State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for North Carolina by County

Colon & Rectum (All Stages^), 2018-2022

All Races (includes Hispanic), Both Sexes, Ages 65+

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 147.1 with a 95% confidence interval from 144.5 to 149.8 and 2,428 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -5.0 to -2.5.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 155.0 with a 95% confidence interval from 154.5 to 155.5 and 81,215 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -2.8 to -2.3.

Macon County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 211.6 with a 95% confidence interval from 172.4 to 257.0 and 21 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 50)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -6.1 to 2.3.

Granville County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 210.1 with a 95% confidence interval from 170.9 to 255.6 and 21 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 56)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -4.3 to 0.4.

McDowell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 206.9 with a 95% confidence interval from 166.3 to 254.4 and 18 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 61)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.8 to 1.0.

Anson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 199.0 with a 95% confidence interval from 142.8 to 269.9 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 88)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -2.6 to 3.2.

Stanly County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 191.1 with a 95% confidence interval from 156.3 to 231.4 and 22 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 65)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.8 to 0.3.

Mitchell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 191.1 with a 95% confidence interval from 133.4 to 265.6 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 92)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -3.6 to 4.2.

Swain County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 188.8 with a 95% confidence interval from 122.7 to 278.2 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 94)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -5.5 to 1.6.

Alamance County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 186.7 with a 95% confidence interval from 164.4 to 211.2 and 51 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 52)
• Recent Trend : The trend is because the trend is 2.4 with a 95% confidence interval from -1.3 to 11.8.

Duplin County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 185.7 with a 95% confidence interval from 148.2 to 229.9 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 75)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -3.4 to 1.1.

Cleveland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 185.7 with a 95% confidence interval from 158.0 to 216.8 and 33 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (1, 64)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.2 to -0.6.

Jones County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 185.6 with a 95% confidence interval from 112.0 to 290.1 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 95)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -6.4 to 2.7.

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 184.1 with a 95% confidence interval from 134.6 to 245.7 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (1, 88)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -4.2 to 3.1.

Person County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 183.9 with a 95% confidence interval from 142.1 to 234.1 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (1, 83)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -3.2 to 0.9.

Haywood County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 183.1 with a 95% confidence interval from 153.6 to 216.8 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (1, 69)
• Recent Trend : The trend is because the trend is 13.8 with a 95% confidence interval from -1.0 to 31.1.

Richmond County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 183.1 with a 95% confidence interval from 141.8 to 232.8 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (1, 82)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -3.8 to -0.6.

Robeson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 181.3 with a 95% confidence interval from 153.6 to 212.6 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (1, 65)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.8 to 0.4.

Wayne County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 179.6 with a 95% confidence interval from 152.9 to 209.7 and 33 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (1, 64)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.7 to -0.3.

Gaston County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 179.5 with a 95% confidence interval from 160.0 to 200.7 and 63 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (3, 53)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -3.4 to -1.2.

Caswell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 177.1 with a 95% confidence interval from 127.8 to 239.2 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (1, 91)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -2.5 to 2.4.

Rutherford County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 176.9 with a 95% confidence interval from 146.3 to 212.0 and 24 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (1, 73)
• Recent Trend : The trend is because the trend is -3.5 with a 95% confidence interval from -4.8 to -2.4.

Caldwell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 176.0 with a 95% confidence interval from 147.3 to 208.5 and 28 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (2, 71)
• Recent Trend : The trend is because the trend is -2.8 with a 95% confidence interval from -4.9 to -0.9.

Cherokee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 173.8 with a 95% confidence interval from 134.9 to 220.4 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (1, 87)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -5.4 to 0.1.

Wilkes County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 173.1 with a 95% confidence interval from 143.6 to 206.8 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (2, 76)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.8 to 0.3.

Cabarrus County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 171.9 with a 95% confidence interval from 150.5 to 195.4 and 48 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (3, 66)
• Recent Trend : The trend is because the trend is -2.8 with a 95% confidence interval from -5.0 to -0.5.

Davidson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 171.2 with a 95% confidence interval from 150.5 to 194.0 and 50 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (4, 64)
• Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -3.5 to -1.7.

Lee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 171.2 with a 95% confidence interval from 136.6 to 211.9 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (1, 82)
• Recent Trend : The trend is because the trend is -4.4 with a 95% confidence interval from -6.4 to -2.5.

Surry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 170.4 with a 95% confidence interval from 141.5 to 203.5 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (2, 78)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.5 to -0.5.

Watauga County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 169.2 with a 95% confidence interval from 131.1 to 214.9 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (1, 86)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -4.6 to 0.7.

Chowan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 168.0 with a 95% confidence interval from 112.0 to 242.3 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (1, 95)
• Recent Trend : The trend is because the trend is -4.6 with a 95% confidence interval from -8.2 to -1.3.

Hertford County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 166.1 with a 95% confidence interval from 115.8 to 231.1 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (1, 94)
• Recent Trend : The trend is because the trend is -4.1 with a 95% confidence interval from -6.2 to -2.3.

Beaufort County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 165.8 with a 95% confidence interval from 131.8 to 206.0 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (2, 86)
• Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -5.9 to -0.7.

Harnett County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 165.8 with a 95% confidence interval from 138.9 to 196.5 and 28 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (3, 78)
• Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -5.1 to -1.6.

Perquimans County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 163.9 with a 95% confidence interval from 107.4 to 239.2 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (1, 95)
• Recent Trend : The trend is because the trend is -4.0 with a 95% confidence interval from -8.3 to -0.2.

Columbus County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 163.4 with a 95% confidence interval from 130.0 to 202.8 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (2, 88)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.9 to 0.1.

Rowan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 162.9 with a 95% confidence interval from 140.6 to 187.8 and 39 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (6, 76)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -4.2 to -1.2.

Yancey County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 162.9 with a 95% confidence interval from 115.5 to 223.4 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (1, 94)
• Recent Trend : The trend is because the trend is 5.0 with a 95% confidence interval from -1.0 to 20.0.

Scotland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 162.5 with a 95% confidence interval from 119.2 to 216.5 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (1, 92)
• Recent Trend : The trend is because the trend is -4.1 with a 95% confidence interval from -7.8 to -0.7.

Vance County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 162.1 with a 95% confidence interval from 124.3 to 208.0 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (1, 89)
• Recent Trend : The trend is because the trend is -4.1 with a 95% confidence interval from -6.9 to -1.4.

Onslow County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 160.3 with a 95% confidence interval from 134.8 to 189.2 and 29 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (5, 81)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.5 to -0.5.

Randolph County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 159.5 with a 95% confidence interval from 137.8 to 183.6 and 40 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (7, 76)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -3.1 to 0.3.

Martin County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 157.5 with a 95% confidence interval from 112.0 to 215.3 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (1, 94)
• Recent Trend : The trend is because the trend is -17.2 with a 95% confidence interval from -35.5 to 0.1.

Pamlico County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 155.7 with a 95% confidence interval from 102.9 to 226.2 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (1, 95)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -5.2 to 5.6.

Pender County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 155.5 with a 95% confidence interval from 123.1 to 193.9 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (3, 89)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -5.4 to 1.1.

Iredell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 155.3 with a 95% confidence interval from 135.3 to 177.5 and 45 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (11, 78)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -3.8 to -1.5.

Carteret County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 154.5 with a 95% confidence interval from 128.2 to 184.6 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (7, 87)
• Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -5.4 to -2.2.

Hoke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 154.1 with a 95% confidence interval from 107.8 to 213.6 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (1, 94)
• Recent Trend : The trend is because the trend is 11.3 with a 95% confidence interval from -3.7 to 32.2.

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 153.7 with a 95% confidence interval from 95.7 to 234.1 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (1, 95)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -5.4 to 3.0.

Burke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 152.3 with a 95% confidence interval from 127.6 to 180.4 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (9, 86)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -5.1 to -0.7.

Rockingham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 152.3 with a 95% confidence interval from 127.6 to 180.4 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (8, 86)
• Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -4.5 to -2.9.

Brunswick County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 150.7 with a 95% confidence interval from 133.0 to 170.0 and 61 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (16, 78)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.0 to 2.2.

Polk County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 149.1 with a 95% confidence interval from 108.7 to 199.4 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (2, 94)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -5.2 to 1.6.

Lincoln County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 148.4 with a 95% confidence interval from 121.7 to 179.3 and 23 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (9, 89)
• Recent Trend : The trend is because the trend is -4.1 with a 95% confidence interval from -5.7 to -2.6.

Henderson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 148.2 with a 95% confidence interval from 128.8 to 169.6 and 43 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (17, 82)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -3.6 to -1.2.

Union County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 147.9 with a 95% confidence interval from 128.6 to 169.4 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (17, 82)
• Recent Trend : The trend is because the trend is -3.0 with a 95% confidence interval from -4.8 to -1.0.

Guilford County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 146.6 with a 95% confidence interval from 134.8 to 159.2 and 117 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (29, 75)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -3.1 to 4.6.

Davie County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 146.4 with a 95% confidence interval from 112.8 to 186.8 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (5, 93)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -4.1 to 1.9.

Sampson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 145.9 with a 95% confidence interval from 114.1 to 183.8 and 15 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (6, 92)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.1 to -0.3.

Johnston County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 145.4 with a 95% confidence interval from 125.3 to 167.9 and 40 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (16, 85)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -4.2 to -0.8.

Jackson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 144.8 with a 95% confidence interval from 108.7 to 189.0 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (3, 94)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -5.4 to 0.5.

Chatham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 144.7 with a 95% confidence interval from 121.0 to 171.6 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (12, 89)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -4.1 to -0.1.

Alleghany County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 144.0 with a 95% confidence interval from 87.5 to 223.1 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (1, 95)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -6.9 to 1.3.

Stokes County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 143.6 with a 95% confidence interval from 111.3 to 182.3 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (5, 93)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -5.8 to 0.0.

Halifax County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 142.9 with a 95% confidence interval from 111.5 to 180.3 and 15 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (7, 93)
• Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -5.2 to -1.6.

Craven County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 142.4 with a 95% confidence interval from 119.4 to 168.7 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (17, 89)
• Recent Trend : The trend is because the trend is -3.9 with a 95% confidence interval from -5.8 to -2.1.

Warren County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 141.1 with a 95% confidence interval from 97.2 to 198.2 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (2, 95)
• Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -7.0 to -0.6.

Mecklenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 140.9 with a 95% confidence interval from 131.4 to 151.0 and 170 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (37, 77)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -4.1 to -2.1.

Forsyth County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 139.6 with a 95% confidence interval from 126.3 to 153.8 and 83 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (35, 82)
• Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -4.7 to -2.6.

Northampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 136.8 with a 95% confidence interval from 93.9 to 192.6 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (3, 95)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -5.1 to 0.7.

Bladen County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 136.1 with a 95% confidence interval from 98.6 to 183.3 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (6, 95)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -5.6 to -0.2.

Franklin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 134.4 with a 95% confidence interval from 105.0 to 169.6 and 15 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (12, 93)
• Recent Trend : The trend is because the trend is -4.0 with a 95% confidence interval from -6.1 to -1.9.

Buncombe County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 133.9 with a 95% confidence interval from 120.1 to 148.9 and 70 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (37, 86)
• Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -4.4 to -2.1.

Wilson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 133.0 with a 95% confidence interval from 106.6 to 164.0 and 18 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (14, 93)
• Recent Trend : The trend is because the trend is -4.9 with a 95% confidence interval from -8.3 to -2.1.

Edgecombe County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 130.6 with a 95% confidence interval from 100.0 to 167.8 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (12, 95)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -5.0 to 1.2.

Bertie County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 128.5 with a 95% confidence interval from 83.4 to 189.0 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (3, 95)
• Recent Trend : The trend is because the trend is -4.0 with a 95% confidence interval from -6.1 to -2.0.

Catawba County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 128.2 with a 95% confidence interval from 109.7 to 148.9 and 35 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (34, 92)
• Recent Trend : The trend is because the trend is -4.2 with a 95% confidence interval from -5.8 to -2.8.

Cumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 127.2 with a 95% confidence interval from 111.8 to 144.1 and 51 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (42, 91)
• Recent Trend : The trend is because the trend is -4.8 with a 95% confidence interval from -5.9 to -3.8.

Moore County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 126.7 with a 95% confidence interval from 107.3 to 148.7 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (35, 92)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -4.3 to 2.2.

Wake County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 124.2 with a 95% confidence interval from 115.4 to 133.3 and 158 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (58, 88)
• Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -4.5 to -2.5.

Yadkin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 124.1 with a 95% confidence interval from 90.7 to 165.8 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (14, 95)
• Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -6.3 to -1.0.

Clay County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 122.5 with a 95% confidence interval from 76.1 to 187.4 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (3, 95)
• Recent Trend :

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 122.3 with a 95% confidence interval from 73.7 to 190.9 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (2, 95)
• Recent Trend : The trend is because the trend is -5.0 with a 95% confidence interval from -9.2 to -1.2.

Lenoir County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 121.2 with a 95% confidence interval from 93.7 to 154.2 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (23, 95)
• Recent Trend : The trend is because the trend is -8.1 with a 95% confidence interval from -23.2 to -5.9.

Orange County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 119.6 with a 95% confidence interval from 99.1 to 143.2 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (42, 94)
• Recent Trend : The trend is because the trend is -3.4 with a 95% confidence interval from -5.3 to -1.5.

New Hanover County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 116.2 with a 95% confidence interval from 101.4 to 132.5 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (57, 94)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -4.6 to -1.5.

Alexander County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 115.7 with a 95% confidence interval from 82.7 to 157.6 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (21, 95)
• Recent Trend : The trend is because the trend is -3.4 with a 95% confidence interval from -7.4 to 0.4.

Nash County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 113.1 with a 95% confidence interval from 91.4 to 138.5 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (43, 95)
• Recent Trend : The trend is because the trend is -6.0 with a 95% confidence interval from -7.9 to -4.4.

Pitt County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 113.0 with a 95% confidence interval from 93.9 to 134.8 and 26 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (51, 95)
• Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -5.3 to -2.1.

Ashe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 110.6 with a 95% confidence interval from 77.9 to 152.3 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (21, 95)
• Recent Trend : The trend is because the trend is -4.5 with a 95% confidence interval from -8.4 to -1.2.

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 108.9 with a 95% confidence interval from 70.6 to 160.7 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (14, 95)
• Recent Trend : The trend is because the trend is -3.4 with a 95% confidence interval from -6.5 to -0.6.

Avery County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 108.7 with a 95% confidence interval from 66.0 to 168.4 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (7, 95)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -6.0 to 1.8.

Durham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 106.9 with a 95% confidence interval from 92.9 to 122.5 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (68, 95)
• Recent Trend : The trend is because the trend is -15.1 with a 95% confidence interval from -21.8 to -6.7.

Transylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 105.4 with a 95% confidence interval from 78.9 to 137.9 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (42, 95)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -4.8 to -0.6.

Pasquotank County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 104.5 with a 95% confidence interval from 72.8 to 145.2 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (34, 95)
• Recent Trend : The trend is because the trend is -5.6 with a 95% confidence interval from -7.9 to -3.7.

Dare County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 91.7 with a 95% confidence interval from 64.6 to 126.9 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (47, 95)
• Recent Trend : The trend is because the trend is -4.9 with a 95% confidence interval from -8.6 to -1.4.

Currituck County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 79.6 with a 95% confidence interval from 44.5 to 131.3 and 3 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (46, 95)
• Recent Trend : The trend is because the trend is -5.5 with a 95% confidence interval from -9.4 to -2.0.

Camden County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Gates County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Graham County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Hyde County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Tyrrell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/26/2026 1:32 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 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.