Death Rates Table
Death Rate Report for Alabama by County
All Cancer Sites, 2018-2022
All Races (includes Hispanic), Both Sexes, Ages 50+
Sorted by Rate
County
|
2023 Rural-Urban Continuum Codes Φ
|
Met Healthy People Objective of 122.7? |
Age-Adjusted Death Rate † deaths per 100,000 (95% Confidence Interval) 
|
CI*Rank ⋔ (95% Confidence Interval)
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Death Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|---|
| Alabama | N/A | No | 533.3 (528.6, 538.1) | N/A | 9,894 |
falling 
|
-1.8 (-1.9, -1.6) |
| United States | N/A | No | 490.4 (489.9, 491.0) | N/A | 573,761 |
falling
|
-1.7 (-1.9, -1.6) |
| Shelby County | Urban | No | 405.5 (385.3, 426.5) | 67 (64, 67) | 311 |
falling
|
-2.7 (-6.8, -1.8) |
| Limestone County | Urban | No | 454.1 (423.0, 487.0) | 66 (52, 67) | 163 |
falling
|
-2.4 (-3.2, -1.6) |
| Tuscaloosa County | Urban | No | 454.4 (431.5, 478.2) | 65 (55, 66) | 308 |
falling
|
-2.7 (-3.7, -2.1) |
| Perry County | Rural | No | 457.4 (363.4, 568.8) | 64 (10, 67) | 17 |
falling
|
-5.7 (-20.5, -2.0) |
| Bullock County | Rural | No | 459.3 (367.1, 567.8) | 63 (10, 67) | 18 |
falling
|
-10.0 (-25.5, -1.5) |
| Madison County | Urban | No | 470.4 (453.8, 487.5) | 62 (54, 66) | 623 |
falling
|
-1.9 (-2.2, -1.6) |
| Randolph County | Rural | No | 481.9 (422.0, 548.1) | 61 (22, 67) | 48 |
stable 
|
-0.7 (-1.3, 0.0) |
| Lauderdale County | Urban | No | 481.9 (451.5, 513.9) | 60 (44, 66) | 191 |
falling
|
-3.1 (-5.4, -2.0) |
| Baldwin County | Urban | No | 487.3 (467.9, 507.3) | 59 (48, 64) | 490 |
falling
|
-2.9 (-5.4, -1.7) |
| Cullman County | Rural | No | 495.6 (462.9, 530.1) | 58 (35, 66) | 175 |
falling
|
-3.4 (-7.1, -1.8) |
| Coosa County | Rural | No | 496.9 (413.7, 591.9) | 57 (5, 67) | 26 |
falling
|
-1.2 (-2.0, -0.5) |
| Marengo County | Rural | No | 506.0 (438.3, 581.2) | 56 (11, 67) | 41 |
falling
|
-14.7 (-26.5, -1.8) |
| Houston County | Urban | No | 506.0 (475.3, 538.1) | 55 (33, 64) | 207 |
falling
|
-1.8 (-6.0, -1.1) |
| Autauga County | Urban | No | 509.8 (466.6, 555.8) | 54 (22, 65) | 105 |
falling
|
-1.8 (-2.4, -1.1) |
| Washington County | Rural | No | 515.1 (439.3, 600.2) | 53 (5, 67) | 34 |
falling
|
-0.9 (-1.6, -0.2) |
| Conecuh County | Rural | No | 520.8 (438.0, 615.0) | 52 (3, 67) | 29 |
falling
|
-1.4 (-2.2, -0.6) |
| Coffee County | Rural | No | 529.8 (484.5, 578.1) | 51 (11, 63) | 103 |
falling
|
-1.6 (-5.4, -1.0) |
| Morgan County | Urban | No | 531.2 (501.8, 561.8) | 50 (24, 60) | 250 |
falling
|
-1.2 (-3.5, -0.8) |
| Choctaw County | Rural | No | 531.3 (452.6, 620.0) | 49 (3, 66) | 33 |
falling
|
-1.5 (-2.3, -0.7) |
| Montgomery County | Urban | No | 531.6 (508.4, 555.6) | 48 (26, 57) | 406 |
falling
|
-1.7 (-4.6, -1.4) |
| Tallapoosa County | Rural | No | 532.1 (486.2, 581.2) | 47 (12, 63) | 102 |
falling
|
-0.9 (-1.5, -0.2) |
| Winston County | Rural | No | 532.6 (472.7, 598.1) | 46 (9, 65) | 58 |
falling
|
-1.2 (-1.8, -0.6) |
| Jefferson County | Urban | No | 534.9 (521.5, 548.6) | 45 (31, 54) | 1,253 |
falling
|
-1.5 (-2.4, -1.3) |
| Marshall County | Rural | No | 535.4 (501.6, 570.8) | 44 (18, 60) | 191 |
falling
|
-1.5 (-4.8, -0.9) |
| Butler County | Rural | No | 546.1 (475.6, 624.3) | 43 (2, 65) | 44 |
falling
|
-0.7 (-1.3, -0.1) |
| DeKalb County | Rural | No | 546.9 (507.2, 588.9) | 42 (13, 59) | 145 |
stable
|
0.3 (-1.9, 5.0) |
| Monroe County | Rural | No | 547.0 (478.9, 622.2) | 41 (3, 65) | 48 |
falling
|
-1.0 (-1.6, -0.4) |
| Lowndes County | Urban | No | 547.8 (452.5, 657.5) | 40 (1, 67) | 24 |
falling
|
-0.9 (-1.7, -0.2) |
| Dallas County | Rural | No | 548.5 (496.4, 604.6) | 39 (7, 62) | 84 |
falling
|
-11.2 (-16.5, -2.8) |
| St. Clair County | Urban | No | 550.1 (514.9, 587.1) | 38 (14, 56) | 187 |
falling
|
-1.4 (-2.2, -1.0) |
| Lee County | Urban | No | 551.0 (520.5, 582.7) | 37 (13, 54) | 257 |
falling
|
-3.0 (-7.0, -1.2) |
| Sumter County | Rural | No | 555.1 (461.2, 662.5) | 36 (1, 66) | 26 |
stable
|
-0.6 (-1.5, 0.4) |
| Chambers County | Rural | No | 555.9 (502.6, 613.3) | 35 (4, 61) | 82 |
falling
|
-2.3 (-6.9, -1.1) |
| Bibb County | Urban | No | 560.3 (490.0, 637.9) | 34 (2, 65) | 46 |
falling
|
-1.0 (-1.5, -0.3) |
| Elmore County | Urban | No | 560.4 (522.5, 600.4) | 33 (9, 55) | 169 |
falling
|
-1.1 (-1.4, -0.8) |
| Henry County | Urban | No | 560.9 (488.9, 640.7) | 32 (1, 65) | 45 |
falling
|
-0.6 (-1.2, -0.1) |
| Mobile County | Urban | No | 562.9 (545.6, 580.6) | 31 (17, 45) | 830 |
falling
|
-2.0 (-3.7, -1.2) |
| Pickens County | Urban | No | 566.1 (493.5, 646.4) | 30 (1, 64) | 45 |
falling
|
-1.5 (-7.2, -0.8) |
| Pike County | Rural | No | 567.9 (505.2, 636.3) | 29 (2, 61) | 61 |
falling
|
-1.0 (-1.5, -0.5) |
| Blount County | Urban | No | 568.8 (525.8, 614.4) | 28 (5, 55) | 132 |
falling
|
-0.9 (-1.4, -0.4) |
| Colbert County | Urban | No | 570.2 (528.0, 614.9) | 27 (6, 55) | 138 |
falling
|
-0.9 (-1.2, -0.6) |
| Dale County | Rural | No | 571.3 (522.9, 623.0) | 26 (3, 57) | 105 |
falling
|
-0.9 (-1.3, -0.6) |
| Chilton County | Urban | No | 574.5 (523.1, 629.6) | 25 (3, 57) | 95 |
falling
|
-0.7 (-1.2, -0.2) |
| Fayette County | Rural | No | 576.3 (499.6, 661.4) | 24 (1, 64) | 42 |
stable
|
-0.5 (-1.1, 0.1) |
| Lamar County | Rural | No | 578.4 (496.5, 670.1) | 23 (1, 64) | 36 |
falling
|
-1.2 (-2.7, -0.7) |
| Macon County | Urban | No | 579.4 (506.2, 660.3) | 22 (1, 62) | 47 |
falling
|
-1.3 (-1.9, -0.6) |
| Clay County | Rural | No | 582.1 (500.6, 673.2) | 21 (1, 64) | 37 |
stable
|
-0.7 (-1.5, 0.1) |
| Hale County | Urban | No | 585.6 (501.9, 679.5) | 20 (1, 64) | 36 |
stable
|
-1.0 (-2.0, 0.0) |
| Calhoun County | Urban | No | 585.8 (553.7, 619.4) | 19 (5, 44) | 256 |
falling
|
-1.6 (-4.1, -1.3) |
| Wilcox County | Rural | No | 588.0 (489.3, 700.8) | 18 (1, 66) | 26 |
stable
|
-13.3 (-28.5, 0.2) |
| Greene County | Urban | No | 589.2 (479.7, 716.5) | 17 (1, 66) | 21 |
stable
|
-0.9 (-1.8, 0.0) |
| Talladega County | Rural | No | 593.6 (555.7, 633.3) | 16 (3, 46) | 190 |
falling
|
-0.8 (-1.1, -0.5) |
| Etowah County | Urban | No | 596.7 (563.6, 631.2) | 15 (3, 41) | 250 |
falling
|
-0.9 (-1.9, -0.7) |
| Cleburne County | Rural | No | 598.4 (514.4, 692.3) | 14 (1, 62) | 37 |
falling
|
-1.1 (-1.9, -0.2) |
| Geneva County | Urban | No | 601.7 (539.0, 669.6) | 13 (1, 55) | 69 |
stable
|
-0.5 (-1.0, 0.0) |
| Cherokee County | Rural | No | 605.4 (542.9, 673.1) | 12 (1, 54) | 71 |
stable
|
-0.4 (-0.9, 0.2) |
| Barbour County | Rural | No | 611.0 (544.5, 683.4) | 11 (1, 54) | 63 |
falling
|
-1.0 (-1.8, -0.3) |
| Franklin County | Rural | No | 614.3 (552.1, 681.7) | 10 (1, 50) | 72 |
falling
|
-0.9 (-1.6, -0.2) |
| Lawrence County | Urban | No | 614.5 (555.8, 677.7) | 9 (1, 50) | 82 |
falling
|
-1.2 (-5.0, -0.6) |
| Covington County | Rural | No | 620.1 (568.0, 675.7) | 8 (1, 41) | 107 |
stable
|
-0.6 (-1.2, 0.1) |
| Escambia County | Rural | No | 626.9 (570.1, 687.9) | 7 (1, 43) | 91 |
falling
|
-1.0 (-1.3, -0.6) |
| Marion County | Rural | No | 628.0 (568.3, 692.4) | 6 (1, 43) | 82 |
stable
|
-0.4 (-4.8, 0.1) |
| Walker County | Urban | No | 630.8 (588.2, 675.7) | 5 (1, 33) | 168 |
falling
|
-3.4 (-8.0, -1.2) |
| Jackson County | Rural | No | 634.5 (588.1, 683.7) | 4 (1, 31) | 143 |
falling
|
-0.7 (-1.0, -0.4) |
| Russell County | Urban | No | 640.1 (589.1, 694.2) | 3 (1, 33) | 122 |
falling
|
-0.7 (-1.2, -0.2) |
| Crenshaw County | Rural | No | 646.5 (553.6, 750.8) | 2 (1, 56) | 36 |
stable
|
-0.3 (-1.0, 0.5) |
| Clarke County | Rural | No | 680.2 (609.5, 756.9) | 1 (1, 30) | 68 |
stable
|
-0.6 (-1.3, 0.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 07/09/2025 11:31 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.
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.
Created by statecancerprofiles.cancer.gov on 07/09/2025 11:31 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.
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.
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.
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.