Incidence Rates Table
Incidence Rate Report for Alabama by County
Colon & Rectum (All Stages^), 2018-2022
All Races (includes 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 | 40.2 (39.4, 40.9) | N/A | 2,492 |
falling 
|
-1.3 (-2.4, -0.8) |
| US (SEER+NPCR) 1 | N/A | 36.7 (36.6, 36.7) | N/A | 145,073 |
falling
|
-0.9 (-1.0, -0.8) |
| Perry County 2 | Rural | 48.8 (31.7, 72.6) | 15 (1, 67) | 6 |
stable 
|
0.2 (-3.6, 3.8) |
| Bullock County 2 | Rural | 48.7 (32.7, 70.3) | 16 (1, 67) | 6 |
stable
|
-2.1 (-7.8, 2.9) |
| Coosa County 2 | Rural | 39.8 (26.1, 59.1) | 46 (2, 67) | 6 |
stable
|
0.1 (-3.4, 3.6) |
| Greene County 2 | Urban | 59.4 (39.4, 86.8) | 2 (1, 67) | 7 |
stable
|
-1.7 (-4.8, 1.0) |
| Sumter County 2 | Rural | 49.8 (32.9, 72.4) | 13 (1, 67) | 7 |
stable
|
3.0 (-2.5, 8.9) |
| Lowndes County 2 | Urban | 45.9 (31.2, 65.9) | 21 (1, 67) | 7 |
stable
|
-1.8 (-5.3, 1.7) |
| Wilcox County 2 | Rural | 56.9 (39.4, 79.9) | 4 (1, 66) | 8 |
stable
|
-2.2 (-4.8, 0.1) |
| Choctaw County 2 | Rural | 43.6 (30.4, 61.1) | 31 (1, 67) | 8 |
stable
|
0.7 (-3.0, 4.5) |
| Hale County 2 | Urban | 42.0 (29.7, 58.1) | 38 (2, 67) | 8 |
stable
|
-1.3 (-4.3, 1.8) |
| Lamar County 2 | Rural | 39.9 (28.2, 55.3) | 45 (3, 67) | 8 |
stable
|
-0.1 (-2.5, 2.2) |
| Clay County 2 | Rural | 43.8 (31.5, 59.9) | 30 (2, 67) | 9 |
stable
|
-1.3 (-4.0, 1.2) |
| Conecuh County 2 | Rural | 57.8 (40.8, 80.0) | 3 (1, 61) | 9 |
rising 
|
20.4 (1.4, 34.1) |
| Henry County 2 | Urban | 35.9 (26.0, 48.9) | 57 (9, 67) | 9 |
stable
|
-3.1 (-6.6, 0.0) |
| Cleburne County 2 | Rural | 47.6 (35.1, 63.6) | 18 (1, 66) | 10 |
stable
|
-0.3 (-2.8, 2.3) |
| Crenshaw County 2 | Rural | 52.2 (38.3, 70.1) | 9 (1, 65) | 10 |
stable
|
0.9 (-1.8, 3.9) |
| Barbour County 2 | Rural | 30.4 (22.6, 40.3) | 66 (27, 67) | 11 |
stable
|
-2.4 (-5.8, 0.8) |
| Washington County 2 | Rural | 49.8 (36.5, 66.5) | 14 (1, 66) | 11 |
stable
|
2.0 (-0.2, 4.4) |
| Geneva County 2 | Urban | 30.5 (22.8, 40.2) | 65 (27, 67) | 11 |
falling
|
-2.5 (-5.0, -0.4) |
| Bibb County 2 | Urban | 41.3 (31.2, 53.8) | 43 (5, 67) | 12 |
falling
|
-3.0 (-5.4, -0.6) |
| Fayette County 2 | Rural | 53.3 (39.8, 70.3) | 8 (1, 63) | 12 |
stable
|
1.4 (-1.8, 4.7) |
| Butler County 2 | Rural | 46.6 (34.9, 61.1) | 20 (1, 66) | 12 |
stable
|
-0.1 (-3.4, 3.2) |
| Marengo County 2 | Rural | 42.2 (32.0, 55.2) | 37 (3, 67) | 12 |
stable
|
-0.9 (-3.5, 1.5) |
| Macon County 2 | Urban | 50.0 (37.6, 65.5) | 12 (1, 65) | 13 |
stable
|
0.5 (-2.6, 3.6) |
| Cherokee County 2 | Rural | 41.6 (31.9, 53.7) | 40 (4, 67) | 15 |
stable
|
0.0 (-3.1, 3.1) |
| Pickens County 2 | Urban | 56.4 (43.9, 71.6) | 5 (1, 51) | 15 |
rising
|
6.4 (0.1, 26.5) |
| Randolph County 2 | Rural | 45.7 (35.4, 58.2) | 23 (2, 65) | 15 |
stable
|
0.5 (-2.2, 3.2) |
| Monroe County 2 | Rural | 55.9 (43.5, 71.0) | 6 (1, 56) | 16 |
stable
|
0.2 (-2.3, 2.8) |
| Winston County 2 | Rural | 44.9 (35.2, 56.9) | 25 (3, 65) | 16 |
stable
|
-0.2 (-3.0, 2.6) |
| Marion County 2 | Rural | 41.4 (32.7, 52.0) | 42 (5, 67) | 17 |
stable
|
-1.3 (-2.7, 0.1) |
| Franklin County 2 | Rural | 43.2 (34.6, 53.5) | 33 (4, 67) | 18 |
stable
|
-1.4 (-3.2, 0.3) |
| Pike County 2 | Rural | 55.6 (44.4, 68.9) | 7 (1, 45) | 18 |
rising
|
21.1 (0.9, 38.5) |
| Escambia County 2 | Rural | 39.5 (31.7, 48.8) | 48 (9, 67) | 19 |
stable
|
-2.4 (-4.9, 0.0) |
| Dallas County 2 | Rural | 39.1 (31.6, 47.9) | 49 (10, 67) | 21 |
stable
|
-12.1 (-31.4, 0.4) |
| Clarke County 2 | Rural | 63.7 (51.7, 78.1) | 1 (1, 28) | 21 |
stable
|
-0.2 (-1.8, 1.5) |
| Chambers County 2 | Rural | 45.8 (37.3, 55.9) | 22 (3, 63) | 22 |
stable
|
-0.9 (-2.8, 1.1) |
| Covington County 2 | Rural | 41.5 (33.8, 50.7) | 41 (7, 66) | 22 |
stable
|
-0.3 (-2.7, 2.0) |
| Lawrence County 2 | Urban | 51.3 (41.8, 62.5) | 10 (1, 53) | 23 |
stable
|
-1.0 (-3.7, 1.6) |
| Coffee County 2 | Rural | 35.2 (28.9, 42.4) | 61 (20, 67) | 23 |
stable
|
-1.3 (-3.7, 1.1) |
| Dale County 2 | Rural | 38.3 (31.5, 46.2) | 52 (12, 67) | 23 |
stable
|
-0.8 (-2.8, 1.4) |
| Chilton County 2 | Urban | 43.6 (35.9, 52.5) | 32 (6, 64) | 24 |
stable
|
0.0 (-2.2, 2.5) |
| Tallapoosa County 2 | Rural | 42.9 (35.2, 51.9) | 35 (6, 65) | 25 |
stable
|
-0.7 (-2.4, 0.9) |
| Russell County 2 | Urban | 42.6 (35.7, 50.5) | 36 (7, 64) | 28 |
stable
|
-1.5 (-3.8, 0.8) |
| Autauga County 2 | Urban | 41.9 (35.2, 49.4) | 39 (9, 64) | 29 |
falling
|
-2.3 (-3.6, -1.0) |
| Blount County 2 | Urban | 39.6 (33.2, 46.8) | 47 (13, 66) | 29 |
stable
|
-0.8 (-2.6, 0.9) |
| Colbert County 2 | Urban | 37.1 (31.2, 44.0) | 55 (19, 67) | 29 |
falling
|
-8.2 (-17.6, -2.6) |
| DeKalb County 2 | Rural | 35.3 (30.0, 41.3) | 60 (27, 67) | 33 |
stable
|
-0.3 (-2.5, 2.0) |
| Jackson County 2 | Rural | 46.9 (39.8, 55.0) | 19 (4, 54) | 34 |
stable
|
-0.9 (-2.6, 0.8) |
| Elmore County 2 | Urban | 38.2 (33.0, 44.0) | 53 (20, 66) | 41 |
falling
|
-2.1 (-3.2, -1.0) |
| Walker County 2 | Urban | 48.3 (41.7, 55.7) | 17 (3, 48) | 42 |
stable
|
-0.1 (-2.6, 2.5) |
| St. Clair County 2 | Urban | 38.6 (33.6, 44.2) | 51 (19, 65) | 45 |
stable
|
-0.3 (-1.5, 1.0) |
| Cullman County 2 | Rural | 39.0 (33.9, 44.7) | 50 (20, 65) | 46 |
stable
|
-0.9 (-2.6, 0.7) |
| Houston County 2 | Urban | 32.7 (28.5, 37.4) | 64 (42, 67) | 46 |
falling
|
-6.8 (-18.0, -2.0) |
| Talladega County 2 | Rural | 44.2 (38.5, 50.6) | 28 (8, 57) | 46 |
stable
|
-1.2 (-3.4, 1.1) |
| Limestone County 2 | Urban | 38.0 (33.1, 43.3) | 54 (22, 66) | 47 |
stable
|
-0.2 (-1.6, 3.4) |
| Lauderdale County 2 | Urban | 40.9 (35.7, 46.7) | 44 (14, 63) | 51 |
falling
|
-1.4 (-2.8, -0.2) |
| Lee County 2 | Urban | 30.1 (26.5, 34.1) | 67 (52, 67) | 52 |
falling
|
-2.1 (-3.4, -0.7) |
| Marshall County 2 | Rural | 44.6 (39.2, 50.5) | 26 (8, 53) | 52 |
stable
|
-0.4 (-1.5, 0.8) |
| Etowah County 2 | Urban | 44.0 (39.0, 49.5) | 29 (9, 55) | 60 |
stable
|
0.2 (-3.7, 7.0) |
| Morgan County 2 | Urban | 43.2 (38.5, 48.3) | 34 (12, 55) | 67 |
falling
|
-1.3 (-2.6, -0.1) |
| Calhoun County 2 | Urban | 51.0 (45.8, 56.7) | 11 (3, 36) | 74 |
stable
|
0.2 (-1.8, 2.2) |
| Tuscaloosa County 2 | Urban | 34.9 (31.5, 38.6) | 62 (38, 66) | 80 |
falling
|
-2.6 (-4.2, -1.0) |
| Shelby County 2 | Urban | 33.5 (30.4, 36.9) | 63 (44, 67) | 88 |
falling
|
-1.6 (-2.5, -0.6) |
| Montgomery County 2 | Urban | 45.2 (41.5, 49.2) | 24 (10, 45) | 116 |
stable
|
-0.9 (-2.4, 0.7) |
| Baldwin County 2 | Urban | 36.2 (33.2, 39.4) | 56 (38, 65) | 119 |
falling
|
-0.9 (-1.5, -0.2) |
| Madison County 2 | Urban | 35.5 (33.1, 38.2) | 59 (41, 65) | 161 |
falling
|
-2.0 (-2.8, -1.3) |
| Mobile County 2 | Urban | 44.6 (41.9, 47.4) | 27 (14, 44) | 220 |
falling
|
-1.0 (-1.6, -0.4) |
| Jefferson County 2 | Urban | 35.9 (34.0, 37.9) | 58 (43, 63) | 283 |
stable
|
-0.9 (-1.8, 1.6) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 12:09 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.