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Rate/Trend Comparison by Cancer

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Death Rate/Trend Comparison by Cancer, death years through 2015
Alabama Counties versus United States

Colon & Rectum
All Races, Both Sexes

  Above US Rate Similar to US Rate Below US Rate
Priority 1: rising and above

Priority 2: rising and similar

DeKalb County 
Priority 3: rising and below

Priority 4: stable and above

Chambers County
Colbert County
Dallas County
Etowah County
Jackson County
Walker County 
Priority 6: stable and similar

Autauga County
Barbour County
Butler County
Cherokee County
Chilton County
Clarke County
Coffee County
Covington County
Cullman County
Escambia County
Fayette County
Franklin County
Geneva County
Hale County
Henry County
Houston County
Lamar County
Lauderdale County
Lee County
Limestone County
Macon County
Marion County
Marshall County
Monroe County
Pickens County
Pike County
Randolph County
Russell County
St. Clair County
Sumter County
Talladega County
Tallapoosa County
Tuscaloosa County
Winston County 
Priority 7: stable and below

Priority 5: falling and above

Jefferson County
Mobile County
Montgomery County 
Priority 8: falling and similar

Baldwin County
Calhoun County
Dale County
Elmore County
Madison County
Morgan County
Shelby County 
Priority 9: falling and below

Blount County 
Created by on 06/25/2018 11:24 am.
     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 Regression Program (Version Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected counties.
3 Rate ratio is the county rate divided by the US rate.

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 1969-2015 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).

Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Bullock County, Choctaw County, Clay County, Conecuh County, Coosa County, Perry County

Trend for the following could not be reliably determined due to small number of deaths per year:
Bibb County, Cleburne County, Crenshaw County, Greene County, Lawrence County, Lowndes County, Marengo County, Washington County, Wilcox County