State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Alabama by County

Brain & ONS, 2019-2023

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Count

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 ***? : ***
• Rate : The death rate is 4.9 with a 95% confidence interval from 4.7 to 5.2 and 312 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.7 to 1.9.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 4.4 with a 95% confidence interval from 4.4 to 4.4 and 17,852 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.0.

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 4.3 with a 95% confidence interval from 2.4 to 7.2 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (3, 32)
• Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -6.5 to -0.4.

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 4.9 with a 95% confidence interval from 2.8 to 8.1 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (2, 32)
• Recent Trend :

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 7.4 with a 95% confidence interval from 4.2 to 12.4 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 31)
• Recent Trend :

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 5.5 with a 95% confidence interval from 3.0 to 9.5 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 32)
• Recent Trend :

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 5.6 with a 95% confidence interval from 3.3 to 9.0 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 32)
• Recent Trend :

Chilton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 7.7 with a 95% confidence interval from 4.6 to 12.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 30)
• Recent Trend :

Covington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 8.0 with a 95% confidence interval from 4.8 to 12.7 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 30)
• Recent Trend :

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 6.0 with a 95% confidence interval from 3.6 to 9.5 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 32)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.5 to 2.5.

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 5.5 with a 95% confidence interval from 3.4 to 8.6 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 32)
• Recent Trend :

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 5.6 with a 95% confidence interval from 3.5 to 8.8 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (1, 32)
• Recent Trend :

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 4.1 with a 95% confidence interval from 2.5 to 6.2 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (6, 32)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.6 to 2.5.

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 5.2 with a 95% confidence interval from 3.2 to 8.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (2, 32)
• Recent Trend : The trend is stable because the trend is 25.1 with a 95% confidence interval from -1.3 to 46.7.

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 7.7 with a 95% confidence interval from 4.9 to 11.4 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 28)
• Recent Trend :

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 4.8 with a 95% confidence interval from 3.1 to 7.1 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (4, 32)
• Recent Trend :

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 4.0 with a 95% confidence interval from 2.6 to 5.8 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (9, 32)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.2 to 1.3.

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 6.2 with a 95% confidence interval from 4.1 to 9.1 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 31)
• Recent Trend :

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 4.3 with a 95% confidence interval from 2.8 to 6.3 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (7, 32)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.4 to 1.6.

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 5.4 with a 95% confidence interval from 3.7 to 7.7 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (2, 31)
• Recent Trend :

Limestone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 5.4 with a 95% confidence interval from 3.8 to 7.7 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (2, 31)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.8 to 3.6.

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.8 with a 95% confidence interval from 2.0 to 3.9 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (25, 32)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.3 to 1.5.

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 6.6 with a 95% confidence interval from 4.6 to 9.2 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 29)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.2 to 5.1.

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 5.8 with a 95% confidence interval from 4.1 to 8.1 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (2, 30)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.6 to 4.3.

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 6.7 with a 95% confidence interval from 4.7 to 9.3 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 28)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.6 to 4.2.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 5.3 with a 95% confidence interval from 3.9 to 7.1 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (3, 31)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.5 to 1.4.

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 7.8 with a 95% confidence interval from 5.6 to 10.5 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 22)
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -1.2 to 5.7.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 3.8 with a 95% confidence interval from 2.8 to 5.1 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (14, 32)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.9 to 2.3.

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 6.7 with a 95% confidence interval from 5.0 to 8.9 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 26)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.8 to 3.5.

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 4.0 with a 95% confidence interval from 3.0 to 5.2 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (13, 32)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.8 to 3.5.

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 5.6 with a 95% confidence interval from 4.5 to 6.9 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (4, 27)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.8 to 2.2.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 4.3 with a 95% confidence interval from 3.4 to 5.2 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (14, 31)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.4 to 2.4.

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 4.8 with a 95% confidence interval from 3.9 to 5.7 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (10, 30)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -7.7 to 2.7.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 4.9 with a 95% confidence interval from 4.2 to 5.6 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (10, 28)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.7 to 2.1.

Barbour County

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

Bibb County

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

Bullock County

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

Butler County

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

Chambers County

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

Cherokee County

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

Choctaw County

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

Clarke County

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

Clay County

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

Cleburne County

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

Conecuh County

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

Coosa County

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

Crenshaw County

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

Dallas County

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

Escambia County

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

Fayette County

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

Franklin County

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

Geneva County

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

Greene County

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

Hale County

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

Henry County

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

Lamar County

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

Lawrence County

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

Lowndes County

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

Macon County

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

Marengo County

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

Monroe County

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

Perry County

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

Pickens County

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

Pike County

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

Randolph County

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

Sumter County

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

Washington County

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

Wilcox County

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

Winston County

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

Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 9:45 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.