## Interpretation of Incidence Rates Data

#### Incidence Rate Report for Alabama by County

All Races (includes Hispanic), Both Sexes, Lung & Bronchus, 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**

**Line by Line Interpretation of the Report**

**Alabama**^{6,10}- Rate : The incidence rate is 74.3 with a 95% confidence interval from 73.3 to 75.4.
- Average Annual Count : The count is 4,002.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -1.7

**US (SEER+NPCR)**^{1,10}- Rate : The incidence rate is 64.9 with a 95% confidence interval from 64.7 to 65.0.
- Average Annual Count : The count is 212,768 §.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : falling
- Recent AAPC : -2.7

**Winston County**^{6,10}- Rate : The incidence rate is 104.2 with a 95% confidence interval from 89.0 to 121.6.
- Average Annual Count : The count is 34.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 1.3

**Walker County**^{6,10}- Rate : The incidence rate is 103.4 with a 95% confidence interval from 94.0 to 113.5.
- Average Annual Count : The count is 92.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 1.1

**Bibb County**^{6,10}- Rate : The incidence rate is 99.1 with a 95% confidence interval from 82.2 to 118.4.
- Average Annual Count : The count is 25.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 3.9

**Clay County**^{6,10}- Rate : The incidence rate is 94.8 with a 95% confidence interval from 75.8 to 117.5.
- Average Annual Count : The count is 18.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 1.4

**Calhoun County**^{6,10}- Rate : The incidence rate is 91.5 with a 95% confidence interval from 84.5 to 99.0.
- Average Annual Count : The count is 127.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.1

**Marshall County**^{6,10}- Rate : The incidence rate is 90.8 with a 95% confidence interval from 82.9 to 99.2.
- Average Annual Count : The count is 100.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.4

**Elmore County**^{6,10}- Rate : The incidence rate is 90.7 with a 95% confidence interval from 81.5 to 100.7.
- Average Annual Count : The count is 74.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 0.1

**Geneva County**^{6,10}- Rate : The incidence rate is 89.1 with a 95% confidence interval from 75.9 to 104.2.
- Average Annual Count : The count is 33.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : rising
- Recent AAPC : 6.2

**Russell County**^{6,10}- Rate : The incidence rate is 86.8 with a 95% confidence interval from 76.2 to 98.5.
- Average Annual Count : The count is 50.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 3.1

**Dale County**^{6,10}- Rate : The incidence rate is 85.0 with a 95% confidence interval from 74.4 to 96.8.
- Average Annual Count : The count is 47.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : falling
- Recent AAPC : -7.5

**Lawrence County**^{6,10}- Rate : The incidence rate is 84.8 with a 95% confidence interval from 72.4 to 98.9.
- Average Annual Count : The count is 35.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 3.8

**Jackson County**^{6,10}- Rate : The incidence rate is 84.7 with a 95% confidence interval from 75.2 to 95.2.
- Average Annual Count : The count is 59.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -4.9

**Etowah County**^{6,10}- Rate : The incidence rate is 83.5 with a 95% confidence interval from 76.6 to 90.9.
- Average Annual Count : The count is 111.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -2.7

**Conecuh County**^{6,10}- Rate : The incidence rate is 83.0 with a 95% confidence interval from 65.0 to 105.0.
- Average Annual Count : The count is 15.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -3.6

**Lamar County**^{6,10}- Rate : The incidence rate is 82.6 with a 95% confidence interval from 66.0 to 102.7.
- Average Annual Count : The count is 17.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 4.3

**Hale County**^{6,10}- Rate : The incidence rate is 81.8 with a 95% confidence interval from 64.6 to 102.4.
- Average Annual Count : The count is 16.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 7.6

**Chilton County**^{6,10}- Rate : The incidence rate is 81.6 with a 95% confidence interval from 70.7 to 93.8.
- Average Annual Count : The count is 41.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -7.8

**Fayette County**^{6,10}- Rate : The incidence rate is 81.3 with a 95% confidence interval from 65.6 to 100.1.
- Average Annual Count : The count is 19.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 1.5

**Coffee County**^{6,10}- Rate : The incidence rate is 80.9 with a 95% confidence interval from 70.9 to 92.0.
- Average Annual Count : The count is 47.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.7

**Franklin County**^{6,10}- Rate : The incidence rate is 80.8 with a 95% confidence interval from 68.4 to 94.8.
- Average Annual Count : The count is 31.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -8.5

**Morgan County**^{6,10}- Rate : The incidence rate is 80.7 with a 95% confidence interval from 74.1 to 87.8.
- Average Annual Count : The count is 112.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -2.1

**Wilcox County**^{6,10}- Rate : The incidence rate is 80.5 with a 95% confidence interval from 60.7 to 105.0.
- Average Annual Count : The count is 11.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 10.8

**Barbour County**^{6,10}- Rate : The incidence rate is 80.0 with a 95% confidence interval from 66.6 to 95.5.
- Average Annual Count : The count is 26.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -6.1

**Talladega County**^{6,10}- Rate : The incidence rate is 79.3 with a 95% confidence interval from 71.5 to 87.8.
- Average Annual Count : The count is 77.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -4

**Mobile County**^{6,10}- Rate : The incidence rate is 79.2 with a 95% confidence interval from 75.4 to 83.0.
- Average Annual Count : The count is 349.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -2.5

**Escambia County**^{6,10}- Rate : The incidence rate is 78.5 with a 95% confidence interval from 67.4 to 91.1.
- Average Annual Count : The count is 36.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.5

**Covington County**^{6,10}- Rate : The incidence rate is 78.3 with a 95% confidence interval from 67.7 to 90.1.
- Average Annual Count : The count is 41.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 1.6

**Pike County**^{6,10}- Rate : The incidence rate is 77.4 with a 95% confidence interval from 64.6 to 92.1.
- Average Annual Count : The count is 26.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -2.3

**Colbert County**^{6,10}- Rate : The incidence rate is 76.1 with a 95% confidence interval from 67.3 to 85.9.
- Average Annual Count : The count is 55.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 5.1

**Cleburne County**^{6,10}- Rate : The incidence rate is 75.7 with a 95% confidence interval from 58.8 to 96.3.
- Average Annual Count : The count is 14.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.8

**Randolph County**^{6,10}- Rate : The incidence rate is 75.7 with a 95% confidence interval from 62.1 to 91.6.
- Average Annual Count : The count is 22.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 16.3

**Perry County**^{6,10}- Rate : The incidence rate is 75.3 with a 95% confidence interval from 55.6 to 100.1.
- Average Annual Count : The count is 10.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 6.1

**Chambers County**^{6,10}- Rate : The incidence rate is 75.0 with a 95% confidence interval from 63.9 to 87.5.
- Average Annual Count : The count is 34.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 2.2

**Cullman County**^{6,10}- Rate : The incidence rate is 74.8 with a 95% confidence interval from 67.4 to 82.9.
- Average Annual Count : The count is 76.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -8.2

**St. Clair County**^{6,10}- Rate : The incidence rate is 74.5 with a 95% confidence interval from 66.6 to 83.1.
- Average Annual Count : The count is 68.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 0.4

**Dallas County**^{6,10}- Rate : The incidence rate is 73.9 with a 95% confidence interval from 63.5 to 85.5.
- Average Annual Count : The count is 37.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -7.8

**Washington County**^{6,10}- Rate : The incidence rate is 73.4 with a 95% confidence interval from 57.6 to 92.3.
- Average Annual Count : The count is 15.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 6.2

**Coosa County**^{6,10}- Rate : The incidence rate is 73.3 with a 95% confidence interval from 55.5 to 95.8.
- Average Annual Count : The count is 12.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -7.2

**Houston County**^{6,10}- Rate : The incidence rate is 72.9 with a 95% confidence interval from 66.1 to 80.3.
- Average Annual Count : The count is 85.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.9

**Marion County**^{6,10}- Rate : The incidence rate is 72.8 with a 95% confidence interval from 61.6 to 85.6.
- Average Annual Count : The count is 31.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : falling
- Recent AAPC : -6.4

**Limestone County**^{6,10}- Rate : The incidence rate is 72.3 with a 95% confidence interval from 64.4 to 80.8.
- Average Annual Count : The count is 64.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -2

**Lauderdale County**^{6,10}- Rate : The incidence rate is 72.1 with a 95% confidence interval from 65.5 to 79.3.
- Average Annual Count : The count is 88.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -4.9

**Autauga County**^{6,10}- Rate : The incidence rate is 71.2 with a 95% confidence interval from 61.3 to 82.2.
- Average Annual Count : The count is 38.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -1.7

**Tuscaloosa County**^{6,10}- Rate : The incidence rate is 70.9 with a 95% confidence interval from 65.3 to 76.7.
- Average Annual Count : The count is 125.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -1.4

**Jefferson County**^{6,10}- Rate : The incidence rate is 70.7 with a 95% confidence interval from 67.9 to 73.5.
- Average Annual Count : The count is 508.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -1.8

**Cherokee County**^{6,10}- Rate : The incidence rate is 69.9 with a 95% confidence interval from 58.2 to 83.5.
- Average Annual Count : The count is 26.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.2

**Henry County**^{6,10}- Rate : The incidence rate is 69.8 with a 95% confidence interval from 55.2 to 87.5.
- Average Annual Count : The count is 16.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 3.1

**Greene County**^{6,10}- Rate : The incidence rate is 69.7 with a 95% confidence interval from 49.9 to 95.6.
- Average Annual Count : The count is 8.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -7.6

**Montgomery County**^{6,10}- Rate : The incidence rate is 69.2 with a 95% confidence interval from 64.4 to 74.2.
- Average Annual Count : The count is 159.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -3.2

**Blount County**^{6,10}- Rate : The incidence rate is 68.2 with a 95% confidence interval from 59.6 to 77.7.
- Average Annual Count : The count is 47.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 0.4

**Choctaw County**^{6,10}- Rate : The incidence rate is 66.8 with a 95% confidence interval from 51.5 to 85.8.
- Average Annual Count : The count is 13.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : falling
- Recent AAPC : -16.1

**Pickens County**^{6,10}- Rate : The incidence rate is 66.8 with a 95% confidence interval from 53.7 to 82.4.
- Average Annual Count : The count is 18.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 3.9

**Madison County**^{6,10}- Rate : The incidence rate is 66.6 with a 95% confidence interval from 62.7 to 70.6.
- Average Annual Count : The count is 227.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.9

**Baldwin County**^{6,10}- Rate : The incidence rate is 64.6 with a 95% confidence interval from 60.1 to 69.5.
- Average Annual Count : The count is 153.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -4.8

**Crenshaw County**^{6,10}- Rate : The incidence rate is 64.3 with a 95% confidence interval from 48.7 to 83.8.
- Average Annual Count : The count is 12.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.4

**Tallapoosa County**^{6,10}- Rate : The incidence rate is 64.3 with a 95% confidence interval from 55.1 to 74.7.
- Average Annual Count : The count is 36.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 3

**DeKalb County**^{6,10}- Rate : The incidence rate is 64.0 with a 95% confidence interval from 56.4 to 72.4.
- Average Annual Count : The count is 52.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -6.3

**Butler County**^{6,10}- Rate : The incidence rate is 62.1 with a 95% confidence interval from 49.6 to 77.0.
- Average Annual Count : The count is 17.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -7.2

**Clarke County**^{6,10}- Rate : The incidence rate is 62.1 with a 95% confidence interval from 50.4 to 75.7.
- Average Annual Count : The count is 20.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 7.5

**Monroe County**^{6,10}- Rate : The incidence rate is 61.7 with a 95% confidence interval from 49.4 to 76.3.
- Average Annual Count : The count is 18.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 13

**Shelby County**^{6,10}- Rate : The incidence rate is 59.5 with a 95% confidence interval from 54.3 to 65.0.
- Average Annual Count : The count is 104.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : falling
- Recent AAPC : -7.1

**Sumter County**^{6,10}- Rate : The incidence rate is 59.2 with a 95% confidence interval from 43.7 to 78.7.
- Average Annual Count : The count is 10.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 1.8

**Lee County**^{6,10}- Rate : The incidence rate is 57.3 with a 95% confidence interval from 51.0 to 64.2.
- Average Annual Count : The count is 63.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 0.1

**Lowndes County**^{6,10}- Rate : The incidence rate is 57.1 with a 95% confidence interval from 40.3 to 79.0.
- Average Annual Count : The count is 8.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -14.8

**Marengo County**^{6,10}- Rate : The incidence rate is 53.2 with a 95% confidence interval from 41.7 to 67.2.
- Average Annual Count : The count is 15.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 2.2

**Macon County**^{6,10}- Rate : The incidence rate is 52.3 with a 95% confidence interval from 40.2 to 67.0.
- Average Annual Count : The count is 13.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -4.2

**Bullock County**^{6,10}- Rate : The incidence rate is 51.2 with a 95% confidence interval from 35.0 to 72.6.
- Average Annual Count : The count is 7.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 12.1

**Notes:**

Created by statecancerprofiles.cancer.gov on 10/31/2014 8:50 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.

^{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.