Incidence Rates Table
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
|
2023 Rural-Urban Continuum Codes Φ
|
Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval) 
|
CI*Rank ⋔ (95% Confidence Interval)
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Incidence Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|
| North Carolina 6 | N/A | 1,442.0 (1,436.5, 1,447.6) | N/A | 53,762 |
stable 
|
-0.2 (-0.6, 0.0) |
| US (SEER+NPCR) 1 | N/A | 1,338.1 (1,337.2, 1,339.1) | N/A | 1,538,303 |
falling 
|
-0.6 (-0.8, -0.5) |
| Anson County 6 | Urban | 1,658.2 (1,540.8, 1,782.3) | 1 (1, 48) | 153 |
rising 
|
2.0 (1.3, 2.7) |
| Swain County 6 | Rural | 1,655.5 (1,508.8, 1,812.6) | 2 (1, 67) | 96 |
rising
|
1.4 (0.3, 2.5) |
| Onslow County 6 | Urban | 1,648.2 (1,593.2, 1,704.6) | 3 (1, 12) | 707 |
falling
|
-2.3 (-4.4, -0.2) |
| McDowell County 6 | Rural | 1,628.0 (1,547.8, 1,711.2) | 4 (1, 33) | 319 |
stable
|
0.7 (-0.2, 1.6) |
| Richmond County 6 | Rural | 1,598.4 (1,512.6, 1,687.8) | 5 (1, 47) | 268 |
stable
|
0.4 (-0.7, 1.4) |
| Wayne County 6 | Urban | 1,574.5 (1,520.7, 1,629.6) | 6 (1, 35) | 668 |
stable
|
0.6 (-2.0, 1.2) |
| Jones County 6 | Rural | 1,573.8 (1,411.2, 1,750.2) | 7 (1, 90) | 72 |
stable
|
0.4 (-0.8, 1.8) |
| Stanly County 6 | Rural | 1,563.7 (1,494.2, 1,635.7) | 8 (1, 53) | 390 |
stable
|
-0.1 (-4.3, 0.7) |
| Surry County 6 | Rural | 1,548.4 (1,486.3, 1,612.5) | 9 (2, 52) | 478 |
stable
|
0.4 (-0.3, 1.1) |
| Sampson County 6 | Rural | 1,547.5 (1,474.9, 1,622.7) | 10 (1, 56) | 350 |
rising
|
0.8 (0.1, 1.6) |
| Granville County 6 | Rural | 1,539.4 (1,468.2, 1,613.2) | 11 (2, 60) | 365 |
stable
|
-0.3 (-1.1, 0.5) |
| Alamance County 6 | Urban | 1,538.7 (1,495.1, 1,583.3) | 12 (4, 41) | 961 |
stable
|
0.2 (-0.3, 0.7) |
| Gaston County 6 | Urban | 1,538.3 (1,500.0, 1,577.4) | 13 (4, 40) | 1,260 |
stable
|
0.1 (-0.5, 0.8) |
| Cleveland County 6 | Rural | 1,533.3 (1,478.6, 1,589.4) | 14 (3, 51) | 613 |
stable
|
0.0 (-1.9, 0.5) |
| Haywood County 6 | Rural | 1,533.0 (1,471.1, 1,597.0) | 15 (3, 57) | 479 |
stable
|
0.7 (-0.3, 1.8) |
| Halifax County 6 | Rural | 1,528.6 (1,454.8, 1,605.3) | 16 (2, 63) | 333 |
stable
|
0.5 (-0.2, 1.2) |
| Craven County 6 | Rural | 1,526.4 (1,471.8, 1,582.5) | 17 (3, 55) | 618 |
stable
|
-0.5 (-1.1, 0.1) |
| Yancey County 6 | Rural | 1,521.9 (1,409.5, 1,641.0) | 18 (1, 80) | 142 |
stable
|
0.6 (-0.3, 1.6) |
| Tyrrell County 6 | Rural | 1,517.3 (1,255.7, 1,817.4) | 19 (1, 98) | 25 |
rising
|
2.2 (0.2, 4.4) |
| Rutherford County 6 | Rural | 1,517.2 (1,453.7, 1,582.8) | 20 (3, 63) | 443 |
stable
|
0.3 (-0.2, 0.8) |
| Person County 6 | Urban | 1,513.3 (1,430.0, 1,600.2) | 21 (2, 73) | 257 |
stable
|
-0.2 (-0.8, 0.4) |
| Caldwell County 6 | Urban | 1,513.2 (1,455.2, 1,572.9) | 22 (4, 62) | 528 |
rising
|
0.6 (0.1, 1.3) |
| Martin County 6 | Rural | 1,512.7 (1,407.9, 1,623.3) | 23 (1, 83) | 163 |
stable
|
0.3 (-1.0, 0.8) |
| Hoke County 6 | Urban | 1,507.8 (1,410.8, 1,609.8) | 24 (1, 81) | 200 |
stable
|
-0.3 (-1.7, 1.3) |
| Davidson County 6 | Urban | 1,504.1 (1,462.6, 1,546.6) | 25 (7, 56) | 1,017 |
stable
|
0.3 (-0.1, 0.7) |
| Robeson County 6 | Rural | 1,501.6 (1,447.6, 1,557.0) | 26 (6, 63) | 612 |
stable
|
-1.5 (-4.5, 0.8) |
| Edgecombe County 6 | Urban | 1,499.3 (1,424.8, 1,576.8) | 27 (3, 74) | 318 |
stable
|
1.5 (-3.1, 6.5) |
| Randolph County 6 | Urban | 1,498.4 (1,453.0, 1,544.8) | 28 (7, 61) | 848 |
stable
|
-0.1 (-0.6, 0.3) |
| Columbus County 6 | Rural | 1,492.9 (1,419.7, 1,569.0) | 29 (4, 76) | 321 |
stable
|
0.9 (-1.2, 3.0) |
| Lenoir County 6 | Rural | 1,492.9 (1,423.3, 1,565.1) | 30 (5, 74) | 358 |
stable
|
-0.8 (-1.6, 0.1) |
| Moore County 6 | Urban | 1,488.9 (1,438.7, 1,540.4) | 31 (9, 65) | 698 |
stable
|
-0.4 (-1.2, 0.5) |
| Pamlico County 6 | Rural | 1,486.9 (1,357.2, 1,625.8) | 32 (1, 91) | 106 |
stable
|
-0.1 (-1.5, 1.3) |
| Pender County 6 | Urban | 1,486.6 (1,416.5, 1,559.3) | 33 (5, 76) | 354 |
stable
|
0.3 (-0.5, 1.1) |
| Lincoln County 6 | Urban | 1,486.0 (1,428.0, 1,545.8) | 34 (6, 69) | 514 |
stable
|
-0.1 (-0.7, 0.6) |
| Rowan County 6 | Urban | 1,484.2 (1,438.8, 1,530.6) | 35 (9, 63) | 835 |
stable
|
-0.6 (-1.4, 0.0) |
| Harnett County 6 | Rural | 1,483.7 (1,429.4, 1,539.6) | 36 (7, 69) | 583 |
stable
|
-3.0 (-7.0, 0.5) |
| Rockingham County 6 | Urban | 1,483.6 (1,430.2, 1,538.4) | 37 (8, 68) | 601 |
stable
|
-0.2 (-0.7, 0.4) |
| Guilford County 6 | Urban | 1,478.3 (1,453.0, 1,503.9) | 38 (19, 56) | 2,673 |
stable
|
-0.6 (-3.3, 0.0) |
| Brunswick County 6 | Urban | 1,477.7 (1,437.8, 1,518.4) | 39 (12, 64) | 1,217 |
stable
|
-3.1 (-6.4, 0.1) |
| Union County 6 | Urban | 1,476.5 (1,436.1, 1,517.8) | 40 (14, 64) | 1,063 |
stable
|
0.2 (-0.5, 0.9) |
| Johnston County 6 | Urban | 1,476.0 (1,433.5, 1,519.5) | 41 (13, 65) | 975 |
stable
|
0.4 (-0.1, 1.0) |
| Franklin County 6 | Urban | 1,470.8 (1,403.4, 1,540.5) | 42 (7, 79) | 377 |
stable
|
0.2 (-0.5, 1.0) |
| Scotland County 6 | Rural | 1,464.0 (1,371.5, 1,561.3) | 43 (4, 88) | 193 |
stable
|
-0.6 (-1.9, 0.7) |
| New Hanover County 6 | Urban | 1,463.8 (1,427.2, 1,501.2) | 44 (19, 66) | 1,255 |
stable
|
0.3 (-0.1, 0.7) |
| Davie County 6 | Urban | 1,463.7 (1,387.0, 1,543.5) | 45 (6, 84) | 278 |
stable
|
-1.0 (-3.5, 0.2) |
| Greene County 6 | Rural | 1,460.8 (1,338.8, 1,591.0) | 46 (2, 92) | 110 |
stable
|
0.0 (-1.1, 1.3) |
| Vance County 6 | Rural | 1,453.9 (1,372.8, 1,538.5) | 47 (7, 85) | 249 |
stable
|
-0.3 (-1.0, 0.4) |
| Cumberland County 6 | Urban | 1,451.1 (1,416.1, 1,486.8) | 48 (22, 69) | 1,351 |
stable
|
0.1 (-0.2, 0.4) |
| Caswell County 6 | Rural | 1,450.9 (1,348.7, 1,558.8) | 49 (4, 91) | 156 |
stable
|
-0.2 (-1.0, 0.6) |
| Burke County 6 | Urban | 1,449.1 (1,395.5, 1,504.1) | 50 (14, 79) | 565 |
stable
|
0.1 (-0.6, 0.7) |
| Cabarrus County 6 | Urban | 1,442.4 (1,401.4, 1,484.3) | 51 (23, 75) | 973 |
falling
|
-1.1 (-2.0, -0.5) |
| Carteret County 6 | Rural | 1,439.3 (1,382.3, 1,498.0) | 52 (15, 82) | 508 |
falling
|
-1.0 (-1.5, -0.5) |
| Forsyth County 6 | Urban | 1,435.3 (1,406.4, 1,464.6) | 53 (32, 72) | 1,937 |
falling
|
-0.7 (-1.7, -0.4) |
| Duplin County 6 | Rural | 1,434.2 (1,359.7, 1,511.7) | 54 (8, 87) | 287 |
rising
|
0.8 (0.4, 1.3) |
| Washington County 6 | Rural | 1,431.0 (1,291.4, 1,581.7) | 55 (1, 96) | 82 |
stable
|
0.4 (-0.6, 1.4) |
| Iredell County 6 | Urban | 1,430.8 (1,390.0, 1,472.5) | 56 (28, 78) | 962 |
falling
|
-0.7 (-1.4, -0.3) |
| Alexander County 6 | Urban | 1,427.6 (1,344.1, 1,515.1) | 57 (8, 90) | 223 |
stable
|
0.1 (-0.7, 1.0) |
| Warren County 6 | Rural | 1,427.4 (1,319.4, 1,541.9) | 58 (5, 94) | 138 |
stable
|
-0.2 (-1.0, 0.6) |
| Henderson County 6 | Urban | 1,420.8 (1,377.2, 1,465.4) | 59 (30, 81) | 842 |
stable
|
-0.4 (-0.9, 0.1) |
| Mitchell County 6 | Rural | 1,416.1 (1,296.6, 1,543.7) | 60 (4, 96) | 107 |
stable
|
0.6 (-0.4, 1.8) |
| Madison County 6 | Urban | 1,413.5 (1,307.6, 1,525.8) | 61 (5, 95) | 138 |
stable
|
-0.2 (-1.1, 0.8) |
| Stokes County 6 | Urban | 1,412.5 (1,340.4, 1,487.6) | 62 (14, 91) | 294 |
rising
|
0.7 (0.2, 1.2) |
| Mecklenburg County 6 | Urban | 1,410.8 (1,391.1, 1,430.7) | 63 (48, 76) | 4,177 |
stable
|
-0.3 (-2.0, 0.1) |
| Cherokee County 6 | Rural | 1,406.0 (1,323.2, 1,492.7) | 64 (14, 92) | 233 |
stable
|
0.2 (-0.9, 0.9) |
| Wilson County 6 | Rural | 1,401.5 (1,342.4, 1,462.6) | 65 (25, 88) | 437 |
stable
|
-0.4 (-0.9, 0.2) |
| Beaufort County 6 | Rural | 1,400.6 (1,330.1, 1,474.0) | 66 (19, 91) | 311 |
rising
|
3.8 (0.2, 7.8) |
| Lee County 6 | Rural | 1,399.3 (1,330.7, 1,470.7) | 67 (24, 91) | 321 |
stable
|
-0.6 (-1.5, 0.3) |
| Chatham County 6 | Urban | 1,398.6 (1,344.7, 1,454.2) | 68 (29, 87) | 524 |
stable
|
0.0 (-0.4, 0.5) |
| Hyde County 6 | Rural | 1,394.8 (1,175.4, 1,643.9) | 69 (1, 98) | 31 |
stable
|
-0.1 (-2.6, 2.3) |
| Clay County 6 | Rural | 1,391.5 (1,260.2, 1,532.9) | 70 (4, 97) | 91 |
stable
|
0.5 (-1.0, 2.0) |
| Montgomery County 6 | Rural | 1,389.8 (1,292.6, 1,492.5) | 71 (10, 96) | 159 |
stable
|
0.1 (-0.9, 1.1) |
| Avery County 6 | Rural | 1,388.1 (1,273.5, 1,510.2) | 72 (6, 97) | 111 |
stable
|
0.1 (-0.7, 0.9) |
| Yadkin County 6 | Urban | 1,386.6 (1,306.1, 1,470.9) | 73 (16, 94) | 224 |
stable
|
0.2 (-0.6, 1.2) |
| Orange County 6 | Urban | 1,386.4 (1,338.1, 1,436.1) | 74 (40, 89) | 652 |
stable
|
-0.5 (-1.1, 0.2) |
| Buncombe County 6 | Urban | 1,386.2 (1,354.8, 1,418.0) | 75 (51, 85) | 1,548 |
falling
|
-0.5 (-0.8, -0.2) |
| Wake County 6 | Urban | 1,385.8 (1,366.8, 1,405.0) | 76 (57, 82) | 4,314 |
falling
|
-0.7 (-1.3, -0.3) |
| Bertie County 6 | Rural | 1,384.4 (1,271.4, 1,504.7) | 77 (9, 96) | 117 |
stable
|
-0.3 (-1.2, 0.7) |
| Northampton County 6 | Rural | 1,374.6 (1,269.3, 1,486.4) | 78 (11, 96) | 134 |
stable
|
0.0 (-0.7, 0.6) |
| Durham County 6 | Urban | 1,374.1 (1,340.3, 1,408.5) | 79 (53, 88) | 1,324 |
falling
|
-0.8 (-1.3, -0.3) |
| Pitt County 6 | Urban | 1,366.1 (1,320.6, 1,412.8) | 80 (51, 91) | 710 |
stable
|
1.0 (-0.7, 4.2) |
| Bladen County 6 | Rural | 1,364.7 (1,277.4, 1,456.4) | 81 (21, 96) | 191 |
stable
|
0.6 (-0.3, 1.4) |
| Catawba County 6 | Urban | 1,357.8 (1,316.9, 1,399.7) | 82 (57, 91) | 855 |
falling
|
-3.1 (-5.1, -0.6) |
| Macon County 6 | Rural | 1,357.6 (1,284.2, 1,434.2) | 83 (34, 95) | 275 |
stable
|
-0.5 (-1.6, 0.7) |
| Chowan County 6 | Rural | 1,318.8 (1,198.0, 1,448.7) | 84 (11, 97) | 92 |
stable
|
-0.1 (-1.3, 1.1) |
| Polk County 6 | Rural | 1,318.4 (1,224.4, 1,417.9) | 85 (34, 97) | 157 |
stable
|
0.3 (-0.5, 1.1) |
| Wilkes County 6 | Rural | 1,316.5 (1,258.6, 1,376.4) | 86 (59, 96) | 399 |
stable
|
-0.9 (-6.1, 0.6) |
| Transylvania County 6 | Rural | 1,312.0 (1,237.9, 1,389.5) | 87 (54, 97) | 256 |
stable
|
0.4 (-0.4, 1.4) |
| Hertford County 6 | Rural | 1,300.8 (1,197.6, 1,410.5) | 88 (33, 97) | 122 |
falling
|
-0.9 (-1.8, -0.1) |
| Watauga County 6 | Rural | 1,294.6 (1,220.2, 1,372.5) | 89 (59, 97) | 236 |
stable
|
-0.6 (-1.2, 0.1) |
| Nash County 6 | Urban | 1,294.0 (1,242.3, 1,347.4) | 90 (72, 97) | 491 |
falling
|
-0.9 (-1.7, -0.1) |
| Ashe County 6 | Rural | 1,291.1 (1,206.2, 1,380.3) | 91 (48, 97) | 181 |
stable
|
-0.2 (-0.9, 0.5) |
| Graham County 6 | Rural | 1,285.0 (1,128.1, 1,457.8) | 92 (11, 99) | 50 |
stable
|
0.1 (-9.7, 2.0) |
| Dare County 6 | Rural | 1,283.8 (1,206.5, 1,364.8) | 93 (62, 97) | 224 |
stable
|
-0.6 (-1.5, 0.4) |
| Jackson County 6 | Rural | 1,276.2 (1,199.5, 1,356.5) | 94 (59, 97) | 218 |
falling
|
-1.5 (-2.8, -0.6) |
| Perquimans County 6 | Rural | 1,262.0 (1,145.6, 1,387.4) | 95 (36, 98) | 90 |
stable
|
-0.2 (-1.4, 1.1) |
| Pasquotank County 6 | Rural | 1,242.8 (1,163.6, 1,326.0) | 96 (71, 98) | 190 |
stable
|
-1.5 (-8.3, 0.0) |
| Alleghany County 6 | Rural | 1,154.4 (1,033.0, 1,286.2) | 97 (78, 100) | 69 |
stable
|
-0.5 (-1.7, 0.9) |
| Camden County 6 | Urban | 1,036.3 (895.9, 1,192.7) | 98 (89, 100) | 40 |
falling
|
-2.4 (-4.4, -0.2) |
| Currituck County 6 | Urban | 1,012.3 (925.0, 1,105.7) | 99 (96, 100) | 108 |
falling
|
-1.6 (-2.9, -0.1) |
| Gates County 6 | Urban | 912.3 (796.0, 1,041.1) | 100 (97, 100) | 46 |
stable
|
-1.6 (-3.6, 0.5) |
Notes:
Created by statecancerprofiles.cancer.gov on 12/04/2024 1:02 am.
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 (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.
Created by statecancerprofiles.cancer.gov on 12/04/2024 1:02 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.
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.