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