## Interpretation of Incidence Rates Data

#### Incidence Rate Report for Alabama by County

All Races (includes Hispanic), Female, Melanoma of the Skin, 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 15.8 with a 95% confidence interval from 15.1 to 16.5.
- Average Annual Count : The count is 429.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 0.5

**US (SEER+NPCR)**^{1,10}- Rate : The incidence rate is 15.8 with a 95% confidence interval from 15.7 to 15.9.
- Average Annual Count : The count is 26,903 §.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.3

**St. Clair County**^{6,10}- Rate : The incidence rate is 11.9 with a 95% confidence interval from 7.8 to 17.4.
- Average Annual Count : The count is 6.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -4.6

**Tallapoosa County**^{6,10}- Rate : The incidence rate is 12.0 with a 95% confidence interval from 6.9 to 19.6.
- Average Annual Count : The count is 4.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : rising
- Recent AAPC : 33.2

**Tuscaloosa County**^{6,10}- Rate : The incidence rate is 12.2 with a 95% confidence interval from 9.2 to 15.8.
- Average Annual Count : The count is 12.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -7.3

**Mobile County**^{6,10}- Rate : The incidence rate is 12.8 with a 95% confidence interval from 10.8 to 15.1.
- Average Annual Count : The count is 29.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : rising
- Recent AAPC : 17

**Dale County**^{6,10}- Rate : The incidence rate is 12.9 with a 95% confidence interval from 7.6 to 20.7.
- Average Annual Count : The count is 4.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 6.7

**Lee County**^{6,10}- Rate : The incidence rate is 13.1 with a 95% confidence interval from 9.4 to 17.8.
- Average Annual Count : The count is 8.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -1.5

**Limestone County**^{6,10}- Rate : The incidence rate is 13.2 with a 95% confidence interval from 8.7 to 19.2.
- Average Annual Count : The count is 6.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -1.6

**Montgomery County**^{6,10}- Rate : The incidence rate is 13.7 with a 95% confidence interval from 11.0 to 16.9.
- Average Annual Count : The count is 18.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 5.6

**Covington County**^{6,10}- Rate : The incidence rate is 14.0 with a 95% confidence interval from 7.8 to 23.2.
- Average Annual Count : The count is 3.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 0

**Madison County**^{6,10}- Rate : The incidence rate is 14.1 with a 95% confidence interval from 11.7 to 16.9.
- Average Annual Count : The count is 25.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -3.7

**DeKalb County**^{6,10}- Rate : The incidence rate is 14.4 with a 95% confidence interval from 9.4 to 21.0.
- Average Annual Count : The count is 5.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -1.9

**Talladega County**^{6,10}- Rate : The incidence rate is 14.7 with a 95% confidence interval from 10.1 to 20.7.
- Average Annual Count : The count is 7.
- 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 15.1 with a 95% confidence interval from 13.3 to 16.9.
- Average Annual Count : The count is 58.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 1.9

**Etowah County**^{6,10}- Rate : The incidence rate is 15.3 with a 95% confidence interval from 11.1 to 20.6.
- Average Annual Count : The count is 9.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -14.1

**Walker County**^{6,10}- Rate : The incidence rate is 15.3 with a 95% confidence interval from 10.2 to 22.3.
- Average Annual Count : The count is 6.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 3.9

**Chilton County**^{6,10}- Rate : The incidence rate is 15.4 with a 95% confidence interval from 9.2 to 24.3.
- Average Annual Count : The count is 4.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.4

**Shelby County**^{6,10}- Rate : The incidence rate is 16.1 with a 95% confidence interval from 12.8 to 20.0.
- Average Annual Count : The count is 17.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.7

**Blount County**^{6,10}- Rate : The incidence rate is 16.1 with a 95% confidence interval from 10.6 to 23.7.
- Average Annual Count : The count is 6.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.4

**Russell County**^{6,10}- Rate : The incidence rate is 16.4 with a 95% confidence interval from 10.3 to 24.7.
- Average Annual Count : The count is 5.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -11.5

**Calhoun County**^{6,10}- Rate : The incidence rate is 16.5 with a 95% confidence interval from 12.4 to 21.5.
- Average Annual Count : The count is 12.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : falling
- Recent AAPC : -21.3

**Houston County**^{6,10}- Rate : The incidence rate is 17.1 with a 95% confidence interval from 12.7 to 22.5.
- Average Annual Count : The count is 10.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 19.5

**Franklin County**^{6,10}- Rate : The incidence rate is 18.0 with a 95% confidence interval from 10.4 to 29.3.
- Average Annual Count : The count is 3.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 21

**Jackson County**^{6,10}- Rate : The incidence rate is 18.6 with a 95% confidence interval from 12.2 to 27.1.
- Average Annual Count : The count is 6.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : falling
- Recent AAPC : -13.3

**Morgan County**^{6,10}- Rate : The incidence rate is 19.4 with a 95% confidence interval from 15.0 to 24.8.
- Average Annual Count : The count is 13.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 0.9

**Colbert County**^{6,10}- Rate : The incidence rate is 19.5 with a 95% confidence interval from 13.1 to 28.0.
- Average Annual Count : The count is 6.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 4.4

**Marshall County**^{6,10}- Rate : The incidence rate is 19.8 with a 95% confidence interval from 14.7 to 26.1.
- Average Annual Count : The count is 11.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 4.8

**Autauga County**^{6,10}- Rate : The incidence rate is 21.5 with a 95% confidence interval from 14.6 to 30.7.
- Average Annual Count : The count is 6.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 6.4

**Baldwin County**^{6,10}- Rate : The incidence rate is 22.4 with a 95% confidence interval from 18.5 to 26.9.
- Average Annual Count : The count is 25.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -6.9

**Elmore County**^{6,10}- Rate : The incidence rate is 22.9 with a 95% confidence interval from 16.9 to 30.4.
- Average Annual Count : The count is 10.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -4.6

**Winston County**^{6,10}- Rate : The incidence rate is 23.3 with a 95% confidence interval from 13.1 to 38.4.
- Average Annual Count : The count is 3.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 19.9

**Clarke County**^{6,10}- Rate : The incidence rate is 25.6 with a 95% confidence interval from 15.2 to 40.5.
- Average Annual Count : The count is 4.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 0

**Pike County**^{6,10}- Rate : The incidence rate is 26.3 with a 95% confidence interval from 16.1 to 40.5.
- Average Annual Count : The count is 4.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 13.1

**Lauderdale County**^{6,10}- Rate : The incidence rate is 27.4 with a 95% confidence interval from 21.2 to 34.8.
- Average Annual Count : The count is 15.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 14.6

**Geneva County**^{6,10}- Rate : The incidence rate is 28.0 with a 95% confidence interval from 17.7 to 42.5.
- Average Annual Count : The count is 5.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 8.3

**Cullman County**^{6,10}- Rate : The incidence rate is 28.4 with a 95% confidence interval from 21.8 to 36.5.
- Average Annual Count : The count is 13.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -10.5

**Barbour County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Bibb County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Bullock County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Butler County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Chambers County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Cherokee County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Choctaw County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Clay County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Cleburne County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Coffee County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : stable
- Recent AAPC : 2.3

**Conecuh County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Coosa County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Crenshaw County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Dallas County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Escambia County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Fayette County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Greene County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Hale County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Henry County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Lamar County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Lawrence County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : stable
- Recent AAPC : 0

**Lowndes County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Macon County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Marengo County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Marion County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Monroe County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Perry County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Pickens County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Randolph County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Sumter County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Washington County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Wilcox County**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Notes:**

Created by statecancerprofiles.cancer.gov on 10/24/2014 9:26 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 1969-2012 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.