State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Alabama by County

Lung & Bronchus, 2018-2022

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

Sorted by Rate

Explanation of Column Headers

Objective - The objective of 25.1 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 25.1? : No
• Rate : The death rate is 40.5 with a 95% confidence interval from 39.8 to 41.2 and 2,726 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.3 with a 95% confidence interval from -5.3 to -3.7.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 32.4 with a 95% confidence interval from 32.3 to 32.5 and 136,831 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.3 with a 95% confidence interval from -4.4 to -4.1.

Geneva County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 62.6 with a 95% confidence interval from 52.0 to 75.1 and 25 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 1 (1, 27)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.3.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 60.6 with a 95% confidence interval from 50.4 to 72.3 and 25 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 2 (1, 34)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.6 to 0.6.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 56.7 with a 95% confidence interval from 49.5 to 64.9 and 46 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 3 (1, 28)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.2.

Barbour County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 56.3 with a 95% confidence interval from 45.9 to 68.6 and 21 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 4 (1, 45)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.3 to 1.0.

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 56.2 with a 95% confidence interval from 49.5 to 63.6 and 54 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 5 (1, 31)
• Recent Trend : The trend is falling because the trend is -6.8 with a 95% confidence interval from -17.3 to -1.8.

Lawrence County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 55.7 with a 95% confidence interval from 46.7 to 66.2 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 6 (1, 40)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -16.7 to -0.1.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 54.3 with a 95% confidence interval from 44.6 to 66.0 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 7 (1, 46)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.6.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 52.0 with a 95% confidence interval from 39.6 to 67.9 and 12 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 8 (1, 60)
• Recent Trend : The trend is falling because the trend is -4.4 with a 95% confidence interval from -17.7 to -0.6.

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 51.6 with a 95% confidence interval from 40.1 to 66.0 and 14 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 9 (1, 57)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.5 to 0.7.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 51.5 with a 95% confidence interval from 35.2 to 74.5 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 10 (1, 65)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.8 to 1.7.

Covington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 51.5 with a 95% confidence interval from 43.6 to 60.6 and 32 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 11 (1, 46)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -6.3 to -0.8.

Escambia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 51.2 with a 95% confidence interval from 42.8 to 60.9 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 12 (1, 50)
• Recent Trend : The trend is falling because the trend is -10.8 with a 95% confidence interval from -19.4 to -0.9.

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 49.9 with a 95% confidence interval from 45.0 to 55.3 and 79 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 13 (3, 39)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.7 to -1.7.

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 49.5 with a 95% confidence interval from 38.4 to 63.5 and 14 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 14 (1, 59)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.0 to -0.2.

Cleburne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 49.3 with a 95% confidence interval from 37.2 to 64.6 and 11 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 15 (1, 62)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -6.8 to -0.3.

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 49.3 with a 95% confidence interval from 43.6 to 55.5 and 57 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 16 (3, 44)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.6.

Crenshaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 49.3 with a 95% confidence interval from 36.3 to 66.1 and 10 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 17 (1, 63)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.1.

Coosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 48.6 with a 95% confidence interval from 35.0 to 67.3 and 9 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 18 (1, 65)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.0 to -0.1.

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 48.4 with a 95% confidence interval from 43.2 to 54.2 and 64 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 19 (4, 45)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -4.5 to -1.8.

Chilton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 48.3 with a 95% confidence interval from 40.6 to 57.1 and 29 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 20 (2, 53)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -10.3 to -1.2.

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 48.1 with a 95% confidence interval from 41.7 to 55.4 and 42 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 21 (3, 49)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.9.

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 47.6 with a 95% confidence interval from 40.3 to 55.8 and 32 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 22 (3, 53)
• Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -6.9 to -2.3.

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 47.0 with a 95% confidence interval from 42.5 to 52.0 and 80 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 23 (7, 45)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.2 to -1.4.

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 46.9 with a 95% confidence interval from 42.1 to 52.2 and 71 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 24 (7, 46)
• Recent Trend : The trend is falling because the trend is -4.2 with a 95% confidence interval from -6.2 to -2.9.

Bibb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 46.9 with a 95% confidence interval from 36.4 to 59.6 and 14 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 25 (1, 63)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.3.

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 46.8 with a 95% confidence interval from 41.5 to 52.6 and 58 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 26 (6, 49)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -7.4 to -1.7.

Lamar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 46.5 with a 95% confidence interval from 34.4 to 62.1 and 10 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 27 (1, 65)
• Recent Trend : The trend is falling because the trend is -4.4 with a 95% confidence interval from -16.7 to -1.0.

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 46.4 with a 95% confidence interval from 38.0 to 56.5 and 22 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 28 (2, 58)
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -7.4 to -1.6.

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 45.7 with a 95% confidence interval from 39.4 to 52.8 and 39 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 29 (6, 55)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.5 to -1.2.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 45.6 with a 95% confidence interval from 35.7 to 57.8 and 16 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 30 (1, 62)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.1 to 1.1.

Sumter County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 45.2 with a 95% confidence interval from 31.7 to 63.4 and 8 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 31 (1, 66)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.7 to 0.8.

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 44.6 with a 95% confidence interval from 37.7 to 52.4 and 31 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 32 (5, 57)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -7.1 to -1.8.

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 44.0 with a 95% confidence interval from 38.9 to 49.6 and 56 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 33 (11, 53)
• Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -9.4 to -2.1.

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 43.9 with a 95% confidence interval from 38.4 to 50.0 and 48 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 34 (9, 53)
• Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -11.2 to -2.3.

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 43.9 with a 95% confidence interval from 37.3 to 51.4 and 32 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 35 (7, 58)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.8 to -1.3.

Hale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 43.8 with a 95% confidence interval from 32.1 to 59.1 and 10 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 36 (2, 66)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.5 to 0.5.

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 43.5 with a 95% confidence interval from 33.7 to 55.8 and 14 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 37 (2, 65)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.2.

Winston County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 43.2 with a 95% confidence interval from 34.3 to 54.2 and 17 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 38 (4, 63)
• Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -15.6 to -2.3.

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 42.9 with a 95% confidence interval from 36.1 to 50.8 and 30 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 39 (8, 59)
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -5.0 to 5.2.

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 42.2 with a 95% confidence interval from 39.7 to 44.8 and 224 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 40 (23, 50)
• Recent Trend : The trend is falling because the trend is -4.2 with a 95% confidence interval from -7.0 to -3.0.

Pike County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 41.8 with a 95% confidence interval from 32.9 to 52.4 and 16 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 41 (5, 65)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.3.

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 41.3 with a 95% confidence interval from 35.8 to 47.6 and 41 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 42 (13, 59)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -6.2 to -2.0.

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 41.0 with a 95% confidence interval from 34.5 to 48.4 and 29 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 43 (12, 62)
• Recent Trend : The trend is falling because the trend is -12.3 with a 95% confidence interval from -19.4 to -2.4.

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 40.9 with a 95% confidence interval from 33.7 to 49.5 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 44 (10, 63)
• Recent Trend : The trend is falling because the trend is -6.0 with a 95% confidence interval from -13.9 to -3.1.

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 40.6 with a 95% confidence interval from 31.8 to 51.5 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 45 (7, 66)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.4.

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 40.1 with a 95% confidence interval from 30.5 to 52.2 and 12 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 46 (5, 66)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.5 to 0.2.

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 39.6 with a 95% confidence interval from 35.0 to 44.8 and 55 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 47 (22, 60)
• Recent Trend : The trend is falling because the trend is -4.3 with a 95% confidence interval from -9.7 to -2.2.

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 38.1 with a 95% confidence interval from 28.8 to 50.2 and 12 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 48 (7, 67)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.9 to -0.5.

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 37.9 with a 95% confidence interval from 33.5 to 42.7 and 56 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 49 (29, 62)
• Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -8.9 to -2.2.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 37.3 with a 95% confidence interval from 33.3 to 41.7 and 65 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 50 (31, 62)
• Recent Trend : The trend is falling because the trend is -6.3 with a 95% confidence interval from -14.5 to -2.6.

Wilcox County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 37.1 with a 95% confidence interval from 24.6 to 54.6 and 6 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 51 (3, 67)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.2 to 1.0.

Conecuh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 36.8 with a 95% confidence interval from 26.1 to 51.7 and 8 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 52 (5, 67)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -2.9 to 0.2.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 36.6 with a 95% confidence interval from 34.8 to 38.5 and 308 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 53 (42, 59)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -5.6 to -3.1.

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 36.5 with a 95% confidence interval from 33.7 to 39.4 and 134 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 54 (39, 60)
• Recent Trend : The trend is falling because the trend is -9.8 with a 95% confidence interval from -16.1 to -2.9.

Pickens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 35.8 with a 95% confidence interval from 26.7 to 47.7 and 10 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 55 (9, 67)
• Recent Trend : The trend is falling because the trend is -5.8 with a 95% confidence interval from -24.2 to -1.4.

Chambers County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 35.7 with a 95% confidence interval from 28.8 to 44.0 and 19 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 56 (23, 66)
• Recent Trend : The trend is falling because the trend is -5.4 with a 95% confidence interval from -14.8 to -2.7.

Lowndes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 33.8 with a 95% confidence interval from 22.0 to 50.8 and 5 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 57 (5, 67)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.1 to 1.7.

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 33.2 with a 95% confidence interval from 30.0 to 36.6 and 83 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 58 (45, 65)
• Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -6.9 to -3.6.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 32.2 with a 95% confidence interval from 29.9 to 34.6 and 154 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 59 (51, 65)
• Recent Trend : The trend is falling because the trend is -6.5 with a 95% confidence interval from -11.6 to -3.1.

Choctaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 31.8 with a 95% confidence interval from 22.3 to 45.1 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 60 (20, 67)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.2 to -1.1.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 31.6 with a 95% confidence interval from 28.6 to 34.8 and 87 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 61 (49, 66)
• Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -8.6 to -3.1.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 31.4 with a 95% confidence interval from 21.8 to 44.4 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 62 (15, 67)
• Recent Trend : The trend is falling because the trend is -19.7 with a 95% confidence interval from -40.2 to -3.1.

Limestone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 30.4 with a 95% confidence interval from 26.3 to 35.0 and 41 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 63 (47, 67)
• Recent Trend : The trend is falling because the trend is -5.2 with a 95% confidence interval from -7.4 to -2.8.

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 28.7 with a 95% confidence interval from 25.9 to 31.7 and 80 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 64 (56, 67)
• Recent Trend : The trend is falling because the trend is -5.1 with a 95% confidence interval from -7.8 to -3.6.

Bullock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 27.5 with a 95% confidence interval from 16.4 to 43.9 and 4 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 65 (16, 67)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.6 to 1.6.

Marengo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : No
• Rate : The death rate is 27.1 with a 95% confidence interval from 18.9 to 38.1 and 8 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 66 (35, 67)
• Recent Trend : The trend is falling because the trend is -14.3 with a 95% confidence interval from -37.5 to -2.8.

Perry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 25.1? : Yes
• Rate : The death rate is 24.3 with a 95% confidence interval from 13.7 to 41.3 and 3 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 67 (27, 67)
• Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -29.6 to -1.1.

Notes:
Created by statecancerprofiles.cancer.gov on 07/12/2025 3:52 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.