Incidence Rates Table
Incidence Rate Report for North Carolina by County
All Cancer Sites (All Stages^), 2017-2021
All Races (includes Hispanic), Female, All Ages
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 | 442.8 (440.5, 445.1) | N/A | 29,654 |
stable 
|
-0.4 (-1.2, 0.2) |
| US (SEER+NPCR) 1 | N/A | 421.1 (420.7, 421.5) | N/A | 856,144 |
stable
|
-0.5 (-1.2, 0.1) |
| Onslow County 6 | Urban | 509.1 (486.9, 532.0) | 1 (1, 19) | 414 |
stable
|
-3.6 (-9.5, 1.4) |
| Anson County 6 | Urban | 505.1 (452.6, 562.5) | 2 (1, 74) | 77 |
rising 
|
2.9 (0.5, 5.3) |
| Person County 6 | Urban | 493.7 (455.5, 534.4) | 3 (1, 68) | 141 |
rising
|
1.4 (0.8, 2.1) |
| Sampson County 6 | Rural | 492.9 (460.5, 527.1) | 4 (1, 53) | 189 |
rising
|
1.6 (0.6, 2.8) |
| Martin County 6 | Rural | 489.6 (441.2, 542.4) | 5 (1, 81) | 91 |
rising
|
1.5 (0.3, 2.7) |
| Stanly County 6 | Rural | 488.9 (458.0, 521.4) | 6 (1, 55) | 206 |
stable
|
1.0 (-0.1, 2.1) |
| Richmond County 6 | Rural | 486.8 (450.5, 525.4) | 7 (1, 67) | 145 |
stable
|
1.1 (-0.1, 2.2) |
| Wayne County 6 | Urban | 482.4 (459.6, 506.2) | 8 (1, 49) | 362 |
rising
|
1.7 (1.1, 2.4) |
| McDowell County 6 | Rural | 480.0 (444.4, 517.9) | 9 (1, 77) | 155 |
stable
|
1.1 (-0.1, 2.3) |
| Surry County 6 | Rural | 479.9 (452.8, 508.3) | 10 (1, 59) | 260 |
rising
|
1.1 (0.4, 1.8) |
| Cleveland County 6 | Rural | 479.3 (455.5, 504.0) | 11 (1, 53) | 335 |
rising
|
1.8 (1.3, 2.3) |
| Granville County 6 | Rural | 477.9 (446.9, 510.6) | 12 (1, 70) | 193 |
rising
|
1.2 (0.4, 2.1) |
| Lenoir County 6 | Rural | 473.3 (441.9, 506.4) | 13 (1, 70) | 197 |
stable
|
-0.1 (-2.7, 0.7) |
| Alamance County 6 | Urban | 470.9 (452.6, 489.8) | 14 (3, 56) | 536 |
rising
|
0.9 (0.5, 1.4) |
| Brunswick County 6 | Urban | 469.8 (450.0, 490.5) | 15 (3, 60) | 605 |
rising
|
1.4 (0.1, 3.6) |
| Scotland County 6 | Rural | 469.6 (428.7, 513.6) | 16 (1, 84) | 109 |
stable
|
0.6 (-0.5, 1.6) |
| Haywood County 6 | Rural | 469.5 (441.1, 499.6) | 17 (2, 74) | 246 |
rising
|
1.0 (0.1, 2.0) |
| Carteret County 6 | Rural | 468.6 (441.1, 497.6) | 18 (2, 72) | 268 |
stable
|
0.4 (-0.3, 1.1) |
| Johnston County 6 | Urban | 466.9 (449.6, 484.7) | 19 (4, 59) | 573 |
stable
|
1.7 (-0.3, 4.2) |
| Jones County 6 | Rural | 465.8 (392.3, 550.8) | 20 (1, 97) | 35 |
stable
|
1.6 (0.0, 3.3) |
| Moore County 6 | Urban | 463.1 (440.1, 487.0) | 21 (3, 71) | 364 |
stable
|
0.3 (-0.5, 1.2) |
| Davidson County 6 | Urban | 462.8 (444.8, 481.3) | 22 (6, 64) | 543 |
rising
|
1.1 (0.6, 1.5) |
| Rowan County 6 | Urban | 462.1 (442.5, 482.4) | 23 (6, 71) | 454 |
stable
|
-0.4 (-1.4, 0.4) |
| Davie County 6 | Urban | 462.0 (426.9, 499.5) | 24 (1, 84) | 147 |
stable
|
-1.7 (-6.5, 0.6) |
| Rockingham County 6 | Urban | 459.6 (436.1, 484.3) | 25 (5, 75) | 324 |
stable
|
0.5 (0.0, 1.0) |
| Swain County 6 | Rural | 458.7 (398.8, 525.7) | 26 (1, 95) | 47 |
stable
|
0.2 (-1.5, 1.9) |
| Gaston County 6 | Urban | 458.6 (442.9, 474.6) | 27 (9, 66) | 687 |
rising
|
0.6 (0.1, 1.2) |
| Halifax County 6 | Rural | 458.5 (425.9, 493.2) | 28 (2, 83) | 173 |
falling 
|
-7.2 (-10.7, -1.9) |
| Columbus County 6 | Rural | 458.4 (426.3, 492.5) | 29 (2, 84) | 171 |
rising
|
1.4 (0.4, 2.5) |
| Harnett County 6 | Rural | 457.9 (435.8, 480.8) | 30 (5, 75) | 332 |
rising
|
0.7 (0.1, 1.4) |
| Randolph County 6 | Urban | 457.1 (437.6, 477.3) | 31 (7, 73) | 447 |
stable
|
0.2 (-2.0, 0.8) |
| New Hanover County 6 | Urban | 456.9 (441.2, 473.0) | 32 (10, 66) | 704 |
stable
|
0.4 (-0.1, 1.0) |
| Caldwell County 6 | Urban | 456.5 (431.3, 482.9) | 33 (3, 80) | 273 |
rising
|
1.1 (0.2, 2.1) |
| Mitchell County 6 | Rural | 455.4 (397.7, 520.1) | 34 (1, 95) | 55 |
stable
|
1.4 (0.0, 2.9) |
| Stokes County 6 | Urban | 454.5 (421.5, 489.8) | 35 (2, 86) | 160 |
stable
|
0.7 (-0.1, 1.6) |
| Greene County 6 | Rural | 453.4 (398.3, 514.5) | 36 (1, 95) | 56 |
stable
|
0.4 (-1.7, 2.5) |
| Craven County 6 | Rural | 452.3 (428.7, 477.0) | 37 (7, 79) | 315 |
stable
|
0.0 (-0.7, 0.7) |
| Union County 6 | Urban | 451.9 (435.6, 468.6) | 38 (12, 73) | 602 |
rising
|
0.9 (0.4, 1.5) |
| Robeson County 6 | Rural | 450.4 (428.2, 473.6) | 39 (7, 79) | 329 |
stable
|
-2.3 (-9.4, 4.3) |
| Alexander County 6 | Urban | 449.1 (411.1, 490.1) | 40 (2, 91) | 116 |
stable
|
-5.8 (-18.4, 3.3) |
| Vance County 6 | Rural | 448.6 (413.8, 485.7) | 41 (2, 90) | 139 |
stable
|
-1.5 (-7.8, 2.0) |
| Iredell County 6 | Urban | 447.9 (430.5, 465.9) | 42 (14, 75) | 527 |
stable
|
0.0 (-1.7, 0.7) |
| Rutherford County 6 | Rural | 447.3 (419.4, 476.8) | 43 (5, 87) | 221 |
rising
|
5.6 (1.5, 8.2) |
| Lincoln County 6 | Urban | 445.5 (420.6, 471.5) | 44 (8, 84) | 261 |
stable
|
-3.9 (-7.7, 0.2) |
| Guilford County 6 | Urban | 445.4 (435.1, 455.9) | 45 (27, 71) | 1,501 |
stable
|
0.1 (-1.0, 0.4) |
| Hoke County 6 | Urban | 445.2 (408.2, 484.5) | 46 (2, 92) | 115 |
stable
|
1.0 (-0.1, 2.2) |
| Bertie County 6 | Rural | 445.1 (391.7, 504.5) | 47 (1, 96) | 63 |
stable
|
-7.3 (-17.8, 3.0) |
| Henderson County 6 | Urban | 444.5 (424.5, 465.3) | 48 (14, 80) | 450 |
stable
|
0.3 (-0.2, 0.9) |
| Polk County 6 | Rural | 443.9 (391.6, 502.2) | 49 (1, 96) | 79 |
stable
|
1.0 (-1.0, 2.9) |
| Yancey County 6 | Rural | 442.8 (393.1, 498.0) | 50 (1, 95) | 70 |
stable
|
0.6 (-0.7, 2.0) |
| Northampton County 6 | Rural | 441.5 (388.4, 500.8) | 51 (1, 96) | 69 |
stable
|
1.3 (-0.1, 2.7) |
| Washington County 6 | Rural | 441.5 (377.0, 515.0) | 52 (1, 98) | 42 |
stable
|
1.1 (-0.7, 3.0) |
| Cumberland County 6 | Urban | 441.3 (427.4, 455.6) | 53 (25, 78) | 789 |
stable
|
0.1 (-2.4, 0.5) |
| Durham County 6 | Urban | 441.3 (427.5, 455.4) | 54 (26, 78) | 817 |
falling
|
-1.2 (-3.5, -0.2) |
| Cabarrus County 6 | Urban | 440.4 (424.1, 457.3) | 55 (18, 81) | 559 |
falling
|
-0.7 (-1.8, -0.1) |
| Orange County 6 | Urban | 438.8 (418.5, 459.8) | 56 (17, 83) | 375 |
stable
|
0.2 (-0.4, 0.9) |
| Pitt County 6 | Urban | 438.6 (419.7, 458.3) | 57 (18, 83) | 426 |
stable
|
0.4 (-0.1, 0.9) |
| Duplin County 6 | Rural | 438.5 (405.9, 473.2) | 58 (6, 92) | 150 |
rising
|
1.3 (0.1, 2.7) |
| Madison County 6 | Urban | 438.4 (390.9, 490.6) | 59 (1, 95) | 72 |
stable
|
0.5 (-1.0, 2.1) |
| Burke County 6 | Urban | 438.2 (414.5, 463.1) | 60 (14, 87) | 289 |
stable
|
0.3 (-0.6, 1.3) |
| Wake County 6 | Urban | 438.0 (430.4, 445.7) | 61 (37, 73) | 2,639 |
rising
|
0.4 (0.2, 0.7) |
| Bladen County 6 | Rural | 437.6 (397.6, 480.9) | 62 (4, 94) | 103 |
stable
|
1.6 (0.0, 3.3) |
| Pender County 6 | Urban | 437.6 (407.9, 469.0) | 63 (8, 91) | 176 |
stable
|
0.4 (-0.8, 1.7) |
| Chatham County 6 | Urban | 437.2 (412.2, 463.6) | 64 (11, 88) | 274 |
stable
|
0.8 (0.0, 1.7) |
| Franklin County 6 | Urban | 436.1 (408.2, 465.6) | 65 (10, 90) | 198 |
stable
|
0.8 (0.0, 1.6) |
| Cherokee County 6 | Rural | 435.6 (395.6, 479.2) | 66 (4, 95) | 115 |
stable
|
0.4 (-0.9, 1.1) |
| Forsyth County 6 | Urban | 434.4 (422.6, 446.6) | 67 (37, 80) | 1,084 |
stable
|
0.1 (-0.4, 0.7) |
| Buncombe County 6 | Urban | 433.4 (419.7, 447.4) | 68 (34, 82) | 850 |
stable
|
0.2 (-0.3, 0.7) |
| Warren County 6 | Rural | 433.1 (381.8, 490.1) | 69 (1, 97) | 68 |
stable
|
0.6 (-0.5, 1.8) |
| Caswell County 6 | Rural | 431.7 (384.2, 484.2) | 70 (2, 96) | 73 |
stable
|
0.2 (-1.0, 1.4) |
| Pamlico County 6 | Rural | 429.0 (365.6, 502.2) | 71 (1, 98) | 46 |
stable
|
0.4 (-1.8, 2.6) |
| Edgecombe County 6 | Urban | 428.3 (397.1, 461.5) | 72 (11, 94) | 161 |
stable
|
0.4 (-0.6, 1.4) |
| Mecklenburg County 6 | Urban | 427.8 (420.2, 435.5) | 73 (52, 81) | 2,504 |
stable
|
0.3 (-2.3, 0.7) |
| Hyde County 6 | Rural | 421.8 (322.0, 547.7) | 74 (1, 100) | 15 |
stable
|
0.8 (-2.8, 4.4) |
| Lee County 6 | Rural | 421.7 (392.7, 452.3) | 75 (20, 94) | 170 |
stable
|
-0.3 (-1.4, 0.8) |
| Clay County 6 | Rural | 421.3 (359.6, 492.9) | 76 (1, 98) | 45 |
stable
|
1.3 (-1.0, 3.6) |
| Montgomery County 6 | Rural | 420.2 (377.6, 466.7) | 77 (5, 97) | 81 |
stable
|
0.8 (-0.6, 2.2) |
| Yadkin County 6 | Urban | 418.3 (382.7, 456.6) | 78 (14, 96) | 116 |
stable
|
1.0 (-0.5, 2.6) |
| Graham County 6 | Rural | 417.5 (345.7, 502.1) | 79 (1, 99) | 27 |
stable
|
0.6 (-18.3, 5.9) |
| Wilkes County 6 | Rural | 415.3 (388.6, 443.5) | 80 (28, 95) | 209 |
stable
|
0.4 (-0.3, 1.2) |
| Beaufort County 6 | Rural | 415.0 (383.4, 448.8) | 81 (22, 95) | 153 |
falling
|
-0.7 (-1.5, -0.3) |
| Wilson County 6 | Rural | 409.2 (384.9, 434.8) | 82 (36, 96) | 231 |
stable
|
0.2 (-0.7, 1.2) |
| Macon County 6 | Rural | 409.2 (374.9, 446.2) | 83 (20, 97) | 137 |
stable
|
-0.2 (-1.3, 1.0) |
| Hertford County 6 | Rural | 408.5 (361.3, 460.7) | 84 (7, 98) | 65 |
stable
|
0.2 (-1.6, 1.9) |
| Tyrrell County 6 | Rural | 405.9 (297.6, 546.5) | 85 (1, 100) | 11 |
stable
|
0.0 (-35.4, 9.8) |
| Nash County 6 | Urban | 403.1 (380.7, 426.4) | 86 (53, 96) | 270 |
stable
|
-0.3 (-1.1, 0.4) |
| Avery County 6 | Rural | 401.9 (350.3, 459.9) | 87 (6, 98) | 52 |
stable
|
1.1 (-0.2, 2.5) |
| Watauga County 6 | Rural | 399.9 (366.2, 436.1) | 88 (34, 97) | 120 |
stable
|
-0.3 (-1.6, 1.0) |
| Transylvania County 6 | Rural | 398.9 (363.8, 437.1) | 89 (28, 98) | 128 |
stable
|
0.6 (-1.0, 2.3) |
| Jackson County 6 | Rural | 397.4 (362.3, 435.1) | 90 (34, 97) | 111 |
stable
|
0.7 (-0.7, 2.2) |
| Catawba County 6 | Urban | 395.9 (378.7, 413.8) | 91 (70, 96) | 433 |
falling
|
-2.8 (-5.9, -1.1) |
| Dare County 6 | Rural | 387.1 (353.0, 424.1) | 92 (43, 98) | 112 |
stable
|
-0.2 (-1.4, 1.0) |
| Pasquotank County 6 | Rural | 385.4 (351.3, 422.0) | 93 (50, 98) | 103 |
falling
|
-6.2 (-14.1, -0.4) |
| Chowan County 6 | Rural | 385.3 (331.8, 446.1) | 94 (13, 99) | 46 |
stable
|
0.4 (-1.2, 1.9) |
| Perquimans County 6 | Rural | 383.1 (327.2, 447.1) | 95 (11, 99) | 44 |
stable
|
0.0 (-2.1, 2.2) |
| Ashe County 6 | Rural | 369.5 (330.8, 412.1) | 96 (55, 98) | 83 |
stable
|
-2.3 (-9.8, 0.2) |
| Camden County 6 | Urban | 338.7 (276.3, 411.8) | 97 (45, 100) | 22 |
stable
|
-1.3 (-3.9, 1.4) |
| Alleghany County 6 | Rural | 334.1 (279.9, 397.8) | 98 (71, 100) | 33 |
stable
|
-0.3 (-2.0, 1.4) |
| Currituck County 6 | Urban | 283.6 (248.4, 322.7) | 99 (96, 100) | 51 |
falling
|
-7.3 (-21.3, -0.4) |
| Gates County 6 | Urban | 258.4 (208.7, 317.9) | 100 (96, 100) | 22 |
stable
|
-1.5 (-4.8, 1.8) |
Notes:
Created by statecancerprofiles.cancer.gov on 12/12/2024 8:58 pm.
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 12/12/2024 8:58 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.
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.