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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 <65

Sorted by Ruralurban
County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban ascending
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 239.4 (238.0, 240.8) N/A 25,656 stable stable trend -0.2 (-0.4, 0.0)
US (SEER+NPCR) 1 N/A 222.9 (222.7, 223.2) N/A 734,330 stable stable trend -0.3 (-1.7, 0.0)
Alamance County 6 Urban 252.5 (241.6, 263.7) 38 (11, 70) 445 stable stable trend 0.3 (-0.3, 0.8)
Alexander County 6 Urban 249.7 (227.2, 273.9) 45 (3, 89) 101 stable stable trend 1.0 (-0.6, 2.7)
Anson County 6 Urban 315.7 (283.1, 351.3) 1 (1, 21) 76 rising rising trend 2.7 (1.5, 4.0)
Brunswick County 6 Urban 244.6 (231.9, 257.8) 56 (16, 84) 385 stable stable trend 0.3 (-0.5, 1.2)
Buncombe County 6 Urban 231.1 (223.0, 239.6) 76 (50, 88) 657 falling falling trend -1.0 (-4.0, -0.4)
Burke County 6 Urban 248.2 (233.6, 263.5) 47 (10, 82) 247 stable stable trend 0.5 (-0.3, 1.2)
Cabarrus County 6 Urban 233.5 (224.5, 242.8) 72 (42, 88) 521 stable stable trend 0.4 (-0.8, 2.7)
Caldwell County 6 Urban 251.4 (236.3, 267.4) 41 (8, 82) 231 rising rising trend 1.1 (0.3, 1.9)
Camden County 6 Urban 196.1 (159.7, 239.0) 97 (23, 100) 22 stable stable trend -0.9 (-2.7, 1.0)
Catawba County 6 Urban 237.1 (226.4, 248.1) 68 (31, 87) 411 falling falling trend -2.1 (-5.9, -0.4)
Chatham County 6 Urban 237.1 (221.2, 253.9) 67 (19, 90) 194 stable stable trend -0.7 (-1.3, 0.0)
Cumberland County 6 Urban 247.0 (238.8, 255.4) 50 (19, 71) 730 stable stable trend 0.0 (-0.4, 0.4)
Currituck County 6 Urban 149.3 (130.4, 170.4) 100 (96, 100) 51 stable stable trend 1.3 (-11.8, 10.0)
Davidson County 6 Urban 250.7 (240.1, 261.7) 43 (13, 74) 470 stable stable trend 0.4 (-0.1, 1.0)
Davie County 6 Urban 263.2 (241.4, 286.6) 19 (2, 78) 124 stable stable trend 0.6 (0.0, 1.3)
Durham County 6 Urban 232.6 (224.9, 240.5) 74 (47, 87) 724 falling falling trend -0.6 (-1.1, -0.1)
Edgecombe County 6 Urban 274.1 (253.2, 296.4) 8 (1, 60) 148 stable stable trend 0.2 (-0.7, 1.1)
Forsyth County 6 Urban 230.6 (223.7, 237.7) 77 (55, 88) 907 falling falling trend -1.1 (-3.0, -0.5)
Franklin County 6 Urban 238.3 (222.3, 255.3) 64 (17, 91) 182 stable stable trend 0.2 (-0.9, 1.4)
Gaston County 6 Urban 256.1 (246.9, 265.5) 34 (10, 60) 624 stable stable trend 0.3 (-0.4, 0.9)
Gates County 6 Urban 154.2 (123.6, 191.3) 99 (89, 100) 21 falling falling trend -2.3 (-6.2, -0.7)
Guilford County 6 Urban 231.7 (225.9, 237.7) 75 (54, 86) 1,255 falling falling trend -0.7 (-2.3, -0.3)
Henderson County 6 Urban 223.5 (211.1, 236.5) 82 (50, 95) 279 stable stable trend -0.5 (-1.2, 0.3)
Hoke County 6 Urban 245.6 (226.1, 266.4) 55 (7, 91) 122 stable stable trend -0.8 (-1.7, 0.2)
Iredell County 6 Urban 247.6 (237.6, 258.0) 49 (19, 75) 494 stable stable trend -0.1 (-0.8, 0.3)
Johnston County 6 Urban 240.5 (231.2, 250.0) 60 (30, 82) 528 stable stable trend -0.1 (-0.7, 0.6)
Lincoln County 6 Urban 248.0 (233.4, 263.3) 48 (11, 82) 241 stable stable trend 0.5 (-0.1, 1.2)
Madison County 6 Urban 259.4 (229.0, 293.1) 28 (1, 92) 60 rising rising trend 4.5 (2.4, 7.2)
Mecklenburg County 6 Urban 225.2 (221.1, 229.3) 81 (70, 89) 2,423 stable stable trend 0.2 (-0.3, 1.0)
Moore County 6 Urban 254.0 (239.3, 269.3) 36 (6, 76) 251 stable stable trend 0.1 (-0.7, 0.9)
Nash County 6 Urban 228.3 (214.7, 242.7) 79 (36, 93) 234 stable stable trend -0.5 (-1.2, 0.2)
New Hanover County 6 Urban 238.5 (229.2, 248.0) 63 (33, 85) 546 stable stable trend 0.0 (-0.5, 0.6)
Onslow County 6 Urban 267.7 (255.5, 280.5) 12 (3, 46) 386 stable stable trend 0.4 (-0.6, 1.5)
Orange County 6 Urban 227.0 (215.6, 238.9) 80 (45, 93) 321 stable stable trend -0.1 (-1.0, 0.8)
Pender County 6 Urban 259.4 (241.7, 278.3) 27 (3, 76) 175 stable stable trend 0.5 (-0.7, 1.7)
Person County 6 Urban 261.5 (239.0, 285.6) 25 (2, 83) 117 stable stable trend 0.9 (-0.2, 2.1)
Pitt County 6 Urban 240.2 (229.0, 251.8) 61 (27, 85) 372 stable stable trend -0.4 (-1.0, 0.1)
Randolph County 6 Urban 256.6 (244.9, 268.6) 31 (9, 64) 406 stable stable trend -0.4 (-2.9, 0.4)
Rockingham County 6 Urban 249.8 (235.5, 264.8) 44 (9, 80) 266 stable stable trend 0.2 (-0.5, 0.9)
Rowan County 6 Urban 246.4 (235.0, 258.2) 52 (16, 77) 391 falling falling trend -1.5 (-2.6, -0.7)
Stokes County 6 Urban 254.7 (234.1, 276.9) 35 (3, 85) 132 stable stable trend 0.7 (-0.5, 1.8)
Union County 6 Urban 242.5 (233.6, 251.5) 57 (28, 78) 598 stable stable trend 0.6 (-0.2, 1.5)
Wake County 6 Urban 222.7 (218.8, 226.7) 84 (73, 91) 2,488 falling falling trend -0.8 (-1.3, -0.4)
Wayne County 6 Urban 266.8 (253.2, 280.9) 14 (3, 53) 319 rising rising trend 1.4 (1.0, 1.9)
Yadkin County 6 Urban 222.4 (200.9, 245.7) 85 (23, 97) 90 stable stable trend -0.3 (-1.5, 0.9)
Alleghany County 6 Rural 181.1 (148.1, 220.7) 98 (57, 100) 25 stable stable trend -1.2 (-2.9, 0.5)
Ashe County 6 Rural 214.0 (189.3, 241.4) 88 (29, 98) 66 stable stable trend 0.5 (-0.9, 1.8)
Avery County 6 Rural 214.7 (185.7, 247.5) 87 (20, 99) 43 stable stable trend 1.1 (-0.3, 2.6)
Beaufort County 6 Rural 234.0 (213.9, 255.6) 71 (17, 94) 120 stable stable trend 0.7 (-3.7, 6.4)
Bertie County 6 Rural 261.6 (228.5, 298.6) 23 (1, 91) 53 stable stable trend 0.4 (-1.5, 2.3)
Bladen County 6 Rural 258.1 (232.7, 285.8) 29 (2, 88) 88 stable stable trend 0.9 (-0.6, 2.4)
Carteret County 6 Rural 245.6 (228.9, 263.4) 54 (8, 87) 198 stable stable trend -0.4 (-1.2, 0.4)
Caswell County 6 Rural 265.8 (236.3, 298.2) 15 (1, 88) 70 stable stable trend -0.1 (-1.1, 1.0)
Cherokee County 6 Rural 245.9 (219.7, 274.7) 53 (2, 94) 82 stable stable trend -0.3 (-5.9, 0.9)
Chowan County 6 Rural 206.8 (173.4, 245.5) 92 (20, 100) 33 stable stable trend 0.3 (-1.7, 2.2)
Clay County 6 Rural 211.4 (172.7, 257.4) 89 (7, 100) 26 stable stable trend 0.6 (-1.9, 3.1)
Cleveland County 6 Rural 274.2 (259.5, 289.6) 7 (1, 44) 291 rising rising trend 1.3 (0.7, 1.9)
Columbus County 6 Rural 262.2 (242.5, 283.2) 21 (2, 74) 145 stable stable trend 0.8 (-0.3, 1.9)
Craven County 6 Rural 261.6 (246.6, 277.2) 24 (4, 64) 259 stable stable trend 0.1 (-0.6, 0.7)
Dare County 6 Rural 222.9 (202.0, 245.8) 83 (22, 97) 100 stable stable trend 0.6 (-0.6, 1.8)
Duplin County 6 Rural 261.9 (241.4, 283.7) 22 (2, 79) 135 rising rising trend 1.7 (0.8, 2.7)
Graham County 6 Rural 198.6 (156.3, 249.8) 96 (8, 100) 17 stable stable trend -0.8 (-9.4, 2.1)
Granville County 6 Rural 279.1 (260.9, 298.4) 4 (1, 43) 193 falling falling trend -1.1 (-3.0, -0.4)
Greene County 6 Rural 238.7 (210.1, 270.4) 62 (4, 96) 54 stable stable trend -0.7 (-2.0, 0.7)
Halifax County 6 Rural 269.0 (248.6, 290.8) 11 (1, 66) 150 stable stable trend 0.3 (-0.7, 1.3)
Harnett County 6 Rural 246.9 (234.6, 259.8) 51 (13, 79) 310 stable stable trend -0.2 (-0.7, 0.2)
Haywood County 6 Rural 251.3 (233.5, 270.3) 42 (5, 84) 173 stable stable trend 0.2 (-0.9, 1.1)
Hertford County 6 Rural 238.2 (209.1, 270.5) 65 (3, 96) 56 stable stable trend -0.7 (-3.4, 1.8)
Hyde County 6 Rural 215.7 (161.4, 285.1) 86 (1, 100) 12 stable stable trend 1.0 (-2.1, 4.1)
Jackson County 6 Rural 233.1 (211.1, 256.8) 73 (11, 96) 95 stable stable trend 0.7 (-1.1, 2.6)
Jones County 6 Rural 290.4 (242.7, 345.8) 2 (1, 90) 32 stable stable trend 1.1 (-1.1, 3.3)
Lee County 6 Rural 236.2 (219.1, 254.4) 69 (18, 93) 154 stable stable trend -0.4 (-1.2, 0.5)
Lenoir County 6 Rural 278.5 (258.5, 299.8) 5 (1, 55) 166 stable stable trend -0.2 (-1.3, 0.8)
Macon County 6 Rural 203.9 (182.5, 227.4) 94 (54, 99) 81 stable stable trend -0.9 (-2.6, 0.8)
Martin County 6 Rural 253.1 (223.5, 285.9) 37 (2, 93) 64 stable stable trend 0.2 (-1.7, 2.1)
McDowell County 6 Rural 272.5 (251.1, 295.3) 9 (1, 66) 137 rising rising trend 1.0 (0.1, 1.9)
Mitchell County 6 Rural 251.5 (215.8, 292.0) 40 (1, 96) 41 stable stable trend 0.5 (-1.3, 2.4)
Montgomery County 6 Rural 235.5 (209.1, 264.6) 70 (5, 96) 66 stable stable trend 0.1 (-0.9, 1.0)
Northampton County 6 Rural 264.5 (229.5, 303.8) 17 (1, 91) 53 stable stable trend -0.1 (-1.2, 1.0)
Pamlico County 6 Rural 274.5 (232.8, 322.5) 6 (1, 90) 40 stable stable trend 0.8 (-1.4, 2.9)
Pasquotank County 6 Rural 210.3 (190.4, 231.9) 90 (45, 98) 90 stable stable trend -0.3 (-2.0, 1.5)
Perquimans County 6 Rural 209.6 (173.3, 251.8) 91 (12, 99) 30 stable stable trend -0.4 (-2.8, 1.9)
Polk County 6 Rural 251.9 (218.1, 290.0) 39 (1, 95) 52 stable stable trend 1.7 (-0.8, 4.3)
Richmond County 6 Rural 260.3 (238.9, 283.2) 26 (2, 80) 120 stable stable trend -0.2 (-2.0, 0.6)
Robeson County 6 Rural 256.7 (243.4, 270.5) 30 (5, 69) 305 stable stable trend 0.3 (-0.4, 1.0)
Rutherford County 6 Rural 256.2 (238.6, 274.8) 33 (4, 79) 182 stable stable trend 0.8 (-0.1, 1.6)
Sampson County 6 Rural 267.5 (248.8, 287.4) 13 (2, 66) 165 stable stable trend 0.4 (-0.6, 1.5)
Scotland County 6 Rural 241.5 (218.1, 266.8) 59 (5, 94) 84 falling falling trend -1.8 (-6.2, -0.7)
Stanly County 6 Rural 263.3 (245.2, 282.5) 18 (2, 70) 173 stable stable trend 0.3 (-9.4, 3.9)
Surry County 6 Rural 237.6 (221.9, 254.2) 66 (17, 90) 189 stable stable trend 0.1 (-0.8, 1.1)
Swain County 6 Rural 270.5 (232.8, 312.9) 10 (1, 92) 41 stable stable trend 0.2 (-1.1, 1.5)
Transylvania County 6 Rural 205.3 (182.5, 230.4) 93 (48, 99) 74 stable stable trend -0.2 (-2.0, 1.6)
Tyrrell County 6 Rural 286.1 (208.7, 385.1) 3 (1, 99) 11 stable stable trend 3.8 (-1.3, 9.3)
Vance County 6 Rural 256.4 (234.5, 279.8) 32 (2, 84) 116 stable stable trend 0.1 (-1.0, 1.2)
Warren County 6 Rural 262.8 (229.8, 299.7) 20 (1, 92) 56 rising rising trend 1.4 (0.2, 2.6)
Washington County 6 Rural 265.7 (221.4, 316.9) 16 (1, 95) 32 rising rising trend 11.9 (1.6, 19.6)
Watauga County 6 Rural 200.8 (181.8, 221.3) 95 (68, 99) 96 stable stable trend -0.7 (-1.8, 0.4)
Wilkes County 6 Rural 230.0 (213.6, 247.4) 78 (26, 94) 167 stable stable trend -0.3 (-1.0, 0.3)
Wilson County 6 Rural 241.6 (226.3, 257.8) 58 (14, 89) 205 stable stable trend 0.0 (-1.0, 1.1)
Yancey County 6 Rural 249.5 (217.9, 285.0) 46 (2, 95) 52 stable stable trend 0.3 (-1.5, 2.1)
Notes:
Created by statecancerprofiles.cancer.gov on 10/09/2024 1:53 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.
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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