Death Rates Table
Death Rate Report for Alabama by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Both Sexes, Ages 65+
Sorted by CI*Rank
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)
|
|---|---|---|---|---|---|---|---|
| Russell County | Urban | No | 1,142.2 (1,039.8, 1,252.0) | 1 (1, 15) | 95 |
stable 
|
-0.7 (-1.4, 0.0) |
| Clarke County | Rural | No | 1,134.8 (1,001.3, 1,281.2) | 2 (1, 31) | 52 |
stable
|
-0.4 (-1.4, 0.8) |
| Crenshaw County | Rural | No | 1,066.3 (890.1, 1,267.4) | 3 (1, 60) | 26 |
stable
|
0.0 (-1.5, 1.5) |
| Pickens County | Urban | No | 1,034.5 (889.3, 1,196.9) | 4 (1, 60) | 37 |
falling 
|
-1.4 (-2.8, -0.1) |
| Cleburne County | Rural | No | 1,024.1 (864.9, 1,204.4) | 5 (1, 60) | 29 |
stable
|
-1.2 (-2.7, 0.3) |
| Lawrence County | Urban | No | 1,018.3 (905.1, 1,142.1) | 6 (1, 50) | 60 |
stable
|
-0.2 (-1.3, 3.3) |
| Franklin County | Rural | No | 1,009.5 (890.8, 1,139.6) | 7 (1, 56) | 53 |
falling
|
-1.0 (-1.8, -0.1) |
| Walker County | Urban | No | 1,005.9 (926.0, 1,091.0) | 8 (2, 43) | 120 |
falling
|
-3.1 (-9.5, -1.1) |
| Marion County | Rural | No | 1,005.5 (895.8, 1,125.0) | 9 (1, 53) | 61 |
stable
|
-0.3 (-1.2, 0.6) |
| Clay County | Rural | No | 987.3 (831.2, 1,164.3) | 10 (1, 63) | 28 |
stable
|
-0.9 (-2.0, 0.4) |
| Etowah County | Urban | No | 986.6 (923.3, 1,053.1) | 11 (3, 42) | 188 |
falling
|
-0.8 (-1.3, -0.4) |
| Jackson County | Rural | No | 984.7 (899.9, 1,075.5) | 12 (2, 49) | 102 |
falling
|
-1.3 (-1.9, -0.6) |
| Chilton County | Urban | No | 976.8 (875.4, 1,086.8) | 13 (1, 57) | 70 |
stable
|
-0.9 (-1.9, 0.0) |
| Geneva County | Urban | No | 976.2 (859.3, 1,104.7) | 14 (1, 61) | 51 |
stable
|
-0.4 (-1.8, 0.9) |
| Escambia County | Rural | No | 971.7 (868.3, 1,084.2) | 15 (1, 55) | 64 |
falling
|
-1.0 (-1.8, -0.2) |
| Calhoun County | Urban | No | 970.6 (909.2, 1,035.1) | 16 (4, 45) | 191 |
falling
|
-1.1 (-1.7, -0.6) |
| Lowndes County | Urban | No | 967.1 (781.0, 1,184.2) | 17 (1, 67) | 19 |
stable
|
-0.8 (-2.2, 0.5) |
| Fayette County | Rural | No | 950.3 (806.2, 1,112.8) | 18 (1, 64) | 31 |
stable
|
-0.3 (-1.5, 0.9) |
| Dale County | Rural | No | 948.6 (856.8, 1,047.5) | 19 (3, 58) | 79 |
stable
|
-0.9 (-1.8, 0.0) |
| Chambers County | Rural | No | 948.3 (844.9, 1,060.8) | 20 (2, 60) | 62 |
falling
|
-1.3 (-2.1, -0.5) |
| Cherokee County | Rural | No | 942.2 (829.3, 1,066.3) | 21 (2, 62) | 52 |
stable
|
-0.5 (-1.5, 0.5) |
| Lee County | Urban | No | 937.6 (878.1, 1,000.2) | 22 (6, 52) | 194 |
falling
|
-1.1 (-1.9, -0.3) |
| Elmore County | Urban | No | 933.1 (859.9, 1,011.0) | 23 (5, 54) | 124 |
falling
|
-1.2 (-1.8, -0.5) |
| Marshall County | Rural | No | 930.8 (863.9, 1,001.6) | 24 (5, 54) | 147 |
falling
|
-1.1 (-1.6, -0.7) |
| Barbour County | Rural | No | 930.6 (811.6, 1,062.3) | 25 (2, 63) | 44 |
falling
|
-1.9 (-2.9, -0.9) |
| Talladega County | Rural | No | 930.2 (860.5, 1,004.3) | 26 (5, 55) | 136 |
falling
|
-0.9 (-1.5, -0.4) |
| Mobile County | Urban | No | 927.5 (894.4, 961.6) | 27 (13, 45) | 610 |
falling
|
-1.6 (-1.9, -1.4) |
| Macon County | Urban | No | 925.7 (790.2, 1,077.8) | 28 (1, 65) | 34 |
falling
|
-1.4 (-2.5, -0.4) |
| Covington County | Rural | No | 923.4 (831.9, 1,022.2) | 29 (4, 59) | 75 |
falling
|
-1.6 (-2.4, -0.9) |
| Blount County | Urban | No | 921.9 (841.1, 1,008.5) | 30 (5, 58) | 97 |
falling
|
-0.9 (-1.6, -0.2) |
| Jefferson County | Urban | No | 916.3 (890.0, 943.2) | 31 (18, 45) | 949 |
falling
|
-1.2 (-1.4, -1.0) |
| Choctaw County | Rural | No | 912.8 (762.6, 1,083.9) | 32 (1, 66) | 26 |
stable
|
-4.9 (-13.4, 3.8) |
| St. Clair County | Urban | No | 911.7 (844.7, 982.6) | 33 (7, 57) | 141 |
falling
|
-1.8 (-6.1, -1.0) |
| Pike County | Rural | No | 910.3 (793.7, 1,039.2) | 34 (3, 65) | 44 |
stable
|
-0.7 (-1.5, 0.1) |
| Winston County | Rural | No | 904.8 (790.3, 1,031.3) | 35 (3, 65) | 45 |
falling
|
-1.4 (-2.3, -0.5) |
| Henry County | Urban | No | 903.9 (773.9, 1,049.7) | 36 (2, 66) | 35 |
falling
|
-1.9 (-3.8, -1.1) |
| Lamar County | Rural | No | 903.5 (757.1, 1,070.1) | 37 (1, 66) | 27 |
falling
|
-1.9 (-2.8, -0.9) |
| DeKalb County | Rural | No | 901.0 (825.0, 982.3) | 38 (8, 60) | 106 |
stable
|
-0.8 (-1.8, 0.1) |
| Montgomery County | Urban | No | 895.3 (850.3, 942.2) | 39 (15, 55) | 304 |
falling
|
-1.5 (-1.9, -1.2) |
| Bibb County | Urban | No | 894.8 (764.6, 1,041.1) | 40 (3, 66) | 34 |
stable
|
-0.9 (-2.0, 0.2) |
| Houston County | Urban | No | 890.4 (830.2, 953.8) | 41 (12, 59) | 165 |
falling
|
-1.2 (-1.8, -0.6) |
| Tallapoosa County | Rural | No | 890.1 (803.3, 983.9) | 42 (6, 63) | 79 |
falling
|
-1.5 (-2.6, -0.4) |
| Colbert County | Urban | No | 887.0 (810.3, 969.0) | 43 (8, 62) | 99 |
falling
|
-1.4 (-2.0, -0.7) |
| Hale County | Urban | No | 879.3 (729.6, 1,050.8) | 44 (2, 67) | 24 |
falling
|
-1.7 (-3.5, -0.1) |
| Washington County | Rural | No | 876.9 (729.2, 1,045.7) | 45 (2, 67) | 25 |
stable
|
-4.0 (-21.7, 0.2) |
| Bullock County | Rural | No | 874.3 (687.6, 1,096.2) | 46 (1, 67) | 15 |
stable
|
-0.9 (-3.3, 1.5) |
| Greene County | Urban | No | 859.3 (671.5, 1,082.5) | 47 (1, 67) | 14 |
stable
|
-0.6 (-2.2, 1.0) |
| Conecuh County | Rural | No | 858.2 (709.4, 1,029.2) | 48 (2, 67) | 23 |
stable
|
-1.4 (-3.0, 0.2) |
| Morgan County | Urban | No | 855.4 (799.9, 913.9) | 49 (21, 62) | 180 |
falling
|
-1.3 (-1.9, -0.7) |
| Coosa County | Rural | No | 851.7 (693.6, 1,035.0) | 50 (3, 67) | 20 |
falling
|
-1.9 (-3.4, -0.4) |
| Autauga County | Urban | No | 851.4 (768.4, 940.9) | 51 (13, 65) | 78 |
falling
|
-1.9 (-3.1, -0.6) |
| Coffee County | Rural | No | 840.3 (756.0, 931.5) | 52 (13, 65) | 73 |
falling
|
-1.6 (-2.3, -0.8) |
| Butler County | Rural | No | 838.8 (712.8, 980.4) | 53 (6, 67) | 32 |
stable
|
-1.1 (-2.5, 0.2) |
| Cullman County | Rural | No | 838.3 (775.3, 905.0) | 54 (24, 64) | 134 |
falling
|
-1.6 (-2.3, -0.9) |
| Randolph County | Rural | No | 836.6 (720.7, 966.0) | 55 (8, 67) | 38 |
stable
|
-1.3 (-2.9, 0.1) |
| Madison County | Urban | No | 833.2 (799.8, 867.6) | 56 (37, 62) | 477 |
falling
|
-1.5 (-1.8, -1.3) |
| Baldwin County | Urban | No | 830.7 (793.6, 869.2) | 57 (36, 62) | 389 |
falling
|
-1.5 (-1.9, -1.0) |
| Dallas County | Rural | No | 826.3 (732.0, 929.3) | 58 (14, 67) | 57 |
falling
|
-11.8 (-20.9, -2.3) |
| Limestone County | Urban | No | 799.4 (737.1, 865.7) | 59 (36, 66) | 125 |
falling
|
-1.7 (-2.4, -0.8) |
| Monroe County | Rural | No | 791.8 (672.3, 926.5) | 60 (13, 67) | 31 |
stable
|
-0.8 (-2.1, 0.6) |
| Wilcox County | Rural | No | 785.6 (623.7, 976.5) | 61 (4, 67) | 16 |
stable
|
-0.9 (-3.0, 1.2) |
| Marengo County | Rural | No | 772.0 (650.5, 909.5) | 62 (16, 67) | 29 |
falling
|
-2.2 (-3.5, -1.0) |
| Lauderdale County | Urban | No | 766.2 (710.5, 825.1) | 63 (46, 67) | 142 |
falling
|
-3.2 (-4.1, -2.4) |
| Tuscaloosa County | Urban | No | 763.4 (718.8, 810.0) | 64 (50, 67) | 228 |
falling
|
-2.4 (-2.9, -1.9) |
| Perry County | Rural | No | 745.0 (571.4, 954.5) | 65 (7, 67) | 12 |
falling
|
-2.6 (-5.1, -0.6) |
| Shelby County | Urban | No | 702.3 (662.7, 743.6) | 66 (60, 67) | 242 |
falling
|
-2.1 (-2.7, -1.5) |
| Sumter County | Rural | No | 695.2 (547.0, 870.9) | 67 (20, 67) | 15 |
falling
|
-14.9 (-31.3, -2.4) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 7:57 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.
⋔ 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.
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.