Death Rates Table
Death Rate Report for Alabama by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Count
County
|
2023 Rural-Urban Continuum Codes Φ
|
Met Healthy People Objective of 122.7? |
Age-Adjusted Death Rate † deaths per 100,000 (95% Confidence Interval)
|
CI*Rank ⋔ (95% Confidence Interval)
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Death Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|---|
| Jefferson County | Urban | No | 160.2 (156.2, 164.2) | 44 (30, 54) | 1,311 |
falling 
|
-1.4 (-1.6, -1.3) |
| Mobile County | Urban | No | 167.7 (162.7, 172.9) | 31 (18, 45) | 872 |
falling
|
-1.6 (-1.8, -1.4) |
| Madison County | Urban | No | 142.1 (137.3, 147.2) | 63 (53, 66) | 667 |
falling
|
-1.7 (-2.0, -1.5) |
| Baldwin County | Urban | No | 143.9 (138.2, 149.8) | 62 (50, 66) | 515 |
falling
|
-1.5 (-1.9, -1.2) |
| Montgomery County | Urban | No | 162.3 (155.4, 169.4) | 41 (22, 55) | 438 |
falling
|
-1.5 (-1.9, -1.1) |
| Tuscaloosa County | Urban | No | 135.8 (129.2, 142.8) | 66 (57, 66) | 328 |
falling
|
-2.4 (-2.8, -2.0) |
| Shelby County | Urban | Yes | 118.0 (112.2, 124.0) | 67 (65, 67) | 326 |
falling
|
-2.1 (-2.6, -1.6) |
| Lee County | Urban | No | 159.1 (150.6, 168.0) | 46 (22, 60) | 274 |
falling
|
-1.5 (-2.1, -0.7) |
| Calhoun County | Urban | No | 176.8 (167.3, 186.9) | 19 (5, 41) | 270 |
falling
|
-1.2 (-1.7, -0.6) |
| Etowah County | Urban | No | 183.0 (173.0, 193.4) | 9 (2, 33) | 266 |
falling
|
-0.9 (-1.3, -0.5) |
| Morgan County | Urban | No | 152.8 (144.3, 161.7) | 56 (32, 64) | 252 |
falling
|
-6.4 (-10.0, -1.8) |
| Houston County | Urban | No | 159.9 (150.6, 169.7) | 45 (20, 60) | 228 |
falling
|
-1.3 (-1.7, -0.8) |
| Marshall County | Rural | No | 167.3 (157.0, 178.1) | 32 (11, 55) | 207 |
falling
|
-1.2 (-1.7, -0.7) |
| Lauderdale County | Urban | No | 145.1 (135.9, 154.8) | 61 (42, 66) | 198 |
stable 
|
-2.7 (-4.8, 0.9) |
| St. Clair County | Urban | No | 161.6 (151.5, 172.3) | 42 (16, 59) | 198 |
falling
|
-1.9 (-5.2, -1.3) |
| Talladega County | Rural | No | 175.7 (164.6, 187.4) | 21 (4, 47) | 198 |
falling
|
-0.9 (-1.3, -0.5) |
| Cullman County | Rural | No | 152.2 (142.4, 162.6) | 57 (30, 65) | 188 |
falling
|
-1.5 (-2.0, -1.1) |
| Limestone County | Urban | No | 140.0 (130.8, 149.6) | 65 (50, 66) | 182 |
falling
|
-2.0 (-3.6, -1.3) |
| Elmore County | Urban | No | 167.2 (156.2, 178.7) | 33 (9, 56) | 182 |
falling
|
-1.0 (-1.6, -0.5) |
| Walker County | Urban | No | 183.4 (170.9, 196.7) | 8 (2, 38) | 168 |
falling
|
-3.3 (-8.2, -1.4) |
| DeKalb County | Rural | No | 157.3 (145.9, 169.4) | 49 (19, 64) | 147 |
falling
|
-1.1 (-1.9, -0.3) |
| Jackson County | Rural | No | 183.7 (170.1, 198.2) | 6 (1, 40) | 144 |
falling
|
-1.0 (-1.7, -0.4) |
| Colbert County | Urban | No | 164.4 (152.1, 177.5) | 38 (10, 61) | 139 |
falling
|
-1.2 (-1.8, -0.7) |
| Russell County | Urban | No | 200.7 (185.5, 216.8) | 3 (1, 20) | 136 |
falling
|
-1.0 (-1.6, -0.4) |
| Blount County | Urban | No | 166.3 (153.8, 179.7) | 35 (9, 58) | 135 |
falling
|
-0.9 (-1.6, -0.2) |
| Autauga County | Urban | No | 153.8 (141.2, 167.2) | 54 (20, 66) | 114 |
falling
|
-1.8 (-2.9, -0.6) |
| Covington County | Rural | No | 180.7 (165.3, 197.3) | 12 (2, 49) | 108 |
falling
|
-1.1 (-2.0, -0.4) |
| Tallapoosa County | Rural | No | 164.3 (150.0, 179.8) | 39 (8, 62) | 107 |
falling
|
-1.3 (-2.2, -0.5) |
| Dale County | Rural | No | 163.1 (149.3, 178.0) | 40 (10, 62) | 107 |
falling
|
-1.5 (-2.0, -1.0) |
| Chilton County | Urban | No | 181.1 (165.5, 197.9) | 11 (1, 50) | 103 |
falling
|
-1.0 (-2.0, -0.1) |
| Coffee County | Rural | No | 150.7 (137.8, 164.5) | 58 (24, 66) | 103 |
falling
|
-1.6 (-2.3, -1.0) |
| Escambia County | Rural | No | 194.7 (177.4, 213.4) | 4 (1, 30) | 97 |
falling
|
-0.7 (-1.3, -0.1) |
| Chambers County | Rural | No | 169.5 (153.3, 187.0) | 28 (4, 60) | 85 |
falling
|
-1.3 (-2.1, -0.6) |
| Lawrence County | Urban | No | 179.2 (162.1, 197.9) | 15 (1, 54) | 84 |
stable
|
-0.8 (-9.3, 4.9) |
| Marion County | Rural | No | 179.9 (162.7, 198.7) | 13 (1, 54) | 82 |
stable
|
-0.7 (-1.6, 0.1) |
| Dallas County | Rural | No | 156.4 (140.9, 173.3) | 53 (13, 66) | 81 |
falling
|
-11.2 (-18.1, -3.9) |
| Cherokee County | Rural | No | 183.5 (164.7, 204.2) | 7 (1, 53) | 76 |
stable
|
-0.3 (-1.3, 0.6) |
| Franklin County | Rural | No | 179.3 (161.2, 199.1) | 14 (1, 56) | 73 |
falling
|
-1.4 (-2.3, -0.5) |
| Clarke County | Rural | No | 203.6 (182.2, 227.2) | 2 (1, 29) | 69 |
stable
|
-0.2 (-1.6, 1.2) |
| Geneva County | Urban | No | 172.3 (153.9, 192.5) | 22 (3, 60) | 67 |
stable
|
-0.6 (-2.0, 0.7) |
| Pike County | Rural | No | 178.0 (158.9, 198.9) | 18 (1, 57) | 66 |
stable
|
-0.4 (-1.3, 0.5) |
| Barbour County | Rural | No | 178.9 (159.3, 200.4) | 17 (1, 58) | 64 |
stable
|
-0.5 (-7.7, 6.0) |
| Winston County | Rural | No | 161.1 (142.8, 181.4) | 43 (6, 66) | 60 |
falling
|
-1.4 (-2.4, -0.5) |
| Randolph County | Rural | No | 157.3 (138.4, 178.3) | 50 (7, 66) | 54 |
falling
|
-1.1 (-2.0, -0.2) |
| Bibb County | Urban | No | 166.2 (145.8, 189.0) | 36 (3, 65) | 49 |
falling
|
-1.1 (-1.9, -0.2) |
| Pickens County | Urban | No | 176.3 (154.4, 200.9) | 20 (1, 62) | 48 |
falling
|
-2.1 (-3.1, -1.1) |
| Monroe County | Rural | No | 158.6 (138.1, 181.5) | 48 (5, 66) | 47 |
stable
|
-0.6 (-2.1, 0.8) |
| Butler County | Rural | No | 169.5 (147.9, 193.8) | 27 (2, 65) | 47 |
falling
|
-1.1 (-2.1, -0.1) |
| Henry County | Urban | No | 165.0 (143.9, 188.9) | 37 (3, 66) | 47 |
falling
|
-1.1 (-1.9, -0.3) |
| Macon County | Urban | No | 168.8 (146.6, 193.8) | 30 (1, 65) | 45 |
falling
|
-1.9 (-2.9, -1.0) |
| Cleburne County | Rural | No | 189.7 (164.4, 218.2) | 5 (1, 54) | 42 |
stable
|
10.3 (-0.8, 19.0) |
| Fayette County | Rural | No | 171.3 (148.0, 197.6) | 23 (1, 65) | 41 |
stable
|
-0.5 (-1.5, 0.5) |
| Marengo County | Rural | No | 146.1 (126.4, 168.4) | 60 (15, 67) | 41 |
falling
|
-1.7 (-2.7, -0.8) |
| Crenshaw County | Rural | No | 204.7 (175.9, 237.2) | 1 (1, 43) | 39 |
stable
|
0.0 (-1.5, 1.6) |
| Clay County | Rural | No | 169.8 (145.9, 197.1) | 26 (1, 65) | 37 |
stable
|
-1.2 (-2.4, 0.0) |
| Hale County | Urban | No | 179.0 (153.4, 208.1) | 16 (1, 62) | 37 |
falling
|
-1.7 (-3.1, -0.5) |
| Lamar County | Rural | No | 170.3 (146.1, 198.0) | 25 (1, 65) | 37 |
falling
|
-1.5 (-2.1, -0.8) |
| Washington County | Rural | No | 153.6 (130.9, 179.6) | 55 (6, 67) | 34 |
falling
|
-6.1 (-16.6, -1.9) |
| Choctaw County | Rural | No | 156.9 (133.8, 183.6) | 52 (4, 66) | 34 |
falling
|
-1.1 (-2.1, -0.1) |
| Conecuh County | Rural | No | 166.5 (140.0, 197.2) | 34 (2, 66) | 31 |
stable
|
-1.2 (-2.4, 0.0) |
| Coosa County | Rural | No | 159.0 (132.7, 190.1) | 47 (2, 66) | 28 |
stable
|
-1.5 (-3.1, 0.0) |
| Lowndes County | Urban | No | 169.0 (140.0, 203.0) | 29 (1, 66) | 25 |
falling
|
-1.4 (-2.7, -0.2) |
| Wilcox County | Rural | No | 170.9 (141.1, 205.7) | 24 (1, 66) | 25 |
stable
|
-0.3 (-1.8, 1.2) |
| Sumter County | Rural | No | 157.1 (128.4, 190.6) | 51 (1, 67) | 24 |
falling
|
-14.7 (-26.8, -1.1) |
| Greene County | Urban | No | 181.7 (146.6, 223.6) | 10 (1, 66) | 21 |
stable
|
1.7 (-0.8, 11.6) |
| Bullock County | Rural | No | 149.7 (121.9, 182.6) | 59 (3, 67) | 21 |
stable
|
-1.3 (-3.1, 0.5) |
| Perry County | Rural | No | 140.2 (110.9, 175.7) | 64 (7, 67) | 17 |
falling
|
-2.2 (-4.0, -0.6) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/30/2026 3:01 pm.
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.