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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 2009
Alabama Counties versus United States

All Cancer Sites
All Races, Both Sexes
Sorted by Priority Index
County
sort state ascending
Priority Index1
1=highest
9=lowest

sort index descending
Recent
Trend2

County Death Rate
Compared to
US Rate

Average Deaths per year
2005-2009

sort count ascending
Annual
Death
Rate
2005-2009

deaths per 100,000

(95% Confidence Interval)
sort death rate ascending
Rate
Ratio3
County to USsort ascending by the rate ratio
Recent Average Annual
Percent Change2
in Death Rates

(95% Confidence Interval)
sort AAPC ascending
Recent Trend Period2
United States-falling  -563,025178.7 (178.4, 178.9)--1.6 (-1.7, -1.5)2005 - 2009
Alabama5falling  above  10,062198.2 (196.5, 200.0)1.109666465-0.9 (-1.0, -0.8)2005 - 2009
Chambers County1rising  above  102227.9 (208.3, 249.0)1.2757440240.8 (0.4, 1.1)2005 - 2009
Cleburne County1rising  above  37220.2 (189.4, 254.8)1.2325653020.8 (0.1, 1.6)2005 - 2009
Covington County1rising  above  110217.1 (199.1, 236.5)1.2153597080.5 (0.0, 1.0)2005 - 2009
Geneva County1rising  above  77222.7 (200.7, 246.6)1.2464658660.5 (0.0, 1.1)2005 - 2009
Henry County1rising  above  49225.6 (197.8, 256.6)1.2630161240.8 (0.1, 1.5)2005 - 2009
Marengo County1rising  above  53206.7 (182.3, 233.6)1.1570735050.6 (0.1, 1.1)2005 - 2009
Marshall County1rising  above  204205.8 (193.3, 219.0)1.1521041950.4 (0.1, 0.7)2005 - 2009
Perry County1rising  above  29233.3 (196.8, 275.0)1.3061106621.2 (0.5, 1.8)2005 - 2009
Pickens County1rising  above  54215.2 (190.3, 242.8)1.2047913571.0 (0.5, 1.5)2005 - 2009
Lowndes County2rising  similar  27201.9 (168.9, 239.7)1.1303645981.3 (0.3, 2.3)2005 - 2009
Marion County2rising  similar  77195.8 (176.5, 216.9)1.0960960300.9 (0.4, 1.5)2005 - 2009
Autauga County4stable  above  101224.8 (205.1, 245.8)1.258067385-1.2 (-2.5, 0.2)2005 - 2009
Bullock County4stable  above  26233.5 (194.4, 278.3)1.3072529180.4 (-0.3, 1.1)2005 - 2009
Butler County4stable  above  55213.9 (189.0, 241.4)1.1974500900.4 (-0.1, 0.9)2005 - 2009
Chilton County4stable  above  98217.5 (198.4, 238.0)1.2175529730.1 (-0.3, 0.5)2005 - 2009
Dale County4stable  above  114227.2 (208.8, 246.7)1.271591878-0.1 (-0.8, 0.6)2005 - 2009
Franklin County4stable  above  81221.5 (200.4, 244.3)1.2399116700.4 (-0.0, 0.9)2005 - 2009
Jackson County4stable  above  141220.9 (204.7, 238.0)1.236203894-0.4 (-0.8, 0.0)2005 - 2009
Lamar County4stable  above  43215.4 (187.2, 247.1)1.2059474460.2 (-0.3, 0.7)2005 - 2009
Lawrence County4stable  above  80214.2 (193.3, 236.8)1.1990015740.3 (-0.2, 0.8)2005 - 2009
Lee County4stable  above  199204.8 (192.1, 218.1)1.146309403-0.1 (-0.6, 0.3)2005 - 2009
Pike County4stable  above  62204.9 (182.6, 229.2)1.1469429400.3 (-0.2, 0.8)2005 - 2009
Russell County4stable  above  121219.2 (202.1, 237.5)1.227224074-1.8 (-3.6, 0.1)2005 - 2009
St. Clair County4stable  above  163204.1 (190.1, 218.9)1.142538132-0.0 (-0.4, 0.4)2005 - 2009
Walker County4stable  above  187215.2 (201.5, 229.6)1.2044272283.2 (-3.4, 10.2)2005 - 2009
Winston County4stable  above  65213.7 (190.7, 238.8)1.1962003380.3 (-0.2, 0.8)2005 - 2009
Calhoun County5falling  above  276209.3 (198.4, 220.7)1.171659237-1.8 (-2.7, -0.8)2005 - 2009
Dallas County5falling  above  107219.1 (200.8, 238.6)1.226204325-2.2 (-3.8, -0.6)2005 - 2009
Escambia County5falling  above  96218.0 (198.8, 238.7)1.220498028-1.2 (-2.1, -0.2)2005 - 2009
Etowah County5falling  above  275212.6 (201.4, 224.3)1.189951382-0.4 (-0.8, -0.1)2005 - 2009
Macon County5falling  above  58223.0 (197.7, 250.9)1.248285581-1.9 (-3.5, -0.2)2005 - 2009
Mobile County5falling  above  888214.7 (208.4, 221.2)1.201962555-1.2 (-1.7, -0.7)2005 - 2009
Montgomery County5falling  above  461207.7 (199.2, 216.4)1.162496923-1.0 (-1.4, -0.5)2005 - 2009
Talladega County5falling  above  189209.0 (195.8, 222.9)1.170071833-0.6 (-1.1, -0.0)2005 - 2009
Barbour County6stable  similar  60183.6 (163.2, 205.9)1.027764487-1.3 (-2.9, 0.3)2005 - 2009
Bibb County6stable  similar  45200.0 (174.7, 228.1)1.119697912-0.0 (-0.6, 0.5)2005 - 2009
Cherokee County6stable  similar  62185.2 (164.7, 207.8)1.036646399-0.0 (-0.5, 0.5)2005 - 2009
Clay County6stable  similar  39205.4 (177.2, 237.2)1.149786993-0.1 (-0.8, 0.6)2005 - 2009
Conecuh County6stable  similar  34201.0 (171.4, 234.7)1.125205162-1.7 (-3.4, 0.1)2005 - 2009
Coosa County6stable  similar  27191.2 (159.8, 227.6)1.0702248750.0 (-0.8, 0.8)2005 - 2009
Crenshaw County6stable  similar  36202.5 (173.4, 235.4)1.1335973210.5 (-0.1, 1.2)2005 - 2009
Cullman County6stable  similar  183191.1 (178.9, 204.1)1.069913464-0.0 (-0.3, 0.3)2005 - 2009
DeKalb County6stable  similar  146189.2 (175.6, 203.5)1.058793845-0.2 (-0.7, 0.3)2005 - 2009
Fayette County6stable  similar  46201.9 (176.1, 230.6)1.1299430560.2 (-0.4, 0.7)2005 - 2009
Greene County6stable  similar  18164.4 (131.7, 203.0)0.9200690780.1 (-0.8, 1.1)2005 - 2009
Hale County6stable  similar  37194.7 (167.7, 224.9)1.0898294430.4 (-0.4, 1.2)2005 - 2009
Lauderdale County6stable  similar  214189.1 (177.9, 201.0)1.058706107-0.4 (-0.9, 0.0)2005 - 2009
Limestone County6stable  similar  142193.2 (179.1, 208.2)1.081538794-2.2 (-6.5, 2.3)2005 - 2009
Monroe County6stable  similar  52194.2 (171.1, 219.8)1.087242620-0.0 (-0.6, 0.6)2005 - 2009
Randolph County6stable  similar  55187.6 (165.8, 211.7)1.0501966200.3 (-0.2, 0.7)2005 - 2009
Shelby County6stable  similar  254177.5 (167.5, 188.0)0.993669924-0.2 (-0.7, 0.2)2005 - 2009
Sumter County6stable  similar  31204.0 (172.6, 239.6)1.141748662-0.2 (-0.9, 0.5)2005 - 2009
Washington County6stable  similar  38197.0 (169.9, 227.4)1.1028222540.1 (-0.6, 0.8)2005 - 2009
Wilcox County6stable  similar  28199.9 (167.6, 236.8)1.1191690210.7 (-0.1, 1.5)2005 - 2009
Baldwin County8falling  similar  390179.4 (171.4, 187.6)1.003920507-1.3 (-1.8, -0.7)2005 - 2009
Blount County8falling  similar  112175.4 (161.0, 190.8)0.981845721-2.1 (-3.2, -1.1)2005 - 2009
Choctaw County8falling  similar  34181.7 (155.0, 212.0)1.017135057-3.3 (-5.5, -1.0)2005 - 2009
Clarke County8falling  similar  59188.6 (167.6, 211.6)1.055763278-1.5 (-2.7, -0.3)2005 - 2009
Coffee County8falling  similar  100188.2 (172.0, 205.6)1.053644153-3.2 (-6.3, -0.0)2005 - 2009
Colbert County8falling  similar  133190.2 (175.9, 205.5)1.064867779-0.9 (-1.5, -0.3)2005 - 2009
Elmore County8falling  similar  140187.0 (173.2, 201.6)1.046793020-1.5 (-2.2, -0.8)2005 - 2009
Houston County8falling  similar  213185.2 (174.2, 196.8)1.036925721-1.4 (-2.1, -0.8)2005 - 2009
Jefferson County8falling  similar  1,419193.9 (189.3, 198.5)1.085171963-1.6 (-2.1, -1.1)2005 - 2009
Madison County8falling  similar  556178.8 (172.1, 185.6)1.000643688-0.5 (-0.7, -0.2)2005 - 2009
Morgan County8falling  similar  236184.5 (174.1, 195.5)1.032946845-2.1 (-3.4, -0.7)2005 - 2009
Tallapoosa County8falling  similar  99181.0 (165.1, 198.0)1.012916201-4.8 (-7.8, -1.7)2005 - 2009
Tuscaloosa County8falling  similar  318194.6 (185.1, 204.5)1.089278852-0.9 (-1.4, -0.4)2005 - 2009
Created by statecancerprofiles.cancer.gov on 06/18/2013 5:38 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 trendestimates.
** 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 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 racial groups or 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, 1–4, 5–9, … , 80–84, 85+). The Healthy People 2010 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 populations included with the data release have been adjusted for the population shifts due to hurricanes Katrina and Rita for 62 counties and parishes in Alabama, Mississippi, Louisiana, and Texas. The 1969-2009 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).