State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for North Carolina by County

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

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

Sorted by CI*Rank

Explanation of Column Headers
Incidence 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 1,451.6 with a 95% confidence interval from 1,446.1 to 1,457.1 and 54,965 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.7.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 1,350.7 with a 95% confidence interval from 1,349.8 to 1,351.7 and 1,608,177 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 -1.8 to -0.7.

Richmond County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,719.1 with a 95% confidence interval from 1,629.6 to 1,812.3 and 286 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 11)
• Recent Trend : The trend is because the trend is 5.0 with a 95% confidence interval from 0.3 to 10.1.

Swain County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,668.1 with a 95% confidence interval from 1,521.8 to 1,824.8 and 99 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 63)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from 0.3 to 2.4.

McDowell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,665.6 with a 95% confidence interval from 1,585.1 to 1,749.3 and 331 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 21)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.1 to 1.6.

Onslow County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,642.5 with a 95% confidence interval from 1,588.0 to 1,698.3 and 722 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 18)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -4.4 to -0.5.

Anson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,620.5 with a 95% confidence interval from 1,504.6 to 1,742.9 and 150 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 59)
• Recent Trend : The trend is because the trend is 1.9 with a 95% confidence interval from 1.3 to 2.6.

Caldwell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,592.8 with a 95% confidence interval from 1,533.5 to 1,653.9 and 561 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 37)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.4 to 1.5.

Granville County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,581.4 with a 95% confidence interval from 1,509.4 to 1,656.0 and 378 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 51)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.5.

Wayne County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,557.4 with a 95% confidence interval from 1,504.0 to 1,612.3 and 663 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (2, 46)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.7 to 1.1.

Rutherford County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,556.6 with a 95% confidence interval from 1,492.4 to 1,622.8 and 459 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (2, 53)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.2 to 0.7.

Martin County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,556.4 with a 95% confidence interval from 1,450.0 to 1,668.6 and 168 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (1, 78)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.9 to 0.8.

Sampson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,556.2 with a 95% confidence interval from 1,483.4 to 1,631.6 and 353 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (2, 59)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.3 to 1.7.

Pender County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,549.1 with a 95% confidence interval from 1,477.7 to 1,623.1 and 373 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (2, 61)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.2 to 1.3.

Alamance County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,547.2 with a 95% confidence interval from 1,503.6 to 1,591.7 and 976 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (5, 44)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.2 to 0.7.

Gaston County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,546.7 with a 95% confidence interval from 1,508.5 to 1,585.7 and 1,281 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (5, 42)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.7.

Surry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,543.5 with a 95% confidence interval from 1,481.6 to 1,607.3 and 480 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (3, 56)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.2 to 1.2.

Stanly County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,543.2 with a 95% confidence interval from 1,474.1 to 1,614.6 and 388 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (3, 61)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -4.3 to 0.7.

Cleveland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,540.6 with a 95% confidence interval from 1,485.8 to 1,597.0 and 617 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (4, 54)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.7 to 0.6.

Vance County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,540.2 with a 95% confidence interval from 1,456.8 to 1,627.3 and 264 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (2, 74)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.4.

Scotland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,530.6 with a 95% confidence interval from 1,435.6 to 1,630.2 and 201 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (2, 82)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.6 to 1.0.

Tyrrell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,530.0 with a 95% confidence interval from 1,267.1 to 1,831.4 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (1, 97)
• Recent Trend : The trend is because the trend is 2.4 with a 95% confidence interval from 0.6 to 4.4.

Haywood County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,520.1 with a 95% confidence interval from 1,458.6 to 1,583.5 and 479 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (4, 65)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.3 to 1.7.

Johnston County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,514.1 with a 95% confidence interval from 1,471.4 to 1,557.7 and 1,029 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (7, 59)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from 0.2 to 1.0.

Person County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,513.9 with a 95% confidence interval from 1,431.0 to 1,600.5 and 260 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (3, 78)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.5.

Jones County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,512.6 with a 95% confidence interval from 1,354.9 to 1,683.8 and 71 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (1, 94)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.2 to 1.1.

Davie County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,509.5 with a 95% confidence interval from 1,432.2 to 1,589.9 and 292 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (4, 78)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -5.9 to 0.8.

Yancey County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,508.1 with a 95% confidence interval from 1,397.3 to 1,625.4 and 144 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (2, 88)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.3 to 1.5.

Rockingham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,506.9 with a 95% confidence interval from 1,453.3 to 1,562.0 and 617 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (6, 69)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.3.

Moore County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,499.3 with a 95% confidence interval from 1,449.2 to 1,550.6 and 713 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (7, 68)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.6.

Lenoir County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,499.1 with a 95% confidence interval from 1,429.3 to 1,571.4 and 360 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (5, 76)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.6 to 0.0.

Randolph County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,497.9 with a 95% confidence interval from 1,452.6 to 1,544.3 and 852 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (9, 66)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -3.9 to -0.6.

Robeson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,492.7 with a 95% confidence interval from 1,438.8 to 1,548.2 and 607 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (8, 72)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -4.3 to 0.3.

Guilford County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,492.2 with a 95% confidence interval from 1,466.9 to 1,517.9 and 2,719 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (17, 56)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.5 to 0.0.

Brunswick County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,491.7 with a 95% confidence interval from 1,452.3 to 1,531.9 and 1,287 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (12, 64)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -4.5 to -1.2.

Franklin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,491.6 with a 95% confidence interval from 1,424.4 to 1,561.1 and 392 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (6, 77)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.4 to 0.9.

Davidson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,491.4 with a 95% confidence interval from 1,450.3 to 1,533.4 and 1,023 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (10, 64)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.6.

Craven County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,491.3 with a 95% confidence interval from 1,437.7 to 1,546.4 and 615 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (8, 73)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.0 to -0.1.

Union County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,490.6 with a 95% confidence interval from 1,450.4 to 1,531.6 and 1,101 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (13, 63)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.4 to 0.9.

Columbus County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,489.3 with a 95% confidence interval from 1,415.9 to 1,565.5 and 320 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (5, 82)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.2 to 1.2.

Pamlico County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,488.5 with a 95% confidence interval from 1,359.2 to 1,626.9 and 108 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (1, 91)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.3.

Burke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,488.4 with a 95% confidence interval from 1,434.1 to 1,544.1 and 582 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (8, 74)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.8.

Halifax County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,484.6 with a 95% confidence interval from 1,411.4 to 1,560.6 and 322 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (6, 81)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -7.1 to 0.3.

Edgecombe County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,481.2 with a 95% confidence interval from 1,406.7 to 1,558.6 and 313 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (5, 82)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.7.

Rowan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,479.7 with a 95% confidence interval from 1,434.5 to 1,526.1 and 837 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (13, 72)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.

Lincoln County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,476.2 with a 95% confidence interval from 1,419.4 to 1,534.7 and 533 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (9, 77)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.5.

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,474.4 with a 95% confidence interval from 1,332.5 to 1,627.3 and 85 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (1, 94)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.1 to 1.9.

New Hanover County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,471.7 with a 95% confidence interval from 1,435.2 to 1,508.9 and 1,284 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (18, 69)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from 0.0 to 0.7.

Mitchell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,471.2 with a 95% confidence interval from 1,349.4 to 1,601.2 and 112 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (2, 93)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.0 to 1.8.

Hoke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,468.3 with a 95% confidence interval from 1,373.5 to 1,568.0 and 200 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (4, 89)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.5 to 1.2.

Cumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,466.9 with a 95% confidence interval from 1,432.0 to 1,502.5 and 1,389 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (20, 71)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.1 to 0.4.

Forsyth County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,463.2 with a 95% confidence interval from 1,434.2 to 1,492.7 and 2,000 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (25, 69)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.5 to -0.2.

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,462.7 with a 95% confidence interval from 1,341.5 to 1,592.1 and 112 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (2, 93)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.1 to 1.0.

Henderson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,459.6 with a 95% confidence interval from 1,415.5 to 1,504.8 and 866 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (19, 76)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.1.

Yadkin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,458.8 with a 95% confidence interval from 1,376.5 to 1,544.8 and 239 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (6, 88)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.4 to 1.3.

Duplin County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,456.5 with a 95% confidence interval from 1,381.6 to 1,534.4 and 294 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (9, 88)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.4 to 1.2.

Hyde County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,452.1 with a 95% confidence interval from 1,228.3 to 1,705.5 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (1, 98)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.3 to 1.2.

Stokes County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,450.4 with a 95% confidence interval from 1,377.8 to 1,525.9 and 306 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (12, 86)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.3 to 1.2.

Harnett County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,444.6 with a 95% confidence interval from 1,391.6 to 1,499.1 and 582 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (20, 82)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -6.1 to -0.3.

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,438.3 with a 95% confidence interval from 1,340.1 to 1,541.9 and 167 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (6, 92)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.7 to 1.4.

Caswell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,437.8 with a 95% confidence interval from 1,336.3 to 1,545.0 and 155 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (5, 93)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.5.

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,434.6 with a 95% confidence interval from 1,327.8 to 1,547.6 and 141 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (6, 93)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.9.

Iredell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,431.8 with a 95% confidence interval from 1,391.5 to 1,473.0 and 992 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (31, 81)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to -0.2.

Beaufort County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,430.0 with a 95% confidence interval from 1,358.8 to 1,503.9 and 320 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (16, 90)
• Recent Trend : The trend is because the trend is 2.7 with a 95% confidence interval from 0.3 to 6.5.

Macon County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,427.6 with a 95% confidence interval from 1,352.6 to 1,505.8 and 291 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (14, 90)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.9 to 0.9.

Cabarrus County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,423.5 with a 95% confidence interval from 1,383.0 to 1,464.8 and 980 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (35, 83)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.5.

Carteret County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,417.2 with a 95% confidence interval from 1,360.9 to 1,475.2 and 508 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (23, 88)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.4.

Mecklenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,416.3 with a 95% confidence interval from 1,396.8 to 1,436.1 and 4,264 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (51, 79)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.5 to 0.0.

Pitt County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,415.4 with a 95% confidence interval from 1,369.4 to 1,462.7 and 744 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (32, 86)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from 0.0 to 4.3.

Hertford County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,415.4 with a 95% confidence interval from 1,306.0 to 1,531.5 and 129 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (6, 95)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.4.

Wilson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,411.4 with a 95% confidence interval from 1,352.1 to 1,472.6 and 442 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (27, 88)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.2.

Chowan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,408.7 with a 95% confidence interval from 1,283.1 to 1,543.3 and 99 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (4, 95)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.7 to 1.4.

Buncombe County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,407.1 with a 95% confidence interval from 1,375.7 to 1,439.0 and 1,592 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (46, 85)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.7 to -0.1.

Bladen County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,405.7 with a 95% confidence interval from 1,316.7 to 1,499.2 and 196 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (12, 94)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.3 to 1.3.

Clay County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,401.4 with a 95% confidence interval from 1,272.3 to 1,540.5 and 96 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (4, 96)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.9 to 1.5.

Wake County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,400.8 with a 95% confidence interval from 1,382.0 to 1,419.8 and 4,491 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (56, 82)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.0 to -1.3.

Lee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,399.8 with a 95% confidence interval from 1,331.6 to 1,470.7 and 327 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (26, 91)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.2.

Chatham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,396.1 with a 95% confidence interval from 1,343.0 to 1,450.9 and 537 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (34, 90)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.3.

Orange County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,392.7 with a 95% confidence interval from 1,344.8 to 1,441.8 and 670 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (43, 89)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.2.

Warren County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,391.4 with a 95% confidence interval from 1,285.7 to 1,503.7 and 138 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (10, 96)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.5.

Bertie County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,384.9 with a 95% confidence interval from 1,271.2 to 1,505.9 and 117 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (10, 96)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.8.

Alexander County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,380.4 with a 95% confidence interval from 1,298.5 to 1,466.1 and 217 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (24, 95)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.8.

Northampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,380.2 with a 95% confidence interval from 1,274.4 to 1,492.5 and 135 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (9, 95)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.4.

Cherokee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,377.2 with a 95% confidence interval from 1,296.0 to 1,462.3 and 234 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (25, 94)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.9 to 0.6.

Catawba County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,376.0 with a 95% confidence interval from 1,334.9 to 1,418.0 and 875 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (53, 90)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.3.

Durham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,357.0 with a 95% confidence interval from 1,323.8 to 1,390.9 and 1,333 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (64, 91)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -5.7 to -0.5.

Avery County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,355.3 with a 95% confidence interval from 1,242.5 to 1,475.7 and 110 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (14, 97)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.9.

Transylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,330.4 with a 95% confidence interval from 1,256.3 to 1,407.9 and 262 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (51, 96)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.4 to 1.2.

Watauga County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,327.2 with a 95% confidence interval from 1,251.9 to 1,406.0 and 244 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (51, 96)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.2.

Ashe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,325.0 with a 95% confidence interval from 1,239.3 to 1,415.2 and 187 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (43, 96)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.6.

Wilkes County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,322.9 with a 95% confidence interval from 1,265.0 to 1,382.8 and 404 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (64, 95)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -5.0 to -0.1.

Dare County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,295.5 with a 95% confidence interval from 1,218.7 to 1,375.9 and 232 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (61, 97)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.4.

Nash County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,291.4 with a 95% confidence interval from 1,240.0 to 1,344.4 and 495 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (76, 96)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.1.

Jackson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,285.2 with a 95% confidence interval from 1,208.6 to 1,365.4 and 222 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (65, 97)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.7 to -0.6.

Graham County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,274.8 with a 95% confidence interval from 1,120.5 to 1,444.7 and 51 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (15, 98)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -12.2 to 4.5.

Perquimans County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,231.3 with a 95% confidence interval from 1,115.6 to 1,355.9 and 88 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (53, 98)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.9 to 1.0.

Polk County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,231.1 with a 95% confidence interval from 1,141.4 to 1,326.0 and 150 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (75, 98)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.9 to 0.9.

Alleghany County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,200.1 with a 95% confidence interval from 1,076.4 to 1,334.5 and 72 average annual cases over 2018-2022.
• CI*Rank ⋔ : 96 (62, 98)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.3 to 0.9.

Pasquotank County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,164.4 with a 95% confidence interval from 1,088.4 to 1,244.3 and 181 average annual cases over 2018-2022.
• CI*Rank ⋔ : 97 (89, 98)
• Recent Trend : The trend is because the trend is -6.0 with a 95% confidence interval from -12.2 to -2.1.

Camden County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,045.5 with a 95% confidence interval from 906.0 to 1,200.7 and 42 average annual cases over 2018-2022.
• CI*Rank ⋔ : 98 (90, 100)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -4.0 to -0.8.

Currituck County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 951.4 with a 95% confidence interval from 867.7 to 1,041.1 and 105 average annual cases over 2018-2022.
• CI*Rank ⋔ : 99 (97, 100)
• Recent Trend : The trend is because the trend is -5.6 with a 95% confidence interval from -13.6 to -2.2.

Gates County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 883.4 with a 95% confidence interval from 768.6 to 1,010.7 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 100 (98, 100)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.8 to 0.1.

Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 4:41 pm.

State Cancer Registries may provide more current or more local data.

† 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.

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.

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.

Source: SEER and NPCR data. For more specific information please see the table.

Data for United States does not include Puerto Rico.