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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, 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 6 N/A 475.5 (473.8, 477.2) N/A 60,626 stable stable trend -0.2 (-0.4, 0.0)
US (SEER+NPCR) 1 N/A 444.4 (444.1, 444.7) N/A 1,744,459 falling falling trend -0.5 (-0.7, -0.3)
Anson County 6 Urban 554.9 (516.8, 595.3) 1 (1, 33) 170 rising rising trend 2.2 (1.5, 2.9)
McDowell County 6 Rural 537.2 (511.3, 564.3) 2 (1, 32) 351 stable stable trend 0.8 (0.0, 1.6)
Onslow County 6 Urban 536.5 (519.8, 553.5) 3 (1, 15) 829 stable stable trend 0.4 (-0.1, 1.0)
Swain County 6 Rural 534.3 (487.9, 584.3) 4 (1, 71) 105 stable stable trend -0.2 (-4.7, 1.2)
Jones County 6 Rural 522.3 (467.6, 582.3) 5 (1, 87) 78 stable stable trend 0.3 (-1.1, 1.8)
Wayne County 6 Urban 522.2 (505.2, 539.7) 6 (1, 33) 751 stable stable trend 0.8 (-0.2, 1.2)
Stanly County 6 Rural 519.7 (497.3, 543.0) 7 (1, 47) 434 stable stable trend 0.0 (-1.0, 0.6)
Granville County 6 Rural 519.0 (496.1, 542.8) 8 (1, 49) 414 stable stable trend -0.7 (-3.1, 0.1)
Richmond County 6 Rural 518.5 (491.6, 546.7) 9 (1, 57) 295 stable stable trend 0.4 (-0.6, 1.4)
Tyrrell County 6 Rural 514.1 (425.5, 618.0) 10 (1, 97) 27 rising rising trend 2.6 (0.2, 5.2)
Sampson County 6 Rural 512.7 (489.5, 536.7) 11 (1, 56) 392 rising rising trend 0.8 (0.1, 1.6)
Cleveland County 6 Rural 511.2 (493.5, 529.4) 12 (2, 50) 681 rising rising trend 0.7 (0.2, 1.2)
Person County 6 Urban 510.5 (483.0, 539.3) 13 (1, 65) 286 stable stable trend 0.3 (-0.2, 0.8)
Haywood County 6 Rural 509.2 (488.4, 530.7) 14 (2, 58) 519 stable stable trend 0.7 (-0.2, 1.7)
Rutherford County 6 Rural 506.2 (485.2, 528.0) 15 (2, 60) 487 rising rising trend 3.6 (0.4, 5.6)
Lenoir County 6 Rural 506.1 (482.9, 530.2) 16 (2, 62) 398 stable stable trend -0.6 (-1.5, 0.2)
Alamance County 6 Urban 504.7 (491.0, 518.8) 17 (4, 48) 1,072 stable stable trend 0.2 (-0.2, 0.7)
Gaston County 6 Urban 502.9 (491.0, 515.1) 18 (6, 46) 1,415 stable stable trend 0.1 (-0.4, 0.6)
Craven County 6 Rural 501.5 (484.0, 519.6) 19 (4, 61) 679 stable stable trend -0.4 (-0.9, 0.1)
Surry County 6 Rural 500.6 (480.8, 521.0) 20 (4, 63) 521 stable stable trend 0.4 (-0.4, 1.1)
Halifax County 6 Rural 500.2 (476.2, 525.3) 21 (2, 72) 361 stable stable trend -4.2 (-9.0, 0.2)
Lincoln County 6 Urban 500.0 (481.3, 519.3) 22 (4, 61) 580 stable stable trend 0.1 (-0.5, 0.8)
Moore County 6 Urban 499.4 (482.7, 516.7) 23 (5, 60) 765 stable stable trend -0.2 (-0.9, 0.6)
Edgecombe County 6 Urban 499.0 (474.5, 524.4) 24 (3, 72) 350 stable stable trend 0.0 (-0.8, 0.8)
Caldwell County 6 Urban 497.2 (478.6, 516.5) 25 (6, 64) 581 stable stable trend 0.6 (-0.1, 1.4)
Robeson County 6 Rural 496.2 (479.3, 513.6) 26 (6, 63) 690 stable stable trend -1.5 (-4.8, 0.9)
Davidson County 6 Urban 495.6 (482.3, 509.2) 27 (8, 57) 1,128 stable stable trend 0.3 (0.0, 0.7)
Pamlico County 6 Rural 495.3 (450.1, 544.6) 28 (1, 91) 113 stable stable trend 0.1 (-1.2, 1.5)
Martin County 6 Rural 494.0 (459.4, 530.9) 29 (1, 88) 175 stable stable trend 0.4 (-0.3, 1.2)
Randolph County 6 Urban 493.5 (479.1, 508.3) 30 (8, 62) 942 stable stable trend -0.9 (-3.9, 1.1)
Pender County 6 Urban 493.2 (471.0, 516.4) 31 (4, 73) 397 stable stable trend 0.3 (-0.6, 1.3)
Brunswick County 6 Urban 493.0 (478.9, 507.4) 32 (9, 62) 1,290 stable stable trend -2.1 (-4.5, 0.3)
Davie County 6 Urban 492.4 (466.9, 519.1) 33 (4, 79) 307 stable stable trend -1.1 (-4.6, 0.2)
Johnston County 6 Urban 489.6 (476.5, 502.9) 34 (12, 64) 1,136 stable stable trend 0.4 (0.0, 0.8)
Rockingham County 6 Urban 488.9 (471.6, 506.8) 35 (8, 71) 658 stable stable trend 0.0 (-0.5, 0.5)
Hoke County 6 Urban 488.4 (459.4, 518.6) 36 (4, 84) 234 stable stable trend -0.3 (-1.2, 0.6)
Union County 6 Urban 487.9 (475.6, 500.6) 37 (14, 64) 1,242 stable stable trend 0.3 (-0.2, 0.9)
Harnett County 6 Rural 487.9 (471.3, 505.0) 38 (9, 73) 675 stable stable trend -2.6 (-5.3, 0.0)
Yancey County 6 Rural 487.7 (451.2, 526.9) 39 (2, 92) 151 stable stable trend 1.9 (-1.4, 8.0)
Caswell County 6 Rural 487.6 (453.4, 524.0) 40 (2, 88) 171 stable stable trend -0.1 (-0.8, 0.6)
Columbus County 6 Rural 487.0 (463.7, 511.4) 41 (6, 80) 352 stable stable trend 0.5 (-0.1, 1.0)
Vance County 6 Rural 486.0 (459.5, 513.7) 42 (5, 85) 276 stable stable trend -0.2 (-0.7, 0.3)
Rowan County 6 Urban 485.1 (470.7, 499.7) 43 (13, 70) 925 falling falling trend -1.1 (-2.2, -0.2)
Scotland County 6 Rural 484.6 (455.2, 515.5) 44 (3, 87) 217 stable stable trend -0.6 (-1.9, 0.7)
New Hanover County 6 Urban 484.4 (472.7, 496.2) 45 (17, 66) 1,407 stable stable trend 0.3 (-0.2, 0.7)
Washington County 6 Rural 484.0 (435.1, 537.6) 46 (1, 95) 89 stable stable trend 0.5 (-0.8, 1.7)
Iredell County 6 Urban 482.7 (469.7, 496.0) 47 (17, 70) 1,104 falling falling trend -0.5 (-1.1, -0.1)
Duplin County 6 Rural 482.2 (458.0, 507.5) 48 (7, 82) 321 rising rising trend 1.2 (0.6, 1.8)
Franklin County 6 Urban 481.7 (460.6, 503.6) 49 (9, 82) 421 stable stable trend 0.2 (-0.2, 0.7)
Guilford County 6 Urban 480.5 (472.7, 488.4) 50 (30, 66) 3,002 falling falling trend -0.6 (-2.2, -0.2)
Stokes County 6 Urban 480.2 (455.9, 505.6) 51 (7, 85) 326 falling falling trend -1.7 (-4.2, -0.1)
Burke County 6 Urban 480.0 (462.5, 498.1) 52 (13, 80) 621 stable stable trend 0.1 (-0.5, 0.8)
Carteret County 6 Rural 479.6 (460.3, 499.7) 53 (13, 82) 549 falling falling trend -0.8 (-1.2, -0.4)
Mitchell County 6 Rural 478.8 (438.1, 522.9) 54 (1, 95) 117 stable stable trend 0.7 (-0.3, 1.7)
Warren County 6 Rural 476.3 (439.5, 515.7) 55 (3, 93) 149 stable stable trend 0.2 (-0.6, 1.1)
Cabarrus County 6 Urban 476.3 (463.7, 489.0) 56 (26, 76) 1,135 falling falling trend -1.0 (-1.7, -0.5)
Northampton County 6 Rural 476.2 (438.1, 517.1) 57 (3, 94) 145 stable stable trend 0.2 (-0.5, 0.9)
Cumberland County 6 Urban 474.8 (464.1, 485.7) 58 (32, 75) 1,551 stable stable trend 0.1 (-0.2, 0.3)
Alexander County 6 Urban 474.6 (447.6, 503.1) 59 (8, 90) 247 stable stable trend 0.3 (-0.4, 1.1)
Madison County 6 Urban 474.4 (439.4, 511.8) 60 (5, 93) 152 stable stable trend -0.1 (-1.2, 1.1)
Greene County 6 Rural 472.5 (434.9, 512.7) 61 (3, 95) 123 stable stable trend 0.0 (-1.3, 1.2)
Chatham County 6 Urban 470.8 (452.5, 489.7) 62 (20, 85) 573 stable stable trend 0.1 (-0.4, 0.6)
Forsyth County 6 Urban 469.3 (460.3, 478.5) 63 (42, 77) 2,169 falling falling trend -0.4 (-0.7, -0.1)
Cherokee County 6 Rural 467.0 (438.2, 497.5) 64 (9, 92) 248 stable stable trend -0.1 (-0.8, 0.4)
Henderson County 6 Urban 466.7 (452.2, 481.5) 65 (32, 84) 907 stable stable trend -0.4 (-0.9, 0.1)
Polk County 6 Rural 464.6 (428.8, 503.1) 66 (5, 96) 169 stable stable trend 0.8 (-0.4, 2.0)
Beaufort County 6 Rural 463.7 (440.2, 488.3) 67 (17, 91) 337 rising rising trend 3.4 (0.7, 6.5)
Lee County 6 Rural 462.7 (441.0, 485.3) 68 (24, 90) 361 stable stable trend -0.5 (-1.2, 0.2)
Mecklenburg County 6 Urban 462.4 (456.5, 468.4) 69 (56, 80) 4,949 stable stable trend -0.2 (-0.6, 0.1)
Bertie County 6 Rural 460.7 (423.2, 500.9) 70 (6, 96) 128 stable stable trend 0.5 (-9.1, 6.1)
Yadkin County 6 Urban 459.8 (433.4, 487.6) 71 (18, 93) 246 stable stable trend 0.2 (-0.6, 1.0)
Bladen County 6 Rural 459.7 (430.6, 490.4) 72 (15, 95) 211 stable stable trend 0.5 (-0.3, 1.3)
Orange County 6 Urban 459.2 (444.0, 474.7) 73 (40, 88) 744 stable stable trend -0.4 (-0.8, 0.1)
Durham County 6 Urban 458.3 (447.9, 468.9) 74 (53, 85) 1,559 falling falling trend -0.6 (-1.1, -0.1)
Wake County 6 Urban 457.5 (451.8, 463.3) 75 (60, 83) 5,126 falling falling trend -0.6 (-1.0, -0.3)
Buncombe County 6 Urban 457.3 (447.3, 467.5) 76 (55, 86) 1,720 stable stable trend -0.4 (-0.7, 0.0)
Wilson County 6 Rural 456.4 (437.7, 475.8) 77 (39, 91) 480 stable stable trend -0.3 (-1.0, 0.4)
Pitt County 6 Urban 455.6 (441.3, 470.1) 78 (47, 89) 816 stable stable trend 0.8 (-0.6, 3.3)
Montgomery County 6 Rural 454.1 (422.6, 487.5) 79 (13, 95) 172 stable stable trend 0.3 (-0.7, 1.4)
Catawba County 6 Urban 451.9 (438.7, 465.3) 80 (57, 90) 957 falling falling trend -3.4 (-6.5, -0.4)
Clay County 6 Rural 445.7 (401.6, 494.4) 81 (6, 97) 96 stable stable trend 0.4 (-1.3, 2.2)
Avery County 6 Rural 445.6 (409.5, 484.5) 82 (15, 97) 121 stable stable trend 0.4 (-0.7, 1.5)
Wilkes County 6 Rural 441.6 (422.3, 461.5) 83 (55, 95) 440 falling falling trend -0.7 (-3.9, -0.1)
Hyde County 6 Rural 441.4 (372.6, 521.0) 84 (1, 99) 33 stable stable trend 0.0 (-2.7, 2.6)
Hertford County 6 Rural 441.0 (406.7, 477.6) 85 (25, 97) 136 stable stable trend -0.7 (-1.7, 0.3)
Macon County 6 Rural 440.0 (415.4, 466.0) 86 (47, 96) 291 stable stable trend -0.6 (-1.7, 0.4)
Jackson County 6 Rural 431.4 (406.0, 458.1) 87 (55, 97) 242 stable stable trend 2.0 (-0.7, 6.5)
Nash County 6 Urban 429.6 (413.0, 446.7) 88 (73, 96) 546 falling falling trend -0.8 (-1.5, -0.1)
Watauga County 6 Rural 428.8 (404.7, 454.1) 89 (58, 97) 262 stable stable trend -0.6 (-1.2, 0.0)
Transylvania County 6 Rural 428.2 (402.9, 455.0) 90 (58, 97) 271 stable stable trend 0.2 (-0.7, 1.2)
Chowan County 6 Rural 427.7 (387.9, 471.2) 91 (29, 98) 98 stable stable trend -0.1 (-1.2, 1.0)
Perquimans County 6 Rural 427.1 (385.9, 472.3) 92 (26, 98) 97 stable stable trend -0.3 (-1.6, 0.9)
Dare County 6 Rural 426.6 (401.3, 453.3) 93 (58, 97) 245 stable stable trend -0.3 (-1.4, 0.7)
Ashe County 6 Rural 423.6 (395.2, 453.8) 94 (57, 97) 194 stable stable trend 0.0 (-0.9, 0.9)
Graham County 6 Rural 422.7 (371.3, 480.2) 95 (8, 98) 55 stable stable trend 0.0 (-16.5, 6.2)
Pasquotank County 6 Rural 402.6 (377.8, 428.6) 96 (79, 98) 209 falling falling trend -6.2 (-15.0, -0.7)
Alleghany County 6 Rural 364.5 (325.4, 408.0) 97 (88, 100) 73 stable stable trend -0.6 (-1.7, 0.5)
Camden County 6 Urban 359.6 (313.8, 410.7) 98 (85, 100) 47 falling falling trend -2.0 (-3.9, -0.2)
Currituck County 6 Urban 318.7 (292.1, 347.3) 99 (97, 100) 117 falling falling trend -6.0 (-15.6, -2.0)
Gates County 6 Urban 293.7 (256.2, 336.0) 100 (97, 100) 49 stable stable trend -1.3 (-3.0, 0.5)
Notes:
Created by statecancerprofiles.cancer.gov on 11/08/2024 1:04 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 (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.
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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