Incidence Rates Table
Incidence Rate Report for Alabama by County
All Cancer Sites (All Stages^), 2018-2022
Black Non-Hispanic, Both Sexes, 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 | 434.3 (429.3, 439.3) | N/A | 6,280 |
falling 
|
-0.6 (-1.1, -0.4) |
| US (SEER+NPCR) 1 | N/A | 452.3 (451.4, 453.2) | N/A | 199,962 |
falling
|
-1.0 (-1.5, -0.6) |
| Cleburne County 2 | Rural | 632.9 (389.2, 985.1) | 2 (1, 66) | 4 |
stable 
|
1.3 (-2.6, 6.1) |
| Cullman County 2 | Rural | 343.5 (213.8, 524.5) | 64 (2, 66) | 5 |
|
|
| Blount County 2 | Urban | 414.3 (263.0, 622.5) | 48 (1, 66) | 5 |
stable
|
-3.5 (-10.0, 3.5) |
| Franklin County 2 | Rural | 339.7 (224.7, 496.2) | 65 (4, 66) | 6 |
stable
|
-3.7 (-7.9, 0.0) |
| DeKalb County 2 | Rural | 451.4 (304.6, 645.8) | 25 (1, 66) | 6 |
stable
|
0.1 (-4.0, 4.8) |
| Cherokee County 2 | Rural | 417.6 (283.1, 600.1) | 45 (1, 66) | 7 |
|
|
| Jackson County 2 | Rural | 327.5 (225.8, 459.8) | 66 (10, 66) | 8 |
stable
|
-2.6 (-7.1, 1.5) |
| Marion County 2 | Rural | 572.5 (404.2, 789.3) | 4 (1, 64) | 8 |
stable
|
0.7 (-3.1, 4.8) |
| Lamar County 2 | Rural | 450.0 (321.4, 616.0) | 28 (1, 66) | 9 |
stable
|
0.4 (-2.3, 3.1) |
| Marshall County 2 | Rural | 476.5 (336.2, 651.3) | 15 (1, 66) | 9 |
stable
|
-1.7 (-4.4, 1.3) |
| Fayette County 2 | Rural | 346.9 (249.0, 473.1) | 62 (8, 66) | 10 |
stable
|
-1.0 (-3.7, 1.8) |
| Clay County 2 | Rural | 389.3 (284.6, 521.6) | 55 (3, 66) | 10 |
stable
|
-1.1 (-4.3, 2.1) |
| Geneva County 2 | Urban | 475.1 (374.6, 596.1) | 16 (1, 65) | 16 |
stable
|
-0.3 (-3.5, 3.0) |
| Coosa County 2 | Rural | 356.3 (281.1, 448.5) | 61 (13, 66) | 17 |
stable
|
-2.0 (-20.9, 3.0) |
| Walker County 2 | Urban | 485.6 (392.6, 593.8) | 13 (1, 63) | 22 |
stable
|
-0.2 (-2.9, 2.6) |
| Bibb County 2 | Urban | 462.5 (377.5, 561.3) | 21 (2, 64) | 22 |
stable
|
0.6 (-1.5, 2.8) |
| Washington County 2 | Rural | 468.1 (379.8, 571.8) | 19 (2, 64) | 22 |
stable
|
-0.6 (-2.5, 1.2) |
| Randolph County 2 | Rural | 442.6 (362.4, 535.7) | 32 (3, 65) | 23 |
stable
|
0.6 (-2.4, 3.8) |
| Chilton County 2 | Urban | 457.1 (374.9, 552.3) | 23 (3, 64) | 24 |
stable
|
-1.8 (-4.1, 0.5) |
| Covington County 2 | Rural | 419.8 (345.7, 505.6) | 43 (6, 66) | 24 |
stable
|
0.9 (-1.4, 3.5) |
| Crenshaw County 2 | Rural | 645.7 (535.8, 772.6) | 1 (1, 18) | 27 |
rising 
|
4.2 (2.0, 6.8) |
| Lawrence County 2 | Urban | 533.4 (440.7, 641.3) | 6 (1, 52) | 27 |
stable
|
0.0 (-1.3, 1.3) |
| Perry County 2 | Rural | 407.6 (342.5, 482.0) | 49 (9, 65) | 30 |
stable
|
-0.9 (-2.5, 0.7) |
| Conecuh County 2 | Rural | 461.1 (388.4, 544.2) | 22 (3, 62) | 32 |
stable
|
1.0 (-1.6, 3.6) |
| Henry County 2 | Urban | 493.1 (416.4, 581.2) | 11 (2, 58) | 32 |
stable
|
-0.1 (-1.7, 1.5) |
| Choctaw County 2 | Rural | 384.2 (323.4, 454.8) | 59 (15, 66) | 32 |
stable
|
-4.8 (-14.9, 0.2) |
| Greene County 2 | Urban | 422.7 (359.9, 494.1) | 41 (7, 64) | 37 |
stable
|
-0.3 (-1.9, 1.3) |
| St. Clair County 2 | Urban | 435.5 (369.2, 510.0) | 36 (5, 64) | 39 |
stable
|
-1.0 (-3.0, 1.3) |
| Bullock County 2 | Rural | 434.8 (373.8, 503.3) | 37 (6, 64) | 39 |
stable
|
0.9 (-0.6, 2.5) |
| Lauderdale County 2 | Urban | 405.3 (348.5, 468.6) | 50 (12, 65) | 40 |
falling
|
-1.6 (-2.9, -0.5) |
| Coffee County 2 | Rural | 399.6 (345.3, 460.2) | 51 (13, 65) | 42 |
stable
|
-0.3 (-1.8, 1.2) |
| Monroe County 2 | Rural | 394.8 (341.1, 455.0) | 53 (14, 65) | 43 |
stable
|
-2.5 (-10.7, 0.1) |
| Wilcox County 2 | Rural | 493.7 (428.9, 565.8) | 10 (2, 52) | 45 |
stable
|
0.6 (-1.2, 2.5) |
| Dale County 2 | Rural | 436.8 (378.9, 501.1) | 34 (6, 62) | 46 |
stable
|
-0.8 (-2.4, 0.8) |
| Sumter County 2 | Rural | 440.7 (381.1, 507.3) | 33 (6, 63) | 46 |
stable
|
1.0 (-0.6, 2.7) |
| Butler County 2 | Rural | 482.3 (422.0, 549.0) | 14 (3, 55) | 49 |
stable
|
0.8 (-0.6, 2.3) |
| Lowndes County 2 | Urban | 523.9 (457.7, 597.5) | 8 (1, 42) | 49 |
rising
|
1.5 (0.4, 2.8) |
| Hale County 2 | Urban | 443.1 (387.4, 505.1) | 30 (6, 61) | 50 |
stable
|
0.4 (-0.8, 1.8) |
| Escambia County 2 | Rural | 389.1 (341.5, 441.5) | 56 (20, 65) | 50 |
stable
|
-0.8 (-2.0, 0.4) |
| Colbert County 2 | Urban | 430.6 (377.6, 489.3) | 39 (9, 62) | 51 |
stable
|
0.8 (-0.8, 2.6) |
| Pickens County 2 | Urban | 525.8 (461.4, 597.3) | 7 (1, 39) | 52 |
stable
|
0.4 (-1.0, 1.8) |
| Pike County 2 | Rural | 486.0 (428.5, 548.9) | 12 (3, 52) | 56 |
stable
|
0.9 (-0.3, 2.1) |
| Marengo County 2 | Rural | 473.6 (418.4, 534.2) | 17 (4, 55) | 59 |
stable
|
0.6 (-0.8, 2.0) |
| Limestone County 2 | Urban | 399.2 (352.9, 449.9) | 52 (17, 65) | 61 |
stable
|
0.4 (-0.8, 1.9) |
| Tallapoosa County 2 | Rural | 442.8 (392.8, 497.7) | 31 (7, 60) | 61 |
falling
|
-6.6 (-17.0, -0.7) |
| Barbour County 2 | Rural | 450.4 (400.5, 505.1) | 27 (6, 58) | 62 |
stable
|
-0.2 (-1.3, 0.8) |
| Autauga County 2 | Urban | 540.0 (480.2, 605.2) | 5 (1, 30) | 65 |
stable
|
0.2 (-0.8, 1.3) |
| Chambers County 2 | Rural | 393.9 (351.7, 440.0) | 54 (22, 65) | 69 |
stable
|
-1.2 (-6.0, 0.2) |
| Morgan County 2 | Urban | 451.2 (402.5, 504.2) | 26 (6, 57) | 71 |
stable
|
-0.9 (-2.8, 1.3) |
| Clarke County 2 | Rural | 575.1 (515.3, 640.1) | 3 (1, 18) | 73 |
stable
|
1.0 (-0.3, 2.3) |
| Etowah County 2 | Urban | 436.2 (391.6, 484.6) | 35 (9, 60) | 77 |
stable
|
-1.0 (-2.2, 0.3) |
| Elmore County 2 | Urban | 498.4 (447.7, 553.1) | 9 (2, 42) | 82 |
stable
|
0.2 (-1.4, 1.9) |
| Macon County 2 | Urban | 428.7 (386.4, 474.7) | 40 (12, 60) | 88 |
stable
|
1.1 (-0.5, 2.7) |
| Baldwin County 2 | Urban | 421.8 (381.6, 465.0) | 42 (14, 61) | 89 |
stable
|
-0.5 (-1.4, 0.6) |
| Shelby County 2 | Urban | 358.4 (322.6, 397.0) | 60 (41, 66) | 94 |
falling
|
-7.4 (-12.8, -3.2) |
| Russell County 2 | Urban | 345.5 (314.5, 378.8) | 63 (49, 66) | 100 |
falling
|
-3.5 (-14.2, -0.9) |
| Calhoun County 2 | Urban | 470.1 (431.4, 511.3) | 18 (6, 48) | 121 |
stable
|
0.7 (-0.2, 3.2) |
| Talladega County 2 | Rural | 415.6 (382.0, 451.5) | 47 (18, 61) | 125 |
stable
|
-0.3 (-1.5, 2.6) |
| Dallas County 2 | Rural | 386.9 (356.0, 419.9) | 58 (32, 64) | 127 |
falling
|
-5.6 (-13.1, -1.1) |
| Houston County 2 | Urban | 467.5 (431.8, 505.3) | 20 (7, 45) | 137 |
stable
|
-0.6 (-1.5, 0.3) |
| Lee County 2 | Urban | 417.6 (387.0, 449.9) | 44 (19, 59) | 158 |
stable
|
-0.7 (-4.6, 0.8) |
| Tuscaloosa County 2 | Urban | 416.8 (394.0, 440.6) | 46 (25, 57) | 276 |
falling
|
-1.9 (-6.1, -1.0) |
| Madison County 2 | Urban | 388.6 (369.9, 408.0) | 57 (40, 62) | 361 |
falling
|
-1.8 (-2.7, -1.3) |
| Montgomery County 2 | Urban | 453.4 (436.8, 470.5) | 24 (15, 40) | 612 |
rising
|
0.5 (0.1, 1.0) |
| Mobile County 2 | Urban | 432.0 (417.1, 447.3) | 38 (22, 49) | 689 |
falling
|
-0.7 (-1.2, -0.3) |
| Jefferson County 2 | Urban | 446.8 (436.1, 457.7) | 29 (19, 41) | 1,449 |
falling
|
-0.9 (-1.4, -0.4) |
| Winston County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/28/2026 4:07 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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.
Data for United States does not include Puerto Rico.