Death Rates Table
Death Rate Report for Alabama by County
All Cancer Sites, 2019-2023
White Non-Hispanic, Both Sexes, All Ages
Sorted by CI*Rank
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)
|
|---|---|---|---|---|---|---|---|
| Russell County | Urban | No | 218.7 (197.6, 241.6) | 1 (1, 15) | 83 |
stable 
|
-0.6 (-1.4, 0.2) |
| Greene County | Urban | No | 200.7 (119.3, 330.1) | 2 (1, 67) | 5 |
stable
|
0.3 (-3.3, 3.8) |
| Crenshaw County | Rural | No | 199.5 (167.3, 236.9) | 3 (1, 56) | 29 |
stable
|
0.0 (-1.6, 1.7) |
| Lawrence County | Urban | No | 197.3 (177.4, 219.1) | 4 (1, 35) | 75 |
stable
|
-0.5 (-10.3, 5.6) |
| Cleburne County | Rural | No | 192.6 (166.4, 222.2) | 5 (1, 53) | 40 |
stable
|
11.3 (-0.9, 20.8) |
| Escambia County | Rural | No | 192.1 (171.3, 214.9) | 6 (1, 45) | 67 |
falling 
|
-0.7 (-1.3, -0.1) |
| Jackson County | Rural | No | 190.3 (176.0, 205.6) | 7 (1, 35) | 140 |
falling
|
-0.9 (-1.5, -0.3) |
| Franklin County | Rural | No | 187.6 (167.7, 209.5) | 8 (1, 49) | 68 |
falling
|
-1.2 (-2.1, -0.3) |
| Cherokee County | Rural | No | 186.9 (167.3, 208.6) | 9 (1, 46) | 72 |
stable
|
-0.3 (-1.1, 0.6) |
| Etowah County | Urban | No | 186.8 (175.9, 198.4) | 10 (2, 32) | 231 |
falling
|
-0.7 (-1.2, -0.2) |
| Walker County | Urban | No | 186.3 (173.3, 200.2) | 11 (2, 38) | 160 |
falling
|
-3.0 (-7.6, -1.3) |
| Calhoun County | Urban | No | 186.0 (175.0, 197.6) | 12 (3, 34) | 227 |
falling
|
-0.8 (-1.5, -0.2) |
| Covington County | Rural | No | 185.7 (169.0, 203.9) | 13 (2, 44) | 97 |
falling
|
-1.0 (-2.0, -0.1) |
| Chilton County | Urban | No | 185.2 (168.2, 203.6) | 14 (2, 46) | 92 |
stable
|
-0.8 (-1.8, 0.1) |
| Pike County | Rural | No | 182.1 (158.3, 208.9) | 15 (1, 59) | 45 |
stable
|
0.2 (-0.8, 1.3) |
| Clarke County | Rural | No | 181.0 (154.9, 211.1) | 16 (1, 61) | 38 |
stable
|
-0.2 (-1.6, 1.2) |
| Clay County | Rural | No | 180.9 (154.2, 211.7) | 17 (1, 61) | 34 |
stable
|
-1.2 (-2.6, 0.2) |
| Talladega County | Rural | No | 179.6 (166.3, 193.9) | 18 (3, 45) | 145 |
falling
|
-0.7 (-1.2, -0.3) |
| Marion County | Rural | No | 178.5 (160.9, 197.8) | 19 (2, 53) | 78 |
stable
|
-0.7 (-1.5, 0.1) |
| Chambers County | Rural | No | 177.0 (156.4, 200.0) | 20 (2, 58) | 58 |
falling
|
-1.1 (-2.1, -0.3) |
| Fayette County | Rural | No | 176.8 (151.5, 205.6) | 21 (1, 62) | 37 |
stable
|
-0.4 (-1.4, 0.7) |
| Lamar County | Rural | No | 174.4 (148.5, 204.2) | 22 (1, 62) | 34 |
falling
|
-1.3 (-2.0, -0.5) |
| Barbour County | Rural | No | 173.9 (148.8, 203.1) | 23 (1, 62) | 37 |
stable
|
-0.9 (-2.1, 0.4) |
| Dale County | Rural | No | 172.4 (156.3, 189.9) | 24 (4, 57) | 88 |
falling
|
-1.1 (-1.6, -0.5) |
| Geneva County | Urban | No | 171.3 (152.0, 192.9) | 25 (3, 61) | 60 |
stable
|
-0.5 (-1.9, 0.8) |
| Blount County | Urban | No | 171.3 (158.1, 185.4) | 26 (7, 54) | 130 |
falling
|
-0.8 (-1.5, -0.2) |
| Marshall County | Rural | No | 171.2 (160.3, 182.7) | 27 (9, 52) | 196 |
falling
|
-1.1 (-1.7, -0.5) |
| Dallas County | Rural | No | 170.7 (143.4, 202.9) | 28 (1, 64) | 33 |
falling
|
-0.9 (-1.7, -0.2) |
| Coosa County | Rural | No | 170.4 (138.4, 209.7) | 29 (1, 65) | 22 |
stable
|
-1.1 (-2.7, 0.4) |
| Bibb County | Urban | No | 170.0 (147.2, 195.7) | 30 (2, 63) | 41 |
stable
|
-1.1 (-2.4, 0.2) |
| Mobile County | Urban | No | 169.7 (163.4, 176.2) | 31 (17, 45) | 577 |
falling
|
-1.3 (-1.5, -1.0) |
| Pickens County | Urban | No | 169.0 (142.2, 200.4) | 32 (2, 64) | 29 |
falling
|
-1.9 (-3.2, -0.8) |
| Butler County | Rural | No | 166.4 (138.6, 199.1) | 33 (2, 64) | 28 |
stable
|
-0.8 (-2.0, 0.3) |
| St. Clair County | Urban | No | 166.2 (155.5, 177.6) | 34 (14, 55) | 185 |
falling
|
-1.4 (-2.0, -0.8) |
| Tallapoosa County | Rural | No | 166.2 (149.5, 184.6) | 35 (6, 61) | 84 |
falling
|
-1.1 (-2.1, -0.1) |
| Elmore County | Urban | No | 166.0 (154.1, 178.7) | 36 (13, 58) | 150 |
falling
|
-0.9 (-1.4, -0.4) |
| Hale County | Urban | No | 165.7 (129.0, 210.9) | 37 (1, 66) | 15 |
falling
|
-2.1 (-4.2, -0.3) |
| Winston County | Rural | No | 164.5 (145.6, 185.5) | 38 (6, 62) | 59 |
falling
|
-1.3 (-2.4, -0.3) |
| Macon County | Urban | No | 163.9 (117.2, 226.8) | 39 (1, 67) | 9 |
stable
|
-1.0 (-3.9, 2.0) |
| Colbert County | Urban | No | 163.9 (150.5, 178.3) | 40 (13, 60) | 116 |
falling
|
-1.1 (-1.7, -0.6) |
| Henry County | Urban | No | 163.7 (139.3, 191.9) | 41 (3, 64) | 35 |
falling
|
-1.3 (-2.3, -0.2) |
| Conecuh County | Rural | No | 163.6 (128.6, 207.5) | 42 (1, 67) | 18 |
stable
|
-1.6 (-3.5, 0.1) |
| DeKalb County | Rural | No | 163.1 (150.9, 176.1) | 43 (16, 59) | 141 |
falling
|
-1.0 (-1.7, -0.3) |
| Randolph County | Rural | No | 162.5 (141.3, 186.6) | 44 (5, 63) | 46 |
stable
|
-0.7 (-1.8, 0.4) |
| Choctaw County | Rural | No | 160.0 (130.6, 195.7) | 45 (2, 66) | 21 |
stable
|
-1.2 (-3.1, 0.5) |
| Morgan County | Urban | No | 158.0 (148.7, 167.9) | 46 (24, 60) | 225 |
falling
|
-6.4 (-10.3, -1.5) |
| Jefferson County | Urban | No | 157.0 (152.0, 162.2) | 47 (33, 57) | 761 |
falling
|
-1.1 (-1.3, -0.9) |
| Lee County | Urban | No | 156.8 (147.1, 167.0) | 48 (26, 61) | 202 |
falling
|
-1.3 (-1.8, -0.6) |
| Montgomery County | Urban | No | 155.9 (145.9, 166.6) | 49 (26, 61) | 199 |
falling
|
-1.2 (-1.7, -0.8) |
| Houston County | Urban | No | 155.9 (145.4, 167.0) | 50 (26, 62) | 174 |
falling
|
-1.1 (-1.7, -0.4) |
| Cullman County | Rural | No | 155.7 (145.5, 166.5) | 51 (26, 62) | 184 |
falling
|
-1.4 (-1.9, -1.0) |
| Monroe County | Rural | No | 155.1 (129.8, 185.0) | 52 (5, 66) | 28 |
stable
|
-0.6 (-1.7, 0.5) |
| Coffee County | Rural | No | 155.0 (140.3, 171.1) | 53 (19, 63) | 83 |
falling
|
-1.0 (-1.8, -0.1) |
| Sumter County | Rural | No | 153.2 (95.0, 234.4) | 54 (1, 67) | 6 |
stable
|
-1.1 (-3.6, 1.0) |
| Autauga County | Urban | No | 152.8 (138.9, 167.8) | 55 (23, 64) | 92 |
falling
|
-1.7 (-2.9, -0.5) |
| Washington County | Rural | No | 151.0 (125.0, 181.6) | 56 (6, 67) | 25 |
falling
|
-3.2 (-10.7, -1.2) |
| Lowndes County | Urban | No | 148.6 (106.5, 210.6) | 57 (1, 67) | 8 |
falling
|
-2.0 (-3.9, -0.1) |
| Lauderdale County | Urban | No | 147.5 (137.8, 157.9) | 58 (37, 64) | 183 |
falling
|
-2.5 (-3.7, -0.1) |
| Baldwin County | Urban | No | 147.5 (141.4, 153.8) | 59 (43, 63) | 478 |
falling
|
-1.4 (-1.8, -1.0) |
| Limestone County | Urban | No | 146.9 (136.8, 157.7) | 60 (37, 64) | 162 |
falling
|
-1.9 (-5.0, -1.0) |
| Madison County | Urban | No | 146.7 (141.0, 152.6) | 61 (45, 63) | 521 |
falling
|
-1.4 (-1.7, -1.1) |
| Wilcox County | Rural | No | 145.3 (103.2, 205.7) | 62 (1, 67) | 9 |
stable
|
-0.3 (-2.3, 1.6) |
| Marengo County | Rural | No | 130.2 (105.8, 159.9) | 63 (24, 67) | 21 |
stable
|
-1.6 (-3.4, 0.1) |
| Tuscaloosa County | Urban | No | 129.5 (121.8, 137.5) | 64 (58, 67) | 222 |
falling
|
-2.5 (-3.0, -2.0) |
| Shelby County | Urban | Yes | 120.1 (113.8, 126.6) | 65 (61, 67) | 288 |
falling
|
-2.1 (-2.6, -1.5) |
| Perry County | Rural | Yes | 119.6 (81.2, 181.0) | 66 (7, 67) | 6 |
stable
|
-1.3 (-4.1, 1.2) |
| Bullock County | Rural | Yes | 100.4 (63.5, 164.4) | 67 (23, 67) | 4 |
stable
|
-1.5 (-4.7, 1.4) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 8:18 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.