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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 name

Counties
 sort alphabetically by name ascending
Priority Index1
1=highest
9=lowest

 sort by priority index descending
Recent Trend2
County Death
Rate
Compared
to
US Rate
Average Annual Count
 sort by count descending
Age-Adjusted Death Rate

deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
Rate
Ratio3
County
to
US
 sort by rate descending
Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
 sort by trend descending
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)
Yancey County 8 falling similar 54 153.4 (135.3, 173.9) 1.1 -7.9 (-11.7, -5.2)
Yadkin County 5 falling higher 93 166.6 (151.4, 183.2) 1.1 -1.0 (-1.6, -0.4)
Wilson County 5 falling higher 183 169.3 (158.3, 181.0) 1.2 -1.2 (-1.9, -0.6)
Wilkes County 5 falling higher 173 161.9 (151.0, 173.6) 1.1 -1.0 (-1.5, -0.5)
Wayne County 5 falling higher 281 193.0 (182.8, 203.6) 1.3 -0.7 (-1.2, -0.1)
Watauga County 8 falling similar 82 133.5 (120.5, 147.6) 0.9 -1.2 (-2.1, -0.3)
Washington County 4 stable higher 36 189.7 (160.5, 223.4) 1.3 -0.3 (-1.7, 1.2)
Warren County 6 stable similar 55 158.4 (139.3, 179.9) 1.1 -1.2 (-2.5, 0.0)
Wake County 9 falling lower 1,348 122.4 (119.4, 125.4) 0.8 -3.5 (-5.0, -2.6)
Vance County 4 stable higher 112 192.5 (176.3, 209.8) 1.3 -0.7 (-1.3, 0.0)
Union County 8 falling similar 351 140.2 (133.5, 147.1) 1.0 -1.6 (-2.1, -1.0)
Tyrrell County 8 falling similar 12 190.1 (142.0, 252.6) 1.3 -2.5 (-4.5, -0.6)
Transylvania County 8 falling similar 93 131.8 (119.0, 145.9) 0.9 -1.2 (-2.0, -0.4)
Swain County 4 stable higher 44 224.5 (194.9, 257.7) 1.5 0.9 (-0.3, 2.1)
Surry County 5 falling higher 199 183.7 (172.2, 195.9) 1.3 -0.5 (-1.0, -0.1)
Stokes County 5 falling higher 121 167.5 (153.9, 182.1) 1.2 -1.1 (-1.9, -0.3)
Stanly County 5 falling higher 151 174.2 (161.7, 187.5) 1.2 -0.8 (-1.4, -0.2)
Scotland County 5 falling higher 87 192.1 (174.0, 211.7) 1.3 -1.0 (-1.9, -0.2)
Sampson County 5 falling higher 149 189.9 (176.2, 204.4) 1.3 -0.6 (-1.1, 0.0)
Rutherford County 5 falling higher 178 175.7 (164.0, 188.2) 1.2 -0.7 (-1.3, -0.2)
Rowan County 5 falling higher 321 165.2 (157.0, 173.7) 1.1 -3.1 (-5.0, -1.9)
Rockingham County 5 falling higher 241 172.3 (162.4, 182.7) 1.2 -1.3 (-1.7, -0.9)
Robeson County 4 stable higher 275 199.1 (188.4, 210.2) 1.4 -0.3 (-0.9, 0.2)
Richmond County 4 stable higher 119 210.2 (193.2, 228.4) 1.4 -0.4 (-1.3, 0.4)
Randolph County 5 falling higher 330 170.0 (161.7, 178.7) 1.2 -0.7 (-1.2, -0.2)
Polk County 8 falling similar 57 138.6 (120.5, 159.2) 1.0 -1.2 (-2.2, -0.3)
Pitt County 8 falling similar 293 159.5 (151.3, 168.1) 1.1 -1.5 (-2.0, -1.0)
Person County 5 falling higher 100 167.7 (152.9, 183.8) 1.2 -1.2 (-2.2, -0.2)
Perquimans County 8 falling similar 41 163.5 (140.8, 189.7) 1.1 -1.2 (-2.4, -0.1)
Pender County 5 falling higher 140 168.9 (156.2, 182.4) 1.2 -0.7 (-1.4, -0.1)
Pasquotank County 8 falling similar 88 159.6 (144.6, 175.8) 1.1 -1.5 (-2.3, -0.8)
Pamlico County 8 falling similar 39 159.5 (135.4, 187.8) 1.1 -1.3 (-2.4, -0.2)
Orange County 9 falling lower 200 120.7 (113.2, 128.7) 0.8 -2.4 (-2.9, -1.9)
Onslow County 4 stable higher 297 191.2 (181.3, 201.4) 1.3 -0.3 (-1.0, 0.5)
Northampton County 5 falling higher 58 174.9 (153.5, 199.1) 1.2 -1.1 (-1.9, -0.4)
New Hanover County 8 falling similar 459 149.6 (143.4, 156.0) 1.0 -1.4 (-1.9, -0.9)
Nash County 5 falling higher 212 160.2 (150.4, 170.5) 1.1 -1.4 (-1.8, -1.0)
Moore County 8 falling similar 265 152.1 (143.7, 161.0) 1.0 -1.3 (-1.8, -0.8)
Montgomery County 6 stable similar 65 159.6 (141.9, 179.1) 1.1 -0.7 (-1.6, 0.3)
Mitchell County 4 stable higher 49 190.1 (165.8, 217.6) 1.3 6.6 (-0.7, 12.2)
Mecklenburg County 8 falling similar 1,355 131.0 (127.8, 134.2) 0.9 -1.9 (-2.1, -1.7)
McDowell County 4 stable higher 129 187.3 (172.7, 202.9) 1.3 -0.1 (-0.8, 0.6)
Martin County 1 rising higher 68 182.4 (162.6, 204.4) 1.3 9.4 (5.0, 15.0)
Madison County 6 stable similar 53 155.5 (136.5, 176.8) 1.1 1.3 (-1.1, 6.7)
Macon County 8 falling similar 105 150.2 (136.8, 164.8) 1.0 -1.0 (-1.6, -0.3)
Lincoln County 8 falling similar 188 151.1 (141.3, 161.5) 1.0 -1.3 (-1.8, -0.8)
Lenoir County 5 falling higher 140 168.4 (155.7, 181.9) 1.2 -1.5 (-2.3, -0.8)
Lee County 8 falling similar 125 152.1 (140.2, 164.8) 1.0 -1.5 (-2.3, -0.7)
Jones County 6 stable similar 27 174.8 (145.3, 209.6) 1.2 -0.8 (-2.4, 0.8)
Johnston County 5 falling higher 374 162.2 (154.6, 170.1) 1.1 -1.1 (-1.5, -0.7)
Jackson County 9 falling lower 77 126.8 (114.0, 140.9) 0.9 -1.6 (-2.5, -0.7)
Iredell County 8 falling similar 348 146.6 (139.6, 153.8) 1.0 -1.4 (-1.9, -1.0)
Hyde County 8 falling similar 9 126.8 (90.7, 174.8) 0.9 -12.8 (-41.9, -2.7)
Hoke County 5 falling higher 82 175.8 (158.3, 194.7) 1.2 -1.7 (-2.8, -0.5)
Hertford County 5 falling higher 53 167.4 (147.1, 190.1) 1.2 -2.0 (-2.8, -1.2)
Henderson County 8 falling similar 314 150.4 (142.7, 158.5) 1.0 -0.9 (-1.3, -0.5)
Haywood County 8 falling similar 170 155.8 (145.0, 167.3) 1.1 -0.8 (-1.5, -0.2)
Harnett County 5 falling higher 253 179.3 (169.3, 189.7) 1.2 -1.0 (-1.4, -0.5)
Halifax County 5 falling higher 144 196.2 (181.6, 211.9) 1.3 -0.6 (-1.2, -0.1)
Guilford County 6 stable similar 951 150.5 (146.1, 154.9) 1.0 -0.9 (-1.2, 0.4)
Greene County 8 falling similar 42 161.6 (140.0, 185.7) 1.1 -1.4 (-2.5, -0.3)
Granville County 4 stable higher 138 168.8 (156.1, 182.3) 1.2 -0.9 (-1.8, 1.4)
Graham County 6 stable similar 23 165.0 (135.4, 200.5) 1.1 -0.5 (-2.1, 1.2)
Gates County 8 falling similar 26 160.1 (132.4, 192.8) 1.1 -1.8 (-3.1, -0.6)
Gaston County 5 falling higher 476 164.9 (158.2, 171.8) 1.1 -1.4 (-1.7, -1.1)
Franklin County 8 falling similar 139 152.1 (140.7, 164.3) 1.0 -1.7 (-2.3, -1.0)
Forsyth County 6 stable similar 755 159.8 (154.7, 165.1) 1.1 0.7 (-1.3, 2.0)
Edgecombe County 4 stable higher 139 191.5 (177.0, 207.0) 1.3 -0.2 (-1.0, 2.6)
Durham County 8 falling similar 466 136.6 (131.0, 142.4) 0.9 -2.2 (-2.4, -2.0)
Duplin County 5 falling higher 116 170.4 (156.3, 185.4) 1.2 -0.9 (-1.6, -0.2)
Davie County 6 stable similar 105 152.8 (139.7, 166.9) 1.1 -0.6 (-1.5, 0.3)
Davidson County 5 falling higher 419 175.2 (167.6, 183.1) 1.2 -0.7 (-1.2, -0.1)
Dare County 8 falling similar 92 156.2 (141.5, 172.4) 1.1 -1.6 (-2.5, -0.6)
Currituck County 6 stable similar 58 152.1 (134.0, 172.2) 1.0 3.0 (-0.4, 8.9)
Cumberland County 5 falling higher 565 173.8 (167.3, 180.5) 1.2 -1.0 (-1.3, -0.7)
Craven County 5 falling higher 248 169.5 (159.9, 179.6) 1.2 -1.3 (-1.5, -1.0)
Columbus County 5 falling higher 141 190.3 (176.1, 205.5) 1.3 -0.8 (-1.5, 0.0)
Cleveland County 5 falling higher 251 184.2 (173.8, 195.1) 1.3 -0.6 (-1.0, -0.2)
Clay County 8 falling similar 32 127.4 (107.4, 151.6) 0.9 -1.6 (-2.5, -0.8)
Chowan County 8 falling similar 40 163.5 (140.4, 189.9) 1.1 -1.3 (-2.5, -0.1)
Cherokee County 8 falling similar 89 148.4 (133.7, 164.7) 1.0 -1.6 (-2.2, -1.1)
Chatham County 9 falling lower 178 127.8 (119.3, 137.0) 0.9 -1.6 (-2.1, -0.9)
Catawba County 8 falling similar 343 158.3 (150.8, 166.2) 1.1 -1.3 (-1.7, -0.9)
Caswell County 5 falling higher 62 166.9 (148.3, 187.7) 1.1 -1.2 (-1.9, -0.5)
Carteret County 5 falling higher 204 163.0 (152.8, 173.9) 1.1 -1.4 (-2.0, -0.8)
Camden County 6 stable similar 23 168.6 (138.3, 204.1) 1.2 1.4 (-5.3, 9.0)
Caldwell County 5 falling higher 225 186.7 (175.6, 198.4) 1.3 -0.7 (-1.2, -0.2)
Cabarrus County 8 falling similar 335 140.5 (133.7, 147.5) 1.0 -1.9 (-2.4, -1.4)
Burke County 5 falling higher 224 164.6 (154.8, 174.9) 1.1 -0.7 (-1.2, -0.2)
Buncombe County 8 falling similar 545 135.2 (130.0, 140.5) 0.9 -1.7 (-2.0, -1.4)
Brunswick County 8 falling similar 441 152.7 (145.6, 160.1) 1.1 -1.2 (-1.7, -0.7)
Bladen County 5 falling higher 83 173.2 (156.2, 191.8) 1.2 -0.9 (-1.9, 0.0)
Bertie County 5 falling higher 52 180.6 (157.9, 206.2) 1.2 -1.7 (-2.7, -0.7)
Beaufort County 5 falling higher 124 160.5 (147.5, 174.5) 1.1 -1.3 (-1.9, -0.6)
Avery County 8 falling similar 38 130.6 (112.2, 151.8) 0.9 -2.2 (-3.5, -1.0)
Ashe County 6 stable similar 78 151.8 (136.5, 168.7) 1.0 -0.7 (-1.7, 0.2)
Anson County 4 stable higher 62 200.1 (177.7, 224.7) 1.4 0.4 (-0.4, 1.2)
Alleghany County 6 stable similar 33 155.0 (131.0, 183.3) 1.1 -0.3 (-10.8, 8.9)
Alexander County 4 stable higher 91 168.5 (153.0, 185.3) 1.2 -0.6 (-1.4, 0.1)
Alamance County 5 falling higher 381 170.9 (163.2, 178.9) 1.2 -0.9 (-1.3, -0.5)
Notes:
Created by statecancerprofiles.cancer.gov on 03/17/2026 11:15 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

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.

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