catawba County 2 Urban 468.9 (419.9, 522.0) 62 (8, 81) 73 stable stable trend -0.8 (-2.1, 0.5)
Harnett County 2 Rural 467.6 (431.6, 505.7) 64 (14, 79) 136 stable stable trend -0.8 (-1.8, 0.4)
Wake County 2 Urban 480.9 (467.1, 495.0) 44 (26, 66) 1,036 falling falling trend -0.8 (-1.6, -0.4)
Buncombe County 2 Urban 510.0 (465.0, 558.2) 21 (3, 72) 103 stable stable trend -0.7 (-1.8, 0.5)
Burke County 2 Urban 494.0 (420.8, 577.1) 35 (1, 82) 36 stable stable trend -0.7 (-2.6, 1.2)
Chatham County 2 Urban 460.7 (408.4, 518.7) 68 (7, 82) 65 stable stable trend -0.7 (-1.6, 0.3)
Hoke County 2 Urban 463.7 (420.0, 510.8) 66 (11, 81) 92 stable stable trend -0.7 (-1.8, 0.6)
Jones County 2 Rural 472.4 (379.1, 585.3) 54 (1, 85) 23 stable stable trend -0.7 (-2.7, 1.2)
Moore County 2 Urban 495.7 (445.8, 550.0) 33 (4, 77) 80 stable stable trend -0.7 (-2.1, 0.6)
Caldwell County 2 Urban 557.6 (465.5, 663.0) 4 (1, 78) 28 stable stable trend -0.5 (-3.3, 2.4)
Lee County 2 Rural 446.7 (397.4, 500.6) 74 (14, 83) 65 stable stable trend -0.5 (-2.3, 1.5)
Edgecombe County 2 Urban 475.6 (443.3, 509.6) 49 (15, 77) 185 stable stable trend -0.4 (-1.0, 0.3)
Gaston County 2 Urban 487.5 (456.1, 520.6) 40 (10, 73) 195 stable stable trend -0.4 (-1.3, 0.7)
Guilford County 2 Urban 487.9 (473.0, 503.3) 39 (21, 63) 873 stable stable trend -0.4 (-1.2, 0.4)
Hertford County 2 Rural 480.6 (432.6, 533.0) 45 (5, 79) 82 stable stable trend -0.4 (-1.7, 1.0)
Wilson County 2 Rural 468.9 (437.8, 501.8) 61 (17, 77) 186 stable stable trend -0.4 (-0.9, 0.1)
McDowell County 2 Rural 477.6 (356.8, 628.9) 46 (1, 87) 11 stable stable trend -0.3 (-3.1, 2.8)
Beaufort County 2 Rural 510.1 (458.2, 566.7) 20 (2, 76) 81 stable stable trend -0.2 (-1.5, 1.0)
Brunswick County 2 Urban 452.3 (407.8, 500.8) 71 (15, 83) 86 stable stable trend -0.2 (-1.2, 0.9)
Granville County 2 Rural 558.8 (516.5, 603.8) 3 (1, 40) 137 stable stable trend -0.2 (-1.4, 1.1)
Person County 2 Urban 498.0 (444.6, 556.5) 29 (3, 78) 73 stable stable trend -0.2 (-1.2, 0.9)
Alamance County 2 Urban 527.8 (495.4, 561.9) 12 (2, 49) 214 stable stable trend -0.1 (-0.8, 0.8)
Davie County 2 Urban 495.5 (400.9, 607.9) 34 (1, 83) 21 stable stable trend -0.1 (-1.8, 1.7)
Robeson County 2 Rural 475.5 (441.7, 511.4) 50 (13, 76) 159 stable stable trend -0.1 (-1.2, 0.9)
Vance County 2 Rural 504.2 (464.0, 547.1) 24 (4, 72) 130 stable stable trend -0.1 (-0.7, 0.6)
Warren County 2 Rural 474.8 (423.3, 531.5) 51 (5, 81) 71 stable stable trend -0.1 (-1.5, 1.2)
Chowan County 2 Rural 473.1 (394.6, 563.4) 53 (2, 84) 31 stable stable trend 0.0 (-1.8, 1.7)
Cumberland County 2 Urban 471.5 (454.5, 489.0) 56 (28, 72) 621 stable stable trend 0.0 (-0.5, 0.6)
Pamlico County 2 Rural 447.8 (350.7, 567.9) 73 (1, 87) 17 stable stable trend 0.0 (-2.5, 2.4)
Bladen County 2 Rural 454.4 (404.4, 509.6) 70 (10, 83) 68 stable stable trend 0.1 (-1.1, 1.3)
Johnston County 2 Urban 490.6 (457.9, 525.0) 36 (9, 73) 188 stable stable trend 0.1 (-0.7, 1.1)
Rockingham County 2 Urban 507.9 (466.4, 552.3) 22 (3, 71) 124 stable stable trend 0.1 (-1.1, 1.3)
New Hanover County 2 Urban 500.0 (465.7, 536.2) 27 (5, 71) 173 stable stable trend 0.2 (-0.9, 1.2)
Orange County 2 Urban 551.4 (503.2, 603.0) 5 (1, 54) 105 stable stable trend 0.2 (-0.4, 0.9)
Onslow County 2 Urban 538.6 (497.5, 582.0) 10 (1, 55) 139 stable stable trend 0.3 (-0.7, 1.5)
Stanly County 2 Rural 544.4 (470.8, 626.3) 7 (1, 75) 43 stable stable trend 0.3 (-1.6, 2.4)
Davidson County 2 Urban 518.1 (473.0, 566.3) 17 (2, 68) 105 stable stable trend 0.4 (-1.3, 2.4)
Pender County 2 Urban 490.0 (434.4, 551.4) 37 (3, 81) 62 stable stable trend 0.4 (-1.1, 1.9)
Richmond County 2 Rural 542.4 (489.4, 599.6) 8 (1, 65) 84 stable stable trend 0.4 (-0.9, 1.7)
Columbus County 2 Rural 477.2 (434.6, 523.1) 47 (8, 79) 100 stable stable trend 0.5 (-0.6, 1.6)
Hyde County 2 Rural 461.9 (322.0, 649.2) 67 (1, 88) 9 stable stable trend 0.5 (-4.8, 5.8)
Haywood County 2 Rural 470.0 (309.2, 688.9) 60 (1, 88) 6 stable stable trend 0.6 (-3.6, 5.4)
Greene County 2 Rural 496.5 (432.3, 568.1) 32 (1, 80) 47 stable stable trend 0.7 (-0.9, 2.5)
Northampton County 2 Rural 499.9 (446.2, 558.9) 28 (2, 79) 79 stable stable trend 0.7 (-0.1, 2.2)
Wayne County 2 Urban 518.8 (488.6, 550.4) 16 (4, 56) 241 stable stable trend 0.7 (0.0, 1.5)
Rutherford County 2 Rural 547.8 (474.8, 629.2) 6 (1, 75) 45 stable stable trend 0.8 (-0.6, 2.2)
Sampson County 2 Rural 484.7 (442.3, 530.5) 41 (7, 77) 106 stable stable trend 0.8 (-0.3, 2.0)
Yadkin County 2 Urban 540.0 (374.1, 754.7) 9 (1, 87) 8 stable stable trend 0.8 (-2.1, 3.9)
Cleveland County 2 Rural 520.2 (477.8, 565.4) 14 (2, 67) 125 rising rising trend 0.9 (0.3, 1.6)
Martin County 2 Rural 536.5 (479.3, 599.3) 11 (1, 68) 77 rising rising trend 1.0 (0.2, 1.9)
Montgomery County 2 Rural 489.9 (412.2, 578.9) 38 (1, 83) 31 stable stable trend 1.0 (-1.2, 3.4)
Duplin County 2 Rural 501.5 (453.7, 553.4) 25 (3, 76) 93 rising rising trend 1.2 (0.3, 2.0)
Alexander County 2 Urban 473.5 (357.3, 616.4) 52 (1, 87) 11 stable stable trend 1.5 (-1.5, 5.1)
Pitt County 2 Urban 483.2 (457.7, 509.6) 42 (15, 71) 296 stable stable trend 1.5 (-0.9, 7.0)
Anson County 2 Urban 511.4 (456.8, 571.0) 19 (2, 76) 69 rising rising trend 1.6 (0.4, 2.9)
Transylvania County 2 Rural 594.3 (407.2, 836.9) 1 (1, 87) 8 stable stable trend 2.0 (-1.4, 6.0)
Forsyth County 2 Urban 513.4 (493.7, 533.7) 18 (7, 47) 559 rising rising trend 2.3 (0.8, 4.8)
Tyrrell County 2 Rural 416.0 (284.6, 597.2) 80 (1, 88) 8 stable stable trend 2.4 (-1.4, 6.8)
Scotland County 2 Rural 507.0 (457.0, 561.1) 23 (2, 75) 82 stable stable trend 9.6 (-0.1, 16.1)
Washington County 2 Rural 574.4 (494.0, 664.8) 2 (1, 71) 44 rising rising trend 12.6 (1.7, 21.5)
Cherokee County 2 Rural 452.2 (243.4, 773.0) 72 (1, 88) 3
*
*
Alleghany County 2 Rural
*
*
3 or fewer
*
*
Ashe County 2 Rural
*
*
3 or fewer
*
*
Avery County 2 Rural
*
*
3 or fewer
*
*
Clay County 2 Rural
*
*
3 or fewer
*
*
Graham County 2 Rural
*
*
3 or fewer
*
*
Jackson County 2 Rural
*
*
3 or fewer
*
*
Macon County 2 Rural
*
*
3 or fewer
*
*
Madison County 2 Urban
*
*
3 or fewer
*
*
Mitchell County 2 Rural
*
*
3 or fewer
*
*
Swain County 2 Rural
*
*
3 or fewer
*
*
Watauga County 2 Rural
*
*
3 or fewer
*
*
Yancey County 2 Rural
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 1:03 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.


† 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.

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.

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.

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