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)
|
|---|---|---|---|---|---|---|---|
| Alabama | N/A | No | 160.7 (159.0, 162.3) | N/A | 7,880 |
falling 
|
-1.4 (-2.3, -1.2) |
| United States | N/A | No | 151.2 (151.0, 151.4) | N/A | 464,032 |
falling
|
-1.1 (-1.3, -1.0) |
| 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 03/25/2026 4:54 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.