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Death Rate Report for Alabama by County, Death Years Through 2012 Colon & Rectum
Healthy People 2020 Objective Number: C-5
Reduce the colorectal cancer death rate
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Average Annual Percent Change (AAPC)
County
sort ascending
Met Healthy People Objective of 14.5? 1 Annual Death Rate
over rate period deaths per 100,000
(95% Confidence Interval)
sort descending
Average Deaths per Year
over rate period
sort descending
Rate Period Recent Trend 2 Recent Average Annual Percent Change2
in Death Rates
(95% Confidence Interval)
sorted descending, sort ascending
Recent Trend Period2
Alabama (State) No 17.2 (16.7, 17.7) 914 2008 - 2012 falling falling trend -0.9 (-1.2, -0.6) 2008 - 2012
United States No 15.5 (15.4, 15.6) 52,010 2008 - 2012 falling falling trend -2.5 (-2.8, -2.3) 2008 - 2012
Greene County No 30.5 (17.0, 50.7) 3 2008 - 2012 ** ** **
Lowndes County No 36.5 (23.0, 55.3) 5 2008 - 2012 ** ** **
Marengo County No 27.9 (19.6, 38.7) 8 2008 - 2012 ** ** **
Crenshaw County No 22.9 (13.8, 36.0) 4 2008 - 2012 ** ** **
Clay County No 23.9 (15.1, 36.6) 5 2008 - 2012 ** ** **
Choctaw County No 17.5 (9.8, 29.4) 3 2008 - 2012 ** ** **
Cleburne County No 21.8 (13.0, 34.5) 4 2008 - 2012 ** ** **
Lawrence County No 18.7 (13.0, 26.1) 7 2008 - 2012 ** ** **
Conecuh County No 26.4 (16.2, 41.0) 4 2008 - 2012 ** ** **
Washington County No 19.2 (11.7, 30.2) 4 2008 - 2012 ** ** **
Fayette County No 17.3 (10.5, 27.5) 4 2008 - 2012 stable stable trend 3.5 (-0.7, 7.9) 2008 - 2012
Perry County No 37.2 (24.2, 55.3) 5 2008 - 2012 stable stable trend 2.3 (-1.2, 6.0) 2008 - 2012
DeKalb County No 17.2 (13.3, 21.9) 14 2008 - 2012 stable stable trend 1.9 (-0.3, 4.2) 2008 - 2012
Monroe County No 21.8 (14.4, 31.7) 6 2008 - 2012 stable stable trend 1.3 (-1.4, 4.1) 2008 - 2012
Barbour County No 20.5 (14.1, 29.1) 7 2008 - 2012 stable stable trend 1.2 (-1.6, 4.2) 2008 - 2012
Dallas County No 25.9 (19.8, 33.4) 12 2008 - 2012 stable stable trend 1.0 (-1.5, 3.6) 2008 - 2012
Bibb County No 21.6 (14.1, 31.8) 5 2008 - 2012 stable stable trend 0.8 (-2.0, 3.8) 2008 - 2012
Russell County No 20.9 (15.8, 27.1) 12 2008 - 2012 stable stable trend 0.7 (-1.4, 2.7) 2008 - 2012
Chambers County No 19.6 (14.2, 26.6) 9 2008 - 2012 stable stable trend 0.6 (-1.5, 2.8) 2008 - 2012
Jackson County No 20.7 (16.0, 26.4) 14 2008 - 2012 stable stable trend 0.3 (-1.2, 1.8) 2008 - 2012
Pickens County No 20.8 (13.8, 30.5) 6 2008 - 2012 stable stable trend 0.2 (-2.2, 2.8) 2008 - 2012
Walker County No 19.2 (15.2, 24.1) 16 2008 - 2012 stable stable trend 0.1 (-1.5, 1.7) 2008 - 2012
Talladega County No 18.7 (15.0, 23.2) 18 2008 - 2012 stable stable trend -0.0 (-1.8, 1.7) 2008 - 2012
Lee County No 15.8 (12.6, 19.6) 18 2008 - 2012 stable stable trend -0.0 (-2.0, 2.0) 2008 - 2012
Cherokee County No 18.3 (12.3, 26.6) 6 2008 - 2012 stable stable trend -0.1 (-2.9, 2.7) 2008 - 2012
Lauderdale County No 17.6 (14.4, 21.5) 21 2008 - 2012 stable stable trend -0.1 (-1.7, 1.4) 2008 - 2012
Chilton County No 16.5 (11.7, 22.5) 8 2008 - 2012 stable stable trend -0.1 (-2.8, 2.7) 2008 - 2012
Henry County No 21.8 (14.0, 32.9) 5 2008 - 2012 stable stable trend -0.2 (-3.4, 3.0) 2008 - 2012
Butler County No 19.7 (12.9, 29.0) 5 2008 - 2012 stable stable trend -0.2 (-2.8, 2.4) 2008 - 2012
Cullman County No 16.7 (13.2, 20.9) 16 2008 - 2012 stable stable trend -0.2 (-1.8, 1.5) 2008 - 2012
Pike County No 17.2 (11.6, 24.8) 6 2008 - 2012 stable stable trend -0.2 (-2.8, 2.4) 2008 - 2012
Escambia County No 16.8 (11.9, 23.3) 8 2008 - 2012 stable stable trend -0.5 (-2.8, 1.9) 2008 - 2012
Covington County No 19.5 (14.5, 26.0) 10 2008 - 2012 stable stable trend -0.7 (-2.9, 1.6) 2008 - 2012
St. Clair County Yes 14.1 (10.8, 18.2) 13 2008 - 2012 stable stable trend -0.8 (-2.9, 1.4) 2008 - 2012
Tallapoosa County No 15.1 (10.7, 20.8) 8 2008 - 2012 stable stable trend -0.8 (-2.8, 1.2) 2008 - 2012
Etowah County No 16.7 (13.6, 20.2) 21 2008 - 2012 stable stable trend -0.9 (-2.3, 0.4) 2008 - 2012
Colbert County No 15.7 (11.9, 20.4) 12 2008 - 2012 stable stable trend -0.9 (-3.5, 1.8) 2008 - 2012
Marshall County No 15.2 (12.1, 19.0) 16 2008 - 2012 stable stable trend -0.9 (-2.4, 0.6) 2008 - 2012
Marion County No 14.6 (9.8, 21.3) 6 2008 - 2012 stable stable trend -0.9 (-3.1, 1.3) 2008 - 2012
Morgan County No 16.0 (13.1, 19.4) 22 2008 - 2012 stable stable trend -1.0 (-1.9, 0.0) 2008 - 2012
Tuscaloosa County No 18.1 (15.3, 21.2) 32 2008 - 2012 stable stable trend -1.0 (-2.6, 0.7) 2008 - 2012
Clarke County No 23.3 (16.2, 32.6) 7 2008 - 2012 stable stable trend -1.0 (-3.4, 1.5) 2008 - 2012
Macon County No 24.2 (15.7, 35.6) 5 2008 - 2012 stable stable trend -1.1 (-3.4, 1.2) 2008 - 2012
Montgomery County No 19.4 (16.9, 22.1) 44 2008 - 2012 falling falling trend -1.1 (-2.1, -0.1) 2008 - 2012
Winston County No 18.9 (12.8, 27.3) 6 2008 - 2012 stable stable trend -1.1 (-3.6, 1.4) 2008 - 2012
Franklin County No 17.8 (12.3, 25.1) 7 2008 - 2012 stable stable trend -1.3 (-3.2, 0.7) 2008 - 2012
Houston County No 15.9 (12.8, 19.6) 18 2008 - 2012 stable stable trend -1.3 (-3.0, 0.5) 2008 - 2012
Jefferson County No 17.9 (16.6, 19.4) 131 2008 - 2012 falling falling trend -1.4 (-1.9, -0.9) 2008 - 2012
Autauga County No 15.7 (11.1, 21.5) 8 2008 - 2012 stable stable trend -1.4 (-3.8, 1.0) 2008 - 2012
Mobile County No 18.2 (16.5, 20.1) 80 2008 - 2012 falling falling trend -1.4 (-2.1, -0.7) 2008 - 2012
Limestone County Yes 13.4 (10.1, 17.4) 12 2008 - 2012 stable stable trend -1.5 (-3.9, 0.9) 2008 - 2012
Madison County No 15.0 (13.1, 17.0) 50 2008 - 2012 falling falling trend -1.5 (-2.3, -0.6) 2008 - 2012
Coffee County Yes 9.2 (6.0, 13.5) 5 2008 - 2012 stable stable trend -1.8 (-4.2, 0.6) 2008 - 2012
Geneva County No 17.2 (11.5, 24.9) 6 2008 - 2012 stable stable trend -1.8 (-4.3, 0.8) 2008 - 2012
Elmore County No 15.0 (11.3, 19.4) 12 2008 - 2012 falling falling trend -2.2 (-4.2, -0.1) 2008 - 2012
Lamar County No 16.0 (9.3, 26.4) 3 2008 - 2012 stable stable trend -2.2 (-4.4, 0.2) 2008 - 2012
Randolph County No 14.9 (9.3, 22.9) 4 2008 - 2012 falling falling trend -2.5 (-4.7, -0.3) 2008 - 2012
Blount County Yes 13.7 (9.9, 18.5) 9 2008 - 2012 falling falling trend -2.5 (-4.4, -0.5) 2008 - 2012
Shelby County Yes 12.6 (10.3, 15.3) 22 2008 - 2012 falling falling trend -2.7 (-4.5, -0.9) 2008 - 2012
Baldwin County Yes 14.4 (12.3, 16.8) 34 2008 - 2012 falling falling trend -3.0 (-4.5, -1.5) 2008 - 2012
Dale County Yes 12.1 (8.4, 17.0) 7 2008 - 2012 falling falling trend -3.8 (-5.3, -2.2) 2008 - 2012
Calhoun County No 16.6 (13.6, 20.0) 22 2008 - 2012 falling falling trend -3.9 (-7.0, -0.7) 2008 - 2012
Bullock County * * 3 or fewer 2008 - 2012 ** ** **
Coosa County * * 3 or fewer 2008 - 2012 ** ** **
Hale County * * 3 or fewer 2008 - 2012 * ** *
Sumter County * * 3 or fewer 2008 - 2012 * ** *
Wilcox County * * 3 or fewer 2008 - 2012 ** ** **
Notes:
Created by statecancerprofiles.cancer.gov on 09/04/2015 2:48 pm.
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.