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 50+

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

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 671.1 with a 95% confidence interval from 619.0 to 726.3 and 129 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 18)

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 665.4 with a 95% confidence interval from 595.3 to 741.7 and 66 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 31)

Crenshaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 656.8 with a 95% confidence interval from 563.7 to 761.3 and 37 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 51)

Cleburne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 640.8 with a 95% confidence interval from 554.6 to 736.7 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 53)

Escambia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 630.1 with a 95% confidence interval from 573.1 to 691.4 and 91 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 36)

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 619.9 with a 95% confidence interval from 560.6 to 683.9 and 81 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 47)

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 617.3 with a 95% confidence interval from 574.8 to 662.1 and 162 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 33)

Lawrence County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 608.9 with a 95% confidence interval from 550.0 to 672.4 and 81 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 51)

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 607.5 with a 95% confidence interval from 562.1 to 655.5 and 138 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 43)

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 606.8 with a 95% confidence interval from 544.6 to 674.3 and 73 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 51)

Chilton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 604.2 with a 95% confidence interval from 550.9 to 661.2 and 98 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 49)

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 604.0 with a 95% confidence interval from 570.5 to 638.9 and 253 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (3, 35)

Covington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 603.6 with a 95% confidence interval from 552.3 to 658.4 and 104 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 47)

Barbour County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 596.6 with a 95% confidence interval from 530.8 to 668.5 and 61 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (1, 57)

Pickens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 596.4 with a 95% confidence interval from 521.5 to 679.1 and 47 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 59)

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 595.9 with a 95% confidence interval from 534.3 to 662.7 and 69 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 54)

Hale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 587.8 with a 95% confidence interval from 503.0 to 682.9 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (1, 64)

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 584.3 with a 95% confidence interval from 552.1 to 617.8 and 256 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (5, 43)

Pike County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 584.1 with a 95% confidence interval from 520.5 to 653.5 and 62 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (1, 57)

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 576.2 with a 95% confidence interval from 539.1 to 615.1 and 187 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (6, 50)

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 574.6 with a 95% confidence interval from 493.7 to 665.2 and 37 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (1, 65)

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 573.0 with a 95% confidence interval from 463.3 to 700.8 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (1, 67)

Chambers County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 572.9 with a 95% confidence interval from 518.3 to 631.7 and 83 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (3, 58)

Geneva County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 571.3 with a 95% confidence interval from 510.0 to 637.9 and 65 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (2, 61)

Lamar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 569.6 with a 95% confidence interval from 488.6 to 660.4 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (1, 65)

Lowndes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 562.2 with a 95% confidence interval from 465.7 to 673.1 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (1, 66)

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 561.2 with a 95% confidence interval from 544.0 to 578.9 and 830 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (16, 44)

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 560.4 with a 95% confidence interval from 517.7 to 605.7 and 130 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (6, 57)

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 559.6 with a 95% confidence interval from 522.0 to 599.2 and 173 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (8, 55)

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 556.0 with a 95% confidence interval from 483.6 to 636.3 and 44 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (2, 65)

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 554.8 with a 95% confidence interval from 479.1 to 639.2 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (1, 66)

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 553.4 with a 95% confidence interval from 482.2 to 632.3 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (2, 65)

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 553.1 with a 95% confidence interval from 518.4 to 589.4 and 195 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (11, 55)

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 551.8 with a 95% confidence interval from 504.5 to 602.5 and 103 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (6, 60)

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 548.0 with a 95% confidence interval from 513.2 to 584.6 and 190 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (12, 57)

Bibb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 546.6 with a 95% confidence interval from 477.7 to 622.8 and 46 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (2, 65)

Choctaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 546.3 with a 95% confidence interval from 466.1 to 636.5 and 34 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (1, 66)

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 546.1 with a 95% confidence interval from 504.9 to 589.7 and 133 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (10, 60)

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 545.9 with a 95% confidence interval from 475.8 to 623.6 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (3, 66)

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 539.7 with a 95% confidence interval from 509.9 to 570.8 and 260 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (16, 57)

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 539.3 with a 95% confidence interval from 515.9 to 563.5 and 413 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (20, 56)

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 536.5 with a 95% confidence interval from 523.0 to 550.2 and 1,244 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (28, 52)

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 534.8 with a 95% confidence interval from 495.5 to 576.5 and 141 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (15, 62)

Winston County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 529.9 with a 95% confidence interval from 470.1 to 595.4 and 58 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (6, 66)

Conecuh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 525.8 with a 95% confidence interval from 443.1 to 619.6 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (3, 67)

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 525.7 with a 95% confidence interval from 494.4 to 558.4 and 216 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (21, 61)

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 525.7 with a 95% confidence interval from 480.0 to 574.6 and 101 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (13, 65)

Wilcox County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 525.1 with a 95% confidence interval from 432.7 to 631.6 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (1, 67)

Coosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 522.2 with a 95% confidence interval from 436.3 to 620.0 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (2, 67)

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 517.3 with a 95% confidence interval from 440.8 to 603.4 and 33 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (4, 67)

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 516.0 with a 95% confidence interval from 473.0 to 562.0 and 108 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (16, 65)

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 513.6 with a 95% confidence interval from 451.9 to 581.4 and 51 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (11, 66)

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 512.7 with a 95% confidence interval from 483.8 to 543.0 and 241 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (29, 63)

Bullock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 508.9 with a 95% confidence interval from 413.2 to 620.4 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (3, 67)

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 505.4 with a 95% confidence interval from 454.9 to 560.0 and 77 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (20, 66)

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 505.2 with a 95% confidence interval from 461.0 to 552.5 and 98 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (21, 66)

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 505.1 with a 95% confidence interval from 440.0 to 577.3 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (9, 67)

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 502.3 with a 95% confidence interval from 469.4 to 536.9 and 178 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (29, 65)

Marengo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 488.9 with a 95% confidence interval from 422.7 to 562.6 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (15, 67)

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 484.3 with a 95% confidence interval from 465.0 to 504.2 and 496 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (47, 65)

Sumter County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 484.3 with a 95% confidence interval from 396.8 to 585.2 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (6, 67)

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 475.1 with a 95% confidence interval from 458.4 to 492.2 and 631 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (51, 66)

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 474.3 with a 95% confidence interval from 444.2 to 506.0 and 189 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (45, 66)

Limestone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 473.0 with a 95% confidence interval from 441.4 to 506.3 and 174 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (44, 66)

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 451.8 with a 95% confidence interval from 429.0 to 475.6 and 308 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (55, 66)

Perry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 448.7 with a 95% confidence interval from 354.9 to 560.0 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (11, 67)

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 399.0 with a 95% confidence interval from 379.1 to 419.7 and 311 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (64, 67)

Notes:
Created by statecancerprofiles.cancer.gov on 05/20/2026 8:55 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+).

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.