State Cancer Profiles > Interpretation of Death Rates Data

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Interpretation of Death Rates Data

Death Rate Report for Alabama by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Female, All Ages

Sorted by CI*Rank

Explanation of Column Headers

Death Rate (95% Confidence Interval) - The death rate is based upon 100,000 people and is for 5 year(s). Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population (the Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal).

Recent Trends - This is an interpretation of the AAPC:

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.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

Other Notes

Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Clarke County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 180.0 with a 95% confidence interval from 152.7 to 211.3 and 34 average annual counts over 2019-2023.
CI*Rank ⋔ : 1 (1, 30)
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.0 to 1.7.

Crenshaw County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 168.1 with a 95% confidence interval from 133.8 to 209.7 and 17 average annual counts over 2019-2023.
CI*Rank ⋔ : 2 (1, 62)
Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.5 to 1.8.

Cherokee County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 168.1 with a 95% confidence interval from 142.3 to 197.8 and 33 average annual counts over 2019-2023.
CI*Rank ⋔ : 3 (1, 47)
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.9 to 1.8.

Russell County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 162.9 with a 95% confidence interval from 145.0 to 182.6 and 62 average annual counts over 2019-2023.
CI*Rank ⋔ : 4 (1, 37)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.5.

Cleburne County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 161.4 with a 95% confidence interval from 129.7 to 199.4 and 19 average annual counts over 2019-2023.
CI*Rank ⋔ : 5 (1, 62)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.0 to 1.0.

Franklin County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 158.1 with a 95% confidence interval from 135.1 to 184.2 and 35 average annual counts over 2019-2023.
CI*Rank ⋔ : 6 (1, 55)
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.8 to 0.5.

Greene County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 155.6 with a 95% confidence interval from 111.8 to 212.7 and 9 average annual counts over 2019-2023.
CI*Rank ⋔ : 7 (1, 67)
Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.2 to 3.2.

Escambia County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 154.8 with a 95% confidence interval from 133.9 to 178.4 and 42 average annual counts over 2019-2023.
CI*Rank ⋔ : 8 (1, 56)
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.5.

Jackson County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 154.5 with a 95% confidence interval from 137.5 to 173.2 and 65 average annual counts over 2019-2023.
CI*Rank ⋔ : 9 (1, 47)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.3.

Lowndes County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 153.6 with a 95% confidence interval from 116.4 to 200.5 and 12 average annual counts over 2019-2023.
CI*Rank ⋔ : 10 (1, 67)
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.6 to 0.8.

Covington County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 153.3 with a 95% confidence interval from 134.1 to 174.9 and 50 average annual counts over 2019-2023.
CI*Rank ⋔ : 11 (1, 55)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.3 to 0.6.

Hale County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 151.6 with a 95% confidence interval from 120.2 to 189.6 and 17 average annual counts over 2019-2023.
CI*Rank ⋔ : 12 (1, 66)
Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -4.0 to -0.5.

Etowah County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 151.3 with a 95% confidence interval from 139.1 to 164.3 and 121 average annual counts over 2019-2023.
CI*Rank ⋔ : 13 (3, 41)
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -0.8 to 4.9.

Pickens County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 150.8 with a 95% confidence interval from 123.5 to 183.3 and 22 average annual counts over 2019-2023.
CI*Rank ⋔ : 14 (1, 65)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.0 to 0.3.

Fayette County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 148.8 with a 95% confidence interval from 119.0 to 184.8 and 19 average annual counts over 2019-2023.
CI*Rank ⋔ : 15 (1, 66)
Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.6 to 1.5.

Walker County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 148.6 with a 95% confidence interval from 133.5 to 165.2 and 75 average annual counts over 2019-2023.
CI*Rank ⋔ : 16 (2, 51)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.2.

Talladega County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 148.0 with a 95% confidence interval from 134.2 to 162.9 and 89 average annual counts over 2019-2023.
CI*Rank ⋔ : 17 (3, 50)
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.4.

Calhoun County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 147.9 with a 95% confidence interval from 136.2 to 160.5 and 125 average annual counts over 2019-2023.
CI*Rank ⋔ : 18 (4, 46)
Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.2.

Pike County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 145.9 with a 95% confidence interval from 122.9 to 172.2 and 30 average annual counts over 2019-2023.
CI*Rank ⋔ : 19 (1, 64)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.7 to 0.8.

Tallapoosa County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 145.6 with a 95% confidence interval from 126.7 to 166.9 and 48 average annual counts over 2019-2023.
CI*Rank ⋔ : 20 (2, 61)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.1.

Barbour County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 145.4 with a 95% confidence interval from 120.4 to 174.6 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 21 (1, 65)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.8 to 0.4.

Perry County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 143.9 with a 95% confidence interval from 104.3 to 195.4 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 22 (1, 67)
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.5 to 0.6.

Bullock County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 143.7 with a 95% confidence interval from 106.0 to 192.3 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 23 (1, 67)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.8 to 1.7.

Mobile County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 142.5 with a 95% confidence interval from 136.2 to 149.0 and 409 average annual counts over 2019-2023.
CI*Rank ⋔ : 24 (11, 42)
Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.8.

Conecuh County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 141.7 with a 95% confidence interval from 108.3 to 183.6 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 25 (1, 67)
Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.1 to 1.9.

Marion County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 141.6 with a 95% confidence interval from 121.0 to 165.2 and 35 average annual counts over 2019-2023.
CI*Rank ⋔ : 26 (2, 64)
Recent Trend : The trend is stable because the trend is -10.9 with a 95% confidence interval from -21.8 to 0.2.

Lawrence County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 141.1 with a 95% confidence interval from 120.4 to 164.7 and 35 average annual counts over 2019-2023.
CI*Rank ⋔ : 27 (2, 64)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.2.

Bibb County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 139.1 with a 95% confidence interval from 113.2 to 169.8 and 21 average annual counts over 2019-2023.
CI*Rank ⋔ : 28 (1, 67)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.2 to 0.0.

Washington County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 139.0 with a 95% confidence interval from 109.9 to 174.6 and 16 average annual counts over 2019-2023.
CI*Rank ⋔ : 29 (1, 67)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.0 to 1.4.

Blount County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 138.2 with a 95% confidence interval from 122.7 to 155.3 and 60 average annual counts over 2019-2023.
CI*Rank ⋔ : 30 (5, 62)
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.6.

Marshall County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 136.8 with a 95% confidence interval from 124.3 to 150.2 and 92 average annual counts over 2019-2023.
CI*Rank ⋔ : 31 (9, 60)
Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.5.

DeKalb County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 136.2 with a 95% confidence interval from 121.8 to 152.0 and 68 average annual counts over 2019-2023.
CI*Rank ⋔ : 32 (7, 63)
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.2.

Lee County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 135.6 with a 95% confidence interval from 125.1 to 146.8 and 128 average annual counts over 2019-2023.
CI*Rank ⋔ : 33 (12, 58)
Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.5.

Chilton County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 135.4 with a 95% confidence interval from 117.2 to 155.8 and 41 average annual counts over 2019-2023.
CI*Rank ⋔ : 34 (4, 65)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.2 to 0.1.

Jefferson County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 135.1 with a 95% confidence interval from 130.4 to 140.1 and 636 average annual counts over 2019-2023.
CI*Rank ⋔ : 35 (22, 50)
Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.8.

Lamar County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 135.1 with a 95% confidence interval from 105.3 to 172.0 and 15 average annual counts over 2019-2023.
CI*Rank ⋔ : 36 (1, 67)
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.1 to 0.1.

Montgomery County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 135.0 with a 95% confidence interval from 126.7 to 143.7 and 207 average annual counts over 2019-2023.
CI*Rank ⋔ : 37 (15, 56)
Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.7.

Chambers County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 134.3 with a 95% confidence interval from 114.8 to 156.5 and 37 average annual counts over 2019-2023.
CI*Rank ⋔ : 38 (4, 66)
Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.5.

Elmore County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 134.1 with a 95% confidence interval from 121.1 to 148.3 and 80 average annual counts over 2019-2023.
CI*Rank ⋔ : 39 (10, 62)
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.7 to 0.1.

Dale County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 133.6 with a 95% confidence interval from 116.8 to 152.5 and 47 average annual counts over 2019-2023.
CI*Rank ⋔ : 40 (7, 65)
Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Autauga County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 133.4 with a 95% confidence interval from 117.8 to 150.7 and 54 average annual counts over 2019-2023.
CI*Rank ⋔ : 41 (9, 65)
Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -2.9 to 0.0.

Houston County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 132.7 with a 95% confidence interval from 121.3 to 145.0 and 105 average annual counts over 2019-2023.
CI*Rank ⋔ : 42 (14, 62)
Recent Trend : The trend is stable because the trend is 5.5 with a 95% confidence interval from -0.6 to 10.8.

Monroe County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 132.4 with a 95% confidence interval from 107.5 to 162.1 and 21 average annual counts over 2019-2023.
CI*Rank ⋔ : 43 (3, 67)
Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.8 to 1.6.

Randolph County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 132.0 with a 95% confidence interval from 108.8 to 159.5 and 24 average annual counts over 2019-2023.
CI*Rank ⋔ : 44 (3, 67)
Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.3.

Coffee County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 131.5 with a 95% confidence interval from 115.2 to 149.5 and 49 average annual counts over 2019-2023.
CI*Rank ⋔ : 45 (10, 65)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.1.

Morgan County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 131.2 with a 95% confidence interval from 120.5 to 142.6 and 116 average annual counts over 2019-2023.
CI*Rank ⋔ : 46 (16, 63)
Recent Trend : The trend is falling because the trend is -7.6 with a 95% confidence interval from -14.1 to -1.0.

Wilcox County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 131.1 with a 95% confidence interval from 96.5 to 175.3 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 47 (1, 67)
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.6 to 2.1.

Colbert County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 130.2 with a 95% confidence interval from 115.5 to 146.4 and 60 average annual counts over 2019-2023.
CI*Rank ⋔ : 48 (12, 65)
Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.2.

Madison County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 127.9 with a 95% confidence interval from 121.7 to 134.4 and 330 average annual counts over 2019-2023.
CI*Rank ⋔ : 49 (29, 60)
Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.9.

Clay County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 127.3 with a 95% confidence interval from 99.2 to 162.2 and 15 average annual counts over 2019-2023.
CI*Rank ⋔ : 50 (3, 67)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.3.

Butler County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 126.5 with a 95% confidence interval from 101.4 to 156.7 and 19 average annual counts over 2019-2023.
CI*Rank ⋔ : 51 (4, 67)
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.9 to 0.5.

Macon County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 126.0 with a 95% confidence interval from 101.5 to 155.7 and 20 average annual counts over 2019-2023.
CI*Rank ⋔ : 52 (4, 67)
Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.3 to -0.6.

Geneva County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 125.8 with a 95% confidence interval from 104.4 to 150.7 and 26 average annual counts over 2019-2023.
CI*Rank ⋔ : 53 (7, 67)
Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.7 to 2.1.

Lauderdale County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 124.4 with a 95% confidence interval from 112.8 to 136.9 and 93 average annual counts over 2019-2023.
CI*Rank ⋔ : 54 (22, 66)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.4.

St. Clair County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 124.3 with a 95% confidence interval from 112.4 to 137.2 and 83 average annual counts over 2019-2023.
CI*Rank ⋔ : 55 (22, 66)
Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.8 to -1.8.

Henry County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 124.2 with a 95% confidence interval from 99.4 to 154.4 and 19 average annual counts over 2019-2023.
CI*Rank ⋔ : 56 (4, 67)
Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.2 to 0.8.

Sumter County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 124.0 with a 95% confidence interval from 90.3 to 166.8 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 57 (1, 67)
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.8 to 3.6.

Cullman County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 123.9 with a 95% confidence interval from 112.0 to 136.9 and 83 average annual counts over 2019-2023.
CI*Rank ⋔ : 58 (22, 66)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.3.

Dallas County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 123.4 with a 95% confidence interval from 105.3 to 144.0 and 36 average annual counts over 2019-2023.
CI*Rank ⋔ : 59 (13, 67)
Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -17.6 to -1.9.

Choctaw County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 121.1 with a 95% confidence interval from 94.4 to 154.9 and 14 average annual counts over 2019-2023.
CI*Rank ⋔ : 60 (5, 67)
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.0 to 0.7.

Limestone County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 120.3 with a 95% confidence interval from 108.9 to 132.7 and 84 average annual counts over 2019-2023.
CI*Rank ⋔ : 61 (28, 66)
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.1.

Winston County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 120.0 with a 95% confidence interval from 99.0 to 145.0 and 24 average annual counts over 2019-2023.
CI*Rank ⋔ : 62 (9, 67)
Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.8 to -0.2.

Baldwin County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 118.9 with a 95% confidence interval from 111.8 to 126.4 and 225 average annual counts over 2019-2023.
CI*Rank ⋔ : 63 (41, 65)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.0 to -0.9.

Coosa County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 115.0 with a 95% confidence interval from 84.5 to 155.8 and 10 average annual counts over 2019-2023.
CI*Rank ⋔ : 64 (4, 67)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.5 to 1.5.

Tuscaloosa County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 114.1 with a 95% confidence interval from 106.1 to 122.7 and 153 average annual counts over 2019-2023.
CI*Rank ⋔ : 65 (46, 67)
Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.5 to -1.6.

Marengo County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 110.5 with a 95% confidence interval from 87.8 to 138.1 and 17 average annual counts over 2019-2023.
CI*Rank ⋔ : 66 (15, 67)
Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.2 to 0.0.

Shelby County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : Yes
Rate : The death rate is 102.1 with a 95% confidence interval from 95.0 to 109.8 and 155 average annual counts over 2019-2023.
CI*Rank ⋔ : 67 (60, 67)
Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.4 to -1.3.

Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 6:02 am.

State Cancer Registries may provide more current or more local data.

† 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 (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+).

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

Data for United States does not include Puerto Rico.

State Cancer Profiles