Incidence Rates Table
Incidence Rate Report for Alabama by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by CI*Rank
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 | 400.7 (397.5, 403.9) | N/A | 13,329 |
rising 
|
0.3 (0.2, 0.5) |
| US (SEER+NPCR) 1 | N/A | 424.8 (424.4, 425.2) | N/A | 891,437 |
falling 
|
-0.6 (-1.1, -0.1) |
| Crenshaw County 2 | Rural | 487.5 (423.5, 559.2) | 1 (1, 48) | 47 |
rising
|
3.2 (1.8, 4.7) |
| Pickens County 2 | Urban | 466.3 (414.0, 524.0) | 2 (1, 48) | 63 |
rising
|
2.2 (0.1, 4.3) |
| Clarke County 2 | Rural | 464.8 (417.4, 516.5) | 3 (1, 45) | 79 |
stable 
|
1.1 (0.0, 2.2) |
| Clay County 2 | Rural | 454.5 (394.4, 521.8) | 4 (1, 58) | 47 |
stable
|
0.2 (-1.1, 1.5) |
| Pike County 2 | Rural | 452.9 (409.4, 499.9) | 5 (1, 48) | 86 |
rising
|
8.8 (1.6, 13.7) |
| Lowndes County 2 | Urban | 450.1 (379.4, 530.9) | 6 (1, 64) | 33 |
rising
|
1.6 (0.4, 2.9) |
| Walker County 2 | Urban | 447.3 (418.9, 477.2) | 7 (1, 35) | 209 |
stable
|
-5.0 (-10.8, 1.0) |
| Tallapoosa County 2 | Rural | 445.7 (410.2, 483.7) | 8 (1, 43) | 137 |
rising
|
1.1 (0.2, 1.9) |
| Calhoun County 2 | Urban | 441.5 (419.9, 464.0) | 9 (2, 30) | 346 |
rising
|
1.0 (0.4, 1.6) |
| Etowah County 2 | Urban | 438.7 (416.5, 461.9) | 10 (2, 38) | 322 |
rising
|
0.7 (0.2, 1.2) |
| Lawrence County 2 | Urban | 436.5 (396.9, 479.2) | 11 (1, 54) | 100 |
stable
|
0.6 (-0.4, 1.7) |
| Jackson County 2 | Rural | 431.0 (400.4, 463.6) | 12 (2, 48) | 164 |
stable
|
0.8 (-0.3, 2.0) |
| Talladega County 2 | Rural | 425.7 (400.7, 451.9) | 13 (3, 47) | 238 |
stable
|
0.6 (-0.2, 1.4) |
| Autauga County 2 | Urban | 424.9 (395.2, 456.3) | 14 (2, 51) | 160 |
stable
|
0.3 (-0.4, 1.1) |
| Marengo County 2 | Rural | 418.0 (368.1, 473.2) | 15 (1, 64) | 57 |
rising
|
1.5 (0.2, 2.9) |
| Houston County 2 | Urban | 416.6 (395.1, 439.0) | 16 (6, 50) | 304 |
stable
|
0.1 (-0.6, 0.9) |
| Baldwin County 2 | Urban | 416.3 (401.9, 431.2) | 17 (9, 43) | 707 |
rising
|
0.6 (0.2, 1.1) |
| Butler County 2 | Rural | 414.4 (365.3, 468.7) | 18 (1, 64) | 59 |
stable
|
1.0 (-0.2, 2.2) |
| Wilcox County 2 | Rural | 413.6 (349.3, 487.3) | 19 (1, 67) | 32 |
stable
|
-0.1 (-1.6, 1.4) |
| Winston County 2 | Rural | 413.6 (368.5, 463.0) | 20 (1, 64) | 73 |
stable
|
9.0 (-0.6, 16.4) |
| Lamar County 2 | Rural | 412.0 (354.6, 476.8) | 21 (1, 66) | 43 |
stable
|
0.5 (-1.6, 2.5) |
| Washington County 2 | Rural | 412.0 (356.4, 474.3) | 22 (1, 66) | 44 |
stable
|
1.2 (-0.4, 2.7) |
| Fayette County 2 | Rural | 411.5 (358.4, 470.8) | 23 (1, 66) | 50 |
stable
|
0.7 (-1.0, 2.4) |
| Cleburne County 2 | Rural | 409.5 (354.4, 471.4) | 24 (1, 66) | 44 |
stable
|
0.6 (-1.9, 3.3) |
| Montgomery County 2 | Urban | 409.4 (394.4, 424.8) | 25 (12, 48) | 600 |
stable
|
0.5 (-0.1, 1.1) |
| Blount County 2 | Urban | 408.7 (380.0, 439.2) | 26 (6, 58) | 162 |
stable
|
0.8 (-0.2, 2.0) |
| Dale County 2 | Rural | 408.5 (376.9, 442.2) | 27 (4, 58) | 133 |
rising
|
1.3 (0.4, 2.2) |
| Coffee County 2 | Rural | 408.5 (377.8, 441.1) | 28 (4, 59) | 139 |
rising
|
1.1 (0.2, 2.1) |
| St. Clair County 2 | Urban | 408.4 (385.3, 432.6) | 29 (7, 53) | 251 |
stable
|
0.5 (-0.3, 1.3) |
| Bullock County 2 | Rural | 408.0 (339.1, 488.2) | 30 (1, 67) | 28 |
stable
|
-0.9 (-16.8, 4.5) |
| Elmore County 2 | Urban | 407.6 (383.8, 432.6) | 31 (7, 55) | 231 |
stable
|
0.2 (-0.6, 1.1) |
| Barbour County 2 | Rural | 407.0 (362.2, 456.2) | 32 (1, 64) | 70 |
stable
|
0.8 (-0.3, 2.0) |
| Madison County 2 | Urban | 406.1 (394.5, 418.0) | 33 (15, 48) | 987 |
stable
|
-1.6 (-5.3, 0.4) |
| Mobile County 2 | Urban | 405.3 (394.3, 416.6) | 34 (16, 47) | 1,096 |
stable
|
0.3 (-0.1, 0.6) |
| Morgan County 2 | Urban | 405.1 (385.0, 426.0) | 35 (11, 54) | 332 |
stable
|
0.1 (-0.6, 0.8) |
| Randolph County 2 | Rural | 403.9 (359.1, 453.3) | 36 (2, 66) | 67 |
stable
|
0.7 (-0.7, 2.1) |
| Cullman County 2 | Rural | 402.8 (379.3, 427.4) | 37 (9, 58) | 242 |
stable
|
0.7 (0.0, 1.4) |
| Bibb County 2 | Urban | 401.3 (353.8, 453.9) | 38 (2, 66) | 56 |
stable
|
0.2 (-1.5, 1.8) |
| Perry County 2 | Rural | 400.6 (331.0, 481.8) | 39 (1, 67) | 27 |
stable
|
0.9 (-0.9, 2.6) |
| Marshall County 2 | Rural | 400.6 (377.8, 424.4) | 40 (11, 58) | 251 |
stable
|
0.0 (-0.6, 0.6) |
| Macon County 2 | Urban | 400.2 (351.1, 454.9) | 41 (2, 66) | 57 |
stable
|
1.5 (-0.3, 3.3) |
| Jefferson County 2 | Urban | 398.9 (390.3, 407.7) | 42 (23, 50) | 1,746 |
stable
|
-0.1 (-0.4, 0.2) |
| Dallas County 2 | Rural | 393.6 (359.3, 430.6) | 43 (6, 64) | 110 |
stable
|
0.0 (-0.9, 0.9) |
| Limestone County 2 | Urban | 392.3 (370.5, 415.2) | 44 (15, 61) | 253 |
stable
|
0.5 (-0.3, 1.4) |
| Chambers County 2 | Rural | 391.9 (356.2, 430.4) | 45 (6, 65) | 100 |
stable
|
-1.0 (-2.5, 0.0) |
| Hale County 2 | Urban | 388.8 (336.6, 447.4) | 46 (3, 67) | 44 |
stable
|
0.9 (-1.0, 2.9) |
| Chilton County 2 | Urban | 385.8 (353.1, 421.0) | 47 (11, 66) | 110 |
stable
|
0.4 (-0.8, 1.6) |
| Lauderdale County 2 | Urban | 385.5 (363.1, 409.0) | 48 (18, 63) | 256 |
falling
|
-3.1 (-5.3, -1.5) |
| Henry County 2 | Urban | 385.4 (337.0, 439.6) | 49 (3, 67) | 53 |
stable
|
-0.1 (-1.5, 1.3) |
| Shelby County 2 | Urban | 382.6 (367.8, 397.7) | 50 (29, 60) | 535 |
stable
|
-0.1 (-0.6, 0.5) |
| Conecuh County 2 | Rural | 381.4 (321.6, 450.0) | 51 (2, 67) | 35 |
stable
|
-0.9 (-16.3, 4.1) |
| Marion County 2 | Rural | 379.6 (341.7, 421.0) | 52 (8, 67) | 82 |
stable
|
1.1 (-0.1, 2.4) |
| Sumter County 2 | Rural | 378.4 (315.1, 451.1) | 53 (2, 67) | 30 |
stable
|
1.2 (-0.6, 3.1) |
| Colbert County 2 | Urban | 375.6 (348.3, 404.7) | 54 (17, 66) | 157 |
stable
|
-5.0 (-10.4, 0.4) |
| Monroe County 2 | Rural | 374.4 (329.3, 424.5) | 55 (7, 67) | 56 |
stable
|
1.0 (-0.5, 2.7) |
| Greene County 2 | Urban | 372.9 (301.1, 458.2) | 56 (1, 67) | 23 |
stable
|
1.2 (-1.5, 3.8) |
| Franklin County 2 | Rural | 372.5 (334.7, 413.6) | 57 (11, 67) | 76 |
stable
|
-0.1 (-1.3, 1.0) |
| Cherokee County 2 | Rural | 370.0 (328.4, 415.8) | 58 (11, 67) | 70 |
stable
|
0.6 (-1.4, 2.6) |
| Russell County 2 | Urban | 369.1 (341.3, 398.7) | 59 (22, 67) | 138 |
stable
|
0.2 (-1.6, 2.1) |
| Covington County 2 | Rural | 367.1 (334.5, 402.4) | 60 (20, 67) | 107 |
stable
|
-1.9 (-12.1, 1.9) |
| Coosa County 2 | Rural | 362.6 (301.0, 434.9) | 61 (3, 67) | 30 |
stable
|
0.2 (-2.4, 2.8) |
| Escambia County 2 | Rural | 355.3 (321.5, 391.9) | 62 (24, 67) | 90 |
stable
|
-0.3 (-1.2, 0.6) |
| Tuscaloosa County 2 | Urban | 353.8 (338.9, 369.1) | 63 (49, 66) | 451 |
falling
|
-1.8 (-3.4, -1.2) |
| Geneva County 2 | Urban | 351.1 (312.9, 393.1) | 64 (20, 67) | 69 |
stable
|
0.1 (-1.0, 1.3) |
| Lee County 2 | Urban | 346.4 (329.2, 364.2) | 65 (52, 67) | 318 |
stable
|
0.1 (-0.6, 1.0) |
| DeKalb County 2 | Rural | 338.8 (314.8, 364.2) | 66 (49, 67) | 159 |
stable
|
0.1 (-0.8, 1.2) |
| Choctaw County 2 | Rural | 303.1 (254.9, 359.1) | 67 (46, 67) | 32 |
falling
|
-4.0 (-12.4, -0.2) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 5:34 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.