State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Alabama by County

Colon & Rectum (Late Stage^), 2018-2022

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by CI*Rank

Explanation of Column Headers
Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Percent of Cases with Late Stage - This is the number of late stages cases compared to the number of cases for all stages.

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 42.5 with a 95% confidence interval from 25.2 to 67.6 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 61)
• Percent of Cases with Late Stage :

Clarke County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 33.8 with a 95% confidence interval from 25.1 to 44.7 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 45)
• Percent of Cases with Late Stage :

Pickens County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 31.6 with a 95% confidence interval from 22.6 to 43.4 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 55)
• Percent of Cases with Late Stage :

Wilcox County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 31.2 with a 95% confidence interval from 19.0 to 48.8 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 64)
• Percent of Cases with Late Stage :

Calhoun County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 28.9 with a 95% confidence interval from 25.0 to 33.3 and 42 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (2, 31)
• Percent of Cases with Late Stage :

Perry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 28.5 with a 95% confidence interval from 15.9 to 48.0 and 3 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 65)
• Percent of Cases with Late Stage :

Fayette County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 28.2 with a 95% confidence interval from 18.6 to 41.3 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 64)
• Percent of Cases with Late Stage :

Randolph County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 27.5 with a 95% confidence interval from 19.5 to 37.9 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 62)
• Percent of Cases with Late Stage :

Bullock County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 27.3 with a 95% confidence interval from 15.7 to 44.6 and 3 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 65)
• Percent of Cases with Late Stage :

Russell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 27.2 with a 95% confidence interval from 21.7 to 33.7 and 18 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (2, 53)
• Percent of Cases with Late Stage :

Clay County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 26.8 with a 95% confidence interval from 17.5 to 40.0 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 65)
• Percent of Cases with Late Stage :

Lawrence County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 26.3 with a 95% confidence interval from 19.8 to 34.5 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (1, 60)
• Percent of Cases with Late Stage :

Pike County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 26.2 with a 95% confidence interval from 18.6 to 36.0 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (1, 63)
• Percent of Cases with Late Stage :

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 26.2 with a 95% confidence interval from 17.2 to 38.7 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (1, 65)
• Percent of Cases with Late Stage :

Mobile County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 26.1 with a 95% confidence interval from 24.0 to 28.2 and 129 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (6, 32)
• Percent of Cases with Late Stage :

Monroe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 25.9 with a 95% confidence interval from 17.5 to 37.3 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (1, 65)
• Percent of Cases with Late Stage :

Jackson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 25.9 with a 95% confidence interval from 20.7 to 32.1 and 19 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (2, 56)
• Percent of Cases with Late Stage :

Tallapoosa County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 25.8 with a 95% confidence interval from 19.8 to 33.2 and 15 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (2, 59)
• Percent of Cases with Late Stage :

Morgan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 25.8 with a 95% confidence interval from 22.2 to 29.9 and 39 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (3, 45)
• Percent of Cases with Late Stage :

Chilton County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 25.6 with a 95% confidence interval from 19.7 to 32.7 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (2, 60)
• Percent of Cases with Late Stage :

Choctaw County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 25.4 with a 95% confidence interval from 15.1 to 40.4 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (1, 65)
• Percent of Cases with Late Stage :

Butler County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 25.1 with a 95% confidence interval from 16.7 to 36.7 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (1, 65)
• Percent of Cases with Late Stage :

Walker County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 25.1 with a 95% confidence interval from 20.5 to 30.5 and 23 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (3, 56)
• Percent of Cases with Late Stage :

Conecuh County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 25.0 with a 95% confidence interval from 14.0 to 41.5 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (1, 65)
• Percent of Cases with Late Stage :

Lowndes County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 24.9 with a 95% confidence interval from 15.1 to 40.0 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (1, 65)
• Percent of Cases with Late Stage :

Marengo County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 24.7 with a 95% confidence interval from 16.8 to 35.5 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (1, 65)
• Percent of Cases with Late Stage :

Escambia County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 24.4 with a 95% confidence interval from 18.2 to 32.1 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (2, 63)
• Percent of Cases with Late Stage :

Chambers County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 23.9 with a 95% confidence interval from 17.9 to 31.4 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (3, 63)
• Percent of Cases with Late Stage :

St. Clair County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 23.4 with a 95% confidence interval from 19.6 to 27.9 and 28 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (7, 57)
• Percent of Cases with Late Stage :

Macon County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 22.8 with a 95% confidence interval from 14.6 to 34.3 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (2, 65)
• Percent of Cases with Late Stage :

Cullman County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 22.6 with a 95% confidence interval from 18.7 to 27.1 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (8, 60)
• Percent of Cases with Late Stage :

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 22.3 with a 95% confidence interval from 19.7 to 25.1 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (14, 54)
• Percent of Cases with Late Stage :

Crenshaw County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 22.3 with a 95% confidence interval from 14.1 to 34.3 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (2, 65)
• Percent of Cases with Late Stage :

Talladega County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 22.2 with a 95% confidence interval from 18.2 to 26.9 and 24 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (9, 60)
• Percent of Cases with Late Stage :

Etowah County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 21.5 with a 95% confidence interval from 18.1 to 25.5 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (12, 61)
• Percent of Cases with Late Stage :

Autauga County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 21.5 with a 95% confidence interval from 16.9 to 27.0 and 15 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (7, 64)
• Percent of Cases with Late Stage :

Dale County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 21.4 with a 95% confidence interval from 16.3 to 27.7 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (7, 65)
• Percent of Cases with Late Stage :

Cleburne County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 21.4 with a 95% confidence interval from 13.3 to 33.2 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (2, 65)
• Percent of Cases with Late Stage :

Tuscaloosa County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 21.4 with a 95% confidence interval from 18.7 to 24.3 and 49 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (17, 59)
• Percent of Cases with Late Stage :

Limestone County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 21.4 with a 95% confidence interval from 17.8 to 25.5 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (12, 62)
• Percent of Cases with Late Stage :

Winston County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 21.4 with a 95% confidence interval from 14.9 to 30.1 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (4, 65)
• Percent of Cases with Late Stage :

Shelby County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 21.3 with a 95% confidence interval from 18.8 to 24.0 and 56 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (18, 58)
• Percent of Cases with Late Stage :

Blount County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 21.2 with a 95% confidence interval from 16.6 to 26.6 and 16 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (9, 64)
• Percent of Cases with Late Stage :

Jefferson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 21.0 with a 95% confidence interval from 19.5 to 22.5 and 165 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (25, 54)
• Percent of Cases with Late Stage :

Hale County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 20.8 with a 95% confidence interval from 12.3 to 33.2 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (2, 65)
• Percent of Cases with Late Stage :

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 20.8 with a 95% confidence interval from 18.9 to 22.8 and 94 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (23, 57)
• Percent of Cases with Late Stage :

Lauderdale County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 20.7 with a 95% confidence interval from 17.0 to 25.1 and 24 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (14, 63)
• Percent of Cases with Late Stage :

Covington County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 20.3 with a 95% confidence interval from 14.9 to 27.2 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (7, 65)
• Percent of Cases with Late Stage :

Cherokee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 20.1 with a 95% confidence interval from 13.5 to 29.1 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (4, 65)
• Percent of Cases with Late Stage :

Baldwin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 19.8 with a 95% confidence interval from 17.6 to 22.3 and 64 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (25, 61)
• Percent of Cases with Late Stage :

Lamar County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 19.3 with a 95% confidence interval from 11.9 to 30.4 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (3, 65)
• Percent of Cases with Late Stage :

Coffee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 19.0 with a 95% confidence interval from 14.4 to 24.6 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (13, 65)
• Percent of Cases with Late Stage :

Bibb County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 18.7 with a 95% confidence interval from 12.3 to 27.6 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (5, 65)
• Percent of Cases with Late Stage :

Franklin County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 18.7 with a 95% confidence interval from 13.2 to 25.9 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (8, 65)
• Percent of Cases with Late Stage :

Elmore County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 18.4 with a 95% confidence interval from 14.8 to 22.5 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (22, 65)
• Percent of Cases with Late Stage :

Marshall County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 18.3 with a 95% confidence interval from 14.8 to 22.3 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (21, 65)
• Percent of Cases with Late Stage :

Henry County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 18.2 with a 95% confidence interval from 11.5 to 28.1 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (6, 65)
• Percent of Cases with Late Stage :

Dallas County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 17.8 with a 95% confidence interval from 13.1 to 23.9 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (15, 65)
• Percent of Cases with Late Stage :

Houston County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 17.8 with a 95% confidence interval from 14.7 to 21.4 and 24 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (27, 65)
• Percent of Cases with Late Stage :

Marion County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 17.5 with a 95% confidence interval from 12.0 to 24.9 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (10, 65)
• Percent of Cases with Late Stage :

Lee County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 17.5 with a 95% confidence interval from 14.7 to 20.6 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (30, 65)
• Percent of Cases with Late Stage :

Geneva County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 16.8 with a 95% confidence interval from 11.0 to 24.8 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (10, 65)
• Percent of Cases with Late Stage :

Colbert County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 16.3 with a 95% confidence interval from 12.3 to 21.2 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (28, 65)
• Percent of Cases with Late Stage :

Barbour County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 16.0 with a 95% confidence interval from 10.4 to 23.9 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (14, 65)
• Percent of Cases with Late Stage :

DeKalb County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 15.0 with a 95% confidence interval from 11.6 to 19.1 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (39, 65)
• Percent of Cases with Late Stage :

Coosa County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Percent of Cases with Late Stage : *

Sumter County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Percent of Cases with Late Stage : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 12:02 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 are computed using cancers classified as malignant based on ICD-O-3. For more information see malignant.html.

^ Late Stage is defined as cases determined to be regional or distant. 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.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

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.