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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

Brain & ONS

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 - stable - 17,853 4.4 (4.4, 4.4) - -0.3 (-1.1, 0.0)
North Carolina - falling - 545 4.2 (4.0, 4.4) - -0.7 (-1.9, -0.2)
Yancey County
**
 		**
*
3 or fewer
*
*
**
Yadkin County
**
 		**
*
3 or fewer
*
*
**
Wilson County
**
 		** similar 4 4.1 (2.5, 6.4) 0.9
**
Wilkes County 8 falling similar 4 3.9 (2.3, 6.4) 0.9 -11.9 (-35.6, -0.1)
Wayne County 6 stable similar 6 4.5 (3.0, 6.5) 1.0 0.3 (-2.1, 2.9)
Watauga County
**
 		**
*
3 or fewer
*
*
**
Washington County
**
 		**
*
3 or fewer
*
*
**
Warren County
**
 		**
*
3 or fewer
*
*
**
Wake County 6 stable similar 50 4.2 (3.7, 4.8) 1.0 0.3 (-0.7, 1.7)
Vance County
**
 		**
*
3 or fewer
*
*
**
Union County 6 stable similar 12 4.3 (3.2, 5.6) 1.0 -0.8 (-3.1, 2.1)
Tyrrell County
**
 		**
*
3 or fewer
*
*
**
Transylvania County
**
 		**
*
3 or fewer
*
*
**
Swain County
**
 		**
*
3 or fewer
*
*
**
Surry County 6 stable similar 5 4.5 (2.7, 6.9) 1.0 -1.2 (-4.4, 2.0)
Stokes County
**
 		** similar 4 6.8 (4.0, 10.8) 1.5
**
Stanly County 6 stable similar 4 5.0 (3.0, 7.8) 1.1 0.8 (-3.5, 5.7)
Scotland County
**
 		**
*
3 or fewer
*
*
**
Sampson County
**
 		** similar 4 4.7 (2.8, 7.6) 1.1
**
Rutherford County
**
 		** similar 6 6.3 (4.0, 9.4) 1.4
**
Rowan County 2 rising similar 11 5.7 (4.2, 7.5) 1.3 1.9 (0.1, 4.0)
Rockingham County 6 stable similar 4 3.0 (1.8, 4.9) 0.7 -0.6 (-4.5, 3.3)
Robeson County 6 stable similar 5 3.3 (2.1, 5.1) 0.8 -1.0 (-4.1, 2.1)
Richmond County
**
 		**
*
3 or fewer
*
*
**
Randolph County 6 stable similar 9 4.6 (3.3, 6.2) 1.0 0.9 (-1.2, 3.3)
Polk County
**
 		**
*
3 or fewer
*
*
**
Pitt County 6 stable similar 8 4.5 (3.2, 6.2) 1.0 -1.1 (-4.8, 2.9)
Person County
**
 		** similar 4 6.9 (4.0, 11.2) 1.6
**
Perquimans County
**
 		**
*
3 or fewer
*
*
**
Pender County 6 stable similar 4 4.5 (2.7, 7.3) 1.0 0.6 (-2.7, 4.9)
Pasquotank County
**
 		**
*
3 or fewer
*
*
**
Pamlico County
**
 		**
*
3 or fewer
*
*
**
Orange County 6 stable similar 7 4.2 (2.9, 5.9) 0.9 -2.0 (-4.7, 1.0)
Onslow County 6 stable similar 8 4.9 (3.4, 6.7) 1.1 1.3 (-1.1, 4.5)
Northampton County
**
 		**
*
3 or fewer
*
*
**
New Hanover County 6 stable similar 13 4.5 (3.4, 5.8) 1.0 -1.0 (-3.4, 1.5)
Nash County 6 stable similar 5 3.8 (2.3, 5.8) 0.9 -1.2 (-4.2, 2.0)
Moore County 6 stable similar 8 5.2 (3.6, 7.3) 1.2 0.2 (-1.9, 2.7)
Montgomery County
**
 		**
*
3 or fewer
*
*
**
Mitchell County
**
 		**
*
3 or fewer
*
*
**
Mecklenburg County 9 falling lower 39 3.5 (3.0, 4.0) 0.8 -1.6 (-2.8, -0.2)
McDowell County
**
 		**
*
3 or fewer
*
*
**
Martin County
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Macon County
**
 		**
*
3 or fewer
*
*
**
Lincoln County 6 stable similar 5 3.9 (2.5, 5.9) 0.9 -0.4 (-3.7, 3.8)
Lenoir County
**
 		** similar 3 3.7 (2.1, 6.2) 0.8
**
Lee County
**
 		**
*
3 or fewer
*
*
**
Jones County
**
 		**
*
3 or fewer
*
*
**
Johnston County 6 stable similar 9 3.7 (2.7, 5.0) 0.8 -1.0 (-2.9, 1.5)
Jackson County
**
 		**
*
3 or fewer
*
*
**
Iredell County 6 stable similar 9 3.8 (2.7, 5.1) 0.9 -1.1 (-3.2, 1.2)
Hyde County
**
 		**
*
3 or fewer
*
*
**
Hoke County
**
 		**
*
3 or fewer
*
*
**
Hertford County
**
 		**
*
3 or fewer
*
*
**
Henderson County 4 stable higher 12 6.9 (5.0, 9.2) 1.6 0.8 (-1.8, 3.4)
Haywood County
**
 		** similar 4 3.7 (2.2, 6.1) 0.8
**
Harnett County 6 stable similar 5 3.4 (2.2, 5.1) 0.8 -0.6 (-4.1, 3.2)
Halifax County
**
 		**
*
3 or fewer
*
*
**
Guilford County 7 stable lower 22 3.6 (3.0, 4.4) 0.8 -1.1 (-2.5, 0.4)
Greene County
**
 		**
*
3 or fewer
*
*
**
Granville County
**
 		** similar 4 4.7 (2.7, 7.7) 1.1
**
Graham County
**
 		**
*
3 or fewer
*
*
**
Gates County
**
 		**
*
3 or fewer
*
*
**
Gaston County 6 stable similar 13 4.7 (3.6, 6.0) 1.1 0.2 (-1.3, 1.8)
Franklin County
**
 		** similar 4 4.5 (2.8, 7.1) 1.0
**
Forsyth County 6 stable similar 21 4.4 (3.6, 5.4) 1.0 0.0 (-1.6, 1.7)
Edgecombe County
**
 		**
*
3 or fewer
*
*
**
Durham County 7 stable lower 11 3.2 (2.4, 4.2) 0.7 -1.1 (-2.9, 1.1)
Duplin County
**
 		** similar 4 7.5 (4.4, 11.8) 1.7
**
Davie County
**
 		** similar 3 5.3 (2.9, 9.0) 1.2
**
Davidson County 6 stable similar 9 3.6 (2.6, 4.9) 0.8 0.5 (-1.9, 3.3)
Dare County
**
 		**
*
3 or fewer
*
*
**
Currituck County
**
 		**
*
3 or fewer
*
*
**
Cumberland County 6 stable similar 13 4.0 (3.1, 5.1) 0.9 1.0 (-1.4, 3.7)
Craven County 6 stable similar 8 5.5 (3.8, 7.6) 1.2 -0.7 (-3.9, 3.0)
Columbus County
**
 		**
*
3 or fewer
*
*
**
Cleveland County 6 stable similar 7 5.3 (3.6, 7.5) 1.2 0.7 (-2.2, 4.0)
Clay County
**
 		**
*
3 or fewer
*
*
**
Chowan County
**
 		**
*
3 or fewer
*
*
**
Cherokee County
**
 		**
*
3 or fewer
*
*
**
Chatham County
**
 		** similar 6 4.8 (3.2, 7.2) 1.1
**
Catawba County 6 stable similar 9 4.2 (3.0, 5.7) 1.0 -1.9 (-4.3, 0.5)
Caswell County
**
 		**
*
3 or fewer
*
*
**
Carteret County 6 stable similar 6 5.7 (3.7, 8.6) 1.3 2.6 (-0.3, 6.0)
Camden County
**
 		**
*
3 or fewer
*
*
**
Caldwell County 6 stable similar 4 3.3 (2.0, 5.4) 0.8 -0.6 (-4.0, 3.0)
Cabarrus County 6 stable similar 10 4.1 (3.0, 5.5) 0.9 -1.8 (-3.9, 0.5)
Burke County 6 stable similar 6 4.0 (2.7, 6.0) 0.9 -1.2 (-3.8, 1.7)
Buncombe County 6 stable similar 19 4.9 (3.9, 6.1) 1.1 -0.6 (-2.4, 1.4)
Brunswick County 6 stable similar 12 4.3 (3.1, 5.8) 1.0 -0.4 (-3.1, 3.1)
Bladen County
**
 		**
*
3 or fewer
*
*
**
Bertie County
**
 		**
*
3 or fewer
*
*
**
Beaufort County
**
 		** similar 4 5.1 (2.9, 8.4) 1.2
**
Avery County
**
 		**
*
3 or fewer
*
*
**
Ashe County
**
 		**
*
3 or fewer
*
*
**
Anson County
**
 		**
*
3 or fewer
*
*
**
Alleghany County
**
 		**
*
3 or fewer
*
*
**
Alexander County
**
 		**
*
3 or fewer
*
*
**
Alamance County 6 stable similar 9 4.0 (2.8, 5.4) 0.9 0.0 (-2.3, 2.6)
Notes:
Created by statecancerprofiles.cancer.gov on 03/16/2026 5:11 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

* 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:
Alexander County, Alleghany County, Anson County, Ashe County, Avery County, Bertie County, Bladen County, Camden County, Caswell County, Cherokee County, Chowan County, Clay County, Columbus County, Currituck County, Dare County, Edgecombe County, Gates County, Graham County, Greene County, Halifax County, Hertford County, Hoke County, Hyde County, Jackson County, Jones County, Lee County, Macon County, Madison County, Martin County, McDowell County, Mitchell County, Montgomery County, Northampton County, Pamlico County, Pasquotank County, Perquimans County, Polk County, Richmond County, Scotland County, Swain County, Transylvania County, Tyrrell County, Vance County, Warren County, Washington County, Watauga County, Yadkin County, Yancey County

Trend for the following could not be reliably determined due to small number of deaths per year:
Beaufort County, Chatham County, Davie County, Duplin County, Franklin County, Granville County, Haywood County, Lenoir County, Person County, Rutherford County, Sampson County, Stokes County, Wilson 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.

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