Death Rates Table
Death Rate Report for Alabama by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Female, 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 | 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) |
| Shelby County | Urban | Yes | 102.1 (95.0, 109.8) | 67 (60, 67) | 155 |
falling
|
-1.9 (-2.4, -1.3) |
| Marengo County | Rural | Yes | 110.5 (87.8, 138.1) | 66 (15, 67) | 17 |
stable 
|
-1.5 (-3.2, 0.0) |
| Tuscaloosa County | Urban | Yes | 114.1 (106.1, 122.7) | 65 (46, 67) | 153 |
falling
|
-2.0 (-2.5, -1.6) |
| Coosa County | Rural | Yes | 115.0 (84.5, 155.8) | 64 (4, 67) | 10 |
stable
|
-1.0 (-3.5, 1.5) |
| Baldwin County | Urban | Yes | 118.9 (111.8, 126.4) | 63 (41, 65) | 225 |
falling
|
-1.5 (-2.0, -0.9) |
| Winston County | Rural | Yes | 120.0 (99.0, 145.0) | 62 (9, 67) | 24 |
falling
|
-1.9 (-3.8, -0.2) |
| Limestone County | Urban | Yes | 120.3 (108.9, 132.7) | 61 (28, 66) | 84 |
stable
|
-0.9 (-1.8, 0.1) |
| Choctaw County | Rural | Yes | 121.1 (94.4, 154.9) | 60 (5, 67) | 14 |
stable
|
-0.6 (-2.0, 0.7) |
| Dallas County | Rural | No | 123.4 (105.3, 144.0) | 59 (13, 67) | 36 |
falling
|
-4.8 (-17.6, -1.9) |
| Cullman County | Rural | No | 123.9 (112.0, 136.9) | 58 (22, 66) | 83 |
falling
|
-1.2 (-2.1, -0.3) |
| Sumter County | Rural | No | 124.0 (90.3, 166.8) | 57 (1, 67) | 10 |
stable
|
0.9 (-1.8, 3.6) |
| Henry County | Urban | No | 124.2 (99.4, 154.4) | 56 (4, 67) | 19 |
stable
|
-1.2 (-3.2, 0.8) |
| St. Clair County | Urban | No | 124.3 (112.4, 137.2) | 55 (22, 66) | 83 |
falling
|
-2.8 (-4.8, -1.8) |
| Lauderdale County | Urban | No | 124.4 (112.8, 136.9) | 54 (22, 66) | 93 |
falling
|
-1.2 (-2.0, -0.4) |
| Geneva County | Urban | No | 125.8 (104.4, 150.7) | 53 (7, 67) | 26 |
stable
|
0.2 (-1.7, 2.1) |
| Macon County | Urban | No | 126.0 (101.5, 155.7) | 52 (4, 67) | 20 |
falling
|
-1.9 (-3.3, -0.6) |
| Butler County | Rural | No | 126.5 (101.4, 156.7) | 51 (4, 67) | 19 |
stable
|
-1.1 (-2.9, 0.5) |
| Clay County | Rural | No | 127.3 (99.2, 162.2) | 50 (3, 67) | 15 |
stable
|
-0.3 (-1.9, 1.3) |
| Madison County | Urban | No | 127.9 (121.7, 134.4) | 49 (29, 60) | 330 |
falling
|
-1.3 (-1.7, -0.9) |
| Colbert County | Urban | No | 130.2 (115.5, 146.4) | 48 (12, 65) | 60 |
falling
|
-0.9 (-1.7, -0.2) |
| Wilcox County | Rural | No | 131.1 (96.5, 175.3) | 47 (1, 67) | 10 |
stable
|
-0.2 (-2.6, 2.1) |
| Morgan County | Urban | No | 131.2 (120.5, 142.6) | 46 (16, 63) | 116 |
falling
|
-7.6 (-14.1, -1.0) |
| Coffee County | Rural | No | 131.5 (115.2, 149.5) | 45 (10, 65) | 49 |
stable
|
-1.1 (-2.3, 0.1) |
| Randolph County | Rural | No | 132.0 (108.8, 159.5) | 44 (3, 67) | 24 |
stable
|
-1.2 (-2.7, 0.3) |
| Monroe County | Rural | No | 132.4 (107.5, 162.1) | 43 (3, 67) | 21 |
stable
|
-0.1 (-1.8, 1.6) |
| Houston County | Urban | No | 132.7 (121.3, 145.0) | 42 (14, 62) | 105 |
stable
|
5.5 (-0.6, 10.8) |
| Autauga County | Urban | No | 133.4 (117.8, 150.7) | 41 (9, 65) | 54 |
stable
|
-1.5 (-2.9, 0.0) |
| Dale County | Rural | No | 133.6 (116.8, 152.5) | 40 (7, 65) | 47 |
falling
|
-1.1 (-1.7, -0.5) |
| Elmore County | Urban | No | 134.1 (121.1, 148.3) | 39 (10, 62) | 80 |
stable
|
-0.9 (-1.7, 0.1) |
| Chambers County | Rural | No | 134.3 (114.8, 156.5) | 38 (4, 66) | 37 |
falling
|
-1.3 (-2.1, -0.5) |
| Montgomery County | Urban | No | 135.0 (126.7, 143.7) | 37 (15, 56) | 207 |
falling
|
-1.1 (-1.5, -0.7) |
| Lamar County | Rural | No | 135.1 (105.3, 172.0) | 36 (1, 67) | 15 |
stable
|
-1.4 (-3.1, 0.1) |
| Jefferson County | Urban | No | 135.1 (130.4, 140.1) | 35 (22, 50) | 636 |
falling
|
-1.1 (-1.4, -0.8) |
| Chilton County | Urban | No | 135.4 (117.2, 155.8) | 34 (4, 65) | 41 |
stable
|
-1.1 (-2.2, 0.1) |
| Lee County | Urban | No | 135.6 (125.1, 146.8) | 33 (12, 58) | 128 |
falling
|
-1.3 (-2.1, -0.5) |
| DeKalb County | Rural | No | 136.2 (121.8, 152.0) | 32 (7, 63) | 68 |
stable
|
-0.8 (-1.8, 0.2) |
| Marshall County | Rural | No | 136.8 (124.3, 150.2) | 31 (9, 60) | 92 |
falling
|
-1.1 (-1.8, -0.5) |
| Blount County | Urban | No | 138.2 (122.7, 155.3) | 30 (5, 62) | 60 |
stable
|
-0.7 (-1.9, 0.6) |
| Washington County | Rural | No | 139.0 (109.9, 174.6) | 29 (1, 67) | 16 |
stable
|
-0.3 (-2.0, 1.4) |
| Bibb County | Urban | No | 139.1 (113.2, 169.8) | 28 (1, 67) | 21 |
stable
|
-1.1 (-2.2, 0.0) |
| Lawrence County | Urban | No | 141.1 (120.4, 164.7) | 27 (2, 64) | 35 |
stable
|
-1.0 (-2.3, 0.2) |
| Marion County | Rural | No | 141.6 (121.0, 165.2) | 26 (2, 64) | 35 |
stable
|
-10.9 (-21.8, 0.2) |
| Conecuh County | Rural | No | 141.7 (108.3, 183.6) | 25 (1, 67) | 14 |
stable
|
-0.1 (-2.1, 1.9) |
| Mobile County | Urban | No | 142.5 (136.2, 149.0) | 24 (11, 42) | 409 |
falling
|
-1.1 (-1.5, -0.8) |
| Bullock County | Rural | No | 143.7 (106.0, 192.3) | 23 (1, 67) | 10 |
stable
|
-0.5 (-2.8, 1.7) |
| Perry County | Rural | No | 143.9 (104.3, 195.4) | 22 (1, 67) | 10 |
stable
|
-1.8 (-4.5, 0.6) |
| Barbour County | Rural | No | 145.4 (120.4, 174.6) | 21 (1, 65) | 26 |
stable
|
-1.1 (-2.8, 0.4) |
| Tallapoosa County | Rural | No | 145.6 (126.7, 166.9) | 20 (2, 61) | 48 |
stable
|
-1.1 (-2.3, 0.1) |
| Pike County | Rural | No | 145.9 (122.9, 172.2) | 19 (1, 64) | 30 |
stable
|
-0.5 (-1.7, 0.8) |
| Calhoun County | Urban | No | 147.9 (136.2, 160.5) | 18 (4, 46) | 125 |
falling
|
-0.7 (-1.3, -0.2) |
| Talladega County | Rural | No | 148.0 (134.2, 162.9) | 17 (3, 50) | 89 |
stable
|
-0.4 (-1.3, 0.4) |
| Walker County | Urban | No | 148.6 (133.5, 165.2) | 16 (2, 51) | 75 |
stable
|
-0.5 (-1.2, 0.2) |
| Fayette County | Rural | No | 148.8 (119.0, 184.8) | 15 (1, 66) | 19 |
stable
|
-0.1 (-1.6, 1.5) |
| Pickens County | Urban | No | 150.8 (123.5, 183.3) | 14 (1, 65) | 22 |
stable
|
-0.8 (-2.0, 0.3) |
| Etowah County | Urban | No | 151.3 (139.1, 164.3) | 13 (3, 41) | 121 |
stable
|
2.8 (-0.8, 4.9) |
| Hale County | Urban | No | 151.6 (120.2, 189.6) | 12 (1, 66) | 17 |
falling
|
-2.2 (-4.0, -0.5) |
| Covington County | Rural | No | 153.3 (134.1, 174.9) | 11 (1, 55) | 50 |
stable
|
-0.8 (-2.3, 0.6) |
| Lowndes County | Urban | No | 153.6 (116.4, 200.5) | 10 (1, 67) | 12 |
stable
|
-1.3 (-3.6, 0.8) |
| Jackson County | Rural | No | 154.5 (137.5, 173.2) | 9 (1, 47) | 65 |
stable
|
-0.5 (-1.3, 0.3) |
| Escambia County | Rural | No | 154.8 (133.9, 178.4) | 8 (1, 56) | 42 |
stable
|
-0.4 (-1.3, 0.5) |
| Greene County | Urban | No | 155.6 (111.8, 212.7) | 7 (1, 67) | 9 |
stable
|
1.0 (-1.2, 3.2) |
| Franklin County | Rural | No | 158.1 (135.1, 184.2) | 6 (1, 55) | 35 |
stable
|
-0.7 (-1.8, 0.5) |
| Cleburne County | Rural | No | 161.4 (129.7, 199.4) | 5 (1, 62) | 19 |
stable
|
-1.0 (-3.0, 1.0) |
| Russell County | Urban | No | 162.9 (145.0, 182.6) | 4 (1, 37) | 62 |
stable
|
-0.3 (-1.2, 0.5) |
| Cherokee County | Rural | No | 168.1 (142.3, 197.8) | 3 (1, 47) | 33 |
stable
|
0.4 (-0.9, 1.8) |
| Crenshaw County | Rural | No | 168.1 (133.8, 209.7) | 2 (1, 62) | 17 |
stable
|
0.1 (-1.5, 1.8) |
| Clarke County | Rural | No | 180.0 (152.7, 211.3) | 1 (1, 30) | 34 |
stable
|
0.4 (-1.0, 1.7) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 11:18 pm.
State Cancer Registries may provide more current or more local data.
Trend
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.
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.
† 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 for United States does not include Puerto Rico.