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Death Rate Report for Alabama by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Male, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Met Healthy People Objective of 122.7?
Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank ⋔
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
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Recent Trend
Recent 5-Year Trend in Death Rates
(95% Confidence Interval)
 sort by trend descending
Alabama N/A No 194.4 (192.1, 196.8) N/A 5,616 falling falling trend -2.2 (-2.6, -2.0)
United States N/A No 171.5 (171.3, 171.8) N/A 318,737 falling falling trend -1.8 (-1.8, -1.7)
Perry County Rural No 132.7 (92.1, 187.3) 67 (27, 67) 7 falling falling trend -16.1 (-46.2, -3.4)
Washington County Rural No 171.9 (137.0, 213.9) 62 (11, 67) 17 falling falling trend -8.2 (-20.4, -3.7)
Lauderdale County Urban No 173.7 (158.6, 190.0) 59 (40, 66) 105 falling falling trend -4.1 (-6.1, -3.0)
Pickens County Urban No 208.2 (173.2, 248.7) 34 (1, 65) 26 falling falling trend -3.3 (-4.6, -2.2)
Limestone County Urban No 164.9 (149.9, 180.9) 64 (48, 66) 98 falling falling trend -2.7 (-7.3, -1.5)
Tuscaloosa County Urban No 167.7 (156.1, 179.9) 63 (49, 66) 174 falling falling trend -2.7 (-3.2, -2.2)
Autauga County Urban No 180.0 (159.6, 202.4) 57 (25, 66) 60 falling falling trend -2.5 (-3.5, -1.4)
Baldwin County Urban No 173.5 (164.3, 183.0) 60 (47, 65) 290 falling falling trend -2.5 (-5.3, -1.8)
Shelby County Urban No 139.4 (129.8, 149.4) 66 (64, 67) 171 falling falling trend -2.5 (-3.2, -1.6)
Coffee County Rural No 177.3 (156.3, 200.4) 58 (26, 66) 54 falling falling trend -2.3 (-3.1, -1.5)
Coosa County Rural No 207.4 (164.5, 260.3) 35 (1, 66) 17 falling falling trend -2.3 (-4.0, -0.5)
Conecuh County Rural No 195.5 (154.9, 245.1) 47 (1, 67) 17 falling falling trend -2.2 (-4.0, -0.4)
Dallas County Rural No 202.7 (175.7, 232.9) 39 (4, 64) 45 falling falling trend -2.2 (-3.4, -1.1)
Madison County Urban No 163.4 (155.4, 171.7) 65 (55, 66) 336 falling falling trend -2.2 (-2.6, -1.8)
Marengo County Rural No 191.3 (157.6, 230.6) 50 (4, 66) 24 falling falling trend -2.2 (-3.5, -1.0)
Mobile County Urban No 202.0 (193.5, 210.8) 42 (22, 51) 463 falling falling trend -2.2 (-2.6, -1.9)
Clay County Rural No 225.8 (185.1, 273.9) 14 (1, 63) 22 falling falling trend -2.1 (-3.9, -0.4)
Franklin County Rural No 210.0 (180.6, 242.9) 31 (2, 63) 38 falling falling trend -2.1 (-3.0, -1.3)
Montgomery County Urban No 203.8 (191.8, 216.4) 38 (16, 53) 231 falling falling trend -2.1 (-2.7, -1.5)
Barbour County Rural No 225.7 (193.6, 261.9) 15 (1, 58) 37 falling falling trend -2.0 (-2.8, -1.2)
Bullock County Rural No 173.2 (126.3, 231.9) 61 (3, 67) 10 stable stable trend -2.0 (-4.7, 0.4)
Lamar County Rural No 215.0 (175.5, 261.9) 23 (1, 65) 21 falling falling trend -2.0 (-3.2, -0.8)
Cullman County Rural No 187.9 (171.5, 205.5) 53 (23, 64) 104 falling falling trend -1.9 (-2.6, -1.3)
Jefferson County Urban No 196.8 (190.0, 203.9) 46 (30, 53) 674 falling falling trend -1.9 (-2.1, -1.6)
Macon County Urban No 231.0 (190.5, 278.1) 8 (1, 61) 25 falling falling trend -1.9 (-3.4, -0.5)
Hale County Urban No 212.7 (170.8, 262.6) 25 (1, 65) 20 stable stable trend -1.8 (-3.7, 0.0)
Lawrence County Urban No 228.2 (199.1, 260.7) 11 (1, 54) 49 falling falling trend -1.8 (-3.0, -0.4)
Lee County Urban No 190.6 (176.2, 205.7) 51 (25, 62) 146 falling falling trend -1.8 (-2.6, -0.9)
Morgan County Urban No 182.6 (168.6, 197.4) 56 (33, 64) 135 falling falling trend -1.8 (-2.5, -1.1)
St. Clair County Urban No 213.1 (195.2, 232.3) 24 (5, 52) 114 falling falling trend -1.8 (-2.5, -1.2)
Tallapoosa County Rural No 185.7 (164.2, 209.7) 55 (19, 66) 59 falling falling trend -1.8 (-3.3, -0.4)
Chambers County Rural No 222.1 (193.8, 253.6) 19 (1, 56) 48 falling falling trend -1.7 (-2.7, -0.7)
Cleburne County Rural No 227.8 (187.0, 275.8) 12 (1, 63) 23 stable stable trend -1.7 (-3.5, 0.2)
Colbert County Urban No 209.5 (188.7, 232.2) 33 (5, 58) 78 falling falling trend -1.7 (-2.4, -0.9)
Covington County Rural No 218.0 (192.9, 245.9) 21 (2, 55) 58 falling falling trend -1.7 (-2.8, -0.6)
Jackson County Rural No 223.1 (200.7, 247.6) 18 (2, 50) 79 falling falling trend -1.7 (-2.5, -0.8)
Calhoun County Urban No 220.3 (203.7, 238.0) 20 (4, 47) 144 falling falling trend -1.6 (-2.2, -1.0)
Houston County Urban No 198.8 (182.9, 215.8) 45 (16, 59) 123 falling falling trend -1.6 (-2.2, -1.0)
Marshall County Rural No 210.8 (193.2, 229.7) 30 (7, 54) 114 falling falling trend -1.6 (-2.1, -1.0)
Russell County Urban No 259.5 (232.0, 289.3) 1 (1, 24) 73 falling falling trend -1.6 (-2.4, -0.9)
DeKalb County Rural No 187.3 (168.3, 207.8) 54 (21, 65) 79 falling falling trend -1.5 (-2.5, -0.6)
Geneva County Urban No 233.9 (202.0, 269.9) 6 (1, 52) 41 falling falling trend -1.5 (-2.7, -0.3)
Henry County Urban No 215.1 (179.6, 256.7) 22 (1, 64) 28 stable stable trend -1.5 (-3.1, 0.1)
Lowndes County Urban No 192.0 (146.1, 249.0) 49 (1, 67) 12 stable stable trend -1.5 (-3.8, 0.7)
Talladega County Rural No 211.2 (193.0, 230.8) 28 (6, 56) 108 falling falling trend -1.5 (-2.3, -0.8)
Walker County Urban No 231.4 (210.0, 254.6) 7 (1, 45) 93 falling falling trend -1.5 (-2.4, -0.7)
Blount County Urban No 200.0 (179.8, 222.0) 43 (10, 61) 75 falling falling trend -1.4 (-2.1, -0.7)
Winston County Rural No 209.5 (178.7, 244.7) 32 (2, 63) 35 stable stable trend -1.4 (-2.8, 0.0)
Chilton County Urban No 236.3 (209.7, 265.4) 5 (1, 46) 62 falling falling trend -1.3 (-2.4, -0.1)
Elmore County Urban No 211.8 (192.7, 232.3) 27 (6, 54) 102 falling falling trend -1.3 (-2.3, -0.2)
Randolph County Rural No 190.5 (159.2, 226.8) 52 (5, 66) 29 falling falling trend -1.3 (-2.6, -0.1)
Bibb County Urban No 207.2 (173.0, 246.4) 36 (2, 65) 27 stable stable trend -1.2 (-2.5, 0.1)
Cherokee County Rural No 206.5 (177.8, 239.1) 37 (3, 63) 42 stable stable trend -1.2 (-2.5, 0.2)
Escambia County Rural No 249.0 (219.5, 281.5) 2 (1, 38) 54 falling falling trend -1.2 (-2.2, -0.2)
Sumter County Rural No 211.0 (160.2, 273.2) 29 (1, 66) 13 stable stable trend -1.2 (-3.3, 0.8)
Etowah County Urban No 223.4 (206.6, 241.2) 17 (3, 43) 144 falling falling trend -1.1 (-1.7, -0.5)
Fayette County Rural No 199.4 (163.0, 242.4) 44 (2, 66) 22 stable stable trend -1.1 (-2.3, 0.2)
Marion County Rural No 227.4 (198.8, 259.4) 13 (1, 54) 47 falling falling trend -1.1 (-2.1, -0.1)
Monroe County Rural No 193.7 (159.9, 233.1) 48 (3, 66) 25 stable stable trend -1.0 (-2.7, 0.7)
Clarke County Rural No 236.7 (202.4, 275.6) 4 (1, 54) 35 stable stable trend -0.9 (-2.3, 0.5)
Dale County Rural No 202.1 (179.1, 227.5) 40 (7, 62) 59 stable stable trend -0.8 (-6.8, 6.5)
Crenshaw County Rural No 247.1 (199.7, 303.1) 3 (1, 59) 21 stable stable trend -0.5 (-2.1, 1.1)
Pike County Rural No 224.6 (191.7, 261.7) 16 (1, 60) 35 stable stable trend -0.5 (-1.6, 0.7)
Wilcox County Rural No 229.1 (176.9, 292.9) 10 (1, 65) 14 stable stable trend -0.4 (-2.2, 1.3)
Greene County Urban No 212.6 (158.1, 281.9) 26 (1, 67) 11 stable stable trend 1.9 (-1.1, 13.2)
Choctaw County Rural No 202.0 (163.1, 249.2) 41 (1, 66) 19 stable stable trend 2.5 (-1.2, 11.0)
Butler County Rural No 230.7 (192.4, 274.9) 9 (1, 59) 27 stable stable trend 3.4 (-0.5, 11.9)

Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 4:19 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.

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