Incidence Rates Table
Incidence Rate Report for Alabama by County
Lung & Bronchus (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
|
|---|---|---|---|---|---|
| Lowndes County 2 | Urban | 52.4 (37.4, 72.4) | 1 (1, 49) | 8 | 74.5 |
| Clay County 2 | Rural | 51.8 (39.2, 67.8) | 2 (1, 40) | 12 | 60.0 |
| Walker County 2 | Urban | 49.5 (43.3, 56.5) | 3 (1, 20) | 48 | 68.8 |
| Randolph County 2 | Rural | 46.9 (36.7, 59.4) | 4 (1, 44) | 16 | 62.7 |
| Calhoun County 2 | Urban | 46.1 (41.4, 51.3) | 5 (1, 24) | 73 | 61.8 |
| St. Clair County 2 | Urban | 45.5 (40.3, 51.2) | 6 (1, 27) | 58 | 63.7 |
| Crenshaw County 2 | Rural | 44.8 (32.3, 61.1) | 7 (1, 61) | 9 | 51.2 |
| Etowah County 2 | Urban | 43.7 (39.0, 48.8) | 8 (2, 30) | 67 | 64.2 |
| Bibb County 2 | Urban | 43.6 (33.7, 55.8) | 9 (1, 55) | 13 | 65.0 |
| Talladega County 2 | Rural | 42.4 (37.1, 48.2) | 10 (2, 36) | 50 | 65.8 |
| Clarke County 2 | Rural | 42.1 (32.6, 53.7) | 11 (1, 56) | 14 | 66.7 |
| Chilton County 2 | Urban | 42.0 (34.9, 50.3) | 12 (1, 44) | 25 | 66.8 |
| Autauga County 2 | Urban | 41.8 (35.3, 49.1) | 13 (1, 43) | 31 | 66.2 |
| Blount County 2 | Urban | 41.4 (35.4, 48.3) | 14 (2, 43) | 35 | 60.7 |
| Elmore County 2 | Urban | 40.5 (35.3, 46.3) | 15 (3, 42) | 46 | 62.4 |
| Lamar County 2 | Rural | 40.4 (29.1, 55.3) | 16 (1, 66) | 9 | 57.0 |
| Cleburne County 2 | Rural | 39.8 (28.7, 54.5) | 17 (1, 65) | 9 | 61.1 |
| Escambia County 2 | Rural | 38.9 (31.5, 47.7) | 18 (2, 57) | 20 | 55.9 |
| Mobile County 2 | Urban | 38.6 (36.3, 41.1) | 19 (11, 35) | 209 | 66.1 |
| Russell County 2 | Urban | 38.3 (32.2, 45.4) | 20 (3, 53) | 29 | 62.4 |
| Cherokee County 2 | Rural | 38.0 (30.0, 48.0) | 21 (2, 63) | 16 | 63.6 |
| Geneva County 2 | Urban | 38.0 (29.5, 48.4) | 22 (1, 62) | 15 | 47.7 |
| Pike County 2 | Rural | 37.7 (29.4, 47.8) | 23 (2, 63) | 15 | 55.2 |
| Marion County 2 | Rural | 37.1 (29.4, 46.4) | 24 (2, 62) | 17 | 53.5 |
| Jackson County 2 | Rural | 36.8 (31.2, 43.3) | 25 (5, 56) | 31 | 52.0 |
| Tallapoosa County 2 | Rural | 36.6 (30.4, 44.0) | 26 (4, 58) | 26 | 57.3 |
| Dale County 2 | Rural | 36.6 (30.2, 44.0) | 27 (4, 59) | 24 | 51.7 |
| Henry County 2 | Urban | 36.4 (27.1, 48.6) | 28 (2, 65) | 11 | 57.6 |
| Bullock County 2 | Rural | 36.0 (23.2, 54.1) | 29 (1, 67) | 5 | 66.7 |
| Hale County 2 | Urban | 35.9 (25.4, 49.8) | 30 (1, 67) | 8 | 56.3 |
| Coosa County 2 | Rural | 35.1 (23.8, 51.6) | 31 (1, 67) | 7 | 59.6 |
| Jefferson County 2 | Urban | 35.1 (33.3, 37.0) | 32 (21, 44) | 299 | 67.8 |
| Pickens County 2 | Urban | 35.1 (26.2, 46.6) | 33 (2, 66) | 11 | 61.6 |
| Conecuh County 2 | Rural | 35.0 (24.3, 50.0) | 34 (1, 67) | 7 | 52.2 |
| Lawrence County 2 | Urban | 34.7 (27.6, 43.2) | 35 (5, 64) | 17 | 48.6 |
| Baldwin County 2 | Urban | 34.3 (31.6, 37.2) | 36 (19, 50) | 125 | 61.7 |
| Wilcox County 2 | Rural | 34.0 (22.1, 50.8) | 37 (1, 67) | 5 | 55.1 |
| Houston County 2 | Urban | 33.6 (29.6, 38.2) | 38 (16, 57) | 51 | 61.3 |
| Winston County 2 | Rural | 33.6 (25.7, 43.6) | 39 (3, 67) | 13 | 50.0 |
| Monroe County 2 | Rural | 33.4 (24.8, 44.6) | 40 (4, 67) | 10 | 57.8 |
| Greene County 2 | Urban | 33.4 (21.0, 52.4) | 41 (1, 67) | 5 | 62.2 |
| Barbour County 2 | Rural | 33.0 (25.2, 42.9) | 42 (5, 67) | 12 | 54.9 |
| Covington County 2 | Rural | 32.8 (26.5, 40.4) | 43 (8, 65) | 20 | 47.8 |
| Butler County 2 | Rural | 32.6 (23.5, 44.4) | 44 (3, 67) | 9 | 53.5 |
| Tuscaloosa County 2 | Urban | 32.5 (29.3, 35.9) | 45 (23, 58) | 81 | 63.1 |
| Chambers County 2 | Rural | 31.3 (24.9, 39.1) | 46 (13, 66) | 17 | 63.4 |
| Dallas County 2 | Rural | 31.3 (24.9, 38.9) | 47 (11, 66) | 18 | 67.2 |
| Montgomery County 2 | Urban | 31.0 (28.1, 34.2) | 48 (29, 60) | 87 | 61.9 |
| Fayette County 2 | Rural | 30.9 (22.3, 42.4) | 49 (6, 67) | 9 | 58.1 |
| Madison County 2 | Urban | 30.2 (28.0, 32.5) | 50 (34, 59) | 146 | 61.7 |
| Marengo County 2 | Rural | 30.1 (21.5, 41.4) | 51 (7, 67) | 9 | 71.7 |
| Limestone County 2 | Urban | 30.0 (25.9, 34.6) | 52 (26, 65) | 40 | 59.6 |
| Macon County 2 | Urban | 28.7 (20.8, 39.2) | 53 (11, 67) | 9 | 66.2 |
| Lauderdale County 2 | Urban | 28.4 (24.5, 32.9) | 54 (32, 66) | 39 | 51.2 |
| Franklin County 2 | Rural | 28.4 (21.6, 36.8) | 55 (16, 67) | 12 | 38.1 |
| Morgan County 2 | Urban | 27.8 (24.4, 31.7) | 56 (35, 66) | 49 | 45.7 |
| Lee County 2 | Urban | 27.7 (24.2, 31.5) | 57 (36, 66) | 49 | 63.3 |
| Shelby County 2 | Urban | 26.5 (23.8, 29.4) | 58 (44, 66) | 74 | 64.0 |
| Marshall County 2 | Rural | 26.4 (22.5, 30.8) | 59 (38, 67) | 34 | 42.3 |
| Washington County 2 | Rural | 26.3 (17.7, 38.2) | 60 (10, 67) | 6 | 54.4 |
| DeKalb County 2 | Rural | 26.2 (21.8, 31.3) | 61 (35, 67) | 26 | 47.6 |
| Coffee County 2 | Rural | 26.0 (20.9, 32.1) | 62 (31, 67) | 18 | 44.9 |
| Sumter County 2 | Rural | 25.8 (15.7, 40.8) | 63 (7, 67) | 4 | 67.7 |
| Cullman County 2 | Rural | 25.8 (21.9, 30.2) | 64 (40, 67) | 33 | 41.7 |
| Perry County 2 | Rural | 25.2 (14.2, 42.6) | 65 (6, 67) | 3 | 69.6 |
| Choctaw County 2 | Rural | 24.8 (16.4, 37.2) | 66 (16, 67) | 6 | 62.2 |
| Colbert County 2 | Urban | 21.7 (17.5, 26.9) | 67 (50, 67) | 19 | 37.3 |
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 9:26 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 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 for United States does not include Puerto Rico.