State Cancer Profiles

Interpretation of Demographics Data

Demographic Data Report for Alabama by County
Population: Age 40 and over
All Races (includes Hispanic), Both Sexes
2020-2024 American Community Survey 5-Year Data
Sorted by Percent

Alabama

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Value (Percent) : The value is 49.2 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 2,502,955.
• Rank within US : This county is ranked 22 of 52

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Value (Percent) : The value is 48.5 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 162,458,898.
• Rank within US : N/A

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 52.6 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 3,905.
• Rank within US : This county is ranked 1379 of 3143

Perry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 51.4 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 4,128.
• Rank within US : This county is ranked 1691 of 3143

Lowndes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 52.7 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 5,184.
• Rank within US : This county is ranked 1344 of 3143

Wilcox County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 52.3 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 5,321.
• Rank within US : This county is ranked 1461 of 3143

Bullock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 53.0 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 5,326.
• Rank within US : This county is ranked 1288 of 3143

Sumter County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 45.6 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 5,422.
• Rank within US : This county is ranked 2712 of 3143

Coosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 61.0 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 6,281.
• Rank within US : This county is ranked 217 of 3143

Conecuh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 55.9 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 6,306.
• Rank within US : This county is ranked 695 of 3143

Crenshaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 53.1 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 6,969.
• Rank within US : This county is ranked 1267 of 3143

Choctaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 57.6 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 7,129.
• Rank within US : This county is ranked 484 of 3143

Hale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 50.7 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 7,511.
• Rank within US : This county is ranked 1858 of 3143

Lamar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 56.2 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 7,696.
• Rank within US : This county is ranked 652 of 3143

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 57.1 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 8,098.
• Rank within US : This county is ranked 553 of 3143

Cleburne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 52.7 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 8,134.
• Rank within US : This county is ranked 1344 of 3143

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 55.1 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 8,341.
• Rank within US : This county is ranked 836 of 3143

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 53.6 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 8,608.
• Rank within US : This county is ranked 1158 of 3143

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 47.5 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 8,875.
• Rank within US : This county is ranked 2485 of 3143

Marengo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 51.4 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 9,689.
• Rank within US : This county is ranked 1691 of 3143

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 55.5 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 9,793.
• Rank within US : This county is ranked 766 of 3143

Pickens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 53.1 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 9,948.
• Rank within US : This county is ranked 1267 of 3143

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 53.6 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 9,982.
• Rank within US : This county is ranked 1158 of 3143

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 53.6 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 10,384.
• Rank within US : This county is ranked 1158 of 3143

Bibb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 52.4 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 11,604.
• Rank within US : This county is ranked 1437 of 3143

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 53.1 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 11,965.
• Rank within US : This county is ranked 1267 of 3143

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 53.4 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 12,018.
• Rank within US : This county is ranked 1205 of 3143

Barbour County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 51.4 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 12,662.
• Rank within US : This county is ranked 1691 of 3143

Winston County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 55.9 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 13,234.
• Rank within US : This county is ranked 695 of 3143

Pike County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 40.8 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 13,462.
• Rank within US : This county is ranked 2999 of 3143

Geneva County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 54.2 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 14,563.
• Rank within US : This county is ranked 1019 of 3143

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 58.4 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 14,847.
• Rank within US : This county is ranked 400 of 3143

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 46.8 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 14,967.
• Rank within US : This county is ranked 2583 of 3143

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 53.8 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 15,706.
• Rank within US : This county is ranked 1103 of 3143

Lawrence County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 52.7 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 17,525.
• Rank within US : This county is ranked 1344 of 3143

Chambers County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 51.3 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 17,539.
• Rank within US : This county is ranked 1728 of 3143

Escambia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 50.7 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 18,553.
• Rank within US : This county is ranked 1858 of 3143

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 51.3 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 18,890.
• Rank within US : This county is ranked 1728 of 3143

Covington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 54.7 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 20,564.
• Rank within US : This county is ranked 909 of 3143

Chilton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 48.2 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 22,186.
• Rank within US : This county is ranked 2389 of 3143

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 55.8 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 22,853.
• Rank within US : This county is ranked 718 of 3143

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 47.8 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 23,720.
• Rank within US : This county is ranked 2442 of 3143

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 48.6 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 26,684.
• Rank within US : This county is ranked 2326 of 3143

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 46.5 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 27,331.
• Rank within US : This county is ranked 2614 of 3143

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 54.2 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 28,756.
• Rank within US : This county is ranked 1019 of 3143

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 49.0 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 29,358.
• Rank within US : This county is ranked 2255 of 3143

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 52.8 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 30,626.
• Rank within US : This county is ranked 1325 of 3143

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 51.7 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 30,758.
• Rank within US : This county is ranked 1616 of 3143

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 50.7 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 32,862.
• Rank within US : This county is ranked 1858 of 3143

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 49.3 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 35,594.
• Rank within US : This county is ranked 2185 of 3143

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 52.6 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 42,616.
• Rank within US : This county is ranked 1379 of 3143

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 49.5 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 44,278.
• Rank within US : This county is ranked 2137 of 3143

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 51.2 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 46,414.
• Rank within US : This county is ranked 1740 of 3143

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Value (Percent) : The value is 48.2 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 48,087.
• Rank within US : This county is ranked 2389 of 3143

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 51.5 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 48,525.
• Rank within US : This county is ranked 1669 of 3143

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 50.8 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 48,719.
• Rank within US : This county is ranked 1836 of 3143

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 52.6 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 54,200.
• Rank within US : This county is ranked 1379 of 3143

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 50.5 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 54,624.
• Rank within US : This county is ranked 1912 of 3143

Limestone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 51.2 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 57,004.
• Rank within US : This county is ranked 1740 of 3143

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 49.2 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 57,081.
• Rank within US : This county is ranked 2214 of 3143

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 50.0 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 62,267.
• Rank within US : This county is ranked 2034 of 3143

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 42.5 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 76,967.
• Rank within US : This county is ranked 2926 of 3143

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 41.1 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 97,547.
• Rank within US : This county is ranked 2985 of 3143

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 46.1 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 104,547.
• Rank within US : This county is ranked 2657 of 3143

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 50.3 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 115,905.
• Rank within US : This county is ranked 1962 of 3143

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 54.8 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 135,396.
• Rank within US : This county is ranked 888 of 3143

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 47.8 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 194,096.
• Rank within US : This county is ranked 2442 of 3143

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 48.1 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 198,486.
• Rank within US : This county is ranked 2407 of 3143

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Value (Percent) : The value is 47.1 percent.
• People (Age 40 And Over) : The number of people (age 40 and over) is 314,339.
• Rank within US : This county is ranked 2541 of 3143

Notes:
Created by statecancerprofiles.cancer.gov on 06/13/2026 6:51 pm.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

Source: Demographic data provided by the Census Bureau and the American Community Survey.

For more information about Population: Age 40 and over, see the dictionary.

Data for United States does not include Puerto Rico.