Data Table for Rate/Trend Comparison by Cancer
Death Rate/Trend Comparison by Cancer, 2019-2023
North Carolina Counties versus United States
Lung & Bronchus
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 | - | 134,732 | 31.5 (31.4, 31.6) | - | -3.7 (-3.9, -3.5) |
| North Carolina | - | falling | - | 5,029 | 36.9 (36.4, 37.3) | - | -3.0 (-4.0, -2.2) |
| Chatham County | 9 | falling | lower | 34 | 23.7 (20.3, 27.8) | 0.8 | -3.8 (-5.0, -2.6) |
| Orange County | 9 | falling | lower | 40 | 24.0 (20.7, 27.7) | 0.8 | -4.1 (-5.4, -3.0) |
| Wake County | 9 | falling | lower | 274 | 24.9 (23.6, 26.3) | 0.8 | -4.3 (-5.0, -3.9) |
| Watauga County | 9 | falling | lower | 16 | 25.7 (20.2, 32.3) | 0.8 | -4.3 (-15.3, -2.4) |
| Mecklenburg County | 9 | falling | lower | 270 | 25.8 (24.4, 27.3) | 0.8 | -5.0 (-6.3, -4.3) |
| Polk County | 8 | falling | similar | 12 | 25.9 (19.2, 35.4) | 0.8 | -2.5 (-4.5, -0.7) |
| Durham County | 9 | falling | lower | 92 | 26.4 (23.9, 28.9) | 0.8 | -5.0 (-7.3, -4.3) |
| Avery County | 8 | falling | similar | 8 | 27.5 (19.5, 38.6) | 0.9 | -4.6 (-6.6, -3.0) |
| Jackson County | 8 | falling | similar | 18 | 27.7 (22.1, 34.5) | 0.9 | -21.9 (-37.2, -5.3) |
| Buncombe County | 8 | falling | similar | 119 | 28.5 (26.2, 31.0) | 0.9 | -9.0 (-17.2, -5.1) |
| Transylvania County | 8 | falling | similar | 22 | 29.5 (24.0, 36.3) | 0.9 | -2.2 (-3.4, -0.9) |
| Clay County | 8 | falling | similar | 9 | 31.7 (22.7, 45.2) | 1.0 | -3.3 (-5.1, -1.5) |
| Henderson County | 8 | falling | similar | 70 | 32.1 (28.8, 35.9) | 1.0 | -2.4 (-3.3, -1.5) |
| Union County | 8 | falling | similar | 83 | 32.2 (29.1, 35.6) | 1.0 | -3.2 (-4.4, -2.0) |
| New Hanover County | 8 | falling | similar | 102 | 32.3 (29.5, 35.3) | 1.0 | -6.5 (-14.2, -3.6) |
| Moore County | 8 | falling | similar | 59 | 33.5 (29.7, 37.8) | 1.1 | -2.8 (-3.9, -1.9) |
| Macon County | 8 | falling | similar | 25 | 33.8 (28.0, 40.8) | 1.1 | -5.0 (-11.1, -2.9) |
| Montgomery County | 8 | falling | similar | 15 | 34.2 (26.6, 43.7) | 1.1 | -2.5 (-3.8, -1.2) |
| Cabarrus County | 8 | falling | similar | 84 | 34.4 (31.1, 37.9) | 1.1 | -3.1 (-4.0, -2.2) |
| Guilford County | 8 | falling | similar | 222 | 34.5 (32.5, 36.7) | 1.1 | -2.4 (-3.0, -1.8) |
| Lee County | 8 | falling | similar | 30 | 34.7 (29.2, 40.9) | 1.1 | -7.2 (-15.5, -3.6) |
| Warren County | 6 | stable | similar | 13 | 35.3 (27.2, 46.0) | 1.1 | -6.1 (-12.7, 12.3) |
| Camden County | 8 | falling | similar | 5 | 35.5 (22.4, 54.2) | 1.1 | -4.2 (-7.1, -1.5) |
| Chowan County | 8 | falling | similar | 10 | 36.0 (26.4, 49.0) | 1.1 | -2.6 (-4.8, -0.6) |
| Brunswick County | 5 | falling | higher | 113 | 36.3 (33.0, 39.9) | 1.2 | -2.7 (-3.5, -1.8) |
| Pamlico County | 8 | falling | similar | 10 | 36.4 (26.8, 50.3) | 1.2 | -2.0 (-3.9, -0.1) |
| Ashe County | 8 | falling | similar | 20 | 36.5 (29.6, 45.1) | 1.2 | -2.0 (-3.9, -0.2) |
| Iredell County | 5 | falling | higher | 91 | 36.7 (33.3, 40.3) | 1.2 | -4.1 (-8.8, -2.8) |
| Pitt County | 5 | falling | higher | 70 | 37.1 (33.3, 41.3) | 1.2 | -2.4 (-3.2, -1.7) |
| Catawba County | 5 | falling | higher | 84 | 37.2 (33.6, 41.0) | 1.2 | -4.0 (-8.4, -3.0) |
| Alleghany County | 8 | falling | similar | 9 | 37.6 (27.0, 52.6) | 1.2 | -2.5 (-4.4, -0.7) |
| Dare County | 8 | falling | similar | 23 | 37.7 (30.7, 46.0) | 1.2 | -2.7 (-4.5, -0.9) |
| Lincoln County | 5 | falling | higher | 49 | 37.9 (33.2, 43.2) | 1.2 | -11.1 (-20.6, -2.4) |
| Pasquotank County | 8 | falling | similar | 22 | 38.1 (31.2, 46.3) | 1.2 | -3.9 (-13.8, -2.3) |
| Nash County | 5 | falling | higher | 53 | 38.1 (33.6, 43.2) | 1.2 | -11.7 (-20.8, -3.2) |
| Haywood County | 5 | falling | higher | 44 | 38.4 (33.3, 44.1) | 1.2 | -3.0 (-12.0, -1.7) |
| Forsyth County | 5 | falling | higher | 185 | 38.5 (36.0, 41.1) | 1.2 | -3.7 (-7.7, -2.5) |
| Cherokee County | 5 | falling | higher | 25 | 38.7 (31.8, 47.1) | 1.2 | -3.2 (-4.6, -1.9) |
| Person County | 5 | falling | higher | 25 | 39.3 (32.6, 47.2) | 1.2 | -2.3 (-4.4, -0.4) |
| Granville County | 5 | falling | higher | 33 | 39.5 (33.6, 46.3) | 1.3 | -2.9 (-4.1, -1.8) |
| Beaufort County | 5 | falling | higher | 32 | 39.8 (33.7, 46.8) | 1.3 | -2.8 (-3.7, -1.9) |
| Franklin County | 5 | falling | higher | 39 | 39.9 (34.3, 46.2) | 1.3 | -2.4 (-3.6, -1.3) |
| Wilson County | 5 | falling | higher | 45 | 40.3 (35.1, 46.1) | 1.3 | -1.9 (-3.0, -0.8) |
| Mitchell County | 8 | falling | similar | 11 | 40.3 (30.2, 53.7) | 1.3 | -1.9 (-3.8, -0.2) |
| Greene County | 8 | falling | similar | 11 | 40.8 (30.4, 53.8) | 1.3 | -2.4 (-4.2, -0.8) |
| Yancey County | 6 | stable | similar | 15 | 41.0 (31.9, 52.6) | 1.3 | -2.0 (-4.7, 0.7) |
| Madison County | 8 | falling | similar | 14 | 41.4 (32.1, 53.1) | 1.3 | -2.2 (-3.7, -0.7) |
| Duplin County | 4 | stable | higher | 31 | 41.6 (35.2, 49.1) | 1.3 | -1.2 (-2.6, 0.3) |
| Cleveland County | 5 | falling | higher | 61 | 42.0 (37.3, 47.2) | 1.3 | -2.3 (-3.4, -1.2) |
| Wilkes County | 5 | falling | higher | 46 | 42.0 (36.6, 48.1) | 1.3 | -1.8 (-2.6, -1.1) |
| Bertie County | 8 | falling | similar | 12 | 42.0 (31.7, 55.2) | 1.3 | -2.3 (-4.0, -0.6) |
| Currituck County | 5 | falling | higher | 17 | 42.0 (33.2, 52.8) | 1.3 | -2.6 (-4.2, -0.9) |
| Rutherford County | 5 | falling | higher | 45 | 42.3 (36.8, 48.4) | 1.3 | -1.9 (-3.3, -0.6) |
| Rowan County | 5 | falling | higher | 85 | 42.3 (38.3, 46.7) | 1.3 | -4.7 (-9.8, -2.7) |
| Carteret County | 5 | falling | higher | 54 | 42.4 (37.3, 48.1) | 1.3 | -2.3 (-3.4, -1.3) |
| Pender County | 5 | falling | higher | 38 | 42.8 (36.7, 49.7) | 1.4 | -1.6 (-2.9, -0.2) |
| Stokes County | 5 | falling | higher | 33 | 43.0 (36.6, 50.5) | 1.4 | -2.8 (-4.2, -1.5) |
| Washington County | 6 | stable | similar | 9 | 43.0 (30.4, 60.3) | 1.4 | -1.0 (-4.2, 2.0) |
| Davie County | 4 | stable | higher | 30 | 43.4 (36.7, 51.2) | 1.4 | -1.2 (-2.8, 0.5) |
| Alamance County | 5 | falling | higher | 99 | 43.5 (39.7, 47.6) | 1.4 | -1.8 (-2.4, -1.3) |
| Cumberland County | 5 | falling | higher | 146 | 43.9 (40.8, 47.3) | 1.4 | -2.1 (-2.7, -1.5) |
| Burke County | 5 | falling | higher | 63 | 44.0 (39.2, 49.3) | 1.4 | -2.1 (-3.2, -1.0) |
| Alexander County | 5 | falling | higher | 25 | 44.0 (36.5, 52.8) | 1.4 | -3.0 (-5.6, -1.9) |
| Stanly County | 5 | falling | higher | 40 | 44.1 (38.0, 50.9) | 1.4 | -1.6 (-2.6, -0.7) |
| Anson County | 4 | stable | higher | 15 | 44.3 (34.5, 56.4) | 1.4 | -1.2 (-3.0, 0.5) |
| Gaston County | 5 | falling | higher | 134 | 44.4 (41.1, 48.0) | 1.4 | -5.2 (-11.0, -3.0) |
| Martin County | 5 | falling | higher | 18 | 44.7 (35.6, 56.0) | 1.4 | -2.5 (-4.6, -0.7) |
| Edgecombe County | 5 | falling | higher | 35 | 45.0 (38.4, 52.6) | 1.4 | -1.5 (-2.4, -0.6) |
| Northampton County | 4 | stable | higher | 16 | 45.0 (35.0, 57.9) | 1.4 | -1.3 (-2.8, 0.0) |
| Hertford County | 4 | stable | higher | 15 | 45.1 (35.3, 57.3) | 1.4 | -1.7 (-3.7, 0.2) |
| Lenoir County | 5 | falling | higher | 38 | 45.2 (38.9, 52.5) | 1.4 | -1.9 (-3.2, -0.8) |
| Hoke County | 5 | falling | higher | 21 | 45.7 (36.9, 55.8) | 1.4 | -3.2 (-5.2, -1.2) |
| Swain County | 4 | stable | higher | 10 | 45.7 (33.5, 61.5) | 1.4 | -0.9 (-3.2, 1.4) |
| Halifax County | 5 | falling | higher | 35 | 45.7 (39.0, 53.4) | 1.5 | -1.7 (-2.9, -0.6) |
| Craven County | 5 | falling | higher | 68 | 45.8 (40.9, 51.1) | 1.5 | -1.7 (-2.7, -0.8) |
| Harnett County | 5 | falling | higher | 67 | 45.8 (40.9, 51.1) | 1.5 | -2.0 (-2.7, -1.3) |
| Jones County | 6 | stable | similar | 8 | 45.9 (31.8, 65.5) | 1.5 | -1.7 (-5.0, 1.4) |
| Bladen County | 5 | falling | higher | 24 | 46.2 (38.0, 56.0) | 1.5 | -1.8 (-3.6, -0.1) |
| Vance County | 5 | falling | higher | 28 | 46.2 (38.7, 55.0) | 1.5 | -2.1 (-3.3, -0.9) |
| Perquimans County | 4 | stable | higher | 12 | 46.5 (35.3, 61.4) | 1.5 | -1.7 (-4.1, 0.7) |
| Johnston County | 5 | falling | higher | 111 | 46.8 (42.8, 51.0) | 1.5 | -1.7 (-2.3, -1.0) |
| Gates County | 5 | falling | higher | 8 | 47.2 (32.9, 66.6) | 1.5 | -2.9 (-4.8, -1.1) |
| McDowell County | 5 | falling | higher | 34 | 47.4 (40.4, 55.4) | 1.5 | -10.0 (-18.1, -1.4) |
| Surry County | 5 | falling | higher | 54 | 47.5 (41.9, 53.7) | 1.5 | -11.0 (-21.5, -2.9) |
| Yadkin County | 5 | falling | higher | 28 | 48.1 (40.3, 57.1) | 1.5 | -1.5 (-3.0, -0.1) |
| Wayne County | 5 | falling | higher | 74 | 48.2 (43.3, 53.5) | 1.5 | -1.6 (-2.3, -0.9) |
| Davidson County | 5 | falling | higher | 119 | 48.4 (44.5, 52.5) | 1.5 | -4.4 (-9.9, -2.2) |
| Randolph County | 5 | falling | higher | 99 | 48.4 (44.1, 53.0) | 1.5 | -6.9 (-14.7, -1.8) |
| Caldwell County | 5 | falling | higher | 63 | 49.6 (44.2, 55.7) | 1.6 | -3.8 (-10.6, -2.2) |
| Rockingham County | 5 | falling | higher | 73 | 49.8 (44.7, 55.4) | 1.6 | -1.8 (-2.6, -1.1) |
| Columbus County | 5 | falling | higher | 39 | 49.9 (43.0, 57.8) | 1.6 | -2.0 (-3.6, -0.5) |
| Caswell County | 4 | stable | higher | 20 | 50.8 (41.1, 62.7) | 1.6 | -1.6 (-3.4, 0.1) |
| Sampson County | 4 | stable | higher | 43 | 52.2 (45.3, 59.9) | 1.7 | -0.5 (-1.7, 0.7) |
| Graham County | 4 | stable | higher | 8 | 52.4 (36.9, 74.0) | 1.7 | -0.8 (-4.0, 2.7) |
| Scotland County | 5 | falling | higher | 25 | 53.7 (44.5, 64.4) | 1.7 | -1.4 (-2.9, 0.0) |
| Robeson County | 4 | stable | higher | 77 | 54.1 (48.7, 59.9) | 1.7 | -0.8 (-1.8, 0.1) |
| Onslow County | 5 | falling | higher | 86 | 54.1 (49.0, 59.6) | 1.7 | -1.2 (-2.1, -0.3) |
| Tyrrell County | 4 | stable | higher | 4 | 58.4 (35.0, 96.9) | 1.9 | -0.7 (-3.6, 2.3) |
| Richmond County | 4 | stable | higher | 35 | 58.6 (50.0, 68.3) | 1.9 | -1.1 (-2.3, 0.0) |
| Hyde County |
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** |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 6:56 pm.
* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
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:
Hyde 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 03/11/2026 6:56 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 < 0.90* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
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:
Hyde 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.