State Cancer Profiles > Interpretation of Death Rates Data

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Interpretation of Death Rates Data

Death Rate Report for Alabama by County

All Cancer Sites, 2018-2022

All Races (includes Hispanic), Both Sexes, Ages 50+

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? : No
Rate : The death rate is 533.3 with a 95% confidence interval from 528.6 to 538.1 and 9,894 average annual deaths over 2018-2022.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -1.9 to -1.6.

United States

2023 Rural-Urban Continuum Codes Φ : N/A
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 490.4 with a 95% confidence interval from 489.9 to 491.0 and 573,761 average annual deaths over 2018-2022.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -1.9 to -1.6.

Clarke County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 680.2 with a 95% confidence interval from 609.5 to 756.9 and 68 average annual deaths over 2018-2022.
CI*Rank ⋔ : 1 (1, 30)
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.1.

Crenshaw County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 646.5 with a 95% confidence interval from 553.6 to 750.8 and 36 average annual deaths over 2018-2022.
CI*Rank ⋔ : 2 (1, 56)
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.5.

Russell County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 640.1 with a 95% confidence interval from 589.1 to 694.2 and 122 average annual deaths over 2018-2022.
CI*Rank ⋔ : 3 (1, 33)
Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Jackson County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 634.5 with a 95% confidence interval from 588.1 to 683.7 and 143 average annual deaths over 2018-2022.
CI*Rank ⋔ : 4 (1, 31)
Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.0 to -0.4.

Walker County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 630.8 with a 95% confidence interval from 588.2 to 675.7 and 168 average annual deaths over 2018-2022.
CI*Rank ⋔ : 5 (1, 33)
Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -8.0 to -1.2.

Marion County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 628.0 with a 95% confidence interval from 568.3 to 692.4 and 82 average annual deaths over 2018-2022.
CI*Rank ⋔ : 6 (1, 43)
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -4.8 to 0.1.

Escambia County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 626.9 with a 95% confidence interval from 570.1 to 687.9 and 91 average annual deaths over 2018-2022.
CI*Rank ⋔ : 7 (1, 43)
Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.6.

Covington County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 620.1 with a 95% confidence interval from 568.0 to 675.7 and 107 average annual deaths over 2018-2022.
CI*Rank ⋔ : 8 (1, 41)
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.1.

Lawrence County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 614.5 with a 95% confidence interval from 555.8 to 677.7 and 82 average annual deaths over 2018-2022.
CI*Rank ⋔ : 9 (1, 50)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -5.0 to -0.6.

Franklin County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 614.3 with a 95% confidence interval from 552.1 to 681.7 and 72 average annual deaths over 2018-2022.
CI*Rank ⋔ : 10 (1, 50)
Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.2.

Barbour County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 611.0 with a 95% confidence interval from 544.5 to 683.4 and 63 average annual deaths over 2018-2022.
CI*Rank ⋔ : 11 (1, 54)
Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.3.

Cherokee County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 605.4 with a 95% confidence interval from 542.9 to 673.1 and 71 average annual deaths over 2018-2022.
CI*Rank ⋔ : 12 (1, 54)
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.2.

Geneva County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 601.7 with a 95% confidence interval from 539.0 to 669.6 and 69 average annual deaths over 2018-2022.
CI*Rank ⋔ : 13 (1, 55)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.0.

Cleburne County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 598.4 with a 95% confidence interval from 514.4 to 692.3 and 37 average annual deaths over 2018-2022.
CI*Rank ⋔ : 14 (1, 62)
Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.2.

Etowah County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 596.7 with a 95% confidence interval from 563.6 to 631.2 and 250 average annual deaths over 2018-2022.
CI*Rank ⋔ : 15 (3, 41)
Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.9 to -0.7.

Talladega County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 593.6 with a 95% confidence interval from 555.7 to 633.3 and 190 average annual deaths over 2018-2022.
CI*Rank ⋔ : 16 (3, 46)
Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.5.

Greene County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 589.2 with a 95% confidence interval from 479.7 to 716.5 and 21 average annual deaths over 2018-2022.
CI*Rank ⋔ : 17 (1, 66)
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.0.

Wilcox County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 588.0 with a 95% confidence interval from 489.3 to 700.8 and 26 average annual deaths over 2018-2022.
CI*Rank ⋔ : 18 (1, 66)
Recent Trend : The trend is stable because the trend is -13.3 with a 95% confidence interval from -28.5 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 585.8 with a 95% confidence interval from 553.7 to 619.4 and 256 average annual deaths over 2018-2022.
CI*Rank ⋔ : 19 (5, 44)
Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -4.1 to -1.3.

Hale County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 585.6 with a 95% confidence interval from 501.9 to 679.5 and 36 average annual deaths over 2018-2022.
CI*Rank ⋔ : 20 (1, 64)
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.0 to 0.0.

Clay County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 582.1 with a 95% confidence interval from 500.6 to 673.2 and 37 average annual deaths over 2018-2022.
CI*Rank ⋔ : 21 (1, 64)
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.1.

Macon County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 579.4 with a 95% confidence interval from 506.2 to 660.3 and 47 average annual deaths over 2018-2022.
CI*Rank ⋔ : 22 (1, 62)
Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.6.

Lamar County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 578.4 with a 95% confidence interval from 496.5 to 670.1 and 36 average annual deaths over 2018-2022.
CI*Rank ⋔ : 23 (1, 64)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.7 to -0.7.

Fayette County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 576.3 with a 95% confidence interval from 499.6 to 661.4 and 42 average annual deaths over 2018-2022.
CI*Rank ⋔ : 24 (1, 64)
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.1.

Chilton County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 574.5 with a 95% confidence interval from 523.1 to 629.6 and 95 average annual deaths over 2018-2022.
CI*Rank ⋔ : 25 (3, 57)
Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Dale County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 571.3 with a 95% confidence interval from 522.9 to 623.0 and 105 average annual deaths over 2018-2022.
CI*Rank ⋔ : 26 (3, 57)
Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.6.

Colbert County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 570.2 with a 95% confidence interval from 528.0 to 614.9 and 138 average annual deaths over 2018-2022.
CI*Rank ⋔ : 27 (6, 55)
Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.2 to -0.6.

Blount County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 568.8 with a 95% confidence interval from 525.8 to 614.4 and 132 average annual deaths over 2018-2022.
CI*Rank ⋔ : 28 (5, 55)
Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.4.

Pike County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 567.9 with a 95% confidence interval from 505.2 to 636.3 and 61 average annual deaths over 2018-2022.
CI*Rank ⋔ : 29 (2, 61)
Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.5.

Pickens County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 566.1 with a 95% confidence interval from 493.5 to 646.4 and 45 average annual deaths over 2018-2022.
CI*Rank ⋔ : 30 (1, 64)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -7.2 to -0.8.

Mobile County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 562.9 with a 95% confidence interval from 545.6 to 580.6 and 830 average annual deaths over 2018-2022.
CI*Rank ⋔ : 31 (17, 45)
Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.7 to -1.2.

Henry County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 560.9 with a 95% confidence interval from 488.9 to 640.7 and 45 average annual deaths over 2018-2022.
CI*Rank ⋔ : 32 (1, 65)
Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.2 to -0.1.

Elmore County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 560.4 with a 95% confidence interval from 522.5 to 600.4 and 169 average annual deaths over 2018-2022.
CI*Rank ⋔ : 33 (9, 55)
Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.8.

Bibb County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 560.3 with a 95% confidence interval from 490.0 to 637.9 and 46 average annual deaths over 2018-2022.
CI*Rank ⋔ : 34 (2, 65)
Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.3.

Chambers County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 555.9 with a 95% confidence interval from 502.6 to 613.3 and 82 average annual deaths over 2018-2022.
CI*Rank ⋔ : 35 (4, 61)
Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -6.9 to -1.1.

Sumter County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 555.1 with a 95% confidence interval from 461.2 to 662.5 and 26 average annual deaths over 2018-2022.
CI*Rank ⋔ : 36 (1, 66)
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.4.

Lee County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 551.0 with a 95% confidence interval from 520.5 to 582.7 and 257 average annual deaths over 2018-2022.
CI*Rank ⋔ : 37 (13, 54)
Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -7.0 to -1.2.

St. Clair County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 550.1 with a 95% confidence interval from 514.9 to 587.1 and 187 average annual deaths over 2018-2022.
CI*Rank ⋔ : 38 (14, 56)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.2 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 548.5 with a 95% confidence interval from 496.4 to 604.6 and 84 average annual deaths over 2018-2022.
CI*Rank ⋔ : 39 (7, 62)
Recent Trend : The trend is falling because the trend is -11.2 with a 95% confidence interval from -16.5 to -2.8.

Lowndes County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 547.8 with a 95% confidence interval from 452.5 to 657.5 and 24 average annual deaths over 2018-2022.
CI*Rank ⋔ : 40 (1, 67)
Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.2.

Monroe County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 547.0 with a 95% confidence interval from 478.9 to 622.2 and 48 average annual deaths over 2018-2022.
CI*Rank ⋔ : 41 (3, 65)
Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.4.

DeKalb County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 546.9 with a 95% confidence interval from 507.2 to 588.9 and 145 average annual deaths over 2018-2022.
CI*Rank ⋔ : 42 (13, 59)
Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.9 to 5.0.

Butler County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 546.1 with a 95% confidence interval from 475.6 to 624.3 and 44 average annual deaths over 2018-2022.
CI*Rank ⋔ : 43 (2, 65)
Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.

Marshall County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 535.4 with a 95% confidence interval from 501.6 to 570.8 and 191 average annual deaths over 2018-2022.
CI*Rank ⋔ : 44 (18, 60)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -4.8 to -0.9.

Jefferson County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 534.9 with a 95% confidence interval from 521.5 to 548.6 and 1,253 average annual deaths over 2018-2022.
CI*Rank ⋔ : 45 (31, 54)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -1.3.

Winston County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 532.6 with a 95% confidence interval from 472.7 to 598.1 and 58 average annual deaths over 2018-2022.
CI*Rank ⋔ : 46 (9, 65)
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 532.1 with a 95% confidence interval from 486.2 to 581.2 and 102 average annual deaths over 2018-2022.
CI*Rank ⋔ : 47 (12, 63)
Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.2.

Montgomery County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 531.6 with a 95% confidence interval from 508.4 to 555.6 and 406 average annual deaths over 2018-2022.
CI*Rank ⋔ : 48 (26, 57)
Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -4.6 to -1.4.

Choctaw County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 531.3 with a 95% confidence interval from 452.6 to 620.0 and 33 average annual deaths over 2018-2022.
CI*Rank ⋔ : 49 (3, 66)
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.7.

Morgan County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 531.2 with a 95% confidence interval from 501.8 to 561.8 and 250 average annual deaths over 2018-2022.
CI*Rank ⋔ : 50 (24, 60)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -3.5 to -0.8.

Coffee County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 529.8 with a 95% confidence interval from 484.5 to 578.1 and 103 average annual deaths over 2018-2022.
CI*Rank ⋔ : 51 (11, 63)
Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -5.4 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 520.8 with a 95% confidence interval from 438.0 to 615.0 and 29 average annual deaths over 2018-2022.
CI*Rank ⋔ : 52 (3, 67)
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.6.

Washington County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 515.1 with a 95% confidence interval from 439.3 to 600.2 and 34 average annual deaths over 2018-2022.
CI*Rank ⋔ : 53 (5, 67)
Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.2.

Autauga County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 509.8 with a 95% confidence interval from 466.6 to 555.8 and 105 average annual deaths over 2018-2022.
CI*Rank ⋔ : 54 (22, 65)
Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.1.

Houston County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 506.0 with a 95% confidence interval from 475.3 to 538.1 and 207 average annual deaths over 2018-2022.
CI*Rank ⋔ : 55 (33, 64)
Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -6.0 to -1.1.

Marengo County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 506.0 with a 95% confidence interval from 438.3 to 581.2 and 41 average annual deaths over 2018-2022.
CI*Rank ⋔ : 56 (11, 67)
Recent Trend : The trend is falling because the trend is -14.7 with a 95% confidence interval from -26.5 to -1.8.

Coosa County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 496.9 with a 95% confidence interval from 413.7 to 591.9 and 26 average annual deaths over 2018-2022.
CI*Rank ⋔ : 57 (5, 67)
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.5.

Cullman County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 495.6 with a 95% confidence interval from 462.9 to 530.1 and 175 average annual deaths over 2018-2022.
CI*Rank ⋔ : 58 (35, 66)
Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -7.1 to -1.8.

Baldwin County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 487.3 with a 95% confidence interval from 467.9 to 507.3 and 490 average annual deaths over 2018-2022.
CI*Rank ⋔ : 59 (48, 64)
Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -5.4 to -1.7.

Lauderdale County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 481.9 with a 95% confidence interval from 451.5 to 513.9 and 191 average annual deaths over 2018-2022.
CI*Rank ⋔ : 60 (44, 66)
Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -5.4 to -2.0.

Randolph County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 481.9 with a 95% confidence interval from 422.0 to 548.1 and 48 average annual deaths over 2018-2022.
CI*Rank ⋔ : 61 (22, 67)
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.3 to 0.0.

Madison County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 470.4 with a 95% confidence interval from 453.8 to 487.5 and 623 average annual deaths over 2018-2022.
CI*Rank ⋔ : 62 (54, 66)
Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.2 to -1.6.

Bullock County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 459.3 with a 95% confidence interval from 367.1 to 567.8 and 18 average annual deaths over 2018-2022.
CI*Rank ⋔ : 63 (10, 67)
Recent Trend : The trend is falling because the trend is -10.0 with a 95% confidence interval from -25.5 to -1.5.

Perry County

2023 Rural-Urban Continuum Codes Φ : Rural
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 457.4 with a 95% confidence interval from 363.4 to 568.8 and 17 average annual deaths over 2018-2022.
CI*Rank ⋔ : 64 (10, 67)
Recent Trend : The trend is falling because the trend is -5.7 with a 95% confidence interval from -20.5 to -2.0.

Tuscaloosa County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 454.4 with a 95% confidence interval from 431.5 to 478.2 and 308 average annual deaths over 2018-2022.
CI*Rank ⋔ : 65 (55, 66)
Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.7 to -2.1.

Limestone County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 454.1 with a 95% confidence interval from 423.0 to 487.0 and 163 average annual deaths over 2018-2022.
CI*Rank ⋔ : 66 (52, 67)
Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.2 to -1.6.

Shelby County

2023 Rural-Urban Continuum Codes Φ : Urban
Met Healthy People Objective of 122.7? : No
Rate : The death rate is 405.5 with a 95% confidence interval from 385.3 to 426.5 and 311 average annual deaths over 2018-2022.
CI*Rank ⋔ : 67 (64, 67)
Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -6.8 to -1.8.

Notes:
Created by statecancerprofiles.cancer.gov on 07/06/2025 3:10 am.

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 (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.

State Cancer Profiles