## 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.

**Recent Trends** - This is an interpretation of the AAPC/APC:

**Rising**when 95% confidence interval of AAPC/APC is above 0.**Stable**when 95% confidence interval of AAPC/APC includes 0.**Falling**when 95% confidence interval of AAPC/APC is below 0.

**AAPC/APC (95% Confidence Interval)** - the change in rate over time

- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.

**Other Notes**

**Line by Line Interpretation of the Report**

#### Alabama^{6,10}

- Rate : The incidence rate is 73.4 with a 95% confidence interval from 72.4 to 74.5 and 4,037 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.3 to -2.3.

#### US (SEER+NPCR)^{1,10}

- Rate : The incidence rate is 63.7 with a 95% confidence interval from 63.6 to 63.8 and 213,812 § average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.1 to -2.3.

#### Lawrence County^{6,10}

- Rate : The incidence rate is 100.2 with a 95% confidence interval from 86.7 to 115.3 and 41 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -13.3 to 7.8.

#### Walker County^{6,10}

- Rate : The incidence rate is 98.8 with a 95% confidence interval from 89.7 to 108.7 and 89 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -5.3 to 10.5.

#### Winston County^{6,10}

- Rate : The incidence rate is 97.4 with a 95% confidence interval from 82.8 to 114.0 and 33 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -20.1 to 12.6.

#### Bibb County^{6,10}

- Rate : The incidence rate is 96.8 with a 95% confidence interval from 80.3 to 115.8 and 25 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -26.8 to 24.8.

#### Geneva County^{6,10}

- Rate : The incidence rate is 92.8 with a 95% confidence interval from 79.5 to 108.0 and 35 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -14.8 to 13.6.

#### Escambia County^{6,10}

- Rate : The incidence rate is 85.8 with a 95% confidence interval from 74.3 to 98.7 and 40 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -18.3 to 19.2.

#### Marshall County^{6,10}

- Rate : The incidence rate is 85.3 with a 95% confidence interval from 77.7 to 93.5 and 95 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -8.7 to 1.4.

#### Coosa County^{6,10}

- Rate : The incidence rate is 85.2 with a 95% confidence interval from 65.9 to 109.2 and 14 average annual cases over 2008-2012.
- Recent Trend : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Clay County^{6,10}

- Rate : The incidence rate is 85.1 with a 95% confidence interval from 67.2 to 106.8 and 16 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -28.6 to 38.2.

#### Calhoun County^{6,10}

- Rate : The incidence rate is 83.5 with a 95% confidence interval from 76.8 to 90.6 and 119 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -14.6 to 11.7.

#### Perry County^{6,10}

- Rate : The incidence rate is 83.3 with a 95% confidence interval from 62.7 to 109.1 and 11 average annual cases over 2008-2012.
- Recent Trend : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Cherokee County^{6,10}

- Rate : The incidence rate is 83.0 with a 95% confidence interval from 70.3 to 97.8 and 32 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 7.2 with a 95% confidence interval from -10.6 to 28.4.

#### Jackson County^{6,10}

- Rate : The incidence rate is 82.6 with a 95% confidence interval from 73.2 to 92.9 and 59 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -12.1 to 5.5.

#### Etowah County^{6,10}

- Rate : The incidence rate is 82.1 with a 95% confidence interval from 75.3 to 89.4 and 110 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -11.5 to 6.0.

#### Elmore County^{6,10}

- Rate : The incidence rate is 81.9 with a 95% confidence interval from 73.2 to 91.3 and 68 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.3 with a 95% confidence interval from -14.6 to 7.2.

#### Russell County^{6,10}

- Rate : The incidence rate is 81.9 with a 95% confidence interval from 71.7 to 93.2 and 48 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -11.3 to 12.3.

#### Chilton County^{6,10}

- Rate : The incidence rate is 81.9 with a 95% confidence interval from 71.0 to 94.0 and 42 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -14.0 with a 95% confidence interval from -30.7 to 6.7.

#### Dale County^{6,10}

- Rate : The incidence rate is 81.8 with a 95% confidence interval from 71.5 to 93.2 and 47 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -9.6 to 3.4.

#### Morgan County^{6,10}

- Rate : The incidence rate is 81.7 with a 95% confidence interval from 75.1 to 88.7 and 116 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -8.6 to 10.4.

#### Washington County^{6,10}

- Rate : The incidence rate is 80.8 with a 95% confidence interval from 64.3 to 100.6 and 17 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.5 with a 95% confidence interval from -7.8 to 18.5.

#### Barbour County^{6,10}

- Rate : The incidence rate is 80.3 with a 95% confidence interval from 66.9 to 95.7 and 26 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -17.8 to 10.5.

#### Chambers County^{6,10}

- Rate : The incidence rate is 80.1 with a 95% confidence interval from 68.7 to 93.1 and 36 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -6.2 with a 95% confidence interval from -9.9 to -2.3.

#### Lamar County^{6,10}

- Rate : The incidence rate is 79.9 with a 95% confidence interval from 63.6 to 99.8 and 17 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -20.6 to 24.4.

#### Fayette County^{6,10}

- Rate : The incidence rate is 79.7 with a 95% confidence interval from 64.3 to 98.0 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -24.7 to 42.6.

#### Franklin County^{6,10}

- Rate : The incidence rate is 79.5 with a 95% confidence interval from 67.3 to 93.5 and 30 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -14.7 to 11.7.

#### Greene County^{6,10}

- Rate : The incidence rate is 79.1 with a 95% confidence interval from 57.5 to 106.9 and 9 average annual cases over 2008-2012.
- Recent Trend : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Autauga County^{6,10}

- Rate : The incidence rate is 78.3 with a 95% confidence interval from 68.1 to 89.7 and 43 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -7.9 to 15.5.

#### Talladega County^{6,10}

- Rate : The incidence rate is 78.1 with a 95% confidence interval from 70.4 to 86.5 and 77 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -17.9 to 9.4.

#### St. Clair County^{6,10}

- Rate : The incidence rate is 77.7 with a 95% confidence interval from 69.7 to 86.4 and 72 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -6.6 to 2.4.

#### Randolph County^{6,10}

- Rate : The incidence rate is 77.4 with a 95% confidence interval from 63.8 to 93.2 and 24 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from -16.4 to 29.2.

#### Mobile County^{6,10}

- Rate : The incidence rate is 77.4 with a 95% confidence interval from 73.7 to 81.2 and 349 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -7.5 to -0.3.

#### Coffee County^{6,10}

- Rate : The incidence rate is 77.3 with a 95% confidence interval from 67.6 to 88.1 and 46 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -16.9 to 9.1.

#### Covington County^{6,10}

- Rate : The incidence rate is 77.3 with a 95% confidence interval from 66.9 to 89.0 and 41 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -14.7 to 21.4.

#### Blount County^{6,10}

- Rate : The incidence rate is 76.9 with a 95% confidence interval from 67.9 to 86.9 and 55 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.4 with a 95% confidence interval from -22.7 to 11.1.

#### Cleburne County^{6,10}

- Rate : The incidence rate is 76.5 with a 95% confidence interval from 59.4 to 97.3 and 14 average annual cases over 2008-2012.

#### Dallas County^{6,10}

- Rate : The incidence rate is 76.5 with a 95% confidence interval from 65.9 to 88.3 and 39 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -27.6 to 28.4.

#### Conecuh County^{6,10}

- Rate : The incidence rate is 76.3 with a 95% confidence interval from 59.4 to 97.1 and 15 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -15.4 with a 95% confidence interval from -45.2 to 30.4.

#### Colbert County^{6,10}

- Rate : The incidence rate is 75.3 with a 95% confidence interval from 66.6 to 85.0 and 55 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -15.9 to 16.9.

#### Wilcox County^{6,10}

- Rate : The incidence rate is 74.4 with a 95% confidence interval from 55.6 to 97.9 and 11 average annual cases over 2008-2012.

#### Tallapoosa County^{6,10}

- Rate : The incidence rate is 73.5 with a 95% confidence interval from 63.7 to 84.6 and 42 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -14.1 to 17.0.

#### Tuscaloosa County^{6,10}

- Rate : The incidence rate is 73.4 with a 95% confidence interval from 67.8 to 79.3 and 133 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.1 with a 95% confidence interval from -11.0 to 1.2.

#### Limestone County^{6,10}

- Rate : The incidence rate is 73.1 with a 95% confidence interval from 65.3 to 81.6 and 67 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -8.3 to 12.6.

#### Hale County^{6,10}

- Rate : The incidence rate is 72.7 with a 95% confidence interval from 56.3 to 92.6 and 14 average annual cases over 2008-2012.

#### Houston County^{6,10}

- Rate : The incidence rate is 72.4 with a 95% confidence interval from 65.7 to 79.6 and 87 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -7.3 to 0.5.

#### Marion County^{6,10}

- Rate : The incidence rate is 72.0 with a 95% confidence interval from 61.0 to 84.5 and 32 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -12.2 to 5.3.

#### Lauderdale County^{6,10}

- Rate : The incidence rate is 71.7 with a 95% confidence interval from 65.2 to 78.8 and 89 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.2 with a 95% confidence interval from -12.9 to 1.0.

#### Pike County^{6,10}

- Rate : The incidence rate is 70.1 with a 95% confidence interval from 58.0 to 84.1 and 24 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -17.8 with a 95% confidence interval from -36.8 to 6.7.

#### Clarke County^{6,10}

- Rate : The incidence rate is 69.5 with a 95% confidence interval from 57.2 to 83.7 and 23 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -7.3 to 12.5.

#### Cullman County^{6,10}

- Rate : The incidence rate is 68.4 with a 95% confidence interval from 61.4 to 76.1 and 70 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -21.7 to 19.3.

#### Henry County^{6,10}

- Rate : The incidence rate is 67.9 with a 95% confidence interval from 53.9 to 84.8 and 17 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -9.0 with a 95% confidence interval from -29.0 to 16.6.

#### Jefferson County^{6,10}

- Rate : The incidence rate is 66.8 with a 95% confidence interval from 64.1 to 69.5 and 487 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -5.0 to -0.5.

#### Pickens County^{6,10}

- Rate : The incidence rate is 66.7 with a 95% confidence interval from 53.7 to 82.2 and 18 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -28.6 to 30.5.

#### Baldwin County^{6,10}

- Rate : The incidence rate is 65.9 with a 95% confidence interval from 61.4 to 70.7 and 162 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -14.2 to 13.4.

#### Madison County^{6,10}

- Rate : The incidence rate is 65.9 with a 95% confidence interval from 62.1 to 69.8 and 232 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -7.7 to 3.4.

#### Montgomery County^{6,10}

- Rate : The incidence rate is 65.7 with a 95% confidence interval from 61.1 to 70.6 and 153 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -6.8 with a 95% confidence interval from -11.6 to -1.7.

#### DeKalb County^{6,10}

- Rate : The incidence rate is 64.2 with a 95% confidence interval from 56.6 to 72.5 and 54 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -11.6 to 6.9.

#### Sumter County^{6,10}

- Rate : The incidence rate is 63.6 with a 95% confidence interval from 47.5 to 83.8 and 11 average annual cases over 2008-2012.

#### Monroe County^{6,10}

- Rate : The incidence rate is 62.7 with a 95% confidence interval from 50.5 to 77.3 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -24.3 to 30.3.

#### Shelby County^{6,10}

- Rate : The incidence rate is 62.4 with a 95% confidence interval from 57.3 to 68.0 and 114 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -12.0 to 2.9.

#### Bullock County^{6,10}

- Rate : The incidence rate is 62.3 with a 95% confidence interval from 44.4 to 85.3 and 8 average annual cases over 2008-2012.

#### Lowndes County^{6,10}

- Rate : The incidence rate is 62.1 with a 95% confidence interval from 44.9 to 84.3 and 9 average annual cases over 2008-2012.

#### Butler County^{6,10}

- Rate : The incidence rate is 58.8 with a 95% confidence interval from 46.7 to 73.3 and 17 average annual cases over 2008-2012.
- Recent Trend : The trend is rising because the trend is 6.2 with a 95% confidence interval from 0.2 to 12.5.

#### Macon County^{6,10}

- Rate : The incidence rate is 57.7 with a 95% confidence interval from 45.2 to 73.0 and 15 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 9.7 with a 95% confidence interval from -26.2 to 63.1.

#### Marengo County^{6,10}

- Rate : The incidence rate is 57.0 with a 95% confidence interval from 45.2 to 71.3 and 16 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 9.8 with a 95% confidence interval from -10.7 to 34.9.

#### Lee County^{6,10}

- Rate : The incidence rate is 56.7 with a 95% confidence interval from 50.5 to 63.4 and 65 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -5.4 to 10.5.

#### Crenshaw County^{6,10}

- Rate : The incidence rate is 55.0 with a 95% confidence interval from 40.5 to 73.4 and 10 average annual cases over 2008-2012.

#### Choctaw County^{6,10}

- Rate : The incidence rate is 47.8 with a 95% confidence interval from 35.1 to 64.3 and 10 average annual cases over 2008-2012.

**Notes:**

Created by statecancerprofiles.cancer.gov on 02/10/2016 9:21 pm.

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 1969-2013 US Population Data File is used for SEER and NPCR incidence rates.

‡ Incidence data come from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

§ 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 2015 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 2014 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

^{1}Source: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2014 data submission and SEER November 2014 submission.

^{6}Source: State Cancer Registry and the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 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 1969-2013 US Population Data File is used with NPCR November 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 APCs 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.