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Incidence Rates Table

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Incidence Rate Report for North Carolina by County

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

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

Sorted by Rate

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate ascending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
North Carolina 2 N/A 35.5 (35.1, 36.0) N/A 4,440 falling falling trend -1.3 (-2.1, -0.9)
US (SEER+NPCR) 1 N/A 36.7 (36.6, 36.7) N/A 145,073 falling falling trend -0.9 (-1.0, -0.8)
Swain County 2 Rural 68.0 (51.7, 88.2) 1 (1, 20) 13 stable stable trend 1.6 (-1.3, 4.7)
Washington County 2 Rural 57.5 (40.5, 79.9) 2 (1, 82) 10 stable stable trend 0.1 (-3.8, 3.9)
Hyde County 2 Rural 54.1 (31.8, 89.0) 3 (1, 99) 4 stable stable trend 28.6 (-3.0, 105.2)
Granville County 2 Rural 52.4 (45.1, 60.5) 4 (1, 31) 40 stable stable trend -1.5 (-3.4, 0.4)
McDowell County 2 Rural 47.4 (39.9, 56.0) 5 (1, 66) 31 stable stable trend 0.4 (-1.3, 2.1)
Anson County 2 Urban 46.5 (36.0, 59.4) 6 (1, 88) 14 stable stable trend 1.1 (-1.6, 3.8)
Cleveland County 2 Rural 46.4 (41.0, 52.2) 7 (2, 50) 60 stable stable trend -0.7 (-2.1, 0.8)
Caldwell County 2 Urban 45.4 (39.6, 51.8) 8 (2, 60) 50 stable stable trend 0.7 (-10.1, 10.1)
Cherokee County 2 Rural 44.4 (35.6, 55.1) 9 (2, 86) 22 stable stable trend -1.1 (-3.5, 1.2)
Bertie County 2 Rural 44.1 (32.1, 59.4) 10 (1, 97) 10 stable stable trend -2.1 (-4.5, 0.2)
Mitchell County 2 Rural 43.5 (31.6, 59.1) 11 (1, 96) 10 stable stable trend -0.5 (-4.1, 3.1)
Duplin County 2 Rural 43.5 (36.4, 51.6) 12 (2, 76) 29 stable stable trend 0.6 (-1.4, 2.6)
Bladen County 2 Rural 43.4 (34.5, 54.1) 13 (2, 89) 18 stable stable trend -1.4 (-4.7, 1.8)
Richmond County 2 Rural 43.1 (35.3, 52.1) 14 (2, 83) 23 stable stable trend -1.6 (-3.6, 0.3)
Caswell County 2 Rural 42.8 (32.7, 55.2) 15 (1, 92) 14 stable stable trend -0.5 (-2.8, 1.9)
Columbus County 2 Rural 42.7 (35.9, 50.4) 16 (2, 78) 30 stable stable trend -0.4 (-1.9, 1.1)
Stanly County 2 Rural 42.7 (36.3, 49.8) 17 (3, 75) 35 stable stable trend -0.6 (-2.6, 1.4)
Jones County 2 Rural 42.6 (27.4, 64.3) 18 (1, 99) 6 stable stable trend -1.2 (-4.8, 2.3)
Rutherford County 2 Rural 42.6 (36.6, 49.3) 19 (3, 72) 41 falling falling trend -2.1 (-3.4, -0.9)
Pamlico County 2 Rural 42.4 (29.0, 60.8) 20 (1, 98) 9 stable stable trend -0.3 (-4.7, 4.1)
Person County 2 Urban 42.3 (34.6, 51.3) 21 (2, 85) 23 stable stable trend -0.4 (-2.5, 1.7)
Davidson County 2 Urban 41.7 (37.8, 45.8) 22 (6, 62) 91 falling falling trend -1.1 (-2.0, -0.2)
Wayne County 2 Urban 41.6 (36.8, 46.8) 23 (4, 67) 58 stable stable trend -0.9 (-2.0, 0.1)
Vance County 2 Rural 41.5 (34.0, 50.2) 24 (3, 87) 23 falling falling trend -2.6 (-4.2, -1.1)
Gaston County 2 Urban 41.3 (37.9, 44.9) 25 (8, 58) 114 falling falling trend -1.9 (-2.7, -1.1)
Scotland County 2 Rural 41.3 (32.9, 51.3) 26 (2, 92) 18 stable stable trend -1.8 (-4.3, 0.6)
Wilkes County 2 Rural 41.2 (35.3, 47.8) 27 (4, 80) 39 stable stable trend -0.4 (-2.4, 1.5)
Robeson County 2 Rural 40.7 (36.0, 45.9) 28 (5, 74) 57 stable stable trend -1.4 (-3.0, 0.1)
Haywood County 2 Rural 40.7 (34.9, 47.2) 29 (4, 77) 41 rising rising trend 3.6 (0.4, 15.1)
Rockingham County 2 Urban 40.1 (35.1, 45.7) 30 (5, 78) 52 falling falling trend -2.0 (-3.0, -1.1)
Randolph County 2 Urban 40.0 (35.8, 44.5) 31 (8, 72) 73 stable stable trend -1.0 (-11.8, 3.7)
Macon County 2 Rural 39.6 (32.6, 48.0) 32 (4, 89) 26 stable stable trend -1.5 (-3.5, 0.4)
Lenoir County 2 Rural 39.6 (32.9, 47.3) 33 (4, 89) 28 falling falling trend -2.7 (-4.8, -0.8)
Harnett County 2 Rural 39.5 (34.8, 44.6) 34 (8, 79) 53 falling falling trend -2.4 (-4.2, -0.7)
Alamance County 2 Urban 39.4 (35.6, 43.5) 35 (9, 73) 83 falling falling trend -1.5 (-2.7, -0.3)
Yancey County 2 Rural 39.4 (28.9, 52.8) 36 (2, 98) 12 stable stable trend -4.7 (-14.7, 0.3)
Hertford County 2 Rural 39.0 (29.2, 51.5) 37 (2, 98) 12 falling falling trend -3.5 (-5.9, -1.3)
Cabarrus County 2 Urban 38.9 (35.4, 42.7) 38 (12, 73) 92 stable stable trend -1.6 (-3.5, 0.4)
Burke County 2 Urban 38.9 (33.9, 44.4) 39 (8, 82) 49 falling falling trend -2.7 (-10.8, -1.1)
Rowan County 2 Urban 38.7 (34.6, 43.2) 40 (10, 80) 70 falling falling trend -1.7 (-3.2, -0.2)
Surry County 2 Rural 38.5 (33.2, 44.5) 41 (7, 86) 40 stable stable trend -0.7 (-1.9, 0.5)
Onslow County 2 Urban 38.4 (34.0, 43.2) 42 (9, 80) 58 stable stable trend -0.6 (-1.9, 0.8)
Polk County 2 Rural 38.3 (28.2, 51.4) 43 (2, 98) 13 stable stable trend 9.7 (-1.5, 32.0)
Beaufort County 2 Rural 38.2 (31.4, 46.2) 44 (5, 94) 26 falling falling trend -3.0 (-4.9, -1.4)
Lee County 2 Rural 38.2 (32.1, 45.1) 45 (6, 90) 30 falling falling trend -3.1 (-4.9, -1.3)
Northampton County 2 Rural 38.1 (27.7, 51.8) 46 (2, 98) 11 stable stable trend -1.3 (-3.7, 0.9)
Stokes County 2 Urban 38.1 (31.3, 46.2) 47 (4, 94) 24 stable stable trend -1.2 (-3.3, 0.9)
Halifax County 2 Rural 37.9 (31.5, 45.5) 48 (5, 91) 27 falling falling trend -1.4 (-2.8, -0.2)
Pender County 2 Urban 37.8 (31.8, 44.6) 49 (7, 90) 31 stable stable trend 0.1 (-1.8, 2.2)
Montgomery County 2 Rural 37.7 (29.0, 48.5) 50 (3, 97) 14 stable stable trend -0.8 (-4.4, 2.7)
Martin County 2 Rural 37.1 (27.8, 48.7) 51 (3, 98) 13 stable stable trend -18.6 (-35.0, 0.0)
Lincoln County 2 Urban 36.6 (31.6, 42.3) 52 (11, 91) 41 falling falling trend -2.3 (-3.9, -0.6)
Madison County 2 Urban 36.6 (26.7, 49.2) 53 (3, 98) 10 stable stable trend -0.4 (-2.8, 2.0)
Union County 2 Urban 36.5 (33.2, 40.1) 54 (21, 82) 94 stable stable trend -1.6 (-3.2, 0.2)
Hoke County 2 Urban 36.4 (28.7, 45.4) 55 (4, 97) 17 falling falling trend -2.8 (-4.8, -0.6)
Franklin County 2 Urban 36.3 (30.6, 42.7) 56 (9, 93) 32 stable stable trend -1.4 (-4.0, 5.8)
Brunswick County 2 Urban 36.2 (32.4, 40.5) 57 (18, 86) 89 stable stable trend -0.1 (-1.8, 5.1)
Davie County 2 Urban 36.2 (29.6, 44.0) 58 (7, 95) 23 stable stable trend -0.3 (-3.7, 3.3)
Warren County 2 Rural 35.9 (26.6, 48.1) 59 (3, 98) 12 stable stable trend -2.0 (-4.5, 0.3)
Guilford County 2 Urban 35.9 (33.8, 38.2) 60 (34, 78) 219 stable stable trend 0.4 (-1.5, 4.9)
Iredell County 2 Urban 35.8 (32.3, 39.6) 61 (22, 85) 82 falling falling trend -1.6 (-2.7, -0.5)
Chowan County 2 Rural 35.7 (25.2, 50.0) 62 (3, 99) 9 stable stable trend -2.6 (-5.5, 0.2)
Wilson County 2 Rural 35.5 (30.3, 41.4) 63 (13, 93) 35 falling falling trend -3.1 (-5.3, -1.2)
Chatham County 2 Urban 35.1 (30.1, 40.7) 64 (14, 93) 41 stable stable trend -0.8 (-2.4, 0.9)
Camden County 2 Urban 35.0 (22.3, 53.1) 65 (2, 99) 5 falling falling trend -4.3 (-8.7, -0.1)
Watauga County 2 Rural 34.9 (28.2, 43.0) 66 (9, 97) 20 stable stable trend -1.4 (-3.7, 0.9)
Craven County 2 Rural 34.9 (30.3, 40.1) 67 (18, 92) 45 falling falling trend -2.7 (-3.9, -1.7)
Jackson County 2 Rural 34.6 (27.7, 42.8) 68 (9, 97) 19 stable stable trend -1.4 (-3.4, 0.7)
Edgecombe County 2 Urban 34.5 (28.1, 42.1) 69 (10, 97) 23 stable stable trend -2.2 (-4.9, 0.2)
Greene County 2 Rural 34.3 (24.5, 46.8) 70 (4, 99) 9 falling falling trend -3.4 (-7.0, -0.2)
Johnston County 2 Urban 33.8 (30.5, 37.4) 71 (33, 90) 79 falling falling trend -1.7 (-3.0, -0.3)
Mecklenburg County 2 Urban 33.8 (32.2, 35.4) 72 (49, 82) 363 stable stable trend -0.7 (-1.9, 3.1)
Carteret County 2 Rural 33.7 (28.8, 39.4) 73 (19, 95) 38 falling falling trend -2.4 (-3.8, -1.2)
Sampson County 2 Rural 33.7 (28.0, 40.2) 74 (17, 97) 26 stable stable trend 0.3 (-2.4, 8.0)
Buncombe County 2 Urban 33.7 (31.0, 36.5) 75 (40, 88) 123 stable stable trend 0.6 (-1.4, 6.0)
Henderson County 2 Urban 33.5 (29.6, 37.9) 76 (29, 93) 61 falling falling trend -1.7 (-3.1, -0.3)
Perquimans County 2 Rural 32.9 (22.4, 47.7) 77 (4, 99) 7 falling falling trend -4.5 (-8.1, -1.4)
Forsyth County 2 Urban 32.8 (30.4, 35.3) 78 (48, 90) 148 falling falling trend -2.1 (-3.3, -0.9)
Catawba County 2 Urban 32.6 (29.0, 36.4) 79 (40, 94) 66 falling falling trend -2.8 (-4.0, -1.6)
Clay County 2 Rural 32.1 (20.9, 48.5) 80 (3, 99) 7 stable stable trend -1.4 (-4.6, 1.8)
Cumberland County 2 Urban 31.3 (28.6, 34.3) 81 (55, 94) 101 stable stable trend -1.3 (-3.9, 4.7)
Alexander County 2 Urban 31.1 (24.3, 39.3) 82 (18, 99) 16 stable stable trend -1.9 (-4.3, 0.5)
Moore County 2 Urban 30.6 (26.6, 35.2) 83 (42, 98) 46 stable stable trend -2.1 (-7.2, 5.7)
New Hanover County 2 Urban 30.4 (27.4, 33.5) 84 (57, 95) 85 falling falling trend -1.9 (-2.9, -0.8)
Pasquotank County 2 Rural 30.3 (23.6, 38.5) 85 (19, 99) 15 falling falling trend -3.7 (-5.5, -2.0)
Yadkin County 2 Urban 30.0 (23.3, 38.1) 86 (21, 99) 15 falling falling trend -3.2 (-6.0, -0.6)
Wake County 2 Urban 29.8 (28.4, 31.3) 87 (73, 95) 337 stable stable trend 2.9 (-2.7, 6.9)
Pitt County 2 Urban 29.4 (25.8, 33.3) 88 (52, 98) 51 falling falling trend -2.7 (-4.1, -1.3)
Orange County 2 Urban 28.9 (25.2, 33.0) 89 (58, 98) 47 falling falling trend -1.8 (-2.8, -0.7)
Durham County 2 Urban 28.5 (26.0, 31.3) 90 (70, 98) 95 falling falling trend -2.9 (-3.7, -2.1)
Nash County 2 Urban 28.5 (24.3, 33.2) 91 (55, 99) 36 falling falling trend -4.5 (-6.0, -3.1)
Avery County 2 Rural 28.0 (19.3, 39.9) 92 (14, 99) 7 stable stable trend -1.3 (-4.2, 1.4)
Ashe County 2 Rural 27.8 (20.8, 36.9) 93 (22, 99) 12 stable stable trend -2.3 (-5.2, 0.4)
Graham County 2 Rural 27.6 (15.6, 46.5) 94 (5, 99) 4 stable stable trend -1.2 (-6.9, 4.2)
Alleghany County 2 Rural 27.4 (17.4, 42.5) 95 (7, 99) 5 stable stable trend -3.2 (-7.7, 0.7)
Transylvania County 2 Rural 27.1 (20.6, 35.3) 96 (35, 99) 16 stable stable trend -1.7 (-3.7, 0.1)
Gates County 2 Urban 25.6 (15.4, 41.2) 97 (13, 99) 4 falling falling trend -4.7 (-8.6, -1.5)
Dare County 2 Rural 25.0 (19.3, 32.2) 98 (55, 99) 15 falling falling trend -3.4 (-5.1, -1.8)
Currituck County 2 Urban 20.0 (13.6, 28.4) 99 (70, 99) 7 falling falling trend -4.0 (-7.7, -0.4)
Tyrrell County 2 Rural
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/16/2026 6:41 pm.

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

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.


† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (SEER areas use 20 age groups and NPCR areas use 19 age groups). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.

‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.

2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.

Data for United States does not include Puerto Rico.

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