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 Name
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)
|
|---|---|---|---|---|---|---|---|
| Alabama | N/A | No | 159.1 (157.7, 160.5) | N/A | 10,409 |
falling 
|
-1.6 (-1.8, -1.5) |
| United States | N/A | No | 145.4 (145.2, 145.6) | N/A | 605,771 |
falling
|
-1.3 (-1.5, -1.2) |
| Autauga County | Urban | No | 153.8 (141.2, 167.2) | 54 (20, 66) | 114 |
falling
|
-1.8 (-2.9, -0.6) |
| Baldwin County | Urban | No | 143.9 (138.2, 149.8) | 62 (50, 66) | 515 |
falling
|
-1.5 (-1.9, -1.2) |
| Barbour County | Rural | No | 178.9 (159.3, 200.4) | 17 (1, 58) | 64 |
stable 
|
-0.5 (-7.7, 6.0) |
| Bibb County | Urban | No | 166.2 (145.8, 189.0) | 36 (3, 65) | 49 |
falling
|
-1.1 (-1.9, -0.2) |
| Blount County | Urban | No | 166.3 (153.8, 179.7) | 35 (9, 58) | 135 |
falling
|
-0.9 (-1.6, -0.2) |
| Bullock County | Rural | No | 149.7 (121.9, 182.6) | 59 (3, 67) | 21 |
stable
|
-1.3 (-3.1, 0.5) |
| Butler County | Rural | No | 169.5 (147.9, 193.8) | 27 (2, 65) | 47 |
falling
|
-1.1 (-2.1, -0.1) |
| Calhoun County | Urban | No | 176.8 (167.3, 186.9) | 19 (5, 41) | 270 |
falling
|
-1.2 (-1.7, -0.6) |
| Chambers County | Rural | No | 169.5 (153.3, 187.0) | 28 (4, 60) | 85 |
falling
|
-1.3 (-2.1, -0.6) |
| Cherokee County | Rural | No | 183.5 (164.7, 204.2) | 7 (1, 53) | 76 |
stable
|
-0.3 (-1.3, 0.6) |
| Chilton County | Urban | No | 181.1 (165.5, 197.9) | 11 (1, 50) | 103 |
falling
|
-1.0 (-2.0, -0.1) |
| Choctaw County | Rural | No | 156.9 (133.8, 183.6) | 52 (4, 66) | 34 |
falling
|
-1.1 (-2.1, -0.1) |
| Clarke County | Rural | No | 203.6 (182.2, 227.2) | 2 (1, 29) | 69 |
stable
|
-0.2 (-1.6, 1.2) |
| Clay County | Rural | No | 169.8 (145.9, 197.1) | 26 (1, 65) | 37 |
stable
|
-1.2 (-2.4, 0.0) |
| Cleburne County | Rural | No | 189.7 (164.4, 218.2) | 5 (1, 54) | 42 |
stable
|
10.3 (-0.8, 19.0) |
| Coffee County | Rural | No | 150.7 (137.8, 164.5) | 58 (24, 66) | 103 |
falling
|
-1.6 (-2.3, -1.0) |
| Colbert County | Urban | No | 164.4 (152.1, 177.5) | 38 (10, 61) | 139 |
falling
|
-1.2 (-1.8, -0.7) |
| 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) |
| Covington County | Rural | No | 180.7 (165.3, 197.3) | 12 (2, 49) | 108 |
falling
|
-1.1 (-2.0, -0.4) |
| Crenshaw County | Rural | No | 204.7 (175.9, 237.2) | 1 (1, 43) | 39 |
stable
|
0.0 (-1.5, 1.6) |
| Cullman County | Rural | No | 152.2 (142.4, 162.6) | 57 (30, 65) | 188 |
falling
|
-1.5 (-2.0, -1.1) |
| Dale County | Rural | No | 163.1 (149.3, 178.0) | 40 (10, 62) | 107 |
falling
|
-1.5 (-2.0, -1.0) |
| Dallas County | Rural | No | 156.4 (140.9, 173.3) | 53 (13, 66) | 81 |
falling
|
-11.2 (-18.1, -3.9) |
| DeKalb County | Rural | No | 157.3 (145.9, 169.4) | 49 (19, 64) | 147 |
falling
|
-1.1 (-1.9, -0.3) |
| Elmore County | Urban | No | 167.2 (156.2, 178.7) | 33 (9, 56) | 182 |
falling
|
-1.0 (-1.6, -0.5) |
| Escambia County | Rural | No | 194.7 (177.4, 213.4) | 4 (1, 30) | 97 |
falling
|
-0.7 (-1.3, -0.1) |
| Etowah County | Urban | No | 183.0 (173.0, 193.4) | 9 (2, 33) | 266 |
falling
|
-0.9 (-1.3, -0.5) |
| Fayette County | Rural | No | 171.3 (148.0, 197.6) | 23 (1, 65) | 41 |
stable
|
-0.5 (-1.5, 0.5) |
| Franklin County | Rural | No | 179.3 (161.2, 199.1) | 14 (1, 56) | 73 |
falling
|
-1.4 (-2.3, -0.5) |
| Geneva County | Urban | No | 172.3 (153.9, 192.5) | 22 (3, 60) | 67 |
stable
|
-0.6 (-2.0, 0.7) |
| Greene County | Urban | No | 181.7 (146.6, 223.6) | 10 (1, 66) | 21 |
stable
|
1.7 (-0.8, 11.6) |
| Hale County | Urban | No | 179.0 (153.4, 208.1) | 16 (1, 62) | 37 |
falling
|
-1.7 (-3.1, -0.5) |
| Henry County | Urban | No | 165.0 (143.9, 188.9) | 37 (3, 66) | 47 |
falling
|
-1.1 (-1.9, -0.3) |
| Houston County | Urban | No | 159.9 (150.6, 169.7) | 45 (20, 60) | 228 |
falling
|
-1.3 (-1.7, -0.8) |
| Jackson County | Rural | No | 183.7 (170.1, 198.2) | 6 (1, 40) | 144 |
falling
|
-1.0 (-1.7, -0.4) |
| Jefferson County | Urban | No | 160.2 (156.2, 164.2) | 44 (30, 54) | 1,311 |
falling
|
-1.4 (-1.6, -1.3) |
| Lamar County | Rural | No | 170.3 (146.1, 198.0) | 25 (1, 65) | 37 |
falling
|
-1.5 (-2.1, -0.8) |
| Lauderdale County | Urban | No | 145.1 (135.9, 154.8) | 61 (42, 66) | 198 |
stable
|
-2.7 (-4.8, 0.9) |
| Lawrence County | Urban | No | 179.2 (162.1, 197.9) | 15 (1, 54) | 84 |
stable
|
-0.8 (-9.3, 4.9) |
| Lee County | Urban | No | 159.1 (150.6, 168.0) | 46 (22, 60) | 274 |
falling
|
-1.5 (-2.1, -0.7) |
| Limestone County | Urban | No | 140.0 (130.8, 149.6) | 65 (50, 66) | 182 |
falling
|
-2.0 (-3.6, -1.3) |
| Lowndes County | Urban | No | 169.0 (140.0, 203.0) | 29 (1, 66) | 25 |
falling
|
-1.4 (-2.7, -0.2) |
| Macon County | Urban | No | 168.8 (146.6, 193.8) | 30 (1, 65) | 45 |
falling
|
-1.9 (-2.9, -1.0) |
| Madison County | Urban | No | 142.1 (137.3, 147.2) | 63 (53, 66) | 667 |
falling
|
-1.7 (-2.0, -1.5) |
| Marengo County | Rural | No | 146.1 (126.4, 168.4) | 60 (15, 67) | 41 |
falling
|
-1.7 (-2.7, -0.8) |
| Marion County | Rural | No | 179.9 (162.7, 198.7) | 13 (1, 54) | 82 |
stable
|
-0.7 (-1.6, 0.1) |
| Marshall County | Rural | No | 167.3 (157.0, 178.1) | 32 (11, 55) | 207 |
falling
|
-1.2 (-1.7, -0.7) |
| Mobile County | Urban | No | 167.7 (162.7, 172.9) | 31 (18, 45) | 872 |
falling
|
-1.6 (-1.8, -1.4) |
| Monroe County | Rural | No | 158.6 (138.1, 181.5) | 48 (5, 66) | 47 |
stable
|
-0.6 (-2.1, 0.8) |
| Montgomery County | Urban | No | 162.3 (155.4, 169.4) | 41 (22, 55) | 438 |
falling
|
-1.5 (-1.9, -1.1) |
| Morgan County | Urban | No | 152.8 (144.3, 161.7) | 56 (32, 64) | 252 |
falling
|
-6.4 (-10.0, -1.8) |
| Perry County | Rural | No | 140.2 (110.9, 175.7) | 64 (7, 67) | 17 |
falling
|
-2.2 (-4.0, -0.6) |
| Pickens County | Urban | No | 176.3 (154.4, 200.9) | 20 (1, 62) | 48 |
falling
|
-2.1 (-3.1, -1.1) |
| Pike County | Rural | No | 178.0 (158.9, 198.9) | 18 (1, 57) | 66 |
stable
|
-0.4 (-1.3, 0.5) |
| Randolph County | Rural | No | 157.3 (138.4, 178.3) | 50 (7, 66) | 54 |
falling
|
-1.1 (-2.0, -0.2) |
| Russell County | Urban | No | 200.7 (185.5, 216.8) | 3 (1, 20) | 136 |
falling
|
-1.0 (-1.6, -0.4) |
| Shelby County | Urban | Yes | 118.0 (112.2, 124.0) | 67 (65, 67) | 326 |
falling
|
-2.1 (-2.6, -1.6) |
| St. Clair County | Urban | No | 161.6 (151.5, 172.3) | 42 (16, 59) | 198 |
falling
|
-1.9 (-5.2, -1.3) |
| Sumter County | Rural | No | 157.1 (128.4, 190.6) | 51 (1, 67) | 24 |
falling
|
-14.7 (-26.8, -1.1) |
| Talladega County | Rural | No | 175.7 (164.6, 187.4) | 21 (4, 47) | 198 |
falling
|
-0.9 (-1.3, -0.5) |
| Tallapoosa County | Rural | No | 164.3 (150.0, 179.8) | 39 (8, 62) | 107 |
falling
|
-1.3 (-2.2, -0.5) |
| Tuscaloosa County | Urban | No | 135.8 (129.2, 142.8) | 66 (57, 66) | 328 |
falling
|
-2.4 (-2.8, -2.0) |
| Walker County | Urban | No | 183.4 (170.9, 196.7) | 8 (2, 38) | 168 |
falling
|
-3.3 (-8.2, -1.4) |
| Washington County | Rural | No | 153.6 (130.9, 179.6) | 55 (6, 67) | 34 |
falling
|
-6.1 (-16.6, -1.9) |
| Wilcox County | Rural | No | 170.9 (141.1, 205.7) | 24 (1, 66) | 25 |
stable
|
-0.3 (-1.8, 1.2) |
| Winston County | Rural | No | 161.1 (142.8, 181.4) | 43 (6, 66) | 60 |
falling
|
-1.4 (-2.4, -0.5) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 7:33 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.
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.