Data Table for Rate/Trend Comparison by Cancer
Death Rate/Trend Comparison by Cancer, 2019-2023
North Carolina Counties versus United States
All Cancer Sites
All Races, Both Sexes
Sorted by rateratio
Counties
|
Priority Index1 1=highest 9=lowest 
|
Recent Trend2 |
County Death Rate Compared to US Rate |
Average Annual Count
|
Age-Adjusted Death Rate deaths per 100,000 (95% Confidence Interval)
|
Rate Ratio3 County to US 
|
Recent 5-Year Trend2 in Death Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|---|
| United States | - | falling | - | 605,771 | 145.4 (145.2, 145.6) | - | -1.3 (-1.5, -1.2) |
| North Carolina | - | falling | - | 20,301 | 154.1 (153.1, 155.1) | - | -1.3 (-1.4, -1.3) |
| Orange County | 9 | falling | lower | 200 | 120.7 (113.2, 128.7) | 0.8 | -2.4 (-2.9, -1.9) |
| Wake County | 9 | falling | lower | 1,348 | 122.4 (119.4, 125.4) | 0.8 | -3.5 (-5.0, -2.6) |
| Hyde County | 8 | falling | similar | 9 | 126.8 (90.7, 174.8) | 0.9 | -12.8 (-41.9, -2.7) |
| Jackson County | 9 | falling | lower | 77 | 126.8 (114.0, 140.9) | 0.9 | -1.6 (-2.5, -0.7) |
| Clay County | 8 | falling | similar | 32 | 127.4 (107.4, 151.6) | 0.9 | -1.6 (-2.5, -0.8) |
| Chatham County | 9 | falling | lower | 178 | 127.8 (119.3, 137.0) | 0.9 | -1.6 (-2.1, -0.9) |
| Avery County | 8 | falling | similar | 38 | 130.6 (112.2, 151.8) | 0.9 | -2.2 (-3.5, -1.0) |
| Mecklenburg County | 8 | falling | similar | 1,355 | 131.0 (127.8, 134.2) | 0.9 | -1.9 (-2.1, -1.7) |
| Transylvania County | 8 | falling | similar | 93 | 131.8 (119.0, 145.9) | 0.9 | -1.2 (-2.0, -0.4) |
| Watauga County | 8 | falling | similar | 82 | 133.5 (120.5, 147.6) | 0.9 | -1.2 (-2.1, -0.3) |
| Buncombe County | 8 | falling | similar | 545 | 135.2 (130.0, 140.5) | 0.9 | -1.7 (-2.0, -1.4) |
| Durham County | 8 | falling | similar | 466 | 136.6 (131.0, 142.4) | 0.9 | -2.2 (-2.4, -2.0) |
| Polk County | 8 | falling | similar | 57 | 138.6 (120.5, 159.2) | 1.0 | -1.2 (-2.2, -0.3) |
| Union County | 8 | falling | similar | 351 | 140.2 (133.5, 147.1) | 1.0 | -1.6 (-2.1, -1.0) |
| Cabarrus County | 8 | falling | similar | 335 | 140.5 (133.7, 147.5) | 1.0 | -1.9 (-2.4, -1.4) |
| Iredell County | 8 | falling | similar | 348 | 146.6 (139.6, 153.8) | 1.0 | -1.4 (-1.9, -1.0) |
| Cherokee County | 8 | falling | similar | 89 | 148.4 (133.7, 164.7) | 1.0 | -1.6 (-2.2, -1.1) |
| New Hanover County | 8 | falling | similar | 459 | 149.6 (143.4, 156.0) | 1.0 | -1.4 (-1.9, -0.9) |
| Macon County | 8 | falling | similar | 105 | 150.2 (136.8, 164.8) | 1.0 | -1.0 (-1.6, -0.3) |
| Henderson County | 8 | falling | similar | 314 | 150.4 (142.7, 158.5) | 1.0 | -0.9 (-1.3, -0.5) |
| Guilford County | 6 | stable | similar | 951 | 150.5 (146.1, 154.9) | 1.0 | -0.9 (-1.2, 0.4) |
| Lincoln County | 8 | falling | similar | 188 | 151.1 (141.3, 161.5) | 1.0 | -1.3 (-1.8, -0.8) |
| Ashe County | 6 | stable | similar | 78 | 151.8 (136.5, 168.7) | 1.0 | -0.7 (-1.7, 0.2) |
| Moore County | 8 | falling | similar | 265 | 152.1 (143.7, 161.0) | 1.0 | -1.3 (-1.8, -0.8) |
| Lee County | 8 | falling | similar | 125 | 152.1 (140.2, 164.8) | 1.0 | -1.5 (-2.3, -0.7) |
| Franklin County | 8 | falling | similar | 139 | 152.1 (140.7, 164.3) | 1.0 | -1.7 (-2.3, -1.0) |
| Currituck County | 6 | stable | similar | 58 | 152.1 (134.0, 172.2) | 1.0 | 3.0 (-0.4, 8.9) |
| Brunswick County | 8 | falling | similar | 441 | 152.7 (145.6, 160.1) | 1.1 | -1.2 (-1.7, -0.7) |
| Davie County | 6 | stable | similar | 105 | 152.8 (139.7, 166.9) | 1.1 | -0.6 (-1.5, 0.3) |
| Yancey County | 8 | falling | similar | 54 | 153.4 (135.3, 173.9) | 1.1 | -7.9 (-11.7, -5.2) |
| Alleghany County | 6 | stable | similar | 33 | 155.0 (131.0, 183.3) | 1.1 | -0.3 (-10.8, 8.9) |
| Madison County | 6 | stable | similar | 53 | 155.5 (136.5, 176.8) | 1.1 | 1.3 (-1.1, 6.7) |
| Haywood County | 8 | falling | similar | 170 | 155.8 (145.0, 167.3) | 1.1 | -0.8 (-1.5, -0.2) |
| Dare County | 8 | falling | similar | 92 | 156.2 (141.5, 172.4) | 1.1 | -1.6 (-2.5, -0.6) |
| Catawba County | 8 | falling | similar | 343 | 158.3 (150.8, 166.2) | 1.1 | -1.3 (-1.7, -0.9) |
| Warren County | 6 | stable | similar | 55 | 158.4 (139.3, 179.9) | 1.1 | -1.2 (-2.5, 0.0) |
| Pamlico County | 8 | falling | similar | 39 | 159.5 (135.4, 187.8) | 1.1 | -1.3 (-2.4, -0.2) |
| Pitt County | 8 | falling | similar | 293 | 159.5 (151.3, 168.1) | 1.1 | -1.5 (-2.0, -1.0) |
| Montgomery County | 6 | stable | similar | 65 | 159.6 (141.9, 179.1) | 1.1 | -0.7 (-1.6, 0.3) |
| Pasquotank County | 8 | falling | similar | 88 | 159.6 (144.6, 175.8) | 1.1 | -1.5 (-2.3, -0.8) |
| Forsyth County | 6 | stable | similar | 755 | 159.8 (154.7, 165.1) | 1.1 | 0.7 (-1.3, 2.0) |
| Gates County | 8 | falling | similar | 26 | 160.1 (132.4, 192.8) | 1.1 | -1.8 (-3.1, -0.6) |
| Nash County | 5 | falling | higher | 212 | 160.2 (150.4, 170.5) | 1.1 | -1.4 (-1.8, -1.0) |
| Beaufort County | 5 | falling | higher | 124 | 160.5 (147.5, 174.5) | 1.1 | -1.3 (-1.9, -0.6) |
| Greene County | 8 | falling | similar | 42 | 161.6 (140.0, 185.7) | 1.1 | -1.4 (-2.5, -0.3) |
| Wilkes County | 5 | falling | higher | 173 | 161.9 (151.0, 173.6) | 1.1 | -1.0 (-1.5, -0.5) |
| Johnston County | 5 | falling | higher | 374 | 162.2 (154.6, 170.1) | 1.1 | -1.1 (-1.5, -0.7) |
| Carteret County | 5 | falling | higher | 204 | 163.0 (152.8, 173.9) | 1.1 | -1.4 (-2.0, -0.8) |
| Chowan County | 8 | falling | similar | 40 | 163.5 (140.4, 189.9) | 1.1 | -1.3 (-2.5, -0.1) |
| Perquimans County | 8 | falling | similar | 41 | 163.5 (140.8, 189.7) | 1.1 | -1.2 (-2.4, -0.1) |
| Burke County | 5 | falling | higher | 224 | 164.6 (154.8, 174.9) | 1.1 | -0.7 (-1.2, -0.2) |
| Gaston County | 5 | falling | higher | 476 | 164.9 (158.2, 171.8) | 1.1 | -1.4 (-1.7, -1.1) |
| Graham County | 6 | stable | similar | 23 | 165.0 (135.4, 200.5) | 1.1 | -0.5 (-2.1, 1.2) |
| Rowan County | 5 | falling | higher | 321 | 165.2 (157.0, 173.7) | 1.1 | -3.1 (-5.0, -1.9) |
| Yadkin County | 5 | falling | higher | 93 | 166.6 (151.4, 183.2) | 1.1 | -1.0 (-1.6, -0.4) |
| Caswell County | 5 | falling | higher | 62 | 166.9 (148.3, 187.7) | 1.1 | -1.2 (-1.9, -0.5) |
| Hertford County | 5 | falling | higher | 53 | 167.4 (147.1, 190.1) | 1.2 | -2.0 (-2.8, -1.2) |
| Stokes County | 5 | falling | higher | 121 | 167.5 (153.9, 182.1) | 1.2 | -1.1 (-1.9, -0.3) |
| Person County | 5 | falling | higher | 100 | 167.7 (152.9, 183.8) | 1.2 | -1.2 (-2.2, -0.2) |
| Lenoir County | 5 | falling | higher | 140 | 168.4 (155.7, 181.9) | 1.2 | -1.5 (-2.3, -0.8) |
| Alexander County | 4 | stable | higher | 91 | 168.5 (153.0, 185.3) | 1.2 | -0.6 (-1.4, 0.1) |
| Camden County | 6 | stable | similar | 23 | 168.6 (138.3, 204.1) | 1.2 | 1.4 (-5.3, 9.0) |
| Granville County | 4 | stable | higher | 138 | 168.8 (156.1, 182.3) | 1.2 | -0.9 (-1.8, 1.4) |
| Pender County | 5 | falling | higher | 140 | 168.9 (156.2, 182.4) | 1.2 | -0.7 (-1.4, -0.1) |
| Wilson County | 5 | falling | higher | 183 | 169.3 (158.3, 181.0) | 1.2 | -1.2 (-1.9, -0.6) |
| Craven County | 5 | falling | higher | 248 | 169.5 (159.9, 179.6) | 1.2 | -1.3 (-1.5, -1.0) |
| Randolph County | 5 | falling | higher | 330 | 170.0 (161.7, 178.7) | 1.2 | -0.7 (-1.2, -0.2) |
| Duplin County | 5 | falling | higher | 116 | 170.4 (156.3, 185.4) | 1.2 | -0.9 (-1.6, -0.2) |
| Alamance County | 5 | falling | higher | 381 | 170.9 (163.2, 178.9) | 1.2 | -0.9 (-1.3, -0.5) |
| Rockingham County | 5 | falling | higher | 241 | 172.3 (162.4, 182.7) | 1.2 | -1.3 (-1.7, -0.9) |
| Bladen County | 5 | falling | higher | 83 | 173.2 (156.2, 191.8) | 1.2 | -0.9 (-1.9, 0.0) |
| Cumberland County | 5 | falling | higher | 565 | 173.8 (167.3, 180.5) | 1.2 | -1.0 (-1.3, -0.7) |
| Stanly County | 5 | falling | higher | 151 | 174.2 (161.7, 187.5) | 1.2 | -0.8 (-1.4, -0.2) |
| Jones County | 6 | stable | similar | 27 | 174.8 (145.3, 209.6) | 1.2 | -0.8 (-2.4, 0.8) |
| Northampton County | 5 | falling | higher | 58 | 174.9 (153.5, 199.1) | 1.2 | -1.1 (-1.9, -0.4) |
| Davidson County | 5 | falling | higher | 419 | 175.2 (167.6, 183.1) | 1.2 | -0.7 (-1.2, -0.1) |
| Rutherford County | 5 | falling | higher | 178 | 175.7 (164.0, 188.2) | 1.2 | -0.7 (-1.3, -0.2) |
| Hoke County | 5 | falling | higher | 82 | 175.8 (158.3, 194.7) | 1.2 | -1.7 (-2.8, -0.5) |
| Harnett County | 5 | falling | higher | 253 | 179.3 (169.3, 189.7) | 1.2 | -1.0 (-1.4, -0.5) |
| Bertie County | 5 | falling | higher | 52 | 180.6 (157.9, 206.2) | 1.2 | -1.7 (-2.7, -0.7) |
| Martin County | 1 | rising | higher | 68 | 182.4 (162.6, 204.4) | 1.3 | 9.4 (5.0, 15.0) |
| Surry County | 5 | falling | higher | 199 | 183.7 (172.2, 195.9) | 1.3 | -0.5 (-1.0, -0.1) |
| Cleveland County | 5 | falling | higher | 251 | 184.2 (173.8, 195.1) | 1.3 | -0.6 (-1.0, -0.2) |
| Caldwell County | 5 | falling | higher | 225 | 186.7 (175.6, 198.4) | 1.3 | -0.7 (-1.2, -0.2) |
| McDowell County | 4 | stable | higher | 129 | 187.3 (172.7, 202.9) | 1.3 | -0.1 (-0.8, 0.6) |
| Washington County | 4 | stable | higher | 36 | 189.7 (160.5, 223.4) | 1.3 | -0.3 (-1.7, 1.2) |
| Sampson County | 5 | falling | higher | 149 | 189.9 (176.2, 204.4) | 1.3 | -0.6 (-1.1, 0.0) |
| Tyrrell County | 8 | falling | similar | 12 | 190.1 (142.0, 252.6) | 1.3 | -2.5 (-4.5, -0.6) |
| Mitchell County | 4 | stable | higher | 49 | 190.1 (165.8, 217.6) | 1.3 | 6.6 (-0.7, 12.2) |
| Columbus County | 5 | falling | higher | 141 | 190.3 (176.1, 205.5) | 1.3 | -0.8 (-1.5, 0.0) |
| Onslow County | 4 | stable | higher | 297 | 191.2 (181.3, 201.4) | 1.3 | -0.3 (-1.0, 0.5) |
| Edgecombe County | 4 | stable | higher | 139 | 191.5 (177.0, 207.0) | 1.3 | -0.2 (-1.0, 2.6) |
| Scotland County | 5 | falling | higher | 87 | 192.1 (174.0, 211.7) | 1.3 | -1.0 (-1.9, -0.2) |
| Vance County | 4 | stable | higher | 112 | 192.5 (176.3, 209.8) | 1.3 | -0.7 (-1.3, 0.0) |
| Wayne County | 5 | falling | higher | 281 | 193.0 (182.8, 203.6) | 1.3 | -0.7 (-1.2, -0.1) |
| Halifax County | 5 | falling | higher | 144 | 196.2 (181.6, 211.9) | 1.3 | -0.6 (-1.2, -0.1) |
| Robeson County | 4 | stable | higher | 275 | 199.1 (188.4, 210.2) | 1.4 | -0.3 (-0.9, 0.2) |
| Anson County | 4 | stable | higher | 62 | 200.1 (177.7, 224.7) | 1.4 | 0.4 (-0.4, 1.2) |
| Richmond County | 4 | stable | higher | 119 | 210.2 (193.2, 228.4) | 1.4 | -0.4 (-1.3, 0.4) |
| Swain County | 4 | stable | higher | 44 | 224.5 (194.9, 257.7) | 1.5 | 0.9 (-0.3, 2.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 10:52 pm.
1 Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.
2 Recent trend in death rates is usually an Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint. Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected geographic areas.
3 Rate ratio is the county rate divided by the US rate. Previous versions of this table used one-year rates for states and five-year rates for counties. As of June 2018, only five-year rates are used.
Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+). The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with mortality data.
Note: When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate. Suppression is used to avoid misinterpretation when rates are unstable.
State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).
Interpret Rankings provides insight into interpreting cancer statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.
Data for United States do not include Puerto Rico.
Created by statecancerprofiles.cancer.gov on 03/12/2026 10:52 pm.
Trend2
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.
Rate Comparison
Above when 95% confident the rate is above and Rate Ratio3 > 1.10
Similar
when unable to conclude above or below with confidence.
Below when 95% confident the rate is below and Rate Ratio3 < 0.90
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.Rate Comparison
Above
when 95% confident the rate is above and Rate Ratio3 > 1.10Similar
when unable to conclude above or below with confidence.Below
when 95% confident the rate is below and Rate Ratio3 < 0.901 Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.
2 Recent trend in death rates is usually an Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint. Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected geographic areas.
3 Rate ratio is the county rate divided by the US rate. Previous versions of this table used one-year rates for states and five-year rates for counties. As of June 2018, only five-year rates are used.
Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+). The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with mortality data.
Note: When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate. Suppression is used to avoid misinterpretation when rates are unstable.
State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).
Interpret Rankings provides insight into interpreting cancer statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.
Data for United States do not include Puerto Rico.