State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Alabama by County

All Cancer Sites, 2018-2022

All Races (includes Hispanic), Male, All Ages

Sorted by Name

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 197.6 with a 95% confidence interval from 195.2 to 200.0 and 5,647 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.5 to -2.1.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 173.2 with a 95% confidence interval from 173.0 to 173.5 and 317,428 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 -1.8 to -1.8.

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.8 with a 95% confidence interval from 154.6 to 196.9 and 57 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 61 (35, 67)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.3 to -1.9.

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 177.4 with a 95% confidence interval from 168.1 to 187.2 and 289 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 59 (48, 64)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.9 to -1.3.

Barbour County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 231.5 with a 95% confidence interval from 199.1 to 268.0 and 38 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 11 (1, 56)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.3 to -1.0.

Bibb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 218.4 with a 95% confidence interval from 183.2 to 258.6 and 29 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 23 (1, 63)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.4.

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 200.7 with a 95% confidence interval from 180.3 to 222.8 and 75 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 44 (12, 62)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.2 to -1.2.

Bullock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.4 with a 95% confidence interval from 110.8 to 211.9 and 9 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 66 (10, 67)
• Recent Trend : The trend is falling because the trend is -13.0 with a 95% confidence interval from -31.2 to -2.2.

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 220.0 with a 95% confidence interval from 182.5 to 263.4 and 26 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 22 (1, 63)
• 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 214.2 with a 95% confidence interval from 197.9 to 231.5 and 141 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 31 (8, 53)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -5.0 to -1.7.

Chambers County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 226.0 with a 95% confidence interval from 197.7 to 257.4 and 50 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 15 (1, 56)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.6.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 200.5 with a 95% confidence interval from 173.1 to 231.9 and 41 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 45 (5, 64)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.6 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 220.8 with a 95% confidence interval from 195.3 to 248.7 and 58 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 20 (2, 57)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.4.

Choctaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 202.7 with a 95% confidence interval from 163.8 to 249.7 and 20 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 42 (1, 66)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.4 to -1.4.

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 243.8 with a 95% confidence interval from 208.6 to 283.6 and 36 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 4 (1, 52)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.7.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 216.0 with a 95% confidence interval from 176.6 to 262.7 and 22 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 28 (1, 65)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.1 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 208.6 with a 95% confidence interval from 169.0 to 255.4 and 21 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 35 (1, 66)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -11.8 to -0.4.

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 186.6 with a 95% confidence interval from 164.9 to 210.4 and 56 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 56 (20, 66)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.4 to -1.3.

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 221.7 with a 95% confidence interval from 200.2 to 245.0 and 82 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 19 (3, 53)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.9.

Conecuh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 196.4 with a 95% confidence interval from 155.9 to 246.0 and 18 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 51 (2, 67)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.3 to -1.3.

Coosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 206.9 with a 95% confidence interval from 162.6 to 261.5 and 17 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 37 (1, 67)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.3 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 227.3 with a 95% confidence interval from 201.6 to 255.6 and 60 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 13 (1, 52)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.4.

Crenshaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 239.8 with a 95% confidence interval from 193.3 to 294.7 and 21 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 8 (1, 62)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.0.

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 195.1 with a 95% confidence interval from 178.3 to 213.1 and 107 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 53 (21, 62)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -6.7 to -1.5.

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 207.8 with a 95% confidence interval from 184.3 to 233.7 and 60 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 36 (6, 61)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -3.2 to 6.0.

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 217.6 with a 95% confidence interval from 189.9 to 248.4 and 50 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 26 (2, 61)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.2.

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 193.7 with a 95% confidence interval from 174.5 to 214.5 and 82 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 54 (18, 63)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 218.1 with a 95% confidence interval from 198.4 to 239.3 and 101 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 24 (4, 54)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.8.

Escambia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 252.2 with a 95% confidence interval from 222.8 to 284.5 and 56 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 3 (1, 37)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.6.

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 220.5 with a 95% confidence interval from 203.9 to 238.1 and 143 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 21 (6, 49)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.4 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 197.8 with a 95% confidence interval from 161.2 to 240.8 and 22 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 50 (3, 66)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.4 to -0.8.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 226.6 with a 95% confidence interval from 196.1 to 260.6 and 41 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 14 (1, 57)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.0.

Geneva County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 232.3 with a 95% confidence interval from 200.9 to 267.7 and 42 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 10 (1, 56)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.6.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 225.2 with a 95% confidence interval from 170.2 to 294.5 and 13 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 16 (1, 67)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.1 to -0.2.

Hale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 210.9 with a 95% confidence interval from 169.9 to 259.7 and 20 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 33 (1, 66)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.5 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 222.2 with a 95% confidence interval from 184.8 to 265.8 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 18 (1, 63)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.5.

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 198.8 with a 95% confidence interval from 182.9 to 215.8 and 123 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 49 (18, 60)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.0.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 241.0 with a 95% confidence interval from 217.5 to 266.4 and 84 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 5 (1, 38)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 199.0 with a 95% confidence interval from 192.1 to 206.0 and 683 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 47 (30, 55)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.2 to -1.7.

Lamar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 198.9 with a 95% confidence interval from 161.4 to 243.7 and 20 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 48 (2, 67)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -4.9 to -1.1.

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 182.1 with a 95% confidence interval from 166.6 to 198.8 and 108 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 58 (33, 65)
• Recent Trend : The trend is falling because the trend is -4.2 with a 95% confidence interval from -7.6 to -2.6.

Lawrence County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 240.6 with a 95% confidence interval from 210.9 to 273.5 and 52 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 6 (1, 48)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -9.5 to -0.6.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 203.5 with a 95% confidence interval from 188.5 to 219.4 and 150 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 41 (15, 58)
• 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? : No
• Rate : The death rate is 155.4 with a 95% confidence interval from 140.8 to 171.1 and 91 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 65 (56, 67)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -6.2 to -0.2.

Lowndes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 214.8 with a 95% confidence interval from 165.7 to 275.1 and 14 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 30 (1, 67)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.4 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 239.6 with a 95% confidence interval from 198.8 to 287.0 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 9 (1, 59)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -11.1 to 0.4.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.6 with a 95% confidence interval from 154.6 to 170.8 and 334 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 64 (57, 66)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.6 to -1.8.

Marengo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 200.2 with a 95% confidence interval from 165.3 to 240.8 and 25 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 46 (2, 67)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.8.

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 217.8 with a 95% confidence interval from 190.1 to 248.9 and 46 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 25 (2, 60)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.6 to -0.6.

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 208.9 with a 95% confidence interval from 191.5 to 227.4 and 115 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 34 (10, 56)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -5.8 to -1.2.

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 206.2 with a 95% confidence interval from 197.6 to 215.1 and 471 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 38 (21, 51)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.9.

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 223.7 with a 95% confidence interval from 187.3 to 265.8 and 29 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 17 (1, 63)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.9 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 201.5 with a 95% confidence interval from 189.5 to 214.0 and 225 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 43 (21, 57)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.9 to -1.9.

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 190.2 with a 95% confidence interval from 176.0 to 205.3 and 140 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 55 (26, 62)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.6 to -0.9.

Perry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.3 with a 95% confidence interval from 117.5 to 225.1 and 9 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 63 (6, 67)
• Recent Trend : The trend is falling because the trend is -28.8 with a 95% confidence interval from -48.1 to -4.4.

Pickens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 195.2 with a 95% confidence interval from 161.1 to 234.9 and 24 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 52 (4, 67)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -5.5 to -2.0.

Pike County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 213.1 with a 95% confidence interval from 181.2 to 249.1 and 34 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 32 (1, 63)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.6 to -1.0.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 186.2 with a 95% confidence interval from 155.4 to 221.9 and 28 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 57 (8, 67)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.4.

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 255.9 with a 95% confidence interval from 228.5 to 285.5 and 72 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 2 (1, 30)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.7.

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.2 with a 95% confidence interval from 134.5 to 154.5 and 175 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 67 (63, 67)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -10.3 to -2.1.

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 215.2 with a 95% confidence interval from 197.1 to 234.5 and 114 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 29 (6, 54)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.1 to -1.4.

Sumter County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 230.1 with a 95% confidence interval from 178.1 to 293.1 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 12 (1, 65)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.0.

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 216.2 with a 95% confidence interval from 197.6 to 236.2 and 108 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 27 (6, 54)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.6 to -0.7.

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 204.0 with a 95% confidence interval from 180.9 to 229.7 and 62 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 40 (7, 63)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.5.

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 171.5 with a 95% confidence interval from 159.8 to 183.9 and 176 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 62 (49, 66)
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -5.4 to -2.4.

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 239.9 with a 95% confidence interval from 218.3 to 263.1 and 98 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 7 (1, 40)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 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 175.8 with a 95% confidence interval from 140.3 to 218.3 and 18 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 60 (8, 67)
• Recent Trend : The trend is falling because the trend is -9.5 with a 95% confidence interval from -25.5 to -2.1.

Wilcox County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 266.0 with a 95% confidence interval from 207.4 to 336.6 and 16 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 1 (1, 60)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.6.

Winston County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 205.9 with a 95% confidence interval from 175.4 to 240.7 and 35 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 39 (3, 64)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.2 to -0.4.

Notes:
Created by statecancerprofiles.cancer.gov on 07/06/2025 6:23 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.

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.