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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 50+

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

Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 12:31 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.


† 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.

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