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 65+

Sorted by Name

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 2,140.5 with a 95% confidence interval from 2,130.5 to 2,150.6 and 36,181 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.7.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 2,004.7 with a 95% confidence interval from 2,002.9 to 2,006.4 and 1,067,371 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 -0.8.

Alamance County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,303.3 with a 95% confidence interval from 2,224.1 to 2,384.6 and 649 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (2, 39)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.8.

Alexander County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,975.2 with a 95% confidence interval from 1,831.6 to 2,127.3 and 143 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (25, 96)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.6.

Alleghany County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,755.8 with a 95% confidence interval from 1,546.5 to 1,985.6 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 96 (43, 99)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.1 to 1.3.

Anson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,222.5 with a 95% confidence interval from 2,026.0 to 2,433.0 and 96 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (1, 89)
• Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from 0.9 to 2.7.

Ashe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,921.8 with a 95% confidence interval from 1,777.1 to 2,075.3 and 133 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (32, 97)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.6 to 0.8.

Avery County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,077.4 with a 95% confidence interval from 1,876.2 to 2,294.3 and 80 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (3, 95)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.

Beaufort County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,148.8 with a 95% confidence interval from 2,024.2 to 2,279.1 and 230 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (5, 85)
• Recent Trend : The trend is because the trend is 3.9 with a 95% confidence interval from 0.3 to 9.4.

Bertie County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,881.2 with a 95% confidence interval from 1,696.6 to 2,080.5 and 78 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (25, 98)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.4.

Bladen County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,964.0 with a 95% confidence interval from 1,813.8 to 2,123.5 and 131 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (25, 96)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.4.

Brunswick County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,251.5 with a 95% confidence interval from 2,184.3 to 2,320.2 and 967 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (4, 45)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.5 to -0.2.

Buncombe County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,064.3 with a 95% confidence interval from 2,009.4 to 2,120.2 and 1,106 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (39, 82)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.0.

Burke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,145.2 with a 95% confidence interval from 2,049.9 to 2,243.7 and 387 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (8, 79)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.8.

Cabarrus County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,141.6 with a 95% confidence interval from 2,065.6 to 2,219.7 and 622 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (15, 73)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -3.3 to -0.4.

Caldwell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,344.7 with a 95% confidence interval from 2,238.5 to 2,454.6 and 378 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 41)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.1 to 1.5.

Camden County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,435.4 with a 95% confidence interval from 1,188.7 to 1,719.2 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 98 (86, 100)
• Recent Trend : The trend is because the trend is -10.3 with a 95% confidence interval from -21.6 to -3.7.

Carteret County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,077.5 with a 95% confidence interval from 1,979.9 to 2,178.6 and 354 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (20, 88)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.6.

Caswell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,046.5 with a 95% confidence interval from 1,871.1 to 2,234.1 and 103 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (6, 95)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.1 to 1.1.

Catawba County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,010.7 with a 95% confidence interval from 1,936.8 to 2,086.7 and 574 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (42, 91)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.3.

Chatham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,112.1 with a 95% confidence interval from 2,019.3 to 2,208.1 and 393 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (15, 83)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -3.6 to 0.7.

Cherokee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,966.5 with a 95% confidence interval from 1,833.8 to 2,106.3 and 169 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (26, 96)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.2.

Chowan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,045.5 with a 95% confidence interval from 1,833.4 to 2,275.5 and 69 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (3, 96)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.9 to 1.3.

Clay County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,065.2 with a 95% confidence interval from 1,853.7 to 2,294.5 and 72 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (2, 96)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.9 to 1.4.

Cleveland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,177.4 with a 95% confidence interval from 2,080.7 to 2,277.4 and 396 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (5, 74)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.3 to 0.9.

Columbus County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,048.2 with a 95% confidence interval from 1,924.2 to 2,178.2 and 208 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (15, 93)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.9 to 1.2.

Craven County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,123.5 with a 95% confidence interval from 2,032.9 to 2,217.2 and 421 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (13, 82)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.1.

Cumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,080.2 with a 95% confidence interval from 2,017.4 to 2,144.6 and 855 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (32, 81)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.1 to 0.5.

Currituck County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,407.5 with a 95% confidence interval from 1,251.0 to 1,578.7 and 65 average annual cases over 2018-2022.
• CI*Rank ⋔ : 99 (96, 100)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.6 to -0.5.

Dare County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,871.7 with a 95% confidence interval from 1,735.8 to 2,015.5 and 153 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (54, 97)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.1.

Davidson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,188.6 with a 95% confidence interval from 2,114.2 to 2,265.0 and 669 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (9, 66)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.8.

Davie County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,135.3 with a 95% confidence interval from 2,001.7 to 2,275.4 and 193 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (5, 88)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -5.2 to 0.3.

Duplin County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,022.2 with a 95% confidence interval from 1,894.3 to 2,156.5 and 190 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (16, 94)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.1 to 1.4.

Durham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,002.7 with a 95% confidence interval from 1,941.4 to 2,065.5 and 851 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (52, 89)
• Recent Trend : The trend is because the trend is -3.8 with a 95% confidence interval from -6.0 to -1.1.

Edgecombe County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,023.6 with a 95% confidence interval from 1,897.7 to 2,155.8 and 200 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (21, 93)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.1 to 0.9.

Forsyth County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,191.0 with a 95% confidence interval from 2,137.8 to 2,245.2 and 1,325 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (12, 56)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.4 to 0.1.

Franklin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,221.4 with a 95% confidence interval from 2,097.0 to 2,351.3 and 252 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (3, 73)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.5 to 1.1.

Gaston County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,227.7 with a 95% confidence interval from 2,158.3 to 2,298.6 and 805 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (6, 53)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.5.

Gates County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,274.7 with a 95% confidence interval from 1,072.0 to 1,504.9 and 29 average annual cases over 2018-2022.
• CI*Rank ⋔ : 100 (97, 100)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.6 to 0.0.

Graham County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,019.0 with a 95% confidence interval from 1,743.9 to 2,325.3 and 39 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (1, 97)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -1.7 to 3.2.

Granville County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,256.9 with a 95% confidence interval from 2,126.3 to 2,393.6 and 232 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (1, 68)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.5 to 1.0.

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,132.1 with a 95% confidence interval from 1,913.6 to 2,369.0 and 73 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (1, 95)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.8 to 1.8.

Guilford County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,244.8 with a 95% confidence interval from 2,198.1 to 2,292.2 and 1,802 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (7, 41)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.5.

Halifax County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,036.6 with a 95% confidence interval from 1,912.4 to 2,166.8 and 206 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (19, 93)
• Recent Trend : The trend is because the trend is -5.0 with a 95% confidence interval from -9.1 to -0.1.

Harnett County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,103.2 with a 95% confidence interval from 2,006.2 to 2,203.7 and 367 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (15, 84)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -6.5 to -0.2.

Haywood County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,314.1 with a 95% confidence interval from 2,206.8 to 2,425.4 and 354 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 49)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from 0.4 to 2.0.

Henderson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,236.4 with a 95% confidence interval from 2,159.9 to 2,314.9 and 653 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (4, 55)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.4.

Hertford County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,077.2 with a 95% confidence interval from 1,885.6 to 2,283.2 and 88 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (3, 96)
• Recent Trend : The trend is because the trend is 5.3 with a 95% confidence interval from 0.3 to 11.1.

Hoke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,165.9 with a 95% confidence interval from 1,985.5 to 2,358.6 and 117 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (1, 92)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.3 to 2.2.

Hyde County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,031.4 with a 95% confidence interval from 1,656.0 to 2,467.7 and 22 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (1, 99)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.4 to 0.7.

Iredell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,113.7 with a 95% confidence interval from 2,039.3 to 2,190.1 and 630 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (21, 78)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to -0.1.

Jackson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,837.5 with a 95% confidence interval from 1,706.3 to 1,976.3 and 151 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (61, 97)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.8 to -0.9.

Johnston County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,284.8 with a 95% confidence interval from 2,203.7 to 2,368.1 and 646 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (2, 43)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.5 to 1.4.

Jones County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,227.3 with a 95% confidence interval from 1,949.6 to 2,534.0 and 48 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (1, 94)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.8 to 1.1.

Lee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,053.9 with a 95% confidence interval from 1,930.1 to 2,183.5 and 212 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (14, 92)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.4.

Lenoir County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,098.5 with a 95% confidence interval from 1,979.5 to 2,222.9 and 236 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (10, 88)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.2 to 0.1.

Lincoln County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,255.8 with a 95% confidence interval from 2,150.0 to 2,365.6 and 357 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (2, 62)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.6.

Macon County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,209.8 with a 95% confidence interval from 2,080.7 to 2,344.8 and 224 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (3, 78)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.9.

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,016.4 with a 95% confidence interval from 1,837.8 to 2,207.9 and 96 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (7, 96)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.9 to 1.0.

Martin County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,167.3 with a 95% confidence interval from 1,990.1 to 2,356.2 and 113 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (1, 90)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.1 to 1.4.

McDowell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,470.8 with a 95% confidence interval from 2,327.2 to 2,621.1 and 227 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 23)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.2 to 1.9.

Mecklenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,132.8 with a 95% confidence interval from 2,095.5 to 2,170.6 and 2,616 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (29, 64)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -4.3 to 0.4.

Mitchell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,177.3 with a 95% confidence interval from 1,968.5 to 2,402.4 and 81 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (1, 93)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from 0.0 to 2.3.

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,045.4 with a 95% confidence interval from 1,877.5 to 2,224.6 and 113 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (7, 95)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.6 to 1.9.

Moore County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,207.5 with a 95% confidence interval from 2,123.6 to 2,293.8 and 524 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (5, 64)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.9 to 0.6.

Nash County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,840.6 with a 95% confidence interval from 1,749.8 to 1,935.1 and 321 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (75, 97)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.3.

New Hanover County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,228.0 with a 95% confidence interval from 2,162.0 to 2,295.4 and 894 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (6, 55)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from 0.1 to 1.1.

Northampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,974.4 with a 95% confidence interval from 1,799.9 to 2,161.3 and 95 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (14, 97)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.4 to 1.2.

Onslow County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,413.0 with a 95% confidence interval from 2,313.4 to 2,515.9 and 461 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 21)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.1 to 1.3.

Orange County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,091.6 with a 95% confidence interval from 2,003.3 to 2,182.8 and 444 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (22, 84)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.3 to 3.4.

Pamlico County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,048.2 with a 95% confidence interval from 1,844.0 to 2,269.1 and 75 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (5, 96)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.9 to 1.2.

Pasquotank County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,655.5 with a 95% confidence interval from 1,522.5 to 1,797.1 and 117 average annual cases over 2018-2022.
• CI*Rank ⋔ : 97 (89, 99)
• Recent Trend : The trend is because the trend is -6.5 with a 95% confidence interval from -14.1 to -2.2.

Pender County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,279.0 with a 95% confidence interval from 2,149.1 to 2,414.8 and 243 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 66)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.5 to 1.7.

Perquimans County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,862.8 with a 95% confidence interval from 1,664.9 to 2,078.0 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (29, 98)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.0 to 0.8.

Person County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,251.9 with a 95% confidence interval from 2,101.6 to 2,410.1 and 173 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (1, 73)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.8 to 1.0.

Pitt County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,028.7 with a 95% confidence interval from 1,946.0 to 2,114.0 and 473 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (37, 90)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from 0.1 to 3.9.

Polk County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,862.7 with a 95% confidence interval from 1,713.5 to 2,021.5 and 115 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (51, 97)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.9 to 1.0.

Randolph County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,155.2 with a 95% confidence interval from 2,073.9 to 2,238.8 and 546 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (11, 72)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.7 to 0.0.

Richmond County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,468.7 with a 95% confidence interval from 2,310.0 to 2,635.5 and 186 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 31)
• Recent Trend : The trend is because the trend is 4.3 with a 95% confidence interval from -0.2 to 10.8.

Robeson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,108.1 with a 95% confidence interval from 2,012.2 to 2,207.6 and 380 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (15, 85)
• Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -7.5 to -1.0.

Rockingham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,175.5 with a 95% confidence interval from 2,080.5 to 2,273.7 and 404 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (7, 74)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.3.

Rowan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,151.0 with a 95% confidence interval from 2,069.4 to 2,234.9 and 541 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (13, 74)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.9 to 0.2.

Rutherford County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,278.2 with a 95% confidence interval from 2,165.4 to 2,395.4 and 314 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (2, 56)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.6.

Sampson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,250.4 with a 95% confidence interval from 2,121.1 to 2,385.6 and 233 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (1, 68)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from 0.6 to 2.3.

Scotland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,275.0 with a 95% confidence interval from 2,105.7 to 2,454.5 and 138 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 78)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.8 to 1.5.

Stanly County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,254.5 with a 95% confidence interval from 2,131.5 to 2,382.8 and 259 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (1, 69)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -6.9 to 1.9.

Stokes County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,105.2 with a 95% confidence interval from 1,977.4 to 2,239.0 and 205 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (7, 88)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.0 to 1.4.

Surry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,273.3 with a 95% confidence interval from 2,164.0 to 2,386.7 and 329 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (2, 57)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.2 to 1.5.

Swain County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,356.2 with a 95% confidence interval from 2,103.9 to 2,630.8 and 65 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 84)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -7.0 to 2.0.

Transylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,030.4 with a 95% confidence interval from 1,907.5 to 2,159.0 and 204 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (21, 93)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.2 to 1.5.

Tyrrell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,973.8 with a 95% confidence interval from 1,565.7 to 2,456.0 and 16 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (1, 100)
• Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from -0.3 to 3.5.

Union County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,233.5 with a 95% confidence interval from 2,157.2 to 2,311.9 and 675 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (4, 54)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.3 to 0.9.

Vance County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,201.1 with a 95% confidence interval from 2,054.2 to 2,355.9 and 172 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (2, 82)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.8.

Wake County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,120.5 with a 95% confidence interval from 2,084.6 to 2,156.8 and 2,790 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (32, 67)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -2.9 to -1.3.

Warren County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,960.1 with a 95% confidence interval from 1,786.2 to 2,146.5 and 96 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (17, 97)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,018.1 with a 95% confidence interval from 1,789.2 to 2,268.3 and 58 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (3, 97)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.3 to 2.2.

Watauga County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,063.9 with a 95% confidence interval from 1,925.3 to 2,209.8 and 172 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (10, 92)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.2.

Wayne County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,249.2 with a 95% confidence interval from 2,153.8 to 2,347.8 and 430 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (3, 57)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -3.4 to 1.3.

Wilkes County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,915.8 with a 95% confidence interval from 1,815.4 to 2,020.3 and 276 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (57, 96)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.3.

Wilson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,979.0 with a 95% confidence interval from 1,875.8 to 2,086.5 and 283 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (41, 95)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.0.

Yadkin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,177.3 with a 95% confidence interval from 2,029.6 to 2,332.9 and 163 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (2, 86)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.3 to 1.9.

Yancey County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,185.0 with a 95% confidence interval from 1,999.5 to 2,383.3 and 104 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (1, 89)
• Recent Trend : The trend is because the trend is 2.8 with a 95% confidence interval from 0.1 to 8.2.

Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 10:47 am.

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.