Death Rates Table
Death Rate Report for Alabama by County
All Cancer Sites, 2019-2023
Black Non-Hispanic, Both Sexes, All Ages
Sorted by Rate
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 | 169.8 (166.7, 173.0) | N/A | 2,377 |
falling 
|
-2.2 (-2.6, -2.0) |
| United States | N/A | No | 166.5 (165.9, 167.1) | N/A | 70,844 |
falling
|
-2.0 (-2.0, -1.9) |
| Limestone County | Urban | Yes | 118.0 (92.5, 148.2) | 60 (37, 60) | 17 |
stable 
|
-2.0 (-4.0, 0.3) |
| Jackson County | Rural | No | 126.8 (72.0, 210.1) | 59 (5, 60) | 3 |
falling
|
-3.4 (-7.1, -0.2) |
| Lawrence County | Urban | No | 132.6 (93.3, 186.2) | 58 (9, 60) | 7 |
stable
|
-1.8 (-4.2, 0.7) |
| Fayette County | Rural | No | 133.2 (75.9, 219.8) | 57 (3, 60) | 3 |
stable
|
-1.1 (-4.9, 2.4) |
| Shelby County | Urban | No | 135.2 (111.1, 162.6) | 56 (25, 60) | 29 |
stable
|
-2.1 (-4.0, 0.1) |
| St. Clair County | Urban | No | 135.9 (97.7, 183.4) | 55 (8, 60) | 11 |
falling
|
-3.6 (-6.4, -0.9) |
| Coosa County | Rural | No | 139.9 (92.8, 205.6) | 54 (6, 60) | 6 |
falling
|
-2.2 (-4.2, -0.4) |
| Morgan County | Urban | No | 142.3 (116.0, 172.8) | 53 (17, 60) | 23 |
falling
|
-2.9 (-4.5, -1.3) |
| Randolph County | Rural | No | 144.6 (101.4, 201.0) | 52 (6, 60) | 7 |
falling
|
-2.9 (-5.4, -0.7) |
| Lauderdale County | Urban | No | 145.4 (112.7, 184.7) | 51 (12, 60) | 14 |
falling
|
-2.3 (-4.4, -0.5) |
| Madison County | Urban | No | 147.0 (135.2, 159.5) | 50 (33, 57) | 129 |
falling
|
-2.7 (-3.6, -1.8) |
| Marengo County | Rural | No | 148.1 (119.0, 182.6) | 49 (12, 60) | 19 |
falling
|
-2.3 (-3.6, -1.2) |
| Baldwin County | Urban | No | 148.7 (125.0, 175.5) | 48 (16, 60) | 30 |
falling
|
-10.1 (-22.3, -3.3) |
| Perry County | Rural | No | 151.2 (112.1, 200.0) | 47 (6, 60) | 10 |
falling
|
-2.9 (-4.9, -1.2) |
| Coffee County | Rural | No | 152.2 (119.4, 191.5) | 46 (8, 60) | 15 |
falling
|
-4.3 (-5.5, -3.2) |
| Dallas County | Rural | No | 152.4 (132.9, 174.0) | 45 (19, 58) | 47 |
falling
|
-13.7 (-28.0, -1.2) |
| Calhoun County | Urban | No | 157.9 (135.6, 182.8) | 44 (13, 58) | 39 |
falling
|
-2.4 (-3.3, -1.4) |
| Walker County | Urban | No | 158.5 (106.9, 226.3) | 43 (3, 60) | 6 |
stable
|
-1.3 (-4.1, 1.3) |
| Washington County | Rural | No | 158.6 (107.1, 226.9) | 42 (3, 60) | 6 |
falling
|
-9.5 (-21.2, -4.3) |
| Tuscaloosa County | Urban | No | 159.1 (144.7, 174.5) | 41 (19, 54) | 101 |
falling
|
-2.1 (-2.7, -1.4) |
| Dale County | Rural | No | 161.8 (126.3, 204.1) | 40 (6, 59) | 16 |
falling
|
-2.6 (-4.3, -1.1) |
| Choctaw County | Rural | No | 161.9 (123.0, 210.8) | 39 (6, 60) | 13 |
stable
|
-1.3 (-3.5, 0.9) |
| Monroe County | Rural | No | 162.7 (128.7, 203.3) | 38 (6, 59) | 17 |
falling
|
-4.6 (-19.8, -1.1) |
| Chambers County | Rural | No | 164.8 (137.3, 196.3) | 37 (8, 58) | 27 |
falling
|
-1.5 (-3.0, -0.1) |
| Sumter County | Rural | No | 165.3 (130.9, 206.7) | 36 (5, 59) | 18 |
stable
|
0.0 (-2.3, 2.3) |
| Bibb County | Urban | No | 168.5 (117.2, 234.7) | 35 (2, 60) | 7 |
stable
|
-0.4 (-3.4, 2.7) |
| Tallapoosa County | Rural | No | 169.8 (139.1, 205.7) | 34 (6, 58) | 22 |
falling
|
-14.6 (-22.7, -1.7) |
| Jefferson County | Urban | No | 170.8 (164.1, 177.8) | 33 (19, 43) | 531 |
falling
|
-2.3 (-3.1, -2.0) |
| Macon County | Urban | No | 171.8 (146.5, 200.7) | 32 (7, 55) | 36 |
falling
|
-2.0 (-3.1, -1.0) |
| Covington County | Rural | No | 172.6 (127.2, 229.6) | 31 (2, 60) | 10 |
falling
|
-12.0 (-28.5, -2.1) |
| Lowndes County | Urban | No | 173.9 (137.6, 217.6) | 30 (4, 58) | 17 |
stable
|
-1.1 (-2.9, 0.7) |
| Autauga County | Urban | No | 174.7 (140.9, 214.0) | 29 (4, 57) | 20 |
stable
|
-1.8 (-4.1, 0.6) |
| Bullock County | Rural | No | 175.2 (138.0, 219.9) | 28 (3, 58) | 16 |
stable
|
-1.3 (-3.1, 0.3) |
| Talladega County | Rural | No | 175.6 (153.6, 199.9) | 27 (7, 51) | 51 |
falling
|
-1.2 (-2.0, -0.4) |
| Montgomery County | Urban | No | 176.8 (166.3, 187.8) | 26 (13, 42) | 230 |
falling
|
-1.9 (-2.3, -1.5) |
| Mobile County | Urban | No | 177.8 (168.1, 187.9) | 25 (13, 40) | 276 |
falling
|
-2.1 (-2.7, -1.6) |
| Etowah County | Urban | No | 179.1 (150.5, 211.6) | 24 (5, 54) | 31 |
falling
|
-2.1 (-3.0, -1.3) |
| Greene County | Urban | No | 179.6 (140.1, 227.7) | 23 (3, 58) | 16 |
stable
|
0.8 (-0.6, 4.5) |
| Houston County | Urban | No | 180.2 (157.6, 205.1) | 22 (6, 51) | 50 |
falling
|
-2.0 (-3.1, -0.9) |
| Franklin County | Rural | No | 180.8 (102.4, 300.4) | 21 (1, 60) | 3 |
|
|
| Butler County | Rural | No | 181.3 (145.5, 223.5) | 20 (3, 57) | 18 |
falling
|
-1.6 (-3.2, -0.1) |
| Colbert County | Urban | No | 183.4 (149.4, 223.2) | 19 (3, 55) | 21 |
falling
|
-1.5 (-3.0, -0.1) |
| Henry County | Urban | No | 185.0 (139.3, 242.5) | 18 (2, 59) | 12 |
stable
|
-0.4 (-2.6, 1.8) |
| Pike County | Rural | No | 185.7 (150.2, 226.8) | 17 (3, 55) | 20 |
stable
|
-1.2 (-2.8, 0.3) |
| Wilcox County | Rural | No | 185.7 (146.1, 233.0) | 16 (2, 57) | 16 |
stable
|
-0.2 (-2.3, 1.9) |
| Russell County | Urban | No | 191.1 (167.2, 217.4) | 15 (4, 46) | 50 |
falling
|
-1.3 (-2.1, -0.5) |
| Conecuh County | Rural | No | 191.7 (146.3, 247.6) | 14 (2, 57) | 13 |
stable
|
-0.2 (-2.2, 1.8) |
| Lee County | Urban | No | 195.1 (173.2, 218.9) | 13 (4, 40) | 67 |
stable
|
2.0 (-1.5, 8.8) |
| Hale County | Urban | No | 196.2 (159.8, 238.9) | 12 (2, 52) | 21 |
stable
|
-1.4 (-3.3, 0.4) |
| Pickens County | Urban | No | 196.6 (157.7, 242.7) | 11 (2, 53) | 19 |
falling
|
-2.4 (-3.9, -1.1) |
| Barbour County | Rural | No | 197.9 (165.0, 235.7) | 10 (3, 48) | 26 |
stable
|
-0.4 (-17.9, 12.9) |
| Elmore County | Urban | No | 198.5 (165.5, 235.8) | 9 (2, 49) | 30 |
stable
|
-1.4 (-2.9, 0.3) |
| Chilton County | Urban | No | 210.1 (154.2, 279.8) | 8 (1, 57) | 10 |
stable
|
-1.5 (-4.0, 0.9) |
| DeKalb County | Rural | No | 218.1 (123.8, 358.7) | 7 (1, 60) | 3 |
|
|
| Escambia County | Rural | No | 220.7 (185.1, 261.4) | 6 (1, 37) | 27 |
stable
|
-0.6 (-2.1, 1.1) |
| Crenshaw County | Rural | No | 240.1 (175.0, 322.6) | 5 (1, 51) | 10 |
stable
|
0.3 (-2.6, 3.4) |
| Geneva County | Urban | No | 240.6 (165.9, 338.0) | 4 (1, 57) | 7 |
stable
|
0.1 (-2.0, 2.3) |
| Clarke County | Rural | No | 248.0 (209.0, 292.5) | 3 (1, 19) | 30 |
stable
|
-0.4 (-2.4, 1.6) |
| Marion County | Rural | No | 278.8 (168.1, 437.6) | 2 (1, 59) | 4 |
|
|
| Marshall County | Rural | No | 292.4 (179.2, 443.8) | 1 (1, 57) | 5 |
|
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| Blount County | Urban | *** |
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| Cherokee County | Rural | *** |
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| Clay County | Rural | *** |
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| Cleburne County | Rural | *** |
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|
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| Cullman County | Rural | *** |
|
|
|
|
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| Lamar County | Rural | *** |
|
|
|
|
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| Winston County | Rural | *** |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/27/2026 12:26 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 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.