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Interpretation of Incidence Rates Data

Incidence Rate Report for Alabama by County

All Races (includes Hispanic), Female, Colon & Rectum, All Ages
Sorted by Rate

Explanation of Column Headers

Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Other Notes

  • Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
  • Data is currently being suppressed if there are fewer than 16 counts for the time period.


    Line by Line Interpretation of the Report


    Alabama6,10
    • Rate : The incidence rate is 38.7 with a 95% confidence interval from 37.7 to 39.8.
    • Average Annual Count : The count is 1,143.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : falling falling trend
    • Recent AAPC : -5.1
    US (SEER+NPCR)1,10
    • Rate : The incidence rate is 37.8 with a 95% confidence interval from 37.7 to 38.0.
    • Average Annual Count : The count is 68,991 §.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : falling falling trend
    • Recent AAPC : -4
    Cherokee County6,10
    • Rate : The incidence rate is 19.1 with a 95% confidence interval from 11.2 to 31.3.
    • Average Annual Count : The count is 4.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -26.2
    Chilton County6,10
    • Rate : The incidence rate is 24.7 with a 95% confidence interval from 16.9 to 34.9.
    • Average Annual Count : The count is 7.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -26
    Fayette County6,10
    • Rate : The incidence rate is 24.9 with a 95% confidence interval from 14.1 to 41.9.
    • Average Annual Count : The count is 3.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 16.9
    Randolph County6,10
    • Rate : The incidence rate is 25.2 with a 95% confidence interval from 15.4 to 39.7.
    • Average Annual Count : The count is 4.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -3.2
    Coffee County6,10
    • Rate : The incidence rate is 25.3 with a 95% confidence interval from 17.8 to 35.1.
    • Average Annual Count : The count is 8.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 7.9
    Shelby County6,10
    • Rate : The incidence rate is 28.1 with a 95% confidence interval from 23.5 to 33.3.
    • Average Annual Count : The count is 28.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 2.5
    Madison County6,10
    • Rate : The incidence rate is 31.1 with a 95% confidence interval from 27.6 to 34.9.
    • Average Annual Count : The count is 58.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -5.2
    St. Clair County6,10
    • Rate : The incidence rate is 31.6 with a 95% confidence interval from 24.7 to 39.7.
    • Average Annual Count : The count is 15.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -7.3
    Marshall County6,10
    • Rate : The incidence rate is 32.2 with a 95% confidence interval from 25.9 to 39.6.
    • Average Annual Count : The count is 19.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -3.4
    Crenshaw County6,10
    • Rate : The incidence rate is 32.3 with a 95% confidence interval from 18.4 to 53.7.
    • Average Annual Count : The count is 3.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -13.9
    Blount County6,10
    • Rate : The incidence rate is 32.5 with a 95% confidence interval from 24.5 to 42.3.
    • Average Annual Count : The count is 12.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -10.3
    Dale County6,10
    • Rate : The incidence rate is 33.1 with a 95% confidence interval from 24.4 to 44.0.
    • Average Annual Count : The count is 10.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -6.5
    Lee County6,10
    • Rate : The incidence rate is 33.7 with a 95% confidence interval from 27.4 to 40.9.
    • Average Annual Count : The count is 21.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -3.6
    Geneva County6,10
    • Rate : The incidence rate is 33.7 with a 95% confidence interval from 22.8 to 48.6.
    • Average Annual Count : The count is 6.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 0.3
    Limestone County6,10
    • Rate : The incidence rate is 33.7 with a 95% confidence interval from 26.6 to 42.2.
    • Average Annual Count : The count is 16.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 1.6
    DeKalb County6,10
    • Rate : The incidence rate is 33.8 with a 95% confidence interval from 26.4 to 42.8.
    • Average Annual Count : The count is 14.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -6.8
    Baldwin County6,10
    • Rate : The incidence rate is 34.0 with a 95% confidence interval from 29.4 to 39.1.
    • Average Annual Count : The count is 41.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 1.8
    Henry County6,10
    • Rate : The incidence rate is 34.2 with a 95% confidence interval from 20.6 to 54.1.
    • Average Annual Count : The count is 4.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 0.6
    Talladega County6,10
    • Rate : The incidence rate is 34.5 with a 95% confidence interval from 27.6 to 42.7.
    • Average Annual Count : The count is 18.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 3.4
    Hale County6,10
    • Rate : The incidence rate is 34.7 with a 95% confidence interval from 20.5 to 55.6.
    • Average Annual Count : The count is 4.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 0
    Tallapoosa County6,10
    • Rate : The incidence rate is 34.7 with a 95% confidence interval from 25.7 to 46.2.
    • Average Annual Count : The count is 10.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -7.5
    Colbert County6,10
    • Rate : The incidence rate is 34.8 with a 95% confidence interval from 27.2 to 44.2.
    • Average Annual Count : The count is 15.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -8.9
    Sumter County6,10
    • Rate : The incidence rate is 35.5 with a 95% confidence interval from 20.8 to 57.8.
    • Average Annual Count : The count is 4.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 0
    Etowah County6,10
    • Rate : The incidence rate is 35.7 with a 95% confidence interval from 29.8 to 42.6.
    • Average Annual Count : The count is 27.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -3.6
    Escambia County6,10
    • Rate : The incidence rate is 36.2 with a 95% confidence interval from 26.1 to 49.2.
    • Average Annual Count : The count is 9.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -10.2
    Cullman County6,10
    • Rate : The incidence rate is 36.4 with a 95% confidence interval from 29.4 to 44.7.
    • Average Annual Count : The count is 19.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -9.2
    Lawrence County6,10
    • Rate : The incidence rate is 36.5 with a 95% confidence interval from 25.9 to 50.4.
    • Average Annual Count : The count is 8.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -16.1
    Macon County6,10
    • Rate : The incidence rate is 37.2 with a 95% confidence interval from 24.2 to 55.1.
    • Average Annual Count : The count is 5.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -14.2
    Morgan County6,10
    • Rate : The incidence rate is 37.6 with a 95% confidence interval from 31.6 to 44.6.
    • Average Annual Count : The count is 28.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -6.1
    Pike County6,10
    • Rate : The incidence rate is 37.8 with a 95% confidence interval from 26.0 to 53.3.
    • Average Annual Count : The count is 7.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 8.2
    Pickens County6,10
    • Rate : The incidence rate is 38.9 with a 95% confidence interval from 25.3 to 57.7.
    • Average Annual Count : The count is 5.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -10.2
    Tuscaloosa County6,10
    • Rate : The incidence rate is 39.7 with a 95% confidence interval from 34.2 to 45.7.
    • Average Annual Count : The count is 39.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -7.8
    Houston County6,10
    • Rate : The incidence rate is 40.1 with a 95% confidence interval from 33.4 to 47.8.
    • Average Annual Count : The count is 26.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -5.5
    Butler County6,10
    • Rate : The incidence rate is 40.3 with a 95% confidence interval from 27.0 to 58.6.
    • Average Annual Count : The count is 6.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -18.7
    Elmore County6,10
    • Rate : The incidence rate is 40.7 with a 95% confidence interval from 32.5 to 50.3.
    • Average Annual Count : The count is 18.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 9.3
    Lauderdale County6,10
    • Rate : The incidence rate is 40.9 with a 95% confidence interval from 34.0 to 48.8.
    • Average Annual Count : The count is 26.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -12.3
    Winston County6,10
    • Rate : The incidence rate is 40.9 with a 95% confidence interval from 27.5 to 58.8.
    • Average Annual Count : The count is 6.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -7.7
    Marion County6,10
    • Rate : The incidence rate is 41.0 with a 95% confidence interval from 29.5 to 55.9.
    • Average Annual Count : The count is 9.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -5.2
    Franklin County6,10
    • Rate : The incidence rate is 41.9 with a 95% confidence interval from 30.1 to 57.1.
    • Average Annual Count : The count is 8.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -11.9
    Chambers County6,10
    • Rate : The incidence rate is 41.9 with a 95% confidence interval from 31.3 to 55.3.
    • Average Annual Count : The count is 11.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 6
    Jefferson County6,10
    • Rate : The incidence rate is 42.4 with a 95% confidence interval from 39.6 to 45.3.
    • Average Annual Count : The count is 177.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : falling falling trend
    • Recent AAPC : -9.2
    Calhoun County6,10
    • Rate : The incidence rate is 42.6 with a 95% confidence interval from 36.2 to 49.7.
    • Average Annual Count : The count is 33.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -8
    Mobile County6,10
    • Rate : The incidence rate is 42.6 with a 95% confidence interval from 39.0 to 46.4.
    • Average Annual Count : The count is 106.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -4.4
    Clarke County6,10
    • Rate : The incidence rate is 42.8 with a 95% confidence interval from 30.2 to 59.4.
    • Average Annual Count : The count is 8.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 6.8
    Walker County6,10
    • Rate : The incidence rate is 42.9 with a 95% confidence interval from 34.7 to 52.7.
    • Average Annual Count : The count is 20.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 12.5
    Marengo County6,10
    • Rate : The incidence rate is 43.6 with a 95% confidence interval from 29.9 to 62.1.
    • Average Annual Count : The count is 7.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 2.9
    Covington County6,10
    • Rate : The incidence rate is 45.1 with a 95% confidence interval from 34.8 to 57.8.
    • Average Annual Count : The count is 14.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -8.5
    Autauga County6,10
    • Rate : The incidence rate is 45.2 with a 95% confidence interval from 34.8 to 57.7.
    • Average Annual Count : The count is 13.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -7.5
    Monroe County6,10
    • Rate : The incidence rate is 45.5 with a 95% confidence interval from 31.6 to 63.8.
    • Average Annual Count : The count is 7.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 8.5
    Montgomery County6,10
    • Rate : The incidence rate is 45.9 with a 95% confidence interval from 40.9 to 51.4.
    • Average Annual Count : The count is 62.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -7.6
    Bibb County6,10
    • Rate : The incidence rate is 46.9 with a 95% confidence interval from 31.4 to 67.7.
    • Average Annual Count : The count is 6.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 2.5
    Coosa County6,10
    • Rate : The incidence rate is 48.0 with a 95% confidence interval from 28.0 to 78.3.
    • Average Annual Count : The count is 4.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -6.8
    Russell County6,10
    • Rate : The incidence rate is 48.4 with a 95% confidence interval from 38.0 to 60.9.
    • Average Annual Count : The count is 15.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 9.6
    Cleburne County6,10
    • Rate : The incidence rate is 50.1 with a 95% confidence interval from 32.1 to 75.4.
    • Average Annual Count : The count is 5.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : falling falling trend
    • Recent AAPC : -30
    Washington County6,10
    • Rate : The incidence rate is 50.2 with a 95% confidence interval from 32.9 to 73.9.
    • Average Annual Count : The count is 5.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 19.6
    Jackson County6,10
    • Rate : The incidence rate is 50.3 with a 95% confidence interval from 40.3 to 62.2.
    • Average Annual Count : The count is 18.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -7.1
    Lowndes County6,10
    • Rate : The incidence rate is 50.6 with a 95% confidence interval from 30.3 to 80.4.
    • Average Annual Count : The count is 4.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -14.4
    Barbour County6,10
    • Rate : The incidence rate is 53.2 with a 95% confidence interval from 38.6 to 72.0.
    • Average Annual Count : The count is 9.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 0.5
    Greene County6,10
    • Rate : The incidence rate is 54.3 with a 95% confidence interval from 30.7 to 90.1.
    • Average Annual Count : The count is 3.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -27.9
    Lamar County6,10
    • Rate : The incidence rate is 54.7 with a 95% confidence interval from 36.0 to 80.7.
    • Average Annual Count : The count is 6.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -9.7
    Conecuh County6,10
    • Rate : The incidence rate is 56.0 with a 95% confidence interval from 35.8 to 84.4.
    • Average Annual Count : The count is 5.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -20.6
    Bullock County6,10
    • Rate : The incidence rate is 58.2 with a 95% confidence interval from 34.5 to 93.1.
    • Average Annual Count : The count is 4.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -2
    Dallas County6,10
    • Rate : The incidence rate is 60.5 with a 95% confidence interval from 48.2 to 75.0.
    • Average Annual Count : The count is 17.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : -9.2
    Wilcox County6,10
    • Rate : The incidence rate is 61.7 with a 95% confidence interval from 39.5 to 92.8.
    • Average Annual Count : The count is 5.
    • Rate Period : The period for the rate is 2007-2011.
    • Recent Trend : stable stable trend
    • Recent AAPC : 5.7
    Choctaw County6,10
    • Rate : *
    • Average Annual Count : *
    • Rate Period : *
    • Recent Trend : *
    • Recent AAPC : *
    Clay County6,10
    • Rate : *
    • Average Annual Count : *
    • Rate Period : *
    • Recent Trend : *
    • Recent AAPC : *
    Perry County6,10
    • Rate : *
    • Average Annual Count : *
    • Rate Period : *
    • Recent Trend : *
    • Recent AAPC : *


    Notes:
    Created by statecancerprofiles.cancer.gov on 10/23/2014 12:32 am.
    Data for the United States does not include data from Nevada.
    State Cancer Registries may provide more current or more local data.
    † Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2012 US Population Data File is used for SEER and NPCR incidence rates.
    § The total count for the US (SEER+NPCR) may differ from the summation of the individual states reported in this table. The total uses data from the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) January 2013 data submission for the following states: California, Kentucky, Louisiana, and New Jersey but data for those states when shown individually are sourced from the SEER November 2013 submission.
    * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category.

    1 Source: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) January 2014 data submission and SEER November 2013 submission.
    6 Source: State Cancer Registry and the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) January 2014 data submission. State rates include rates from metropolitan areas funded by SEER.
    10 Source: Incidence data provided by the National Program of Cancer Registries (NPCR). EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2012 US Population Data File is used with NPCR January 2014 data.

    Please note that the data comes from different sources. Due to different years of data availablility, most of the trends are AAPCs based on APCs but some are EAPCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

    Interpret Rankings provides insight into interpreting cancer incidence statistics. 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.