Data Table for Rate/Trend Comparison by Cancer
Death Rate/Trend Comparison by Cancer, 2019-2023
North Carolina Counties versus United States
Colon & Rectum
All Races, Both Sexes
Sorted by rateratio
Counties
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Priority Index1 1=highest 9=lowest 
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Recent Trend2 |
County Death Rate Compared to US Rate |
Average Annual Count
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Age-Adjusted Death Rate deaths per 100,000 (95% Confidence Interval)
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Rate Ratio3 County to US 
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Recent 5-Year Trend2 in Death Rates (95% Confidence Interval)
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|---|---|---|---|---|---|---|---|
| United States | - | falling | - | 52,648 | 12.9 (12.8, 12.9) | - | -0.8 (-1.5, -0.4) |
| North Carolina | - | falling | - | 1,645 | 12.8 (12.5, 13.1) | - | -1.2 (-1.7, -0.1) |
| Franklin County | 9 | falling | lower | 8 | 8.5 (6.0, 11.8) | 0.7 | -4.1 (-6.3, -2.1) |
| Ashe County | 7 | stable | lower | 5 | 8.7 (5.5, 13.9) | 0.7 | -2.3 (-5.2, 0.6) |
| Yadkin County | 9 | falling | lower | 5 | 9.0 (5.7, 13.7) | 0.7 | -4.2 (-8.1, -0.9) |
| Transylvania County | 7 | stable | lower | 6 | 9.1 (6.0, 13.9) | 0.7 | -1.0 (-4.0, 2.3) |
| Chatham County | 7 | stable | lower | 12 | 9.3 (6.9, 12.3) | 0.7 | -2.3 (-4.9, 0.2) |
| Orange County | 7 | stable | lower | 16 | 9.8 (7.7, 12.3) | 0.8 | -0.3 (-3.2, 11.1) |
| Pender County | 6 | stable | similar | 8 | 9.9 (7.0, 13.7) | 0.8 | -2.0 (-4.9, 0.9) |
| Wake County | 7 | stable | lower | 110 | 10.0 (9.1, 10.8) | 0.8 | -1.3 (-6.5, 5.5) |
| Nash County | 9 | falling | lower | 13 | 10.0 (7.6, 12.9) | 0.8 | -3.4 (-5.8, -1.2) |
| Union County | 9 | falling | lower | 27 | 10.6 (8.9, 12.7) | 0.8 | -2.7 (-3.9, -1.3) |
| New Hanover County | 9 | falling | lower | 33 | 10.7 (9.1, 12.5) | 0.8 | -2.8 (-4.4, -1.1) |
| Durham County | 7 | stable | lower | 38 | 11.2 (9.6, 13.0) | 0.9 | -1.7 (-3.3, 4.5) |
| Johnston County | 8 | falling | similar | 26 | 11.2 (9.3, 13.4) | 0.9 | -1.8 (-3.2, -0.1) |
| Mecklenburg County | 9 | falling | lower | 117 | 11.2 (10.3, 12.2) | 0.9 | -2.7 (-3.5, -1.9) |
| Northampton County | 8 | falling | similar | 4 | 11.4 (6.4, 19.7) | 0.9 | -2.4 (-4.8, -0.3) |
| Davie County | 6 | stable | similar | 8 | 11.4 (8.0, 16.0) | 0.9 | -2.0 (-4.5, 0.7) |
| Buncombe County | 8 | falling | similar | 46 | 11.5 (10.0, 13.2) | 0.9 | -1.7 (-2.9, -0.6) |
| Dare County | 6 | stable | similar | 7 | 11.6 (7.9, 16.9) | 0.9 | -1.7 (-4.0, 0.8) |
| Cabarrus County | 8 | falling | similar | 28 | 11.9 (9.9, 14.0) | 0.9 | -2.1 (-3.3, -0.8) |
| Guilford County | 8 | falling | similar | 74 | 11.9 (10.7, 13.3) | 0.9 | -2.0 (-3.1, -0.9) |
| Brunswick County | 6 | stable | similar | 30 | 12.0 (9.9, 14.4) | 0.9 | -1.9 (-3.7, 0.2) |
| Warren County | 8 | falling | similar | 4 | 12.0 (6.9, 20.1) | 0.9 | -3.8 (-7.9, -0.4) |
| Rowan County | 8 | falling | similar | 23 | 12.1 (10.0, 14.7) | 0.9 | -5.3 (-15.8, -2.1) |
| Moore County | 6 | stable | similar | 20 | 12.3 (9.9, 15.2) | 1.0 | 2.8 (-0.2, 9.4) |
| Iredell County | 8 | falling | similar | 28 | 12.4 (10.4, 14.7) | 1.0 | -2.4 (-4.0, -0.8) |
| Yancey County | 6 | stable | similar | 4 | 12.5 (7.5, 20.3) | 1.0 | -1.2 (-5.9, 3.2) |
| Burke County | 6 | stable | similar | 16 | 12.5 (9.8, 15.8) | 1.0 | -1.7 (-3.7, 0.1) |
| Cumberland County | 8 | falling | similar | 40 | 12.5 (10.8, 14.4) | 1.0 | -2.4 (-3.3, -1.5) |
| Pitt County | 6 | stable | similar | 23 | 12.5 (10.3, 15.1) | 1.0 | -0.5 (-2.9, 7.0) |
| Martin County | 6 | stable | similar | 4 | 12.6 (7.2, 20.8) | 1.0 | -3.1 (-7.0, 0.0) |
| Craven County | 8 | falling | similar | 18 | 12.7 (10.1, 15.8) | 1.0 | -3.6 (-5.6, -1.8) |
| Henderson County | 8 | falling | similar | 25 | 12.8 (10.5, 15.6) | 1.0 | -2.1 (-4.2, 0.0) |
| Wilkes County | 8 | falling | similar | 13 | 12.8 (9.8, 16.6) | 1.0 | -2.4 (-5.0, -0.1) |
| Forsyth County | 8 | falling | similar | 60 | 13.1 (11.6, 14.7) | 1.0 | -2.0 (-3.1, -0.9) |
| Chowan County | 6 | stable | similar | 3 | 13.1 (7.5, 22.6) | 1.0 | -2.8 (-7.0, 1.0) |
| Alamance County | 8 | falling | similar | 29 | 13.1 (11.0, 15.5) | 1.0 | -1.4 (-2.3, -0.5) |
| Currituck County | 6 | stable | similar | 4 | 13.2 (8.0, 20.7) | 1.0 | -2.9 (-6.0, 0.2) |
| Person County | 6 | stable | similar | 8 | 13.3 (9.4, 18.7) | 1.0 | -1.6 (-4.1, 0.9) |
| Randolph County | 8 | falling | similar | 25 | 13.5 (11.2, 16.1) | 1.0 | -2.2 (-3.9, -0.7) |
| Hoke County | 6 | stable | similar | 6 | 13.5 (9.0, 19.4) | 1.1 | -2.5 (-5.4, 0.4) |
| Gaston County | 8 | falling | similar | 39 | 13.7 (11.8, 15.8) | 1.1 | -1.7 (-2.6, -0.8) |
| Haywood County | 6 | stable | similar | 14 | 14.1 (10.8, 18.2) | 1.1 | 21.0 (-1.8, 41.7) |
| Carteret County | 6 | stable | similar | 17 | 14.1 (11.1, 17.8) | 1.1 | -1.0 (-2.8, 0.7) |
| Catawba County | 8 | falling | similar | 30 | 14.3 (12.0, 16.9) | 1.1 | -2.2 (-3.7, -0.7) |
| Alexander County | 6 | stable | similar | 8 | 14.3 (10.1, 19.9) | 1.1 | -1.9 (-5.1, 1.3) |
| Edgecombe County | 6 | stable | similar | 10 | 14.3 (10.5, 19.2) | 1.1 | -1.3 (-2.8, 0.1) |
| Wilson County | 6 | stable | similar | 15 | 14.5 (11.3, 18.4) | 1.1 | -1.1 (-3.4, 1.2) |
| Lee County | 8 | falling | similar | 12 | 14.5 (11.0, 18.8) | 1.1 | -2.7 (-5.1, -0.2) |
| Lincoln County | 6 | stable | similar | 17 | 14.6 (11.5, 18.2) | 1.1 | 13.6 (-2.1, 26.7) |
| Stokes County | 6 | stable | similar | 10 | 14.6 (10.5, 19.9) | 1.1 | -1.4 (-3.6, 0.8) |
| Jackson County | 6 | stable | similar | 9 | 14.8 (10.5, 20.3) | 1.1 | -0.9 (-3.6, 1.9) |
| Davidson County | 8 | falling | similar | 34 | 14.9 (12.7, 17.3) | 1.2 | -1.4 (-2.5, -0.2) |
| Pasquotank County | 6 | stable | similar | 8 | 14.9 (10.6, 20.6) | 1.2 | -1.0 (-3.4, 1.5) |
| Caswell County | 6 | stable | similar | 6 | 15.1 (10.0, 22.5) | 1.2 | -0.3 (-2.9, 2.5) |
| Halifax County | 6 | stable | similar | 11 | 15.3 (11.3, 20.4) | 1.2 | -0.9 (-2.6, 0.8) |
| Scotland County | 6 | stable | similar | 7 | 15.4 (10.5, 21.9) | 1.2 | -1.2 (-3.6, 1.2) |
| Rockingham County | 8 | falling | similar | 21 | 15.5 (12.7, 18.9) | 1.2 | -2.0 (-3.4, -0.6) |
| Montgomery County | 6 | stable | similar | 6 | 15.6 (10.2, 23.1) | 1.2 | -2.0 (-4.9, 0.7) |
| Beaufort County | 8 | falling | similar | 11 | 15.6 (11.5, 20.9) | 1.2 | -1.8 (-3.7, -0.1) |
| Cleveland County | 8 | falling | similar | 21 | 15.7 (12.8, 19.2) | 1.2 | -1.9 (-3.8, -0.1) |
| Lenoir County | 8 | falling | similar | 12 | 15.8 (11.8, 20.7) | 1.2 | -2.0 (-4.1, -0.1) |
| Madison County | 6 | stable | similar | 5 | 15.9 (9.9, 24.7) | 1.2 | 0.1 (-3.0, 3.2) |
| Caldwell County | 6 | stable | similar | 18 | 15.9 (12.7, 19.8) | 1.2 | -0.8 (-2.8, 1.1) |
| Hertford County | 8 | falling | similar | 5 | 16.2 (10.0, 25.1) | 1.3 | -4.1 (-7.0, -1.8) |
| Onslow County | 4 | stable | higher | 24 | 16.2 (13.4, 19.4) | 1.3 | 3.9 (-0.4, 16.7) |
| Harnett County | 4 | stable | higher | 22 | 16.2 (13.3, 19.6) | 1.3 | 1.6 (-1.3, 10.2) |
| Stanly County | 6 | stable | similar | 14 | 16.4 (12.7, 20.9) | 1.3 | 0.9 (-7.1, 10.2) |
| Surry County | 4 | stable | higher | 17 | 16.6 (13.2, 20.8) | 1.3 | -0.3 (-2.8, 2.3) |
| Duplin County | 6 | stable | similar | 11 | 16.7 (12.4, 22.0) | 1.3 | 2.9 (-0.3, 15.8) |
| Rutherford County | 4 | stable | higher | 16 | 16.8 (13.2, 21.2) | 1.3 | -1.8 (-4.0, 0.1) |
| Macon County | 6 | stable | similar | 11 | 16.9 (12.6, 22.6) | 1.3 | -0.3 (-2.5, 2.1) |
| Sampson County | 4 | stable | higher | 13 | 17.3 (13.3, 22.2) | 1.3 | -0.8 (-2.5, 1.0) |
| Columbus County | 4 | stable | higher | 13 | 17.3 (13.2, 22.5) | 1.3 | 3.0 (-0.1, 16.6) |
| Bladen County | 6 | stable | similar | 8 | 17.3 (12.3, 24.1) | 1.3 | -0.5 (-2.3, 1.4) |
| Cherokee County | 6 | stable | similar | 10 | 17.4 (12.6, 24.2) | 1.4 | -1.3 (-3.8, 1.4) |
| Mitchell County | 6 | stable | similar | 5 | 17.5 (11.0, 27.6) | 1.4 | -1.2 (-4.0, 1.4) |
| McDowell County | 4 | stable | higher | 12 | 17.6 (13.2, 23.1) | 1.4 | -0.7 (-2.7, 1.3) |
| Bertie County | 8 | falling | similar | 5 | 17.7 (11.0, 27.5) | 1.4 | -3.9 (-6.1, -2.1) |
| Perquimans County | 6 | stable | similar | 4 | 17.9 (10.6, 29.6) | 1.4 | -2.0 (-5.1, 1.2) |
| Wayne County | 4 | stable | higher | 26 | 18.5 (15.4, 22.1) | 1.4 | -0.8 (-2.4, 0.8) |
| Granville County | 4 | stable | higher | 15 | 18.7 (14.5, 23.7) | 1.5 | -1.4 (-3.7, 0.9) |
| Vance County | 4 | stable | higher | 11 | 18.8 (13.9, 25.0) | 1.5 | -1.4 (-3.4, 0.7) |
| Robeson County | 4 | stable | higher | 27 | 19.7 (16.4, 23.4) | 1.5 | 0.0 (-1.4, 1.6) |
| Anson County | 4 | stable | higher | 7 | 20.5 (14.0, 29.4) | 1.6 | 0.8 (-1.1, 3.0) |
| Swain County | 6 | stable | similar | 4 | 20.9 (11.9, 34.2) | 1.6 | 2.1 (-0.6, 5.5) |
| Richmond County | 1 | rising | higher | 11 | 21.3 (16.0, 28.0) | 1.7 | 8.2 (0.1, 30.8) |
| Washington County | 4 | stable | higher | 5 | 29.1 (16.8, 47.1) | 2.3 | 5.6 (-18.4, 34.1) |
| Clay County |
|
** | similar | 3 | 13.1 (7.3, 24.0) | 1.0 |
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| Greene County |
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** | similar | 3 | 13.2 (7.5, 21.7) | 1.0 |
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| Polk County |
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** | similar | 6 | 15.3 (9.3, 24.5) | 1.2 |
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| Watauga County |
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** | similar | 5 | 10.3 (6.7, 15.2) | 0.8 |
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| Alleghany County |
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** |
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| Avery County |
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** |
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| Camden County |
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** |
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| Gates County |
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** |
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| Graham County |
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** |
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| Hyde County |
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** |
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| Jones County |
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** |
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| Pamlico County |
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** |
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| Tyrrell County |
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** |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 5:18 am.
* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Alleghany County, Avery County, Camden County, Gates County, Graham County, Hyde County, Jones County, Pamlico County, Tyrrell County
Trend for the following could not be reliably determined due to small number of deaths per year:
Clay County, Greene County, Polk County, Watauga County
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 5:18 am.
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 < 0.90* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Alleghany County, Avery County, Camden County, Gates County, Graham County, Hyde County, Jones County, Pamlico County, Tyrrell County
Trend for the following could not be reliably determined due to small number of deaths per year:
Clay County, Greene County, Polk County, Watauga County
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.