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Death Rates Table

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Death Rate Report for Alabama by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Both Sexes, Ages <65

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Met Healthy People Objective of 122.7?
Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank ⋔
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Death Rates
(95% Confidence Interval)
 sort by trend descending
Alabama N/A Yes 53.4 (52.5, 54.3) N/A 2,976 falling falling trend -2.2 (-2.9, -1.8)
United States N/A Yes 44.0 (43.9, 44.1) N/A 158,490 falling falling trend -1.5 (-1.8, -1.3)
Dallas County Rural Yes 59.5 (48.5, 72.4) 27 (4, 64) 23 falling falling trend -5.9 (-12.8, -3.0)
Pickens County Urban Yes 52.2 (39.1, 68.8) 52 (7, 67) 11 falling falling trend -3.6 (-5.2, -2.2)
Dale County Rural Yes 49.5 (41.1, 59.2) 58 (20, 66) 27 falling falling trend -2.8 (-3.8, -1.9)
Macon County Urban Yes 59.3 (43.8, 78.8) 29 (2, 66) 11 falling falling trend -2.6 (-4.2, -1.2)
Jefferson County Urban Yes 50.8 (48.4, 53.3) 56 (40, 60) 361 falling falling trend -2.4 (-4.3, -2.0)
Franklin County Rural Yes 59.2 (47.9, 72.5) 30 (5, 65) 20 falling falling trend -2.3 (-3.6, -1.0)
Lee County Urban Yes 46.5 (41.9, 51.4) 61 (41, 66) 80 falling falling trend -2.3 (-3.3, -1.3)
Lowndes County Urban Yes 53.6 (35.3, 78.8) 46 (1, 67) 6 stable stable trend -2.3 (-5.0, 0.1)
Madison County Urban Yes 42.2 (39.4, 45.1) 66 (56, 66) 189 falling falling trend -2.3 (-2.9, -1.6)
Shelby County Urban Yes 33.5 (30.3, 37.0) 67 (64, 67) 83 falling falling trend -2.3 (-3.1, -1.4)
Tuscaloosa County Urban Yes 45.0 (41.1, 49.3) 62 (48, 66) 99 falling falling trend -2.3 (-3.3, -1.4)
St. Clair County Urban Yes 53.1 (46.9, 60.0) 48 (21, 63) 56 falling falling trend -2.2 (-3.2, -1.1)
Bullock County Rural Yes 44.9 (29.3, 67.0) 63 (7, 67) 5 stable stable trend -2.0 (-5.4, 0.9)
Clay County Rural Yes 51.5 (36.9, 71.0) 53 (5, 67) 9 stable stable trend -2.0 (-4.5, 0.3)
Hale County Urban Yes 77.7 (58.7, 101.4) 6 (1, 59) 12 stable stable trend -1.9 (-3.9, 0.0)
Coffee County Rural Yes 50.9 (42.8, 60.2) 55 (20, 66) 29 falling falling trend -1.8 (-2.9, -0.8)
Baldwin County Urban Yes 44.5 (40.9, 48.4) 65 (50, 66) 125 falling falling trend -1.7 (-2.4, -1.0)
DeKalb County Rural Yes 49.7 (42.8, 57.5) 57 (24, 66) 40 falling falling trend -1.7 (-2.7, -0.8)
Lawrence County Urban Yes 57.8 (47.4, 70.2) 35 (7, 65) 23 falling falling trend -1.7 (-2.9, -0.6)
Russell County Urban Yes 64.5 (55.6, 74.4) 20 (4, 52) 41 falling falling trend -1.7 (-2.8, -0.6)
Limestone County Urban Yes 44.6 (39.4, 50.3) 64 (43, 66) 57 stable stable trend -1.6 (-8.4, 0.6)
Morgan County Urban Yes 51.1 (45.8, 57.0) 54 (27, 64) 72 falling falling trend -1.6 (-2.5, -0.8)
Autauga County Urban Yes 52.8 (45.1, 61.6) 50 (17, 65) 35 falling falling trend -1.5 (-2.8, -0.3)
Houston County Urban Yes 54.2 (48.1, 60.9) 45 (20, 61) 63 falling falling trend -1.5 (-2.4, -0.5)
Marion County Rural Yes 60.4 (49.1, 73.9) 25 (3, 64) 21 falling falling trend -1.5 (-3.0, -0.2)
Marshall County Rural Yes 56.8 (50.3, 64.0) 38 (14, 60) 60 falling falling trend -1.5 (-2.3, -0.7)
Mobile County Urban Yes 57.8 (54.6, 61.2) 36 (21, 49) 261 falling falling trend -1.5 (-1.9, -1.1)
Chambers County Rural Yes 56.8 (46.3, 69.2) 39 (7, 65) 23 stable stable trend -1.4 (-2.9, 0.0)
Choctaw County Rural Yes 47.5 (33.3, 67.0) 60 (9, 67) 8 stable stable trend -1.4 (-4.0, 0.9)
Montgomery County Urban Yes 56.3 (51.9, 60.9) 41 (20, 56) 133 falling falling trend -1.4 (-2.1, -0.6)
Winston County Rural Yes 53.5 (41.2, 68.7) 47 (7, 67) 15 stable stable trend -1.4 (-3.0, 0.0)
Bibb County Urban Yes 60.9 (47.5, 77.2) 24 (3, 65) 15 stable stable trend -1.3 (-2.9, 0.2)
Cleburne County Rural Yes 69.0 (52.2, 90.1) 12 (1, 64) 12 stable stable trend -1.3 (-3.2, 0.6)
Cullman County Rural Yes 53.0 (46.5, 60.2) 49 (19, 64) 53 falling falling trend -1.3 (-2.0, -0.6)
Calhoun County Urban Yes 62.0 (55.7, 68.9) 23 (9, 52) 78 falling falling trend -1.2 (-2.1, -0.4)
Chilton County Urban Yes 66.0 (56.1, 77.4) 19 (3, 52) 33 stable stable trend -1.2 (-2.7, 0.3)
Blount County Urban Yes 57.0 (48.9, 66.2) 37 (11, 62) 38 stable stable trend -1.1 (-2.3, 0.0)
Lauderdale County Urban Yes 55.3 (48.6, 62.7) 44 (15, 62) 56 falling falling trend -1.1 (-2.0, -0.3)
Perry County Rural Yes 52.7 (32.1, 82.6) 51 (1, 67) 4 stable stable trend -1.1 (-3.9, 1.3)
Etowah County Urban Yes 66.7 (60.0, 74.1) 16 (4, 40) 78 falling falling trend -1.0 (-1.7, -0.4)
Henry County Urban Yes 58.1 (43.5, 76.7) 34 (2, 66) 11 stable stable trend -1.0 (-3.4, 1.5)
Walker County Urban Yes 64.4 (56.1, 73.7) 21 (5, 52) 48 stable stable trend -1.0 (-1.9, 0.0)
Colbert County Urban Yes 59.8 (51.4, 69.4) 26 (6, 59) 39 stable stable trend -0.9 (-2.5, 0.6)
Geneva County Urban Yes 56.0 (44.0, 70.6) 42 (5, 66) 16 stable stable trend -0.9 (-2.7, 0.9)
Talladega County Rural Yes 66.5 (59.0, 74.9) 17 (4, 42) 61 stable stable trend -0.9 (-1.7, 0.0)
Tallapoosa County Rural Yes 59.3 (49.0, 71.3) 28 (6, 63) 27 stable stable trend -0.9 (-2.2, 0.2)
Butler County Rural Yes 72.7 (56.4, 92.6) 9 (1, 56) 15 stable stable trend -0.8 (-2.8, 1.0)
Coosa County Rural Yes 58.8 (40.2, 84.6) 32 (1, 67) 7 stable stable trend -0.8 (-3.3, 1.6)
Elmore County Urban Yes 56.4 (49.8, 63.6) 40 (14, 61) 57 stable stable trend -0.8 (-1.8, 0.3)
Fayette County Rural Yes 58.6 (42.7, 78.9) 33 (2, 67) 10 stable stable trend -0.8 (-2.5, 0.9)
Randolph County Rural Yes 59.0 (45.8, 75.1) 31 (3, 66) 16 stable stable trend -0.8 (-3.2, 1.5)
Conecuh County Rural Yes 66.4 (46.2, 93.2) 18 (1, 67) 8 stable stable trend -0.7 (-2.3, 0.8)
Greene County Urban Yes 83.7 (55.6, 121.9) 1 (1, 66) 6 stable stable trend -0.7 (-2.9, 1.3)
Marengo County Rural Yes 55.6 (42.0, 72.7) 43 (4, 66) 12 stable stable trend -0.6 (-3.0, 1.7)
Jackson County Rural Yes 67.8 (58.5, 78.4) 14 (2, 45) 42 stable stable trend -0.5 (-2.0, 0.9)
Washington County Rural Yes 49.0 (35.0, 67.4) 59 (8, 67) 9 stable stable trend -0.5 (-3.1, 2.1)
Monroe County Rural Yes 66.9 (51.8, 85.7) 15 (1, 64) 15 stable stable trend -0.4 (-2.6, 1.7)
Lamar County Rural Yes 64.3 (47.1, 86.3) 22 (1, 66) 10 stable stable trend -0.3 (-3.1, 2.4)
Sumter County Rural Yes 79.2 (55.5, 110.0) 5 (1, 64) 8 stable stable trend -0.3 (-2.7, 1.8)
Covington County Rural Yes 73.3 (61.9, 86.3) 8 (1, 43) 33 stable stable trend -0.2 (-1.5, 1.2)
Escambia County Rural Yes 82.3 (69.6, 96.7) 2 (1, 27) 32 stable stable trend -0.1 (-1.5, 1.3)
Crenshaw County Rural Yes 80.0 (60.1, 105.0) 4 (1, 55) 12 stable stable trend 0.0 (-2.3, 2.5)
Pike County Rural Yes 72.1 (58.5, 87.9) 10 (1, 52) 21 stable stable trend 0.3 (-1.3, 2.0)
Clarke County Rural Yes 68.9 (54.3, 86.6) 13 (1, 60) 17 stable stable trend 0.4 (-1.7, 2.4)
Wilcox County Rural Yes 82.0 (58.3, 112.7) 3 (1, 62) 8 stable stable trend 0.4 (-1.8, 2.6)
Barbour County Rural Yes 70.1 (56.3, 86.6) 11 (1, 57) 19 stable stable trend 1.1 (-7.7, 10.4)
Cherokee County Rural Yes 73.7 (60.1, 90.0) 7 (1, 46) 23 rising rising trend 12.5 (1.4, 27.8)

Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 8:44 am.

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.

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