Death Rates Table
Death Rate Report for Alabama by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Both Sexes, Ages 50+
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 | 531.1 (526.4, 535.9) | N/A | 9,898 |
falling 
|
-1.6 (-1.8, -1.5) |
| United States | N/A | No | 488.7 (488.1, 489.2) | N/A | 576,743 |
falling
|
-1.5 (-1.7, -1.3) |
| Shelby County | Urban | No | 399.0 (379.1, 419.7) | 67 (64, 67) | 310 |
falling
|
-2.1 (-2.7, -1.5) |
| Perry County | Rural | No | 448.7 (354.9, 560.0) | 66 (11, 67) | 16 |
falling
|
-2.3 (-4.0, -0.8) |
| Tuscaloosa County | Urban | No | 451.8 (429.0, 475.6) | 65 (55, 66) | 307 |
falling
|
-2.4 (-2.8, -2.1) |
| Limestone County | Urban | No | 473.0 (441.4, 506.3) | 64 (44, 66) | 173 |
falling
|
-1.9 (-3.7, -1.3) |
| Lauderdale County | Urban | No | 474.3 (444.2, 506.0) | 63 (45, 66) | 188 |
stable 
|
-2.8 (-4.4, 0.1) |
| Madison County | Urban | No | 475.1 (458.4, 492.2) | 62 (51, 66) | 631 |
falling
|
-1.8 (-2.0, -1.5) |
| Sumter County | Rural | No | 484.3 (396.8, 585.2) | 61 (6, 67) | 22 |
falling
|
-17.6 (-30.0, -2.5) |
| Baldwin County | Urban | No | 484.3 (465.0, 504.2) | 60 (47, 65) | 495 |
falling
|
-1.5 (-1.8, -1.1) |
| Marengo County | Rural | No | 488.9 (422.7, 562.6) | 59 (15, 67) | 40 |
falling
|
-1.8 (-2.8, -0.8) |
| Cullman County | Rural | No | 502.3 (469.4, 536.9) | 58 (29, 65) | 178 |
falling
|
-1.6 (-2.1, -1.1) |
| Monroe County | Rural | No | 505.1 (440.0, 577.3) | 57 (9, 67) | 44 |
stable
|
-0.8 (-2.0, 0.3) |
| Coffee County | Rural | No | 505.2 (461.0, 552.5) | 56 (21, 66) | 98 |
falling
|
-1.6 (-2.2, -1.0) |
| Dallas County | Rural | No | 505.4 (454.9, 560.0) | 55 (20, 66) | 76 |
falling
|
-12.7 (-18.4, -6.4) |
| Bullock County | Rural | No | 508.9 (413.2, 620.4) | 54 (3, 67) | 20 |
stable
|
-1.1 (-2.8, 0.5) |
| Morgan County | Urban | No | 512.7 (483.8, 543.0) | 53 (29, 63) | 241 |
falling
|
-7.3 (-12.6, -1.5) |
| Randolph County | Rural | No | 513.6 (451.9, 581.4) | 52 (11, 66) | 51 |
falling
|
-1.1 (-2.2, -0.1) |
| Autauga County | Urban | No | 516.0 (473.0, 562.0) | 51 (16, 65) | 108 |
falling
|
-1.8 (-3.0, -0.5) |
| Washington County | Rural | No | 517.3 (440.8, 603.4) | 50 (4, 67) | 33 |
falling
|
-5.1 (-17.1, -1.4) |
| Coosa County | Rural | No | 522.2 (436.3, 620.0) | 49 (2, 67) | 27 |
falling
|
-1.6 (-2.9, -0.3) |
| Wilcox County | Rural | No | 525.1 (432.7, 631.6) | 48 (1, 67) | 23 |
stable
|
-9.4 (-25.7, 0.3) |
| Tallapoosa County | Rural | No | 525.7 (480.0, 574.6) | 47 (13, 65) | 101 |
falling
|
-1.6 (-2.5, -0.6) |
| Houston County | Urban | No | 525.7 (494.4, 558.4) | 46 (21, 61) | 216 |
falling
|
-1.3 (-1.8, -0.8) |
| Conecuh County | Rural | No | 525.8 (443.1, 619.6) | 45 (3, 67) | 29 |
stable
|
-1.2 (-2.6, 0.0) |
| Winston County | Rural | No | 529.9 (470.1, 595.4) | 44 (6, 66) | 57 |
falling
|
-2.6 (-8.5, -1.4) |
| DeKalb County | Rural | No | 534.8 (495.5, 576.5) | 43 (15, 62) | 141 |
falling
|
-1.0 (-1.8, -0.2) |
| Jefferson County | Urban | No | 536.5 (523.0, 550.2) | 42 (28, 52) | 1,244 |
falling
|
-1.3 (-1.5, -1.2) |
| Montgomery County | Urban | No | 539.3 (515.9, 563.5) | 41 (20, 56) | 413 |
falling
|
-1.5 (-1.9, -1.1) |
| Lee County | Urban | No | 539.7 (509.9, 570.8) | 40 (16, 57) | 260 |
falling
|
-1.4 (-2.0, -0.8) |
| Henry County | Urban | No | 545.9 (475.8, 623.6) | 39 (3, 66) | 45 |
falling
|
-1.1 (-1.8, -0.3) |
| Colbert County | Urban | No | 546.1 (504.9, 589.7) | 38 (10, 60) | 132 |
falling
|
-1.2 (-1.7, -0.7) |
| Choctaw County | Rural | No | 546.3 (466.1, 636.5) | 37 (1, 66) | 33 |
stable
|
-0.9 (-2.1, 0.2) |
| Bibb County | Urban | No | 546.6 (477.7, 622.8) | 36 (2, 65) | 46 |
falling
|
-1.1 (-1.9, -0.3) |
| St. Clair County | Urban | No | 548.0 (513.2, 584.6) | 35 (12, 57) | 189 |
stable
|
-1.3 (-2.3, 1.4) |
| Dale County | Rural | No | 551.8 (504.5, 602.5) | 34 (6, 60) | 102 |
falling
|
-1.4 (-2.0, -0.8) |
| Marshall County | Rural | No | 553.1 (518.4, 589.4) | 33 (11, 55) | 195 |
falling
|
-1.2 (-1.8, -0.7) |
| Butler County | Rural | No | 553.4 (482.2, 632.3) | 32 (2, 65) | 44 |
stable
|
-1.0 (-2.2, 0.1) |
| Fayette County | Rural | No | 554.8 (479.1, 639.2) | 31 (1, 66) | 39 |
stable
|
-0.3 (-1.4, 0.7) |
| Macon County | Urban | No | 556.0 (483.6, 636.3) | 30 (2, 65) | 44 |
falling
|
-1.9 (-2.9, -1.0) |
| Elmore County | Urban | No | 559.6 (522.0, 599.2) | 29 (8, 55) | 172 |
falling
|
-1.0 (-1.6, -0.5) |
| Blount County | Urban | No | 560.4 (517.7, 605.7) | 28 (6, 57) | 130 |
falling
|
-0.8 (-1.5, -0.1) |
| Mobile County | Urban | No | 561.2 (544.0, 578.9) | 27 (16, 44) | 829 |
falling
|
-1.6 (-1.8, -1.3) |
| Lowndes County | Urban | No | 562.2 (465.7, 673.1) | 26 (1, 66) | 24 |
stable
|
-1.1 (-2.2, 0.1) |
| Lamar County | Rural | No | 569.6 (488.6, 660.4) | 25 (1, 65) | 36 |
falling
|
-1.4 (-1.9, -0.9) |
| Geneva County | Urban | No | 571.3 (510.0, 637.9) | 24 (2, 61) | 64 |
stable
|
-0.7 (-1.5, 0.2) |
| Chambers County | Rural | No | 572.9 (518.3, 631.7) | 23 (3, 58) | 82 |
falling
|
-1.2 (-1.9, -0.6) |
| Greene County | Urban | No | 573.0 (463.3, 700.8) | 22 (1, 67) | 20 |
stable
|
-0.7 (-2.3, 0.8) |
| Clay County | Rural | No | 574.6 (493.7, 665.2) | 21 (1, 65) | 36 |
stable
|
-1.1 (-2.3, 0.1) |
| Talladega County | Rural | No | 576.2 (539.1, 615.1) | 20 (6, 50) | 187 |
falling
|
-0.9 (-1.4, -0.4) |
| Pike County | Rural | No | 584.1 (520.5, 653.5) | 19 (1, 57) | 62 |
stable
|
-0.4 (-1.1, 0.4) |
| Calhoun County | Urban | No | 584.3 (552.1, 617.8) | 18 (5, 43) | 256 |
falling
|
-1.2 (-1.7, -0.6) |
| Hale County | Urban | No | 587.8 (503.0, 682.9) | 17 (1, 64) | 35 |
falling
|
-1.7 (-3.1, -0.3) |
| Franklin County | Rural | No | 595.9 (534.3, 662.7) | 16 (1, 54) | 69 |
falling
|
-1.4 (-2.5, -0.3) |
| Pickens County | Urban | No | 596.4 (521.5, 679.1) | 15 (1, 59) | 47 |
falling
|
-1.7 (-2.8, -0.8) |
| Barbour County | Rural | No | 596.6 (530.8, 668.5) | 14 (1, 57) | 61 |
stable
|
-0.4 (-12.3, 7.6) |
| Covington County | Rural | No | 603.6 (552.3, 658.4) | 13 (1, 47) | 104 |
falling
|
-1.2 (-2.0, -0.3) |
| Etowah County | Urban | No | 604.0 (570.5, 638.9) | 12 (3, 35) | 252 |
falling
|
-0.9 (-1.3, -0.4) |
| Chilton County | Urban | No | 604.2 (550.9, 661.2) | 11 (1, 49) | 98 |
falling
|
-1.0 (-1.8, -0.2) |
| Cherokee County | Rural | No | 606.8 (544.6, 674.3) | 10 (1, 51) | 72 |
stable
|
-0.3 (-1.2, 0.6) |
| Jackson County | Rural | No | 607.5 (562.1, 655.5) | 9 (1, 43) | 137 |
falling
|
-1.1 (-1.6, -0.5) |
| Lawrence County | Urban | No | 608.9 (550.0, 672.4) | 8 (1, 51) | 81 |
stable
|
-0.5 (-1.6, 2.8) |
| Walker County | Urban | No | 617.3 (574.8, 662.1) | 7 (1, 33) | 162 |
falling
|
-3.2 (-7.7, -1.5) |
| Marion County | Rural | No | 619.9 (560.6, 683.9) | 6 (1, 47) | 80 |
stable
|
-0.4 (-1.1, 0.3) |
| Escambia County | Rural | No | 630.1 (573.1, 691.4) | 5 (1, 36) | 91 |
falling
|
-0.7 (-1.2, -0.2) |
| Cleburne County | Rural | No | 640.8 (554.6, 736.7) | 4 (1, 53) | 40 |
stable
|
6.5 (-0.7, 16.3) |
| Crenshaw County | Rural | No | 656.8 (563.7, 761.3) | 3 (1, 51) | 36 |
stable
|
0.1 (-1.3, 1.5) |
| Clarke County | Rural | No | 665.4 (595.3, 741.7) | 2 (1, 31) | 66 |
stable
|
-0.1 (-1.5, 1.3) |
| Russell County | Urban | No | 671.1 (619.0, 726.3) | 1 (1, 18) | 129 |
stable
|
-0.8 (-1.5, 0.0) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 2:11 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.