State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Alabama by County

All Cancer Sites, 2019-2023

Black Non-Hispanic, Both Sexes, All Ages

Sorted by Recentaapc

Explanation of Column Headers

Death Rate (95% Confidence Interval) - The death rate is based upon 100,000 people and is for 5 year(s). Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population (the Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal).

Recent Trends - This is an interpretation of the AAPC:

• Rising when 95% confidence interval of average annual percent change is above 0.
• Stable when 95% confidence interval of average annual percent change includes 0.
• Falling when 95% confidence interval of average annual percent change is below 0.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Alabama

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.8 with a 95% confidence interval from 166.7 to 173.0 and 2,377 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.6 to -2.0.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.5 with a 95% confidence interval from 165.9 to 167.1 and 70,844 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.0 to -1.9.

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.8 with a 95% confidence interval from 139.1 to 205.7 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (6, 58)
• Recent Trend : The trend is falling because the trend is -14.6 with a 95% confidence interval from -22.7 to -1.7.

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.4 with a 95% confidence interval from 132.9 to 174.0 and 47 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (19, 58)
• Recent Trend : The trend is falling because the trend is -13.7 with a 95% confidence interval from -28.0 to -1.2.

Covington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 172.6 with a 95% confidence interval from 127.2 to 229.6 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (2, 60)
• Recent Trend : The trend is falling because the trend is -12.0 with a 95% confidence interval from -28.5 to -2.1.

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 148.7 with a 95% confidence interval from 125.0 to 175.5 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (16, 60)
• Recent Trend : The trend is falling because the trend is -10.1 with a 95% confidence interval from -22.3 to -3.3.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.6 with a 95% confidence interval from 107.1 to 226.9 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (3, 60)
• Recent Trend : The trend is falling because the trend is -9.5 with a 95% confidence interval from -21.2 to -4.3.

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.7 with a 95% confidence interval from 128.7 to 203.3 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (6, 59)
• Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -19.8 to -1.1.

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.2 with a 95% confidence interval from 119.4 to 191.5 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (8, 60)
• Recent Trend : The trend is falling because the trend is -4.3 with a 95% confidence interval from -5.5 to -3.2.

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.9 with a 95% confidence interval from 97.7 to 183.4 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (8, 60)
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -6.4 to -0.9.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 126.8 with a 95% confidence interval from 72.0 to 210.1 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (5, 60)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -7.1 to -0.2.

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 142.3 with a 95% confidence interval from 116.0 to 172.8 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (17, 60)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -4.5 to -1.3.

Perry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.2 with a 95% confidence interval from 112.1 to 200.0 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (6, 60)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -4.9 to -1.2.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.6 with a 95% confidence interval from 101.4 to 201.0 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (6, 60)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -5.4 to -0.7.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 147.0 with a 95% confidence interval from 135.2 to 159.5 and 129 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (33, 57)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.6 to -1.8.

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 161.8 with a 95% confidence interval from 126.3 to 204.1 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (6, 59)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.3 to -1.1.

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 157.9 with a 95% confidence interval from 135.6 to 182.8 and 39 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (13, 58)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.3 to -1.4.

Pickens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 196.6 with a 95% confidence interval from 157.7 to 242.7 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (2, 53)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.9 to -1.1.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 170.8 with a 95% confidence interval from 164.1 to 177.8 and 531 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (19, 43)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.1 to -2.0.

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.4 with a 95% confidence interval from 112.7 to 184.7 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (12, 60)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.4 to -0.5.

Marengo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 148.1 with a 95% confidence interval from 119.0 to 182.6 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (12, 60)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.6 to -1.2.

Coosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.9 with a 95% confidence interval from 92.8 to 205.6 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (6, 60)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -4.2 to -0.4.

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.1 with a 95% confidence interval from 150.5 to 211.6 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (5, 54)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.0 to -1.3.

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 177.8 with a 95% confidence interval from 168.1 to 187.9 and 276 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (13, 40)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.7 to -1.6.

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.2 with a 95% confidence interval from 111.1 to 162.6 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (25, 60)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.0 to 0.1.

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.1 with a 95% confidence interval from 144.7 to 174.5 and 101 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (19, 54)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.7 to -1.4.

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 180.2 with a 95% confidence interval from 157.6 to 205.1 and 50 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (6, 51)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.1 to -0.9.

Limestone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 118.0 with a 95% confidence interval from 92.5 to 148.2 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (37, 60)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.0 to 0.3.

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 171.8 with a 95% confidence interval from 146.5 to 200.7 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (7, 55)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.1 to -1.0.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 176.8 with a 95% confidence interval from 166.3 to 187.8 and 230 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (13, 42)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.3 to -1.5.

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.7 with a 95% confidence interval from 140.9 to 214.0 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (4, 57)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.1 to 0.6.

Lawrence County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 132.6 with a 95% confidence interval from 93.3 to 186.2 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (9, 60)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.2 to 0.7.

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 181.3 with a 95% confidence interval from 145.5 to 223.5 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (3, 57)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.2 to -0.1.

Chambers County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.8 with a 95% confidence interval from 137.3 to 196.3 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (8, 58)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -3.0 to -0.1.

Chilton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 210.1 with a 95% confidence interval from 154.2 to 279.8 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 57)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.0 to 0.9.

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 183.4 with a 95% confidence interval from 149.4 to 223.2 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (3, 55)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -3.0 to -0.1.

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 198.5 with a 95% confidence interval from 165.5 to 235.8 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (2, 49)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -2.9 to 0.3.

Hale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 196.2 with a 95% confidence interval from 159.8 to 238.9 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (2, 52)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.3 to 0.4.

Bullock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.2 with a 95% confidence interval from 138.0 to 219.9 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (3, 58)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.1 to 0.3.

Choctaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 161.9 with a 95% confidence interval from 123.0 to 210.8 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (6, 60)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.5 to 0.9.

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 191.1 with a 95% confidence interval from 167.2 to 217.4 and 50 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (4, 46)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.5.

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.5 with a 95% confidence interval from 106.9 to 226.3 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (3, 60)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -4.1 to 1.3.

Pike County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 185.7 with a 95% confidence interval from 150.2 to 226.8 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (3, 55)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.8 to 0.3.

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.6 with a 95% confidence interval from 153.6 to 199.9 and 51 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (7, 51)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.4.

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 133.2 with a 95% confidence interval from 75.9 to 219.8 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (3, 60)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.9 to 2.4.

Lowndes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 173.9 with a 95% confidence interval from 137.6 to 217.6 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (4, 58)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.9 to 0.7.

Escambia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 220.7 with a 95% confidence interval from 185.1 to 261.4 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 37)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.1 to 1.1.

Barbour County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 197.9 with a 95% confidence interval from 165.0 to 235.7 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (3, 48)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -17.9 to 12.9.

Bibb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.5 with a 95% confidence interval from 117.2 to 234.7 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (2, 60)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.4 to 2.7.

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 248.0 with a 95% confidence interval from 209.0 to 292.5 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 19)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.4 to 1.6.

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 185.0 with a 95% confidence interval from 139.3 to 242.5 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (2, 59)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.6 to 1.8.

Conecuh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 191.7 with a 95% confidence interval from 146.3 to 247.6 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (2, 57)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.2 to 1.8.

Wilcox County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 185.7 with a 95% confidence interval from 146.1 to 233.0 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (2, 57)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.3 to 1.9.

Sumter County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.3 with a 95% confidence interval from 130.9 to 206.7 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (5, 59)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.3 to 2.3.

Geneva County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 240.6 with a 95% confidence interval from 165.9 to 338.0 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 57)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.0 to 2.3.

Crenshaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 240.1 with a 95% confidence interval from 175.0 to 322.6 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 51)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.6 to 3.4.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.6 with a 95% confidence interval from 140.1 to 227.7 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (3, 58)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.6 to 4.5.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 195.1 with a 95% confidence interval from 173.2 to 218.9 and 67 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (4, 40)
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -1.5 to 8.8.

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 218.1 with a 95% confidence interval from 123.8 to 358.7 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 60)
• Recent Trend :

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 180.8 with a 95% confidence interval from 102.4 to 300.4 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (1, 60)
• Recent Trend :

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 278.8 with a 95% confidence interval from 168.1 to 437.6 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 59)
• Recent Trend :

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 292.4 with a 95% confidence interval from 179.2 to 443.8 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 57)
• Recent Trend :

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Cleburne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Lamar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Winston County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 6:17 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+).

The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal.

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.

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.