Interpretation of Death Rates Data

Death Rate Report for Alabama by County

Colon & Rectum, 2008 - 2012

All Races (includes Hispanic), Both Sexes, All Ages


Healthy People 2020 Objective Number: C-5
Reduce the colorectal cancer death rate

Sorted by Rate
County
Met Healthy People Objective of 14.5? 1 Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
Average Deaths per Year
Recent Trend 2 Recent 5-Year Trend2
in Death Rates
(95% Confidence Interval)
Alabama (State) No 17.2 (16.7, 17.7) 914 falling falling trend -0.9 (-1.2, -0.6)
United States No 15.5 (15.4, 15.6) 52,010 falling falling trend -2.5 (-2.8, -2.3)
Perry County No 37.2 (24.2, 55.3) 5 stable stable trend 2.3 (-1.2, 6.0)
Lowndes County No 36.5 (23.0, 55.3) 5 ** **
Greene County No 30.5 (17.0, 50.7) 3 ** **
Marengo County No 27.9 (19.6, 38.7) 8 ** **
Conecuh County No 26.4 (16.2, 41.0) 4 ** **
Dallas County No 25.9 (19.8, 33.4) 12 stable stable trend 1.0 (-1.5, 3.6)
Macon County No 24.2 (15.7, 35.6) 5 stable stable trend -1.1 (-3.4, 1.2)
Clay County No 23.9 (15.1, 36.6) 5 ** **
Clarke County No 23.3 (16.2, 32.6) 7 stable stable trend -1.0 (-3.4, 1.5)
Crenshaw County No 22.9 (13.8, 36.0) 4 ** **
Henry County No 21.8 (14.0, 32.9) 5 stable stable trend -0.2 (-3.4, 3.0)
Cleburne County No 21.8 (13.0, 34.5) 4 ** **
Monroe County No 21.8 (14.4, 31.7) 6 stable stable trend 1.3 (-1.4, 4.1)
Bibb County No 21.6 (14.1, 31.8) 5 stable stable trend 0.8 (-2.0, 3.8)
Russell County No 20.9 (15.8, 27.1) 12 stable stable trend 0.7 (-1.4, 2.7)
Pickens County No 20.8 (13.8, 30.5) 6 stable stable trend 0.2 (-2.2, 2.8)
Jackson County No 20.7 (16.0, 26.4) 14 stable stable trend 0.3 (-1.2, 1.8)
Barbour County No 20.5 (14.1, 29.1) 7 stable stable trend 1.2 (-1.6, 4.2)
Butler County No 19.7 (12.9, 29.0) 5 stable stable trend -0.2 (-2.8, 2.4)
Chambers County No 19.6 (14.2, 26.6) 9 stable stable trend 0.6 (-1.5, 2.8)
Covington County No 19.5 (14.5, 26.0) 10 stable stable trend -0.7 (-2.9, 1.6)
Montgomery County No 19.4 (16.9, 22.1) 44 falling falling trend -1.1 (-2.1, -0.1)
Walker County No 19.2 (15.2, 24.1) 16 stable stable trend 0.1 (-1.5, 1.7)
Washington County No 19.2 (11.7, 30.2) 4 ** **
Winston County No 18.9 (12.8, 27.3) 6 stable stable trend -1.1 (-3.6, 1.4)
Lawrence County No 18.7 (13.0, 26.1) 7 ** **
Talladega County No 18.7 (15.0, 23.2) 18 stable stable trend -0.0 (-1.8, 1.7)
Cherokee County No 18.3 (12.3, 26.6) 6 stable stable trend -0.1 (-2.9, 2.7)
Mobile County No 18.2 (16.5, 20.1) 80 falling falling trend -1.4 (-2.1, -0.7)
Tuscaloosa County No 18.1 (15.3, 21.2) 32 stable stable trend -1.0 (-2.6, 0.7)
Jefferson County No 17.9 (16.6, 19.4) 131 falling falling trend -1.4 (-1.9, -0.9)
Franklin County No 17.8 (12.3, 25.1) 7 stable stable trend -1.3 (-3.2, 0.7)
Lauderdale County No 17.6 (14.4, 21.5) 21 stable stable trend -0.1 (-1.7, 1.4)
Choctaw County No 17.5 (9.8, 29.4) 3 ** **
Fayette County No 17.3 (10.5, 27.5) 4 stable stable trend 3.5 (-0.7, 7.9)
Pike County No 17.2 (11.6, 24.8) 6 stable stable trend -0.2 (-2.8, 2.4)
DeKalb County No 17.2 (13.3, 21.9) 14 stable stable trend 1.9 (-0.3, 4.2)
Geneva County No 17.2 (11.5, 24.9) 6 stable stable trend -1.8 (-4.3, 0.8)
Escambia County No 16.8 (11.9, 23.3) 8 stable stable trend -0.5 (-2.8, 1.9)
Etowah County No 16.7 (13.6, 20.2) 21 stable stable trend -0.9 (-2.3, 0.4)
Cullman County No 16.7 (13.2, 20.9) 16 stable stable trend -0.2 (-1.8, 1.5)
Calhoun County No 16.6 (13.6, 20.0) 22 falling falling trend -3.9 (-7.0, -0.7)
Chilton County No 16.5 (11.7, 22.5) 8 stable stable trend -0.1 (-2.8, 2.7)
Morgan County No 16.0 (13.1, 19.4) 22 stable stable trend -1.0 (-1.9, 0.0)
Lamar County No 16.0 (9.3, 26.4) 3 stable stable trend -2.2 (-4.4, 0.2)
Houston County No 15.9 (12.8, 19.6) 18 stable stable trend -1.3 (-3.0, 0.5)
Lee County No 15.8 (12.6, 19.6) 18 stable stable trend -0.0 (-2.0, 2.0)
Autauga County No 15.7 (11.1, 21.5) 8 stable stable trend -1.4 (-3.8, 1.0)
Colbert County No 15.7 (11.9, 20.4) 12 stable stable trend -0.9 (-3.5, 1.8)
Marshall County No 15.2 (12.1, 19.0) 16 stable stable trend -0.9 (-2.4, 0.6)
Tallapoosa County No 15.1 (10.7, 20.8) 8 stable stable trend -0.8 (-2.8, 1.2)
Madison County No 15.0 (13.1, 17.0) 50 falling falling trend -1.5 (-2.3, -0.6)
Elmore County No 15.0 (11.3, 19.4) 12 falling falling trend -2.2 (-4.2, -0.1)
Randolph County No 14.9 (9.3, 22.9) 4 falling falling trend -2.5 (-4.7, -0.3)
Marion County No 14.6 (9.8, 21.3) 6 stable stable trend -0.9 (-3.1, 1.3)
Baldwin County Yes 14.4 (12.3, 16.8) 34 falling falling trend -3.0 (-4.5, -1.5)
St. Clair County Yes 14.1 (10.8, 18.2) 13 stable stable trend -0.8 (-2.9, 1.4)
Blount County Yes 13.7 (9.9, 18.5) 9 falling falling trend -2.5 (-4.4, -0.5)
Limestone County Yes 13.4 (10.1, 17.4) 12 stable stable trend -1.5 (-3.9, 0.9)
Shelby County Yes 12.6 (10.3, 15.3) 22 falling falling trend -2.7 (-4.5, -0.9)
Dale County Yes 12.1 (8.4, 17.0) 7 falling falling trend -3.8 (-5.3, -2.2)
Coffee County Yes 9.2 (6.0, 13.5) 5 stable stable trend -1.8 (-4.2, 0.6)
Bullock County * * 3 or fewer ** **
Coosa County * * 3 or fewer ** **
Hale County * * 3 or fewer * **
Sumter County * * 3 or fewer * **
Wilcox County * * 3 or fewer ** **
Notes:
Created by statecancerprofiles.cancer.gov on 06/28/2016 3:58 am.
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).

Trend
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.
* Data has been suppressed to ensure confidentiality and stability of rate estimates.
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
1 Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.
2 The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint Regression Program (Version 4.2). Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 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 1969-2013 US Population Data File is used with mortality data.

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