Data Table for Rate/Trend Comparison by Cancer
Death Rate/Trend Comparison by Cancer, 2019-2023
North Carolina Counties versus United States
Breast
All Races, Female
Sorted by rate
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 | - | 42,257 | 19.2 (19.1, 19.3) | - | -1.5 (-1.7, -1.3) |
| North Carolina | - | falling | - | 1,398 | 19.8 (19.3, 20.3) | - | -1.2 (-1.5, -0.9) |
| Mitchell County | 1 | rising | higher | 5 | 38.6 (23.4, 61.4) | 2.0 | 3.5 (0.1, 7.9) |
| Vance County | 1 | rising | higher | 10 | 33.2 (24.3, 44.6) | 1.7 | 2.1 (0.0, 4.6) |
| Anson County | 6 | stable | similar | 5 | 29.1 (18.9, 44.0) | 1.5 | 1.0 (-2.4, 4.9) |
| Bladen County | 4 | stable | higher | 7 | 29.0 (20.1, 41.3) | 1.5 | -1.8 (-4.8, 1.0) |
| Richmond County | 4 | stable | higher | 8 | 28.3 (20.1, 39.1) | 1.5 | -0.1 (-1.9, 1.7) |
| Nash County | 4 | stable | higher | 19 | 27.9 (22.4, 34.3) | 1.5 | 0.4 (-1.2, 2.0) |
| Sampson County | 4 | stable | higher | 12 | 27.4 (20.6, 35.8) | 1.4 | 0.0 (-2.5, 2.5) |
| Halifax County | 6 | stable | similar | 10 | 26.6 (19.4, 35.9) | 1.4 | -0.4 (-2.7, 1.7) |
| Edgecombe County | 8 | falling | similar | 10 | 26.2 (18.9, 35.6) | 1.4 | -1.6 (-2.8, -0.4) |
| Cumberland County | 5 | falling | higher | 46 | 25.3 (22.0, 28.9) | 1.3 | -0.9 (-1.8, 0.0) |
| Wilson County | 6 | stable | similar | 15 | 25.1 (19.5, 32.0) | 1.3 | -1.6 (-4.0, 0.7) |
| Onslow County | 4 | stable | higher | 21 | 25.0 (20.3, 30.3) | 1.3 | 0.9 (-0.3, 2.5) |
| Robeson County | 4 | stable | higher | 19 | 24.9 (20.0, 30.8) | 1.3 | -1.0 (-2.6, 0.6) |
| Hoke County | 6 | stable | similar | 7 | 24.9 (16.8, 35.4) | 1.3 | 0.1 (-2.6, 3.6) |
| Columbus County | 6 | stable | similar | 10 | 24.8 (17.9, 33.7) | 1.3 | -0.8 (-2.7, 1.1) |
| Wayne County | 4 | stable | higher | 18 | 24.7 (19.8, 30.6) | 1.3 | -1.0 (-2.5, 0.5) |
| Pitt County | 4 | stable | higher | 24 | 24.1 (19.8, 29.0) | 1.3 | -1.2 (-3.1, 0.7) |
| Cleveland County | 6 | stable | similar | 16 | 22.7 (17.8, 28.6) | 1.2 | -0.8 (-2.4, 0.8) |
| Pender County | 6 | stable | similar | 10 | 22.6 (16.5, 30.4) | 1.2 | -0.2 (-2.8, 2.8) |
| Rowan County | 6 | stable | similar | 22 | 22.1 (18.1, 26.9) | 1.2 | -0.1 (-2.0, 6.6) |
| McDowell County | 6 | stable | similar | 8 | 22.0 (15.7, 30.6) | 1.1 | 0.5 (-2.2, 3.5) |
| Duplin County | 8 | falling | similar | 7 | 21.6 (14.8, 30.7) | 1.1 | -1.9 (-3.6, -0.4) |
| Scotland County | 6 | stable | similar | 6 | 21.6 (14.1, 32.2) | 1.1 | -2.0 (-5.1, 0.9) |
| Person County | 6 | stable | similar | 7 | 21.5 (14.9, 30.6) | 1.1 | 0.1 (-2.0, 2.3) |
| Randolph County | 6 | stable | similar | 22 | 21.4 (17.4, 26.1) | 1.1 | -0.3 (-1.6, 1.0) |
| Avery County | 6 | stable | similar | 3 | 21.4 (12.0, 37.6) | 1.1 | -0.5 (-4.1, 3.4) |
| Martin County | 6 | stable | similar | 4 | 21.3 (12.6, 34.9) | 1.1 | -2.1 (-5.3, 0.9) |
| Forsyth County | 6 | stable | similar | 55 | 21.0 (18.5, 23.7) | 1.1 | -0.8 (-1.7, 0.1) |
| Franklin County | 6 | stable | similar | 10 | 20.7 (15.1, 27.9) | 1.1 | -0.6 (-2.9, 1.9) |
| New Hanover County | 6 | stable | similar | 34 | 20.5 (17.4, 24.0) | 1.1 | -1.6 (-3.1, 0.1) |
| Rockingham County | 8 | falling | similar | 15 | 20.3 (15.7, 26.0) | 1.1 | -2.1 (-3.7, -0.7) |
| Guilford County | 6 | stable | similar | 71 | 20.3 (18.2, 22.6) | 1.1 | -0.9 (-1.9, 0.2) |
| Alamance County | 6 | stable | similar | 24 | 20.3 (16.7, 24.5) | 1.1 | -1.0 (-2.5, 0.6) |
| Burke County | 6 | stable | similar | 14 | 20.1 (15.4, 26.1) | 1.1 | -1.0 (-3.5, 1.2) |
| Durham County | 8 | falling | similar | 37 | 20.1 (17.3, 23.3) | 1.0 | -1.5 (-2.5, -0.5) |
| Rutherford County | 6 | stable | similar | 11 | 20.1 (14.9, 26.8) | 1.0 | -1.1 (-3.4, 1.2) |
| Caldwell County | 6 | stable | similar | 12 | 20.1 (15.1, 26.4) | 1.0 | -0.4 (-2.1, 1.4) |
| Transylvania County | 6 | stable | similar | 6 | 19.9 (12.7, 30.6) | 1.0 | -1.1 (-4.3, 2.5) |
| Davidson County | 6 | stable | similar | 24 | 19.9 (16.4, 24.0) | 1.0 | -0.8 (-2.3, 0.7) |
| Orange County | 8 | falling | similar | 18 | 19.9 (15.9, 24.7) | 1.0 | -2.5 (-4.5, -0.6) |
| Beaufort County | 6 | stable | similar | 8 | 19.8 (13.9, 27.9) | 1.0 | -0.6 (-3.6, 2.6) |
| Macon County | 6 | stable | similar | 7 | 19.8 (13.2, 29.1) | 1.0 | -1.8 (-4.4, 0.7) |
| Alexander County | 6 | stable | similar | 5 | 19.7 (12.2, 30.5) | 1.0 | -1.6 (-5.4, 2.3) |
| Henderson County | 6 | stable | similar | 21 | 19.4 (15.7, 24.0) | 1.0 | -0.7 (-2.2, 0.8) |
| Moore County | 6 | stable | similar | 17 | 19.4 (15.2, 24.6) | 1.0 | -0.6 (-2.1, 0.9) |
| Mecklenburg County | 8 | falling | similar | 115 | 19.4 (17.8, 21.1) | 1.0 | -1.5 (-2.0, -0.9) |
| Granville County | 8 | falling | similar | 8 | 19.3 (13.7, 26.7) | 1.0 | -3.0 (-5.4, -0.7) |
| Harnett County | 6 | stable | similar | 15 | 19.1 (14.9, 24.1) | 1.0 | -1.5 (-3.4, 0.5) |
| Catawba County | 6 | stable | similar | 22 | 19.1 (15.6, 23.3) | 1.0 | -1.0 (-2.5, 0.5) |
| Surry County | 8 | falling | similar | 11 | 19.0 (14.1, 25.2) | 1.0 | -2.5 (-5.1, -0.1) |
| Iredell County | 6 | stable | similar | 24 | 18.8 (15.6, 22.7) | 1.0 | -1.3 (-2.8, 0.3) |
| Northampton County | 6 | stable | similar | 3 | 18.8 (10.1, 34.3) | 1.0 | -1.3 (-5.0, 1.9) |
| Haywood County | 6 | stable | similar | 10 | 18.7 (13.4, 25.7) | 1.0 | -1.8 (-4.3, 0.5) |
| Brunswick County | 6 | stable | similar | 27 | 18.5 (15.1, 22.7) | 1.0 | -0.6 (-1.8, 0.9) |
| Buncombe County | 8 | falling | similar | 39 | 18.5 (15.9, 21.5) | 1.0 | -1.7 (-3.4, -0.1) |
| Carteret County | 8 | falling | similar | 11 | 18.1 (13.5, 24.2) | 0.9 | -2.3 (-4.0, -0.6) |
| Wilkes County | 6 | stable | similar | 10 | 18.0 (13.1, 24.4) | 0.9 | -0.4 (-2.9, 2.3) |
| Lenoir County | 8 | falling | similar | 8 | 17.9 (12.4, 25.2) | 0.9 | -2.4 (-4.8, -0.4) |
| Craven County | 6 | stable | similar | 13 | 17.6 (13.2, 23.0) | 0.9 | -1.7 (-3.5, 0.1) |
| Cabarrus County | 6 | stable | similar | 23 | 17.2 (14.2, 20.8) | 0.9 | -0.9 (-2.4, 0.7) |
| Union County | 6 | stable | similar | 23 | 17.1 (14.1, 20.5) | 0.9 | -1.3 (-2.6, 0.3) |
| Watauga County | 6 | stable | similar | 6 | 16.9 (11.0, 25.3) | 0.9 | -0.3 (-4.0, 3.8) |
| Gaston County | 8 | falling | similar | 27 | 16.9 (14.1, 20.2) | 0.9 | -2.3 (-3.3, -1.4) |
| Davie County | 6 | stable | similar | 6 | 16.8 (11.3, 24.7) | 0.9 | -1.2 (-3.9, 1.7) |
| Pasquotank County | 6 | stable | similar | 5 | 16.6 (10.5, 25.3) | 0.9 | -2.4 (-5.6, 0.6) |
| Stanly County | 8 | falling | similar | 7 | 16.5 (11.3, 23.4) | 0.9 | -2.5 (-5.0, -0.3) |
| Wake County | 9 | falling | lower | 105 | 16.5 (15.1, 18.0) | 0.9 | -3.4 (-9.6, -1.8) |
| Johnston County | 8 | falling | similar | 21 | 16.3 (13.3, 19.8) | 0.9 | -2.2 (-3.9, -0.4) |
| Caswell County | 6 | stable | similar | 3 | 15.5 (8.8, 27.2) | 0.8 | -1.9 (-5.4, 1.5) |
| Jackson County | 8 | falling | similar | 5 | 15.0 (9.4, 23.2) | 0.8 | -3.2 (-5.5, -1.1) |
| Yadkin County | 6 | stable | similar | 5 | 14.6 (9.1, 22.9) | 0.8 | -3.0 (-14.7, 0.2) |
| Chatham County | 7 | stable | lower | 10 | 14.2 (10.3, 19.5) | 0.7 | -1.6 (-3.9, 1.0) |
| Lincoln County | 7 | stable | lower | 10 | 14.1 (10.4, 18.9) | 0.7 | -0.7 (-3.6, 2.8) |
| Cherokee County | 6 | stable | similar | 5 | 13.8 (8.6, 22.8) | 0.7 | -3.2 (-7.6, 0.9) |
| Stokes County | 9 | falling | lower | 5 | 13.5 (8.8, 20.5) | 0.7 | -2.8 (-5.2, -0.5) |
| Alleghany County |
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** | similar | 3 | 36.7 (18.9, 66.1) | 1.9 |
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| Ashe County |
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** | similar | 5 | 22.3 (13.4, 35.8) | 1.2 |
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| Currituck County |
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** | similar | 4 | 23.0 (14.0, 36.1) | 1.2 |
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| Dare County |
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** | similar | 7 | 22.8 (15.5, 33.0) | 1.2 |
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| Lee County |
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** | similar | 10 | 23.6 (17.4, 31.5) | 1.2 |
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| Montgomery County |
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** | similar | 4 | 17.6 (10.4, 28.9) | 0.9 |
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| Polk County |
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** | similar | 5 | 23.2 (13.2, 39.4) | 1.2 |
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| Warren County |
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** | similar | 4 | 22.3 (12.7, 37.9) | 1.2 |
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| Yancey County |
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** | similar | 3 | 19.0 (10.3, 33.6) | 1.0 |
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| Bertie County |
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** |
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| Camden County |
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** |
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| Chowan County |
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** |
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| Clay 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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| Greene County |
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** |
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| Hertford 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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| Madison County |
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** |
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| Pamlico County |
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** |
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| Perquimans County |
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** |
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| Swain County |
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** |
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| Tyrrell County |
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** |
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| Washington County |
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** |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/17/2026 10:10 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:
Bertie County, Camden County, Chowan County, Clay County, Gates County, Graham County, Greene County, Hertford County, Hyde County, Jones County, Madison County, Pamlico County, Perquimans County, Swain County, Tyrrell County, Washington County
Trend for the following could not be reliably determined due to small number of deaths per year:
Alleghany County, Ashe County, Currituck County, Dare County, Lee County, Montgomery County, Polk County, Warren County, Yancey 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 03/17/2026 10:10 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:
Bertie County, Camden County, Chowan County, Clay County, Gates County, Graham County, Greene County, Hertford County, Hyde County, Jones County, Madison County, Pamlico County, Perquimans County, Swain County, Tyrrell County, Washington County
Trend for the following could not be reliably determined due to small number of deaths per year:
Alleghany County, Ashe County, Currituck County, Dare County, Lee County, Montgomery County, Polk County, Warren County, Yancey 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.