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National Cancer Institute State Cancer Profiles Centers for Disease Control and Prevention
 
Cancer:
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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

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

Chambers County
Cleburne County
Covington County
Geneva County
Henry County
Marengo County
Marshall County
Perry County
Pickens County 
Priority 2: rising and similar

Lowndes County
Marion County 
Priority 3: rising and below

[none]
 
 
Stable
Trend
Priority 4: stable and above

Autauga County
Bullock County
Butler County
Chilton County
Dale County
Franklin County
Jackson County
Lamar County
Lawrence County
Lee County
Pike County
Russell County
St. Clair County
Walker County
Winston County 
Priority 6: stable and similar

Barbour County
Bibb County
Cherokee County
Clay County
Conecuh County
Coosa County
Crenshaw County
Cullman County
DeKalb County
Fayette County
Greene County
Hale County
Lauderdale County
Limestone County
Monroe County
Randolph County
Shelby County
Sumter County
Washington County
Wilcox County 
Priority 7: stable and below

[none]
 
 
Falling
Trend
Priority 5: falling and above

Alabama
Calhoun County
Dallas County
Escambia County
Etowah County
Macon County
Mobile County
Montgomery County
Talladega County 
Priority 8: falling and similar

Baldwin County
Blount County
Choctaw County
Clarke County
Coffee County
Colbert County
Elmore County
Houston County
Jefferson County
Madison County
Morgan County
Tallapoosa County
Tuscaloosa County 
Priority 9: falling and below

[none]
 
 
  Created by statecancerprofiles.cancer.gov on 05/23/2013 2:18 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


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).
 
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