Death Rates Table
Death Rate Report for Alabama by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Female, All Ages
Sorted by Recentaapc
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 | 133.2 (131.5, 135.0) | N/A | 4,793 |
falling 
|
-1.1 (-1.2, -1.0) |
| United States | N/A | No | 126.3 (126.1, 126.6) | N/A | 287,034 |
falling
|
-1.1 (-1.2, -1.0) |
| Houston County | Urban | No | 132.7 (121.3, 145.0) | 42 (14, 62) | 105 |
stable 
|
5.5 (-0.6, 10.8) |
| Etowah County | Urban | No | 151.3 (139.1, 164.3) | 13 (3, 41) | 121 |
stable
|
2.8 (-0.8, 4.9) |
| Greene County | Urban | No | 155.6 (111.8, 212.7) | 7 (1, 67) | 9 |
stable
|
1.0 (-1.2, 3.2) |
| Sumter County | Rural | No | 124.0 (90.3, 166.8) | 57 (1, 67) | 10 |
stable
|
0.9 (-1.8, 3.6) |
| Cherokee County | Rural | No | 168.1 (142.3, 197.8) | 3 (1, 47) | 33 |
stable
|
0.4 (-0.9, 1.8) |
| Clarke County | Rural | No | 180.0 (152.7, 211.3) | 1 (1, 30) | 34 |
stable
|
0.4 (-1.0, 1.7) |
| Geneva County | Urban | No | 125.8 (104.4, 150.7) | 53 (7, 67) | 26 |
stable
|
0.2 (-1.7, 2.1) |
| Crenshaw County | Rural | No | 168.1 (133.8, 209.7) | 2 (1, 62) | 17 |
stable
|
0.1 (-1.5, 1.8) |
| Conecuh County | Rural | No | 141.7 (108.3, 183.6) | 25 (1, 67) | 14 |
stable
|
-0.1 (-2.1, 1.9) |
| Fayette County | Rural | No | 148.8 (119.0, 184.8) | 15 (1, 66) | 19 |
stable
|
-0.1 (-1.6, 1.5) |
| Monroe County | Rural | No | 132.4 (107.5, 162.1) | 43 (3, 67) | 21 |
stable
|
-0.1 (-1.8, 1.6) |
| Wilcox County | Rural | No | 131.1 (96.5, 175.3) | 47 (1, 67) | 10 |
stable
|
-0.2 (-2.6, 2.1) |
| Clay County | Rural | No | 127.3 (99.2, 162.2) | 50 (3, 67) | 15 |
stable
|
-0.3 (-1.9, 1.3) |
| Russell County | Urban | No | 162.9 (145.0, 182.6) | 4 (1, 37) | 62 |
stable
|
-0.3 (-1.2, 0.5) |
| Washington County | Rural | No | 139.0 (109.9, 174.6) | 29 (1, 67) | 16 |
stable
|
-0.3 (-2.0, 1.4) |
| Escambia County | Rural | No | 154.8 (133.9, 178.4) | 8 (1, 56) | 42 |
stable
|
-0.4 (-1.3, 0.5) |
| Talladega County | Rural | No | 148.0 (134.2, 162.9) | 17 (3, 50) | 89 |
stable
|
-0.4 (-1.3, 0.4) |
| Bullock County | Rural | No | 143.7 (106.0, 192.3) | 23 (1, 67) | 10 |
stable
|
-0.5 (-2.8, 1.7) |
| Jackson County | Rural | No | 154.5 (137.5, 173.2) | 9 (1, 47) | 65 |
stable
|
-0.5 (-1.3, 0.3) |
| Pike County | Rural | No | 145.9 (122.9, 172.2) | 19 (1, 64) | 30 |
stable
|
-0.5 (-1.7, 0.8) |
| Walker County | Urban | No | 148.6 (133.5, 165.2) | 16 (2, 51) | 75 |
stable
|
-0.5 (-1.2, 0.2) |
| Choctaw County | Rural | Yes | 121.1 (94.4, 154.9) | 60 (5, 67) | 14 |
stable
|
-0.6 (-2.0, 0.7) |
| Blount County | Urban | No | 138.2 (122.7, 155.3) | 30 (5, 62) | 60 |
stable
|
-0.7 (-1.9, 0.6) |
| Calhoun County | Urban | No | 147.9 (136.2, 160.5) | 18 (4, 46) | 125 |
falling
|
-0.7 (-1.3, -0.2) |
| Franklin County | Rural | No | 158.1 (135.1, 184.2) | 6 (1, 55) | 35 |
stable
|
-0.7 (-1.8, 0.5) |
| Covington County | Rural | No | 153.3 (134.1, 174.9) | 11 (1, 55) | 50 |
stable
|
-0.8 (-2.3, 0.6) |
| DeKalb County | Rural | No | 136.2 (121.8, 152.0) | 32 (7, 63) | 68 |
stable
|
-0.8 (-1.8, 0.2) |
| Pickens County | Urban | No | 150.8 (123.5, 183.3) | 14 (1, 65) | 22 |
stable
|
-0.8 (-2.0, 0.3) |
| Colbert County | Urban | No | 130.2 (115.5, 146.4) | 48 (12, 65) | 60 |
falling
|
-0.9 (-1.7, -0.2) |
| Elmore County | Urban | No | 134.1 (121.1, 148.3) | 39 (10, 62) | 80 |
stable
|
-0.9 (-1.7, 0.1) |
| Limestone County | Urban | Yes | 120.3 (108.9, 132.7) | 61 (28, 66) | 84 |
stable
|
-0.9 (-1.8, 0.1) |
| Cleburne County | Rural | No | 161.4 (129.7, 199.4) | 5 (1, 62) | 19 |
stable
|
-1.0 (-3.0, 1.0) |
| Coosa County | Rural | Yes | 115.0 (84.5, 155.8) | 64 (4, 67) | 10 |
stable
|
-1.0 (-3.5, 1.5) |
| Lawrence County | Urban | No | 141.1 (120.4, 164.7) | 27 (2, 64) | 35 |
stable
|
-1.0 (-2.3, 0.2) |
| Barbour County | Rural | No | 145.4 (120.4, 174.6) | 21 (1, 65) | 26 |
stable
|
-1.1 (-2.8, 0.4) |
| Bibb County | Urban | No | 139.1 (113.2, 169.8) | 28 (1, 67) | 21 |
stable
|
-1.1 (-2.2, 0.0) |
| Butler County | Rural | No | 126.5 (101.4, 156.7) | 51 (4, 67) | 19 |
stable
|
-1.1 (-2.9, 0.5) |
| Chilton County | Urban | No | 135.4 (117.2, 155.8) | 34 (4, 65) | 41 |
stable
|
-1.1 (-2.2, 0.1) |
| Coffee County | Rural | No | 131.5 (115.2, 149.5) | 45 (10, 65) | 49 |
stable
|
-1.1 (-2.3, 0.1) |
| Dale County | Rural | No | 133.6 (116.8, 152.5) | 40 (7, 65) | 47 |
falling
|
-1.1 (-1.7, -0.5) |
| Jefferson County | Urban | No | 135.1 (130.4, 140.1) | 35 (22, 50) | 636 |
falling
|
-1.1 (-1.4, -0.8) |
| Marshall County | Rural | No | 136.8 (124.3, 150.2) | 31 (9, 60) | 92 |
falling
|
-1.1 (-1.8, -0.5) |
| Mobile County | Urban | No | 142.5 (136.2, 149.0) | 24 (11, 42) | 409 |
falling
|
-1.1 (-1.5, -0.8) |
| Montgomery County | Urban | No | 135.0 (126.7, 143.7) | 37 (15, 56) | 207 |
falling
|
-1.1 (-1.5, -0.7) |
| Tallapoosa County | Rural | No | 145.6 (126.7, 166.9) | 20 (2, 61) | 48 |
stable
|
-1.1 (-2.3, 0.1) |
| Cullman County | Rural | No | 123.9 (112.0, 136.9) | 58 (22, 66) | 83 |
falling
|
-1.2 (-2.1, -0.3) |
| Henry County | Urban | No | 124.2 (99.4, 154.4) | 56 (4, 67) | 19 |
stable
|
-1.2 (-3.2, 0.8) |
| Lauderdale County | Urban | No | 124.4 (112.8, 136.9) | 54 (22, 66) | 93 |
falling
|
-1.2 (-2.0, -0.4) |
| Randolph County | Rural | No | 132.0 (108.8, 159.5) | 44 (3, 67) | 24 |
stable
|
-1.2 (-2.7, 0.3) |
| Chambers County | Rural | No | 134.3 (114.8, 156.5) | 38 (4, 66) | 37 |
falling
|
-1.3 (-2.1, -0.5) |
| Lee County | Urban | No | 135.6 (125.1, 146.8) | 33 (12, 58) | 128 |
falling
|
-1.3 (-2.1, -0.5) |
| Lowndes County | Urban | No | 153.6 (116.4, 200.5) | 10 (1, 67) | 12 |
stable
|
-1.3 (-3.6, 0.8) |
| Madison County | Urban | No | 127.9 (121.7, 134.4) | 49 (29, 60) | 330 |
falling
|
-1.3 (-1.7, -0.9) |
| Lamar County | Rural | No | 135.1 (105.3, 172.0) | 36 (1, 67) | 15 |
stable
|
-1.4 (-3.1, 0.1) |
| Autauga County | Urban | No | 133.4 (117.8, 150.7) | 41 (9, 65) | 54 |
stable
|
-1.5 (-2.9, 0.0) |
| Baldwin County | Urban | Yes | 118.9 (111.8, 126.4) | 63 (41, 65) | 225 |
falling
|
-1.5 (-2.0, -0.9) |
| Marengo County | Rural | Yes | 110.5 (87.8, 138.1) | 66 (15, 67) | 17 |
stable
|
-1.5 (-3.2, 0.0) |
| Perry County | Rural | No | 143.9 (104.3, 195.4) | 22 (1, 67) | 10 |
stable
|
-1.8 (-4.5, 0.6) |
| Macon County | Urban | No | 126.0 (101.5, 155.7) | 52 (4, 67) | 20 |
falling
|
-1.9 (-3.3, -0.6) |
| Shelby County | Urban | Yes | 102.1 (95.0, 109.8) | 67 (60, 67) | 155 |
falling
|
-1.9 (-2.4, -1.3) |
| Winston County | Rural | Yes | 120.0 (99.0, 145.0) | 62 (9, 67) | 24 |
falling
|
-1.9 (-3.8, -0.2) |
| Tuscaloosa County | Urban | Yes | 114.1 (106.1, 122.7) | 65 (46, 67) | 153 |
falling
|
-2.0 (-2.5, -1.6) |
| Hale County | Urban | No | 151.6 (120.2, 189.6) | 12 (1, 66) | 17 |
falling
|
-2.2 (-4.0, -0.5) |
| St. Clair County | Urban | No | 124.3 (112.4, 137.2) | 55 (22, 66) | 83 |
falling
|
-2.8 (-4.8, -1.8) |
| Dallas County | Rural | No | 123.4 (105.3, 144.0) | 59 (13, 67) | 36 |
falling
|
-4.8 (-17.6, -1.9) |
| Morgan County | Urban | No | 131.2 (120.5, 142.6) | 46 (16, 63) | 116 |
falling
|
-7.6 (-14.1, -1.0) |
| Marion County | Rural | No | 141.6 (121.0, 165.2) | 26 (2, 64) | 35 |
stable
|
-10.9 (-21.8, 0.2) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/27/2026 12:42 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.