Death Rates Table
Death Rate Report for Alabama by County
All Cancer Sites, 2019-2023
Black 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)
|
|---|---|---|---|---|---|---|---|
| Marshall County | Rural | No | 292.4 (179.2, 443.8) | 1 (1, 57) | 5 |
|
|
| Marion County | Rural | No | 278.8 (168.1, 437.6) | 2 (1, 59) | 4 |
|
|
| Clarke County | Rural | No | 248.0 (209.0, 292.5) | 3 (1, 19) | 30 |
stable 
|
-0.4 (-2.4, 1.6) |
| Geneva County | Urban | No | 240.6 (165.9, 338.0) | 4 (1, 57) | 7 |
stable
|
0.1 (-2.0, 2.3) |
| Crenshaw County | Rural | No | 240.1 (175.0, 322.6) | 5 (1, 51) | 10 |
stable
|
0.3 (-2.6, 3.4) |
| Escambia County | Rural | No | 220.7 (185.1, 261.4) | 6 (1, 37) | 27 |
stable
|
-0.6 (-2.1, 1.1) |
| DeKalb County | Rural | No | 218.1 (123.8, 358.7) | 7 (1, 60) | 3 |
|
|
| Chilton County | Urban | No | 210.1 (154.2, 279.8) | 8 (1, 57) | 10 |
stable
|
-1.5 (-4.0, 0.9) |
| Elmore County | Urban | No | 198.5 (165.5, 235.8) | 9 (2, 49) | 30 |
stable
|
-1.4 (-2.9, 0.3) |
| Barbour County | Rural | No | 197.9 (165.0, 235.7) | 10 (3, 48) | 26 |
stable
|
-0.4 (-17.9, 12.9) |
| Pickens County | Urban | No | 196.6 (157.7, 242.7) | 11 (2, 53) | 19 |
falling 
|
-2.4 (-3.9, -1.1) |
| Hale County | Urban | No | 196.2 (159.8, 238.9) | 12 (2, 52) | 21 |
stable
|
-1.4 (-3.3, 0.4) |
| Lee County | Urban | No | 195.1 (173.2, 218.9) | 13 (4, 40) | 67 |
stable
|
2.0 (-1.5, 8.8) |
| Conecuh County | Rural | No | 191.7 (146.3, 247.6) | 14 (2, 57) | 13 |
stable
|
-0.2 (-2.2, 1.8) |
| Russell County | Urban | No | 191.1 (167.2, 217.4) | 15 (4, 46) | 50 |
falling
|
-1.3 (-2.1, -0.5) |
| Wilcox County | Rural | No | 185.7 (146.1, 233.0) | 16 (2, 57) | 16 |
stable
|
-0.2 (-2.3, 1.9) |
| Pike County | Rural | No | 185.7 (150.2, 226.8) | 17 (3, 55) | 20 |
stable
|
-1.2 (-2.8, 0.3) |
| Henry County | Urban | No | 185.0 (139.3, 242.5) | 18 (2, 59) | 12 |
stable
|
-0.4 (-2.6, 1.8) |
| Colbert County | Urban | No | 183.4 (149.4, 223.2) | 19 (3, 55) | 21 |
falling
|
-1.5 (-3.0, -0.1) |
| Butler County | Rural | No | 181.3 (145.5, 223.5) | 20 (3, 57) | 18 |
falling
|
-1.6 (-3.2, -0.1) |
| Franklin County | Rural | No | 180.8 (102.4, 300.4) | 21 (1, 60) | 3 |
|
|
| Houston County | Urban | No | 180.2 (157.6, 205.1) | 22 (6, 51) | 50 |
falling
|
-2.0 (-3.1, -0.9) |
| Greene County | Urban | No | 179.6 (140.1, 227.7) | 23 (3, 58) | 16 |
stable
|
0.8 (-0.6, 4.5) |
| Etowah County | Urban | No | 179.1 (150.5, 211.6) | 24 (5, 54) | 31 |
falling
|
-2.1 (-3.0, -1.3) |
| Mobile County | Urban | No | 177.8 (168.1, 187.9) | 25 (13, 40) | 276 |
falling
|
-2.1 (-2.7, -1.6) |
| Montgomery County | Urban | No | 176.8 (166.3, 187.8) | 26 (13, 42) | 230 |
falling
|
-1.9 (-2.3, -1.5) |
| Talladega County | Rural | No | 175.6 (153.6, 199.9) | 27 (7, 51) | 51 |
falling
|
-1.2 (-2.0, -0.4) |
| Bullock County | Rural | No | 175.2 (138.0, 219.9) | 28 (3, 58) | 16 |
stable
|
-1.3 (-3.1, 0.3) |
| Autauga County | Urban | No | 174.7 (140.9, 214.0) | 29 (4, 57) | 20 |
stable
|
-1.8 (-4.1, 0.6) |
| Lowndes County | Urban | No | 173.9 (137.6, 217.6) | 30 (4, 58) | 17 |
stable
|
-1.1 (-2.9, 0.7) |
| Covington County | Rural | No | 172.6 (127.2, 229.6) | 31 (2, 60) | 10 |
falling
|
-12.0 (-28.5, -2.1) |
| Macon County | Urban | No | 171.8 (146.5, 200.7) | 32 (7, 55) | 36 |
falling
|
-2.0 (-3.1, -1.0) |
| Jefferson County | Urban | No | 170.8 (164.1, 177.8) | 33 (19, 43) | 531 |
falling
|
-2.3 (-3.1, -2.0) |
| Tallapoosa County | Rural | No | 169.8 (139.1, 205.7) | 34 (6, 58) | 22 |
falling
|
-14.6 (-22.7, -1.7) |
| Bibb County | Urban | No | 168.5 (117.2, 234.7) | 35 (2, 60) | 7 |
stable
|
-0.4 (-3.4, 2.7) |
| Sumter County | Rural | No | 165.3 (130.9, 206.7) | 36 (5, 59) | 18 |
stable
|
0.0 (-2.3, 2.3) |
| Chambers County | Rural | No | 164.8 (137.3, 196.3) | 37 (8, 58) | 27 |
falling
|
-1.5 (-3.0, -0.1) |
| Monroe County | Rural | No | 162.7 (128.7, 203.3) | 38 (6, 59) | 17 |
falling
|
-4.6 (-19.8, -1.1) |
| Choctaw County | Rural | No | 161.9 (123.0, 210.8) | 39 (6, 60) | 13 |
stable
|
-1.3 (-3.5, 0.9) |
| Dale County | Rural | No | 161.8 (126.3, 204.1) | 40 (6, 59) | 16 |
falling
|
-2.6 (-4.3, -1.1) |
| Tuscaloosa County | Urban | No | 159.1 (144.7, 174.5) | 41 (19, 54) | 101 |
falling
|
-2.1 (-2.7, -1.4) |
| Washington County | Rural | No | 158.6 (107.1, 226.9) | 42 (3, 60) | 6 |
falling
|
-9.5 (-21.2, -4.3) |
| Walker County | Urban | No | 158.5 (106.9, 226.3) | 43 (3, 60) | 6 |
stable
|
-1.3 (-4.1, 1.3) |
| Calhoun County | Urban | No | 157.9 (135.6, 182.8) | 44 (13, 58) | 39 |
falling
|
-2.4 (-3.3, -1.4) |
| Dallas County | Rural | No | 152.4 (132.9, 174.0) | 45 (19, 58) | 47 |
falling
|
-13.7 (-28.0, -1.2) |
| Coffee County | Rural | No | 152.2 (119.4, 191.5) | 46 (8, 60) | 15 |
falling
|
-4.3 (-5.5, -3.2) |
| Perry County | Rural | No | 151.2 (112.1, 200.0) | 47 (6, 60) | 10 |
falling
|
-2.9 (-4.9, -1.2) |
| Baldwin County | Urban | No | 148.7 (125.0, 175.5) | 48 (16, 60) | 30 |
falling
|
-10.1 (-22.3, -3.3) |
| Marengo County | Rural | No | 148.1 (119.0, 182.6) | 49 (12, 60) | 19 |
falling
|
-2.3 (-3.6, -1.2) |
| Madison County | Urban | No | 147.0 (135.2, 159.5) | 50 (33, 57) | 129 |
falling
|
-2.7 (-3.6, -1.8) |
| Lauderdale County | Urban | No | 145.4 (112.7, 184.7) | 51 (12, 60) | 14 |
falling
|
-2.3 (-4.4, -0.5) |
| Randolph County | Rural | No | 144.6 (101.4, 201.0) | 52 (6, 60) | 7 |
falling
|
-2.9 (-5.4, -0.7) |
| Morgan County | Urban | No | 142.3 (116.0, 172.8) | 53 (17, 60) | 23 |
falling
|
-2.9 (-4.5, -1.3) |
| Coosa County | Rural | No | 139.9 (92.8, 205.6) | 54 (6, 60) | 6 |
falling
|
-2.2 (-4.2, -0.4) |
| St. Clair County | Urban | No | 135.9 (97.7, 183.4) | 55 (8, 60) | 11 |
falling
|
-3.6 (-6.4, -0.9) |
| Shelby County | Urban | No | 135.2 (111.1, 162.6) | 56 (25, 60) | 29 |
stable
|
-2.1 (-4.0, 0.1) |
| Fayette County | Rural | No | 133.2 (75.9, 219.8) | 57 (3, 60) | 3 |
stable
|
-1.1 (-4.9, 2.4) |
| Lawrence County | Urban | No | 132.6 (93.3, 186.2) | 58 (9, 60) | 7 |
stable
|
-1.8 (-4.2, 0.7) |
| Jackson County | Rural | No | 126.8 (72.0, 210.1) | 59 (5, 60) | 3 |
falling
|
-3.4 (-7.1, -0.2) |
| Limestone County | Urban | Yes | 118.0 (92.5, 148.2) | 60 (37, 60) | 17 |
stable
|
-2.0 (-4.0, 0.3) |
| Blount County | Urban | *** |
|
|
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| Cherokee County | Rural | *** |
|
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|
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| Clay County | Rural | *** |
|
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|
|
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| Cleburne County | Rural | *** |
|
|
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|
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| Cullman County | Rural | *** |
|
|
|
|
|
| Lamar County | Rural | *** |
|
|
|
|
|
| Winston County | Rural | *** |
|
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|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 11:06 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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.
If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Data for United States does not include Puerto Rico.