Incidence Rates Table
Incidence Rate Report for Alabama by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
County
|
2023 Rural-Urban Continuum Codes Φ
|
Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval) 
|
CI*Rank ⋔ (95% Confidence Interval)
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Incidence Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|
| Alabama 2 | N/A | 432.6 (430.3, 435.0) | N/A | 27,512 |
falling 
|
-0.7 (-1.0, -0.5) |
| US (SEER+NPCR) 1 | N/A | 448.6 (448.3, 448.9) | N/A | 1,821,045 |
falling
|
-1.0 (-1.6, -0.5) |
| Lee County 2 | Urban | 366.2 (353.3, 379.4) | 67 (61, 67) | 643 |
stable 
|
-0.3 (-1.0, 0.5) |
| DeKalb County 2 | Rural | 374.7 (356.7, 393.4) | 66 (54, 67) | 346 |
falling
|
-0.9 (-2.5, -0.4) |
| Choctaw County 2 | Rural | 375.1 (336.8, 417.2) | 65 (31, 67) | 78 |
stable
|
-1.0 (-6.4, 0.3) |
| Tuscaloosa County 2 | Urban | 383.2 (371.9, 394.8) | 64 (55, 67) | 915 |
falling
|
-2.4 (-3.2, -1.9) |
| Coosa County 2 | Rural | 384.8 (340.7, 433.9) | 63 (17, 67) | 66 |
stable
|
-0.6 (-2.5, 1.2) |
| Shelby County 2 | Urban | 390.2 (379.4, 401.2) | 62 (52, 66) | 1,045 |
falling
|
-4.3 (-6.8, -1.4) |
| Escambia County 2 | Rural | 392.1 (366.9, 418.7) | 61 (34, 67) | 191 |
falling
|
-1.0 (-1.6, -0.5) |
| Russell County 2 | Urban | 393.0 (371.7, 415.1) | 60 (41, 67) | 273 |
stable
|
-0.6 (-2.3, 1.1) |
| Covington County 2 | Rural | 398.3 (373.8, 424.1) | 59 (28, 67) | 220 |
stable
|
0.2 (-0.9, 1.2) |
| Perry County 2 | Rural | 405.9 (353.5, 464.6) | 58 (4, 67) | 48 |
falling
|
-2.2 (-10.3, -0.2) |
| Lauderdale County 2 | Urban | 406.8 (390.4, 423.6) | 57 (36, 64) | 520 |
falling
|
-1.0 (-2.8, -0.5) |
| Madison County 2 | Urban | 407.2 (398.8, 415.7) | 56 (43, 61) | 1,886 |
falling
|
-2.3 (-7.0, -0.1) |
| Dallas County 2 | Rural | 408.5 (382.8, 435.6) | 55 (23, 66) | 211 |
falling
|
-4.6 (-10.2, -1.3) |
| Franklin County 2 | Rural | 411.8 (383.7, 441.6) | 54 (18, 66) | 166 |
stable
|
-0.4 (-1.1, 0.2) |
| Sumter County 2 | Rural | 413.4 (364.7, 467.1) | 53 (4, 67) | 62 |
falling
|
-10.7 (-18.5, -2.1) |
| Cullman County 2 | Rural | 413.5 (396.6, 431.0) | 52 (30, 62) | 485 |
stable
|
-0.1 (-0.7, 0.4) |
| Geneva County 2 | Urban | 413.8 (384.3, 445.2) | 51 (16, 66) | 159 |
falling
|
-1.2 (-5.0, -0.5) |
| Fayette County 2 | Rural | 414.3 (376.4, 455.4) | 50 (9, 67) | 98 |
stable
|
-1.7 (-10.4, 0.4) |
| Limestone County 2 | Urban | 414.6 (398.5, 431.1) | 49 (30, 62) | 528 |
falling
|
-3.1 (-7.6, -0.8) |
| Marion County 2 | Rural | 419.3 (391.3, 449.0) | 48 (15, 65) | 180 |
falling
|
-1.4 (-4.6, -0.1) |
| Coffee County 2 | Rural | 420.3 (398.1, 443.6) | 47 (18, 63) | 279 |
stable
|
-0.3 (-4.1, 0.9) |
| Blount County 2 | Urban | 421.1 (400.3, 442.7) | 46 (19, 62) | 328 |
stable
|
-0.2 (-1.0, 0.6) |
| Bullock County 2 | Rural | 425.1 (376.0, 479.2) | 45 (4, 67) | 58 |
stable
|
-0.9 (-2.2, 0.1) |
| Cherokee County 2 | Rural | 425.2 (394.7, 457.7) | 44 (10, 65) | 168 |
stable
|
0.1 (-0.8, 1.0) |
| Greene County 2 | Urban | 427.3 (371.0, 490.5) | 43 (2, 67) | 49 |
stable
|
0.2 (-1.5, 1.9) |
| Colbert County 2 | Urban | 427.5 (406.5, 449.2) | 42 (15, 60) | 341 |
stable
|
-5.1 (-10.8, 0.0) |
| Monroe County 2 | Rural | 427.9 (393.2, 465.1) | 41 (8, 65) | 125 |
stable
|
-0.3 (-5.2, 0.8) |
| Bibb County 2 | Urban | 429.4 (395.5, 465.5) | 40 (7, 65) | 124 |
falling
|
-2.2 (-7.6, -0.6) |
| Marshall County 2 | Rural | 429.7 (412.9, 447.0) | 39 (18, 57) | 524 |
stable
|
-0.4 (-0.8, 0.1) |
| Jackson County 2 | Rural | 430.7 (409.1, 453.2) | 38 (14, 59) | 325 |
stable
|
-0.9 (-9.6, 2.2) |
| Chilton County 2 | Urban | 431.1 (406.4, 457.0) | 37 (12, 61) | 242 |
stable
|
-0.3 (-1.1, 0.5) |
| Lamar County 2 | Rural | 436.6 (394.9, 481.9) | 36 (3, 66) | 89 |
stable
|
0.2 (-1.3, 1.7) |
| Jefferson County 2 | Urban | 437.0 (430.4, 443.7) | 35 (23, 44) | 3,540 |
falling
|
-0.7 (-1.0, -0.5) |
| Randolph County 2 | Rural | 437.9 (404.5, 473.5) | 34 (5, 62) | 142 |
stable
|
0.6 (-0.5, 1.8) |
| St. Clair County 2 | Urban | 438.7 (421.5, 456.4) | 33 (12, 53) | 521 |
falling
|
-3.0 (-5.9, -0.1) |
| Cleburne County 2 | Rural | 439.5 (399.0, 483.3) | 32 (3, 64) | 93 |
stable
|
0.1 (-1.2, 1.4) |
| Chambers County 2 | Rural | 441.0 (414.0, 469.5) | 31 (7, 59) | 217 |
falling
|
-1.3 (-4.5, -0.3) |
| Macon County 2 | Urban | 442.1 (404.4, 482.8) | 30 (4, 63) | 117 |
stable
|
0.9 (-0.1, 2.0) |
| Houston County 2 | Urban | 442.1 (426.2, 458.6) | 29 (13, 49) | 615 |
falling
|
-0.6 (-1.0, -0.2) |
| Mobile County 2 | Urban | 443.0 (434.6, 451.5) | 28 (17, 41) | 2,260 |
stable
|
0.5 (-0.2, 2.0) |
| Dale County 2 | Rural | 443.8 (420.0, 468.7) | 27 (8, 54) | 277 |
stable
|
0.1 (-0.7, 0.8) |
| Baldwin County 2 | Urban | 443.9 (433.4, 454.6) | 26 (15, 42) | 1,491 |
stable
|
0.1 (-0.3, 0.5) |
| Marengo County 2 | Rural | 445.2 (407.8, 485.2) | 25 (3, 62) | 117 |
stable
|
0.4 (-0.3, 1.1) |
| Winston County 2 | Rural | 447.6 (414.7, 482.6) | 24 (4, 59) | 156 |
stable
|
2.4 (-0.3, 5.7) |
| Barbour County 2 | Rural | 448.3 (416.6, 482.1) | 23 (4, 57) | 158 |
stable
|
-0.1 (-0.9, 0.8) |
| Montgomery County 2 | Urban | 449.9 (438.3, 461.8) | 22 (12, 40) | 1,202 |
stable
|
0.3 (0.0, 0.7) |
| Henry County 2 | Urban | 450.1 (413.0, 490.0) | 21 (3, 61) | 121 |
stable
|
-0.7 (-1.5, 0.1) |
| Morgan County 2 | Urban | 450.4 (435.3, 465.9) | 20 (9, 42) | 716 |
falling
|
-0.6 (-1.1, -0.1) |
| Hale County 2 | Urban | 451.1 (409.5, 496.2) | 19 (2, 62) | 95 |
stable
|
0.1 (-1.5, 1.8) |
| Talladega County 2 | Rural | 452.4 (434.0, 471.5) | 18 (7, 45) | 491 |
stable
|
-0.6 (-4.1, 0.1) |
| Washington County 2 | Rural | 458.3 (416.7, 503.3) | 17 (2, 61) | 99 |
stable
|
0.0 (-0.9, 1.0) |
| Autauga County 2 | Urban | 459.8 (437.4, 483.1) | 16 (4, 42) | 330 |
stable
|
0.0 (-0.5, 0.6) |
| Etowah County 2 | Urban | 465.9 (449.4, 482.8) | 15 (5, 33) | 654 |
stable
|
0.0 (-0.4, 0.5) |
| Pickens County 2 | Urban | 466.7 (429.7, 506.3) | 14 (2, 54) | 126 |
stable
|
0.5 (-0.5, 1.5) |
| Butler County 2 | Rural | 467.1 (429.2, 507.8) | 13 (2, 54) | 124 |
stable
|
0.7 (-0.4, 1.9) |
| Lawrence County 2 | Urban | 471.6 (442.4, 502.4) | 12 (2, 44) | 212 |
stable
|
-0.1 (-0.8, 0.5) |
| Wilcox County 2 | Rural | 473.7 (422.9, 529.3) | 11 (1, 59) | 70 |
stable
|
0.1 (-1.0, 1.2) |
| Elmore County 2 | Urban | 474.6 (455.9, 493.9) | 10 (3, 28) | 512 |
stable
|
0.1 (-0.3, 0.7) |
| Tallapoosa County 2 | Rural | 476.6 (451.0, 503.4) | 9 (2, 36) | 300 |
stable
|
-2.6 (-5.5, 0.4) |
| Pike County 2 | Rural | 481.8 (449.0, 516.3) | 8 (2, 40) | 172 |
rising 
|
0.9 (0.2, 1.7) |
| Clay County 2 | Rural | 482.8 (439.2, 529.9) | 7 (1, 50) | 100 |
stable
|
-0.5 (-1.3, 0.3) |
| Walker County 2 | Urban | 485.3 (464.2, 507.2) | 6 (2, 24) | 436 |
falling
|
-4.5 (-6.9, -2.0) |
| Conecuh County 2 | Rural | 487.3 (438.6, 540.5) | 5 (1, 51) | 86 |
stable
|
0.8 (-0.5, 2.0) |
| Calhoun County 2 | Urban | 497.7 (481.2, 514.6) | 4 (2, 14) | 743 |
rising
|
1.9 (0.4, 4.6) |
| Clarke County 2 | Rural | 503.3 (467.9, 541.0) | 3 (1, 24) | 164 |
stable
|
0.5 (-0.1, 1.2) |
| Lowndes County 2 | Urban | 532.8 (477.4, 593.4) | 2 (1, 27) | 75 |
stable
|
1.0 (-0.3, 2.4) |
| Crenshaw County 2 | Rural | 566.6 (516.7, 620.4) | 1 (1, 8) | 104 |
rising
|
2.9 (1.7, 4.2) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 2:25 am.
State Cancer Registries may provide more current or more local data.
† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (SEER areas use 20 age groups and NPCR areas use 19 age groups). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.
Rates and trends are computed using different standards for malignancy. For more information see malignant.html.
^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.
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: SEER and NPCR data. For more specific information please see the table.
Data for United States does not include Puerto Rico.