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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Alabama Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by trend
Counties
 sort alphabetically by name ascending
Priority Index1
1=highest
9=lowest

 sort by priority index descending
Recent Trend2
County Death
Rate
Compared
to
US Rate
Average Annual Count
 sort by count descending
Age-Adjusted Death Rate

deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
Rate
Ratio3
County
to
US
 sort by rate descending
Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
 sort by trend ascending
United States - falling falling trend - 599,666 149.4 (149.3, 149.6) - -2.0 (-2.2, -1.8)
Alabama - falling falling trend - 10,437 166.9 (165.4, 168.3) - -1.7 (-1.9, -1.6)
Wilcox County 4 stable stable trend higher 32 212.6 (179.6, 250.5) 1.4 0.0 (-0.9, 0.8)
Houston County 8 falling falling trend similar 215 154.4 (145.1, 164.1) 1.0 -4.0 (-6.3, -1.6)
Pickens County 8 falling falling trend similar 42 144.4 (125.2, 166.0) 1.0 -3.5 (-5.0, -2.0)
Lauderdale County 8 falling falling trend similar 211 156.1 (146.6, 166.1) 1.0 -2.9 (-4.6, -1.2)
Limestone County 8 falling falling trend similar 173 147.9 (138.0, 158.3) 1.0 -2.3 (-3.2, -1.4)
Tuscaloosa County 8 falling falling trend similar 320 148.3 (140.9, 155.9) 1.0 -2.2 (-2.9, -1.6)
Dale County 5 falling falling trend higher 107 168.9 (154.7, 184.1) 1.1 -2.1 (-3.1, -1.2)
Marshall County 5 falling falling trend higher 206 166.4 (156.3, 177.1) 1.1 -2.1 (-3.1, -1.1)
Choctaw County 8 falling falling trend similar 29 136.0 (114.3, 161.5) 0.9 -2.0 (-2.7, -1.3)
DeKalb County 8 falling falling trend similar 145 156.8 (145.4, 168.9) 1.0 -1.9 (-3.0, -0.9)
Autauga County 8 falling falling trend similar 102 151.6 (138.6, 165.6) 1.0 -1.8 (-2.4, -1.3)
Madison County 8 falling falling trend similar 659 151.1 (145.9, 156.5) 1.0 -1.7 (-2.0, -1.4)
Shelby County 9 falling falling trend lower 321 126.7 (120.4, 133.2) 0.8 -1.6 (-2.0, -1.2)
Jefferson County 5 falling falling trend higher 1,347 167.4 (163.3, 171.5) 1.1 -1.6 (-1.9, -1.3)
Mobile County 5 falling falling trend higher 889 173.8 (168.6, 179.1) 1.2 -1.6 (-1.8, -1.4)
Conecuh County 8 falling falling trend similar 34 171.7 (145.8, 201.6) 1.1 -1.5 (-2.2, -0.9)
Greene County 8 falling falling trend similar 21 155.6 (125.8, 191.4) 1.0 -1.4 (-2.3, -0.6)
Montgomery County 8 falling falling trend similar 427 163.3 (156.3, 170.6) 1.1 -1.4 (-1.7, -1.2)
Hale County 8 falling falling trend similar 33 157.0 (133.2, 184.2) 1.1 -1.3 (-2.2, -0.3)
Cleburne County 8 falling falling trend similar 34 157.0 (133.8, 183.5) 1.1 -1.3 (-2.1, -0.4)
Calhoun County 5 falling falling trend higher 273 181.4 (171.7, 191.6) 1.2 -1.3 (-1.6, -1.0)
Winston County 8 falling falling trend similar 59 157.8 (139.9, 177.7) 1.1 -1.2 (-1.7, -0.7)
Baldwin County 8 falling falling trend similar 497 155.2 (149.0, 161.7) 1.0 -1.2 (-1.5, -1.0)
Barbour County 5 falling falling trend higher 67 190.4 (170.0, 212.7) 1.3 -1.1 (-1.8, -0.4)
Lamar County 5 falling falling trend higher 39 180.8 (155.5, 209.5) 1.2 -1.1 (-1.7, -0.5)
Pike County 5 falling falling trend higher 67 181.6 (162.1, 202.9) 1.2 -1.1 (-1.6, -0.6)
Franklin County 5 falling falling trend higher 68 174.1 (155.9, 194.0) 1.2 -1.1 (-1.6, -0.5)
Coffee County 8 falling falling trend similar 107 159.6 (146.1, 174.0) 1.1 -1.1 (-1.5, -0.7)
Elmore County 5 falling falling trend higher 166 172.3 (160.6, 184.8) 1.2 -1.1 (-1.4, -0.8)
Coosa County 8 falling falling trend similar 29 164.3 (136.8, 196.6) 1.1 -1.0 (-1.7, -0.3)
Monroe County 8 falling falling trend similar 50 159.2 (139.5, 181.3) 1.1 -1.0 (-1.6, -0.4)
Macon County 5 falling falling trend higher 53 204.3 (179.2, 232.3) 1.4 -1.0 (-1.4, -0.6)
Etowah County 5 falling falling trend higher 254 177.2 (167.3, 187.5) 1.2 -1.0 (-1.3, -0.7)
Butler County 8 falling falling trend similar 46 158.9 (138.5, 181.9) 1.1 -0.9 (-1.5, -0.4)
Clarke County 5 falling falling trend higher 67 188.3 (168.2, 210.6) 1.3 -0.9 (-1.5, -0.2)
Bibb County 5 falling falling trend higher 52 186.1 (163.8, 210.7) 1.2 -0.9 (-1.4, -0.3)
Lee County 5 falling falling trend higher 255 170.5 (161.0, 180.4) 1.1 -0.9 (-1.3, -0.5)
Colbert County 5 falling falling trend higher 143 177.9 (164.8, 191.9) 1.2 -0.9 (-1.2, -0.6)
Washington County 8 falling falling trend similar 37 159.4 (136.6, 185.3) 1.1 -0.8 (-1.6, -0.1)
Marengo County 5 falling falling trend higher 52 188.7 (165.7, 214.4) 1.3 -0.8 (-1.4, -0.3)
Randolph County 8 falling falling trend similar 55 162.8 (143.4, 184.3) 1.1 -0.8 (-1.4, -0.2)
Blount County 5 falling falling trend higher 146 186.4 (172.8, 200.7) 1.2 -0.8 (-1.2, -0.5)
Dallas County 5 falling falling trend higher 100 194.7 (177.5, 213.4) 1.3 -0.8 (-1.2, -0.5)
Escambia County 5 falling falling trend higher 98 198.1 (180.6, 216.9) 1.3 -0.8 (-1.2, -0.5)
Chambers County 5 falling falling trend higher 87 181.4 (164.3, 199.9) 1.2 -0.8 (-1.2, -0.4)
Cullman County 8 falling falling trend similar 182 161.7 (151.1, 172.9) 1.1 -0.8 (-1.1, -0.5)
Talladega County 5 falling falling trend higher 205 187.6 (176.0, 199.8) 1.3 -0.8 (-1.1, -0.5)
Russell County 5 falling falling trend higher 130 200.1 (184.7, 216.5) 1.3 -0.8 (-1.1, -0.4)
Lowndes County 4 stable stable trend higher 28 202.1 (169.0, 240.4) 1.4 -0.7 (-1.4, 0.1)
Chilton County 5 falling falling trend higher 94 165.6 (150.7, 181.7) 1.1 -0.7 (-1.3, -0.2)
Cherokee County 5 falling falling trend higher 72 167.4 (150.0, 186.7) 1.1 -0.7 (-1.3, -0.1)
Henry County 5 falling falling trend higher 47 174.4 (152.1, 199.6) 1.2 -0.7 (-1.2, -0.1)
Tallapoosa County 5 falling falling trend higher 113 183.0 (167.5, 199.8) 1.2 -0.7 (-1.2, -0.1)
St. Clair County 4 stable stable trend higher 196 175.4 (164.4, 187.1) 1.2 -0.6 (-1.6, 0.3)
Lawrence County 5 falling falling trend higher 84 180.8 (163.5, 199.5) 1.2 -0.6 (-1.1, -0.1)
Jackson County 5 falling falling trend higher 147 197.1 (182.6, 212.5) 1.3 -0.6 (-0.9, -0.3)
Morgan County 5 falling falling trend higher 268 171.7 (162.5, 181.4) 1.1 -0.6 (-0.9, -0.3)
Bullock County 4 stable stable trend higher 24 188.8 (156.1, 226.7) 1.3 -0.5 (-1.4, 0.4)
Sumter County 4 stable stable trend higher 32 199.9 (168.2, 236.2) 1.3 -0.5 (-1.4, 0.4)
Clay County 6 stable stable trend similar 36 175.7 (150.3, 204.8) 1.2 -0.5 (-1.3, 0.4)
Fayette County 4 stable stable trend higher 47 190.7 (166.5, 217.9) 1.3 -0.5 (-1.1, 0.2)
Geneva County 4 stable stable trend higher 74 187.2 (168.1, 208.0) 1.3 -0.5 (-1.1, 0.1)
Perry County 6 stable stable trend similar 22 176.5 (143.7, 215.2) 1.2 -0.4 (-1.4, 0.6)
Marion County 4 stable stable trend higher 84 181.1 (163.7, 200.0) 1.2 -0.4 (-0.9, 0.2)
Covington County 4 stable stable trend higher 112 192.5 (176.4, 209.8) 1.3 -0.4 (-0.9, 0.1)
Crenshaw County 4 stable stable trend higher 41 211.0 (182.3, 243.5) 1.4 -0.3 (-1.0, 0.4)
Walker County 5 falling falling trend higher 185 205.4 (192.0, 219.5) 1.4 -0.3 (-0.6, 0.0)
Notes:
Created by statecancerprofiles.cancer.gov on 05/20/2024 2:45 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 usually an Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint Version 4.8.0.0. Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected geographic areas.
3 Rate ratio is the county rate divided by the US rate. Previous versions of this table used one-year rates for states and five-year rates for counties. As of June 2018, only five-year rates are used.
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 2020 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 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).


Interpret Rankings provides insight into interpreting cancer 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.

Data for United States does not include Puerto Rico.

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