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 Rate/Trend Comparison by State/County
National Cancer Institute State Cancer Profiles Centers for Disease Control and Prevention
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Death Rate/Trend Comparison by Cancer, death years through 2010
Alabama Counties versus United States

All Cancer Sites
All Races, Both Sexes

  Above US Rate Similar to US Rate Below US Rate  
Priority 1: rising and above

Priority 2: rising and similar

Priority 3: rising and below

Priority 4: stable and above

Chambers County
Chilton County
Clay County
Covington County
Crenshaw County
Dale County
DeKalb County
Etowah County
Fayette County
Franklin County
Geneva County
Henry County
Jackson County
Lamar County
Lawrence County
Macon County
Marengo County
Marshall County
Perry County
Pickens County
Russell County
Walker County
Wilcox County
Winston County 
Priority 6: stable and similar

Barbour County
Bibb County
Bullock County
Butler County
Cleburne County
Coffee County
Coosa County
Cullman County
Hale County
Lauderdale County
Limestone County
Lowndes County
Madison County
Marion County
Morgan County
Randolph County
Sumter County
Washington County 
Priority 7: stable and below

Priority 5: falling and above

Autauga County
Calhoun County
Dallas County
Escambia County
Jefferson County
Lee County
Mobile County
Montgomery County
St. Clair County
Talladega County 
Priority 8: falling and similar

Baldwin County
Blount County
Cherokee County
Choctaw County
Clarke County
Colbert County
Conecuh County
Elmore County
Greene County
Houston County
Monroe County
Pike County
Shelby County
Tallapoosa County
Tuscaloosa County 
Priority 9: falling and below

  Created by statecancerprofiles.cancer.gov on 09/22/2014 2:16 pm.
     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

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 Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint Regression Program. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
3 Rate ratio is the county rate divided by the US rate.

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, 14, 59, , 8084, 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 1969-2011 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).