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Incidence Rates Table

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Incidence Rate Report for North Carolina by County

All Cancer Sites (All Stages^), 2017-2021

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

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 descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
North Carolina 6 N/A 107.9 (106.8, 109.1) N/A 6,833 stable stable trend 0.0 (-0.3, 0.2)
US (SEER+NPCR) 1 N/A 104.6 (104.4, 104.8) N/A 205,200 stable stable trend 0.0 (-0.2, 0.2)
Currituck County 6 Urban 54.9 (40.0, 73.6) 98 (90, 98) 9 stable stable trend 17.1 (-9.3, 39.6)
Gates County 6 Urban 58.6 (33.9, 94.5) 97 (57, 98) 3
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Alleghany County 6 Rural 64.0 (38.3, 101.1) 96 (28, 98) 4 rising rising trend 31.7 (10.4, 58.5)
Pasquotank County 6 Rural 82.4 (66.7, 100.6) 95 (49, 98) 19 stable stable trend 0.4 (-2.1, 2.8)
Clay County 6 Rural 86.2 (53.8, 131.0) 94 (1, 98) 4 stable stable trend -0.3 (-4.9, 4.1)
Avery County 6 Rural 87.4 (64.3, 116.5) 93 (7, 98) 10 stable stable trend 2.3 (-0.9, 5.7)
Chowan County 6 Rural 89.1 (60.5, 126.5) 92 (3, 98) 6 stable stable trend 1.1 (-5.0, 7.1)
Macon County 6 Rural 91.4 (72.5, 113.6) 91 (15, 97) 16 stable stable trend -1.4 (-3.1, 0.2)
Transylvania County 6 Rural 92.4 (72.4, 116.4) 90 (10, 97) 15 stable stable trend -0.6 (-3.5, 2.2)
Ashe County 6 Rural 94.1 (72.5, 120.2) 89 (7, 97) 13 falling falling trend -8.2 (-23.2, -1.3)
Yancey County 6 Rural 94.6 (69.0, 126.5) 88 (3, 98) 9 falling falling trend -4.6 (-19.4, -1.1)
Graham County 6 Rural 95.2 (59.4, 145.0) 87 (1, 98) 4
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Greene County 6 Rural 96.9 (74.5, 124.0) 86 (5, 97) 13 stable stable trend -0.5 (-3.1, 2.0)
Wilson County 6 Rural 97.4 (84.8, 111.2) 85 (26, 95) 44 stable stable trend 0.0 (-1.7, 1.6)
Montgomery County 6 Rural 98.6 (76.5, 124.9) 84 (4, 97) 14 stable stable trend 1.5 (-1.1, 4.0)
Watauga County 6 Rural 98.9 (81.9, 118.4) 83 (8, 96) 25 stable stable trend -1.1 (-2.8, 0.6)
Hoke County 6 Urban 100.5 (85.7, 117.0) 82 (13, 95) 34 stable stable trend -0.5 (-2.5, 1.8)
Guilford County 6 Urban 101.0 (96.1, 106.0) 80 (49, 89) 328 stable stable trend -0.9 (-5.9, 0.0)
Nash County 6 Urban 101.0 (89.3, 113.8) 79 (21, 94) 55 stable stable trend -0.3 (-2.1, 1.3)
Dare County 6 Rural 101.2 (82.7, 122.7) 81 (5, 96) 21 stable stable trend 0.8 (-1.3, 3.0)
Mecklenburg County 6 Urban 101.8 (98.6, 105.1) 78 (55, 86) 769 stable stable trend -0.3 (-0.9, 0.1)
Surry County 6 Rural 101.8 (88.5, 116.6) 77 (13, 94) 43 stable stable trend 0.2 (-1.3, 1.7)
Forsyth County 6 Urban 101.9 (96.1, 108.0) 76 (41, 89) 231 stable stable trend -0.5 (-1.2, 0.2)
Henderson County 6 Urban 103.1 (92.1, 115.1) 73 (19, 93) 64 stable stable trend -0.2 (-2.0, 1.5)
Camden County 6 Urban 103.2 (70.9, 145.2) 75 (1, 98) 7 stable stable trend -0.5 (-4.5, 3.8)
Cumberland County 6 Urban 103.8 (97.4, 110.6) 74 (37, 88) 200 stable stable trend -0.5 (-3.4, 0.4)
Buncombe County 6 Urban 104.1 (97.2, 111.4) 72 (31, 88) 171 stable stable trend -0.9 (-4.2, 0.0)
Columbus County 6 Rural 104.2 (88.3, 122.1) 71 (7, 94) 31 stable stable trend -0.2 (-2.7, 2.1)
Wake County 6 Urban 104.6 (101.4, 107.9) 70 (47, 81) 810 stable stable trend -0.3 (-1.6, 0.2)
Rowan County 6 Urban 104.8 (95.2, 115.1) 69 (20, 90) 89 falling falling trend -2.4 (-5.1, -0.8)
Franklin County 6 Urban 106.0 (92.3, 121.2) 68 (9, 92) 44 stable stable trend 0.3 (-1.4, 1.9)
Lee County 6 Rural 106.6 (92.1, 122.7) 65 (7, 92) 39 stable stable trend 0.0 (-1.6, 1.8)
Yadkin County 6 Urban 106.9 (87.5, 129.2) 62 (3, 95) 22 stable stable trend -0.2 (-2.3, 1.8)
Perquimans County 6 Rural 106.9 (73.4, 150.2) 52 (1, 98) 7 stable stable trend -1.2 (-3.9, 1.2)
Beaufort County 6 Rural 107.0 (89.1, 127.4) 64 (3, 94) 26 stable stable trend -0.4 (-1.8, 0.9)
Martin County 6 Rural 107.0 (81.6, 137.8) 67 (1, 96) 12 stable stable trend -1.4 (-4.5, 1.3)
Orange County 6 Urban 107.1 (97.3, 117.5) 66 (18, 89) 91 stable stable trend 0.1 (-1.0, 1.3)
Catawba County 6 Urban 107.7 (98.5, 117.6) 63 (15, 87) 102 falling falling trend -3.7 (-10.0, -0.6)
Richmond County 6 Rural 108.2 (90.7, 128.1) 61 (3, 93) 27 falling falling trend -3.6 (-10.8, -0.7)
Swain County 6 Rural 108.2 (78.1, 145.9) 60 (1, 97) 9 stable stable trend -0.8 (-4.0, 2.1)
Gaston County 6 Urban 108.5 (100.9, 116.5) 56 (17, 85) 154 stable stable trend 0.0 (-0.9, 1.0)
Cabarrus County 6 Urban 108.8 (101.4, 116.6) 59 (18, 83) 161 stable stable trend -0.9 (-3.4, 0.2)
Halifax County 6 Rural 108.9 (91.5, 128.5) 57 (3, 93) 28 stable stable trend 0.5 (-2.0, 2.7)
Harnett County 6 Rural 109.3 (99.5, 119.8) 55 (13, 86) 92 stable stable trend 0.2 (-0.8, 1.2)
Pitt County 6 Urban 109.3 (100.1, 119.2) 54 (13, 87) 106 stable stable trend 0.1 (-0.7, 0.9)
Wilkes County 6 Rural 109.5 (94.8, 125.8) 58 (6, 91) 41 rising rising trend 2.8 (1.5, 4.7)
Durham County 6 Urban 110.0 (103.7, 116.6) 50 (21, 79) 233 stable stable trend 0.4 (-0.4, 1.3)
Bertie County 6 Rural 110.0 (82.4, 143.9) 53 (1, 96) 11 stable stable trend 1.4 (-17.0, 15.8)
Cherokee County 6 Rural 110.5 (86.8, 138.7) 51 (1, 95) 15 falling falling trend -4.6 (-22.5, -0.6)
Rockingham County 6 Urban 110.8 (98.1, 124.6) 48 (7, 89) 57 stable stable trend 1.0 (-0.5, 2.4)
Scotland County 6 Rural 110.8 (91.3, 133.2) 39 (2, 93) 23 stable stable trend -0.6 (-3.0, 1.6)
Jackson County 6 Rural 110.9 (91.7, 132.8) 49 (2, 93) 24 rising rising trend 10.8 (5.3, 21.3)
Alamance County 6 Urban 111.0 (101.8, 120.7) 45 (12, 82) 110 stable stable trend 0.5 (-0.6, 1.6)
Randolph County 6 Urban 111.1 (101.2, 121.8) 46 (10, 85) 94 stable stable trend -1.5 (-5.2, 0.0)
Caldwell County 6 Urban 111.4 (98.2, 125.8) 47 (5, 90) 53 stable stable trend 0.5 (-0.8, 1.8)
Craven County 6 Rural 111.7 (99.3, 125.2) 43 (6, 88) 61 stable stable trend 0.3 (-0.7, 1.2)
New Hanover County 6 Urban 111.9 (104.0, 120.2) 42 (15, 80) 152 stable stable trend -0.6 (-3.8, 0.5)
Union County 6 Urban 112.1 (104.7, 119.8) 41 (14, 79) 178 rising rising trend 1.1 (0.1, 2.3)
Burke County 6 Urban 112.1 (99.2, 126.2) 44 (6, 89) 56 falling falling trend -3.0 (-7.1, -1.1)
Davidson County 6 Urban 112.2 (102.9, 122.0) 40 (9, 83) 111 stable stable trend 0.6 (-0.6, 1.8)
Alexander County 6 Urban 112.8 (93.6, 135.0) 38 (1, 93) 24 stable stable trend 1.4 (-2.0, 4.9)
Onslow County 6 Urban 113.5 (104.1, 123.6) 37 (9, 81) 122 falling falling trend -1.2 (-2.4, -0.2)
Johnston County 6 Urban 114.3 (106.5, 122.5) 34 (11, 74) 160 stable stable trend 0.2 (-0.7, 1.3)
Robeson County 6 Rural 114.4 (103.3, 126.4) 36 (5, 83) 78 stable stable trend 0.8 (-0.3, 1.8)
Hertford County 6 Rural 114.8 (89.2, 145.5) 35 (1, 95) 14 stable stable trend 1.0 (-2.0, 3.9)
Warren County 6 Rural 115.2 (86.5, 150.4) 33 (1, 96) 11 stable stable trend 2.3 (-0.5, 5.1)
Carteret County 6 Rural 115.4 (100.0, 132.4) 32 (3, 90) 41 stable stable trend 0.0 (-1.2, 1.1)
Madison County 6 Urban 116.0 (90.3, 146.8) 29 (1, 95) 14 stable stable trend 17.5 (-0.6, 30.8)
Pender County 6 Urban 116.1 (101.0, 132.9) 31 (2, 89) 43 stable stable trend -3.0 (-12.3, 0.3)
Bladen County 6 Rural 116.3 (94.3, 142.0) 30 (1, 94) 20 stable stable trend 0.8 (-1.4, 3.0)
Chatham County 6 Urban 118.1 (103.6, 134.1) 27 (2, 87) 49 stable stable trend 0.6 (-0.4, 1.6)
Edgecombe County 6 Urban 118.5 (100.5, 138.7) 24 (1, 89) 31 stable stable trend 0.9 (-1.7, 3.3)
Jones County 6 Rural 118.5 (78.5, 171.5) 16 (1, 98) 6 stable stable trend -0.4 (-4.2, 3.1)
Vance County 6 Rural 118.7 (99.4, 140.4) 28 (1, 91) 27 stable stable trend 0.5 (-1.6, 2.4)
Pamlico County 6 Rural 118.8 (82.5, 165.9) 26 (1, 97) 7 stable stable trend 1.0 (-3.6, 5.5)
Brunswick County 6 Urban 119.2 (107.2, 132.2) 25 (3, 81) 72 stable stable trend 0.7 (-0.6, 2.0)
Haywood County 6 Rural 119.8 (103.7, 137.6) 22 (1, 86) 40 stable stable trend 0.5 (-1.3, 2.3)
Sampson County 6 Rural 119.8 (103.9, 137.3) 23 (1, 87) 41 stable stable trend 1.0 (-0.6, 2.5)
Caswell County 6 Rural 120.1 (94.2, 150.8) 20 (1, 93) 15 stable stable trend 0.3 (-1.9, 2.4)
Duplin County 6 Rural 120.3 (102.8, 140.0) 21 (1, 88) 34 rising rising trend 2.8 (0.5, 5.2)
Cleveland County 6 Rural 121.5 (108.7, 135.3) 14 (2, 72) 68 rising rising trend 1.8 (0.4, 3.2)
Rutherford County 6 Rural 121.9 (106.1, 139.4) 19 (1, 85) 44 stable stable trend 0.8 (-0.9, 2.5)
Iredell County 6 Urban 122.1 (113.2, 131.6) 17 (3, 57) 141 stable stable trend 0.7 (-6.2, 2.5)
Wayne County 6 Urban 122.2 (110.6, 134.7) 18 (2, 70) 83 rising rising trend 2.1 (1.3, 2.9)
Stanly County 6 Rural 122.8 (107.0, 140.3) 12 (1, 82) 44 stable stable trend 0.7 (-14.4, 6.1)
McDowell County 6 Rural 123.1 (104.5, 144.0) 15 (1, 87) 32 stable stable trend 0.0 (-14.5, 3.1)
Moore County 6 Urban 123.2 (110.3, 137.3) 10 (1, 75) 67 stable stable trend 0.4 (-1.4, 2.4)
Mitchell County 6 Rural 123.3 (91.3, 163.0) 13 (1, 95) 10 stable stable trend 0.4 (-1.8, 2.6)
Davie County 6 Urban 123.9 (104.3, 146.0) 11 (1, 87) 29 stable stable trend 0.5 (-0.6, 1.5)
Washington County 6 Rural 124.7 (85.0, 176.1) 9 (1, 97) 6 stable stable trend 20.8 (-1.0, 38.1)
Lincoln County 6 Urban 124.9 (111.6, 139.4) 8 (1, 68) 66 stable stable trend 1.1 (-0.2, 2.5)
Stokes County 6 Urban 125.5 (106.6, 146.8) 7 (1, 84) 32 stable stable trend 0.5 (-1.3, 2.3)
Person County 6 Urban 130.0 (109.5, 153.3) 6 (1, 84) 29 rising rising trend 3.0 (1.5, 4.6)
Granville County 6 Rural 131.2 (115.1, 149.0) 4 (1, 67) 49 stable stable trend -0.9 (-9.0, 0.2)
Lenoir County 6 Rural 131.7 (113.9, 151.6) 5 (1, 72) 39 stable stable trend 0.1 (-1.5, 1.6)
Northampton County 6 Rural 133.3 (100.6, 173.1) 3 (1, 92) 11 stable stable trend 1.8 (-0.9, 4.4)
Anson County 6 Urban 134.5 (107.6, 166.1) 2 (1, 89) 17 rising rising trend 3.0 (0.3, 5.7)
Polk County 6 Rural 138.3 (105.6, 178.1) 1 (1, 90) 12 stable stable trend 3.1 (-1.3, 8.0)
Hyde County 6 Rural
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*
3 or fewer
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*
Tyrrell County 6 Rural
*
*
3 or fewer
*
*
Notes:
Created by statecancerprofiles.cancer.gov on 12/03/2024 10:07 am.

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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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 in the Surveillance, Epidemiology, and End Results (SEER) Summary/Historic Combined Summary Stage (2004+).
⋔ 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. More information about methodology can be found on the CI*Rank website.

Φ Rural-Urban Continuum Codes provided by the USDA.
* 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
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 2023 submission.
6 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 2023 submission).
8 Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with SEER November 2023 data.

Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.

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.

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