Incidence Rates Table
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
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
|
Percent of Cases with Late Stage
|
|---|---|---|---|---|---|
| Alabama 2 | N/A | 22.0 (21.4, 22.5) | N/A | 1,355 | 54.4 |
| US (SEER+NPCR) 1 | N/A | 22.0 (21.9, 22.1) | N/A | 86,932 | 59.9 |
| Greene County 2 | Urban | 42.5 (25.2, 67.6) | 1 (1, 61) | 4 | 66.7 |
| Clarke County 2 | Rural | 33.8 (25.1, 44.7) | 2 (1, 45) | 11 | 52.8 |
| Pickens County 2 | Urban | 31.6 (22.6, 43.4) | 3 (1, 55) | 9 | 57.3 |
| Wilcox County 2 | Rural | 31.2 (19.0, 48.8) | 4 (1, 64) | 4 | 56.4 |
| Calhoun County 2 | Urban | 28.9 (25.0, 33.3) | 5 (2, 31) | 42 | 56.8 |
| Perry County 2 | Rural | 28.5 (15.9, 48.0) | 6 (1, 65) | 3 | 58.6 |
| Fayette County 2 | Rural | 28.2 (18.6, 41.3) | 7 (1, 64) | 6 | 50.8 |
| Randolph County 2 | Rural | 27.5 (19.5, 37.9) | 8 (1, 62) | 9 | 59.2 |
| Bullock County 2 | Rural | 27.3 (15.7, 44.6) | 9 (1, 65) | 3 | 54.8 |
| Russell County 2 | Urban | 27.2 (21.7, 33.7) | 10 (2, 53) | 18 | 62.7 |
| Clay County 2 | Rural | 26.8 (17.5, 40.0) | 11 (1, 65) | 6 | 62.2 |
| Lawrence County 2 | Urban | 26.3 (19.8, 34.5) | 12 (1, 60) | 12 | 53.1 |
| Pike County 2 | Rural | 26.2 (18.6, 36.0) | 13 (1, 63) | 8 | 45.6 |
| Washington County 2 | Rural | 26.2 (17.2, 38.7) | 14 (1, 65) | 6 | 56.6 |
| Mobile County 2 | Urban | 26.1 (24.0, 28.2) | 15 (6, 32) | 129 | 58.7 |
| Monroe County 2 | Rural | 25.9 (17.5, 37.3) | 16 (1, 65) | 7 | 44.9 |
| Jackson County 2 | Rural | 25.9 (20.7, 32.1) | 17 (2, 56) | 19 | 55.0 |
| Tallapoosa County 2 | Rural | 25.8 (19.8, 33.2) | 18 (2, 59) | 15 | 58.4 |
| Morgan County 2 | Urban | 25.8 (22.2, 29.9) | 19 (3, 45) | 39 | 57.6 |
| Chilton County 2 | Urban | 25.6 (19.7, 32.7) | 20 (2, 60) | 14 | 58.0 |
| Choctaw County 2 | Rural | 25.4 (15.1, 40.4) | 21 (1, 65) | 4 | 53.7 |
| Butler County 2 | Rural | 25.1 (16.7, 36.7) | 22 (1, 65) | 6 | 51.7 |
| Walker County 2 | Urban | 25.1 (20.5, 30.5) | 23 (3, 56) | 23 | 53.8 |
| Conecuh County 2 | Rural | 25.0 (14.0, 41.5) | 24 (1, 65) | 4 | 39.1 |
| Lowndes County 2 | Urban | 24.9 (15.1, 40.0) | 25 (1, 65) | 4 | 58.8 |
| Marengo County 2 | Rural | 24.7 (16.8, 35.5) | 26 (1, 65) | 7 | 55.0 |
| Escambia County 2 | Rural | 24.4 (18.2, 32.1) | 27 (2, 63) | 11 | 59.6 |
| Chambers County 2 | Rural | 23.9 (17.9, 31.4) | 28 (3, 63) | 12 | 54.1 |
| St. Clair County 2 | Urban | 23.4 (19.6, 27.9) | 29 (7, 57) | 28 | 60.8 |
| Macon County 2 | Urban | 22.8 (14.6, 34.3) | 30 (2, 65) | 6 | 44.6 |
| Cullman County 2 | Rural | 22.6 (18.7, 27.1) | 31 (8, 60) | 25 | 55.3 |
| Montgomery County 2 | Urban | 22.3 (19.7, 25.1) | 32 (14, 54) | 57 | 48.9 |
| Crenshaw County 2 | Rural | 22.3 (14.1, 34.3) | 33 (2, 65) | 5 | 47.1 |
| Talladega County 2 | Rural | 22.2 (18.2, 26.9) | 34 (9, 60) | 24 | 50.9 |
| Etowah County 2 | Urban | 21.5 (18.1, 25.5) | 35 (12, 61) | 30 | 49.0 |
| Autauga County 2 | Urban | 21.5 (16.9, 27.0) | 36 (7, 64) | 15 | 52.4 |
| Dale County 2 | Rural | 21.4 (16.3, 27.7) | 37 (7, 65) | 13 | 53.8 |
| Cleburne County 2 | Rural | 21.4 (13.3, 33.2) | 38 (2, 65) | 5 | 45.1 |
| Tuscaloosa County 2 | Urban | 21.4 (18.7, 24.3) | 39 (17, 59) | 49 | 61.2 |
| Limestone County 2 | Urban | 21.4 (17.8, 25.5) | 40 (12, 62) | 27 | 56.8 |
| Winston County 2 | Rural | 21.4 (14.9, 30.1) | 41 (4, 65) | 8 | 48.1 |
| Shelby County 2 | Urban | 21.3 (18.8, 24.0) | 42 (18, 58) | 56 | 63.8 |
| Blount County 2 | Urban | 21.2 (16.6, 26.6) | 43 (9, 64) | 16 | 54.4 |
| Jefferson County 2 | Urban | 21.0 (19.5, 22.5) | 44 (25, 54) | 165 | 58.3 |
| Hale County 2 | Urban | 20.8 (12.3, 33.2) | 45 (2, 65) | 4 | 47.6 |
| Madison County 2 | Urban | 20.8 (18.9, 22.8) | 46 (23, 57) | 94 | 58.2 |
| Lauderdale County 2 | Urban | 20.7 (17.0, 25.1) | 47 (14, 63) | 24 | 48.0 |
| Covington County 2 | Rural | 20.3 (14.9, 27.2) | 48 (7, 65) | 11 | 47.3 |
| Cherokee County 2 | Rural | 20.1 (13.5, 29.1) | 49 (4, 65) | 7 | 48.6 |
| Baldwin County 2 | Urban | 19.8 (17.6, 22.3) | 50 (25, 61) | 64 | 53.4 |
| Lamar County 2 | Rural | 19.3 (11.9, 30.4) | 51 (3, 65) | 4 | 52.4 |
| Coffee County 2 | Rural | 19.0 (14.4, 24.6) | 52 (13, 65) | 12 | 52.2 |
| Bibb County 2 | Urban | 18.7 (12.3, 27.6) | 53 (5, 65) | 6 | 47.5 |
| Franklin County 2 | Rural | 18.7 (13.2, 25.9) | 54 (8, 65) | 8 | 43.8 |
| Elmore County 2 | Urban | 18.4 (14.8, 22.5) | 55 (22, 65) | 20 | 48.1 |
| Marshall County 2 | Rural | 18.3 (14.8, 22.3) | 56 (21, 65) | 20 | 38.9 |
| Henry County 2 | Urban | 18.2 (11.5, 28.1) | 57 (6, 65) | 5 | 51.1 |
| Dallas County 2 | Rural | 17.8 (13.1, 23.9) | 58 (15, 65) | 10 | 48.1 |
| Houston County 2 | Urban | 17.8 (14.7, 21.4) | 59 (27, 65) | 24 | 53.0 |
| Marion County 2 | Rural | 17.5 (12.0, 24.9) | 60 (10, 65) | 7 | 42.4 |
| Lee County 2 | Urban | 17.5 (14.7, 20.6) | 61 (30, 65) | 30 | 57.9 |
| Geneva County 2 | Urban | 16.8 (11.0, 24.8) | 62 (10, 65) | 6 | 51.8 |
| Colbert County 2 | Urban | 16.3 (12.3, 21.2) | 63 (28, 65) | 12 | 42.2 |
| Barbour County 2 | Rural | 16.0 (10.4, 23.9) | 64 (14, 65) | 5 | 50.9 |
| DeKalb County 2 | Rural | 15.0 (11.6, 19.1) | 65 (39, 65) | 14 | 42.8 |
| Coosa County 2 | Rural |
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| Sumter County 2 | Rural |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/25/2026 4:56 pm.
State Cancer Registries may provide more current or more local data.
Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
† 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.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.
2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).
* 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.