State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Alabama by County

All Cancer Sites, 2019-2023

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

Sorted by CI*Rank

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 122.7? : No
• Rate : The death rate is 890.0 with a 95% confidence interval from 880.9 to 899.3 and 7,432 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.0 to -1.4.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 846.2 with a 95% confidence interval from 845.1 to 847.3 and 447,280 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.7 to -1.3.

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,142.2 with a 95% confidence interval from 1,039.8 to 1,252.0 and 95 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 15)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,134.8 with a 95% confidence interval from 1,001.3 to 1,281.2 and 52 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 31)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.8.

Crenshaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,066.3 with a 95% confidence interval from 890.1 to 1,267.4 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 60)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.5 to 1.5.

Pickens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,034.5 with a 95% confidence interval from 889.3 to 1,196.9 and 37 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 60)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.8 to -0.1.

Cleburne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,024.1 with a 95% confidence interval from 864.9 to 1,204.4 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 60)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.3.

Lawrence County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,018.3 with a 95% confidence interval from 905.1 to 1,142.1 and 60 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 50)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.3 to 3.3.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,009.5 with a 95% confidence interval from 890.8 to 1,139.6 and 53 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 56)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.1.

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,005.9 with a 95% confidence interval from 926.0 to 1,091.0 and 120 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (2, 43)
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -9.5 to -1.1.

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,005.5 with a 95% confidence interval from 895.8 to 1,125.0 and 61 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 53)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.6.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 987.3 with a 95% confidence interval from 831.2 to 1,164.3 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 63)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.4.

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 986.6 with a 95% confidence interval from 923.3 to 1,053.1 and 188 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (3, 42)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.4.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 984.7 with a 95% confidence interval from 899.9 to 1,075.5 and 102 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (2, 49)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.6.

Chilton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 976.8 with a 95% confidence interval from 875.4 to 1,086.8 and 70 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 57)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.0.

Geneva County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 976.2 with a 95% confidence interval from 859.3 to 1,104.7 and 51 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (1, 61)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.8 to 0.9.

Escambia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 971.7 with a 95% confidence interval from 868.3 to 1,084.2 and 64 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 55)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.2.

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 970.6 with a 95% confidence interval from 909.2 to 1,035.1 and 191 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (4, 45)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.6.

Lowndes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 967.1 with a 95% confidence interval from 781.0 to 1,184.2 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (1, 67)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.5.

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 950.3 with a 95% confidence interval from 806.2 to 1,112.8 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (1, 64)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.5 to 0.9.

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 948.6 with a 95% confidence interval from 856.8 to 1,047.5 and 79 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (3, 58)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.0.

Chambers County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 948.3 with a 95% confidence interval from 844.9 to 1,060.8 and 62 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (2, 60)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.5.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 942.2 with a 95% confidence interval from 829.3 to 1,066.3 and 52 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (2, 62)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.5.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 937.6 with a 95% confidence interval from 878.1 to 1,000.2 and 194 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (6, 52)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.3.

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 933.1 with a 95% confidence interval from 859.9 to 1,011.0 and 124 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (5, 54)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.5.

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 930.8 with a 95% confidence interval from 863.9 to 1,001.6 and 147 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (5, 54)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.7.

Barbour County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 930.6 with a 95% confidence interval from 811.6 to 1,062.3 and 44 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (2, 63)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.9 to -0.9.

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 930.2 with a 95% confidence interval from 860.5 to 1,004.3 and 136 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (5, 55)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.4.

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 927.5 with a 95% confidence interval from 894.4 to 961.6 and 610 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (13, 45)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.9 to -1.4.

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 925.7 with a 95% confidence interval from 790.2 to 1,077.8 and 34 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (1, 65)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.5 to -0.4.

Covington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 923.4 with a 95% confidence interval from 831.9 to 1,022.2 and 75 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (4, 59)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.4 to -0.9.

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 921.9 with a 95% confidence interval from 841.1 to 1,008.5 and 97 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (5, 58)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.2.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 916.3 with a 95% confidence interval from 890.0 to 943.2 and 949 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (18, 45)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.4 to -1.0.

Choctaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 912.8 with a 95% confidence interval from 762.6 to 1,083.9 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (1, 66)
• Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -13.4 to 3.8.

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 911.7 with a 95% confidence interval from 844.7 to 982.6 and 141 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (7, 57)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -6.1 to -1.0.

Pike County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 910.3 with a 95% confidence interval from 793.7 to 1,039.2 and 44 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (3, 65)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.1.

Winston County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 904.8 with a 95% confidence interval from 790.3 to 1,031.3 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (3, 65)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.5.

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 903.9 with a 95% confidence interval from 773.9 to 1,049.7 and 35 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (2, 66)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.8 to -1.1.

Lamar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 903.5 with a 95% confidence interval from 757.1 to 1,070.1 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (1, 66)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.8 to -0.9.

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 901.0 with a 95% confidence interval from 825.0 to 982.3 and 106 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (8, 60)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.1.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 895.3 with a 95% confidence interval from 850.3 to 942.2 and 304 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (15, 55)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.2.

Bibb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 894.8 with a 95% confidence interval from 764.6 to 1,041.1 and 34 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (3, 66)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.2.

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 890.4 with a 95% confidence interval from 830.2 to 953.8 and 165 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (12, 59)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.6.

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 890.1 with a 95% confidence interval from 803.3 to 983.9 and 79 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (6, 63)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.6 to -0.4.

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 887.0 with a 95% confidence interval from 810.3 to 969.0 and 99 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (8, 62)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 to -0.7.

Hale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 879.3 with a 95% confidence interval from 729.6 to 1,050.8 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (2, 67)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.5 to -0.1.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 876.9 with a 95% confidence interval from 729.2 to 1,045.7 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (2, 67)
• Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -21.7 to 0.2.

Bullock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 874.3 with a 95% confidence interval from 687.6 to 1,096.2 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (1, 67)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.3 to 1.5.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 859.3 with a 95% confidence interval from 671.5 to 1,082.5 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (1, 67)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.2 to 1.0.

Conecuh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 858.2 with a 95% confidence interval from 709.4 to 1,029.2 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (2, 67)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.0 to 0.2.

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 855.4 with a 95% confidence interval from 799.9 to 913.9 and 180 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (21, 62)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.7.

Coosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 851.7 with a 95% confidence interval from 693.6 to 1,035.0 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (3, 67)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.4 to -0.4.

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 851.4 with a 95% confidence interval from 768.4 to 940.9 and 78 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (13, 65)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.1 to -0.6.

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 840.3 with a 95% confidence interval from 756.0 to 931.5 and 73 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (13, 65)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.3 to -0.8.

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 838.8 with a 95% confidence interval from 712.8 to 980.4 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (6, 67)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.2.

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 838.3 with a 95% confidence interval from 775.3 to 905.0 and 134 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (24, 64)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.3 to -0.9.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 836.6 with a 95% confidence interval from 720.7 to 966.0 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (8, 67)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.9 to 0.1.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 833.2 with a 95% confidence interval from 799.8 to 867.6 and 477 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (37, 62)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.8 to -1.3.

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 830.7 with a 95% confidence interval from 793.6 to 869.2 and 389 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (36, 62)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.0.

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 826.3 with a 95% confidence interval from 732.0 to 929.3 and 57 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (14, 67)
• Recent Trend : The trend is falling because the trend is -11.8 with a 95% confidence interval from -20.9 to -2.3.

Limestone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 799.4 with a 95% confidence interval from 737.1 to 865.7 and 125 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (36, 66)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.4 to -0.8.

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 791.8 with a 95% confidence interval from 672.3 to 926.5 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (13, 67)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.1 to 0.6.

Wilcox County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 785.6 with a 95% confidence interval from 623.7 to 976.5 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (4, 67)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.0 to 1.2.

Marengo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 772.0 with a 95% confidence interval from 650.5 to 909.5 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (16, 67)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.5 to -1.0.

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 766.2 with a 95% confidence interval from 710.5 to 825.1 and 142 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (46, 67)
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -4.1 to -2.4.

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 763.4 with a 95% confidence interval from 718.8 to 810.0 and 228 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (50, 67)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -2.9 to -1.9.

Perry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 745.0 with a 95% confidence interval from 571.4 to 954.5 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (7, 67)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -5.1 to -0.6.

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 702.3 with a 95% confidence interval from 662.7 to 743.6 and 242 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (60, 67)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.7 to -1.5.

Sumter County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 695.2 with a 95% confidence interval from 547.0 to 870.9 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (20, 67)
• Recent Trend : The trend is falling because the trend is -14.9 with a 95% confidence interval from -31.3 to -2.4.

Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 1:20 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+).

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.