State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Alabama by County

All Cancer Sites, 2018-2022

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

Sorted by Rate

Explanation of Column Headers

Objective - The objective of 122.7 is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

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? : Yes
• Rate : The death rate is 54.8 with a 95% confidence interval from 53.9 to 55.7 and 3,047 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.9 to -1.8.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 45.0 with a 95% confidence interval from 44.9 to 45.1 and 161,722 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.4 to -1.9.

Wilcox County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 94.9 with a 95% confidence interval from 69.0 to 127.6 and 10 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 1 (1, 43)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.9 to 1.1.

Crenshaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 84.5 with a 95% confidence interval from 63.7 to 110.4 and 13 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 2 (1, 52)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.1 to 0.5.

Sumter County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 84.1 with a 95% confidence interval from 59.6 to 115.5 and 10 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 3 (1, 61)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.4 to 0.8.

Escambia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 82.5 with a 95% confidence interval from 70.0 to 96.7 and 33 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 4 (1, 28)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.7.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 81.0 with a 95% confidence interval from 54.8 to 116.6 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 5 (1, 65)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.4 to 0.3.

Hale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 77.1 with a 95% confidence interval from 58.4 to 100.3 and 13 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 6 (1, 57)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.1.

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 76.3 with a 95% confidence interval from 61.0 to 94.6 and 19 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 7 (1, 52)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.2.

Conecuh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 76.0 with a 95% confidence interval from 54.5 to 103.8 and 10 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 8 (1, 64)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.2.

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 74.4 with a 95% confidence interval from 57.1 to 95.7 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 9 (1, 61)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.6 to -1.0.

Covington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 74.4 with a 95% confidence interval from 63.0 to 87.5 and 34 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 10 (1, 45)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.5.

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 72.2 with a 95% confidence interval from 54.3 to 94.5 and 12 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 11 (1, 62)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.2.

Barbour County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 72.2 with a 95% confidence interval from 58.3 to 88.7 and 20 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 12 (1, 56)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.1 to 11.4.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 72.0 with a 95% confidence interval from 62.4 to 82.8 and 45 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 13 (2, 43)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.2.

Lamar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 70.2 with a 95% confidence interval from 52.7 to 92.5 and 12 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 14 (1, 64)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.0 to 0.7.

Pike County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 69.8 with a 95% confidence interval from 56.5 to 85.5 and 21 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 15 (1, 55)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.5.

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 69.2 with a 95% confidence interval from 53.3 to 88.7 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 16 (1, 62)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.2.

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 69.1 with a 95% confidence interval from 60.6 to 78.6 and 52 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 17 (3, 46)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.2.

Perry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 67.5 with a 95% confidence interval from 44.1 to 99.8 and 6 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 18 (1, 67)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.3 to 0.5.

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 67.1 with a 95% confidence interval from 58.0 to 77.2 and 44 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 19 (4, 50)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.4.

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 67.0 with a 95% confidence interval from 60.3 to 74.3 and 79 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 20 (7, 45)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.5.

Coosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 66.9 with a 95% confidence interval from 46.2 to 95.0 and 8 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 21 (1, 66)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.8 to 0.9.

Marengo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 66.8 with a 95% confidence interval from 51.5 to 85.6 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 22 (1, 63)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.7 to 0.6.

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 66.5 with a 95% confidence interval from 50.8 to 86.3 and 13 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 23 (1, 64)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.2 to 0.1.

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 65.3 with a 95% confidence interval from 57.7 to 73.6 and 60 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 24 (6, 50)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.4.

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 64.5 with a 95% confidence interval from 49.8 to 82.7 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 25 (1, 65)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.2.

Lawrence County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 64.2 with a 95% confidence interval from 53.2 to 77.1 and 26 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 26 (4, 58)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.0.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 64.1 with a 95% confidence interval from 51.5 to 79.3 and 20 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 27 (3, 63)
• Recent Trend : The trend is stable because the trend is 15.0 with a 95% confidence interval from -2.7 to 27.4.

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 63.4 with a 95% confidence interval from 57.1 to 70.2 and 81 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 28 (10, 50)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.6.

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 63.2 with a 95% confidence interval from 54.5 to 73.1 and 41 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 29 (6, 56)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.3 to -1.1.

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 63.0 with a 95% confidence interval from 52.2 to 75.6 and 29 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 30 (4, 60)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.2.

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 63.0 with a 95% confidence interval from 51.9 to 75.9 and 26 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 31 (5, 61)
• Recent Trend : The trend is falling because the trend is -5.9 with a 95% confidence interval from -16.0 to -1.3.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 61.4 with a 95% confidence interval from 47.7 to 78.2 and 16 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 32 (3, 66)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.0 to 0.5.

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 61.3 with a 95% confidence interval from 50.0 to 74.7 and 22 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 33 (5, 63)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.6 to 0.0.

Bibb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 60.7 with a 95% confidence interval from 47.2 to 77.1 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 34 (4, 65)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.7.

Geneva County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 60.6 with a 95% confidence interval from 47.9 to 75.7 and 18 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 35 (4, 65)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.1.

Cleburne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 60.5 with a 95% confidence interval from 45.1 to 80.0 and 11 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 36 (3, 66)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.9 to 0.9.

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 60.2 with a 95% confidence interval from 56.9 to 63.6 and 271 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 37 (21, 48)
• Recent Trend : The trend is falling because the trend is -6.0 with a 95% confidence interval from -9.6 to -2.1.

Chilton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 59.3 with a 95% confidence interval from 49.9 to 70.1 and 30 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 38 (8, 62)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.7 to 0.0.

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 58.8 with a 95% confidence interval from 52.0 to 66.3 and 58 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 39 (14, 58)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.5 to -1.2.

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 58.3 with a 95% confidence interval from 50.1 to 67.7 and 38 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 40 (11, 60)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.1.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 58.3 with a 95% confidence interval from 47.2 to 71.5 and 20 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 41 (7, 65)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.5 to -0.9.

Chambers County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 57.3 with a 95% confidence interval from 47.0 to 69.5 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 42 (9, 65)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.4 to -0.9.

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 57.1 with a 95% confidence interval from 50.6 to 64.3 and 60 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 43 (17, 60)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.7.

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 56.7 with a 95% confidence interval from 51.1 to 62.9 and 79 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 44 (20, 58)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.3.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 56.4 with a 95% confidence interval from 41.2 to 76.3 and 10 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 45 (3, 67)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.5.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 56.2 with a 95% confidence interval from 51.8 to 60.8 and 133 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 46 (25, 57)
• Recent Trend : The trend is stable because the trend is 5.2 with a 95% confidence interval from -1.8 to 9.0.

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 56.0 with a 95% confidence interval from 49.2 to 63.4 and 55 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 47 (20, 61)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.9.

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 55.9 with a 95% confidence interval from 49.6 to 63.0 and 60 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 48 (19, 61)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.6 to -1.2.

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 55.2 with a 95% confidence interval from 48.5 to 62.7 and 55 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 49 (19, 63)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.7.

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 55.0 with a 95% confidence interval from 46.6 to 64.5 and 32 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 50 (16, 65)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.8.

Lowndes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 54.3 with a 95% confidence interval from 35.9 to 79.7 and 6 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 51 (3, 67)
• Recent Trend : The trend is falling because the trend is -30.8 with a 95% confidence interval from -51.0 to -4.2.

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 53.6 with a 95% confidence interval from 47.5 to 60.2 and 62 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 52 (25, 63)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.7.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 51.7 with a 95% confidence interval from 49.3 to 54.2 and 372 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 53 (41, 60)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -6.8 to -1.9.

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 49.8 with a 95% confidence interval from 42.3 to 58.3 and 33 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 54 (27, 66)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.9 to -1.3.

Pickens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 49.8 with a 95% confidence interval from 37.1 to 65.9 and 11 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 55 (12, 67)
• Recent Trend : The trend is falling because the trend is -4.5 with a 95% confidence interval from -11.3 to -2.6.

Winston County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 49.7 with a 95% confidence interval from 38.2 to 64.1 and 14 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 56 (13, 67)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.6 to -0.6.

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 49.0 with a 95% confidence interval from 40.8 to 58.4 and 28 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 57 (28, 66)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -11.8 to -2.2.

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 48.3 with a 95% confidence interval from 41.6 to 55.9 and 39 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 58 (33, 66)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -6.4 to -1.1.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 47.9 with a 95% confidence interval from 43.2 to 52.9 and 80 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 59 (43, 66)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.2 to -1.1.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 47.9 with a 95% confidence interval from 34.2 to 65.9 and 9 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 60 (11, 67)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.5 to 0.2.

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 46.8 with a 95% confidence interval from 43.1 to 50.9 and 129 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 61 (48, 66)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.0 to -1.1.

Limestone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 46.4 with a 95% confidence interval from 41.0 to 52.3 and 57 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 62 (43, 66)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.1.

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 45.3 with a 95% confidence interval from 41.3 to 49.6 and 100 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 63 (51, 66)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.6 to -1.5.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 43.6 with a 95% confidence interval from 40.8 to 46.6 and 194 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 64 (56, 66)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.8 to -1.8.

Choctaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 43.0 with a 95% confidence interval from 29.6 to 61.7 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 65 (19, 67)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.5 to -0.7.

Bullock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 38.7 with a 95% confidence interval from 23.9 to 60.1 and 5 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 66 (20, 67)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -4.3 to -0.9.

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 33.8 with a 95% confidence interval from 30.5 to 37.3 and 84 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 67 (64, 67)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.5.

Notes:
Created by statecancerprofiles.cancer.gov on 07/09/2025 11:23 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.

Φ Rural-Urban Continuum Codes provided by the USDA.


Please note that the data comes from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Data for United States does not include Puerto Rico.