Interpretation of Incidence Rates Data
Incidence Rate Report for Alabama by County
Breast (All Stages^), 2018-2022
Black Non-Hispanic, Female, All Ages
Sorted by Name
Explanation of Column HeadersIncidence 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.
Recent Trends - This is an interpretation of the AAPC/APC:
- Rising when 95% confidence interval of AAPC/APC is above 0.
- Stable when 95% confidence interval of AAPC/APC includes 0.
- Falling when 95% confidence interval of AAPC/APC is below 0.
AAPC/APC (95% Confidence Interval) - the change in rate over time
- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.
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
Alabama2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 134.1 with a 95% confidence interval from 130.4 to 137.8 and 1,071 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 3.0 with a 95% confidence interval from 1.5 to 4.2.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 130.5 with a 95% confidence interval from 129.8 to 131.2 and 31,484 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.3 to 0.6.
Autauga County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 150.2 with a 95% confidence interval from 112.0 to 197.8 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (1, 46)
- Recent Trend : The trend is because the trend is -4.5 with a 95% confidence interval from -21.5 to 2.3.
Baldwin County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 126.2 with a 95% confidence interval from 96.9 to 161.5 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (7, 48)
- Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -0.3 to 4.1.
Barbour County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 134.4 with a 95% confidence interval from 96.6 to 182.4 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (2, 48)
- Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -1.8 to 4.7.
Bibb County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 193.8 with a 95% confidence interval from 116.1 to 304.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 48)
- Recent Trend :
Bullock County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 130.0 with a 95% confidence interval from 86.4 to 189.4 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (2, 48)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -4.2 to 7.1.
Butler County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 164.8 with a 95% confidence interval from 119.5 to 222.0 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 45)
- Recent Trend :
Calhoun County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 124.8 with a 95% confidence interval from 99.1 to 155.2 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (7, 47)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.5 to 1.5.
Chambers County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 110.8 with a 95% confidence interval from 80.9 to 148.4 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (10, 48)
- Recent Trend : The trend is because the trend is 3.3 with a 95% confidence interval from 0.5 to 6.9.
Choctaw County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 129.6 with a 95% confidence interval from 83.8 to 195.0 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (1, 48)
- Recent Trend :
Clarke County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 195.5 with a 95% confidence interval from 149.9 to 251.1 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 30)
- Recent Trend : The trend is because the trend is 2.8 with a 95% confidence interval from 0.6 to 5.3.
Coffee County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 107.3 with a 95% confidence interval from 72.0 to 154.7 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (8, 48)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -2.4 to 5.0.
Colbert County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 134.9 with a 95% confidence interval from 94.8 to 186.6 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (2, 48)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -3.1 to 5.9.
Covington County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 107.7 with a 95% confidence interval from 60.0 to 178.6 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (3, 48)
- Recent Trend :
Crenshaw County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 176.4 with a 95% confidence interval from 103.4 to 283.7 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 48)
- Recent Trend :
Dale County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 124.2 with a 95% confidence interval from 87.2 to 172.0 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (4, 48)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -3.5 to 3.8.
Dallas County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 159.4 with a 95% confidence interval from 133.2 to 189.4 and 29 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (2, 37)
- Recent Trend : The trend is because the trend is 2.3 with a 95% confidence interval from 0.5 to 4.3.
Elmore County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 105.7 with a 95% confidence interval from 78.1 to 140.0 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (12, 48)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -2.4 to 3.2.
Escambia County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 123.4 with a 95% confidence interval from 86.7 to 170.5 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (4, 48)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -4.7 to 3.4.
Etowah County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 126.8 with a 95% confidence interval from 96.0 to 164.5 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (5, 48)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -3.5 to 1.1.
Greene County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 138.8 with a 95% confidence interval from 90.9 to 204.4 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (1, 48)
- Recent Trend : The trend is because the trend is 2.1 with a 95% confidence interval from -0.5 to 4.7.
Hale County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 163.8 with a 95% confidence interval from 118.9 to 221.0 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 46)
- Recent Trend :
Henry County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 108.6 with a 95% confidence interval from 65.0 to 175.1 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (4, 48)
- Recent Trend :
Houston County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 136.4 with a 95% confidence interval from 111.5 to 165.1 and 22 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (6, 45)
- Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -1.4 to 5.4.
Jefferson County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 131.1 with a 95% confidence interval from 123.5 to 139.1 and 238 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (17, 38)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.5 to 1.0.
Lauderdale County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 156.0 with a 95% confidence interval from 108.8 to 216.4 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 47)
- Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -1.5 to 4.5.
Lawrence County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 119.6 with a 95% confidence interval from 67.4 to 202.0 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (1, 48)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -2.9 to 5.2.
Lee County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 128.1 with a 95% confidence interval from 107.0 to 152.2 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (10, 46)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -1.5 to 4.7.
Limestone County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 127.2 with a 95% confidence interval from 93.8 to 169.1 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (4, 48)
- Recent Trend : The trend is because the trend is 3.8 with a 95% confidence interval from 0.4 to 9.2.
Lowndes County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 143.0 with a 95% confidence interval from 97.6 to 203.2 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (1, 48)
- Recent Trend : The trend is because the trend is 2.6 with a 95% confidence interval from -0.8 to 6.5.
Macon County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 145.4 with a 95% confidence interval from 111.7 to 186.6 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (2, 46)
- Recent Trend : The trend is because the trend is 3.9 with a 95% confidence interval from 0.8 to 7.5.
Madison County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 142.4 with a 95% confidence interval from 127.9 to 158.1 and 75 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (8, 36)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.0 to 2.0.
Marengo County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 189.9 with a 95% confidence interval from 144.4 to 245.9 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 35)
- Recent Trend : The trend is because the trend is 15.0 with a 95% confidence interval from 5.3 to 41.2.
Mobile County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 129.2 with a 95% confidence interval from 118.4 to 140.6 and 115 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (16, 41)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.4 to 1.8.
Monroe County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 114.8 with a 95% confidence interval from 77.0 to 165.5 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (5, 48)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -3.8 to 5.2.
Montgomery County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 140.3 with a 95% confidence interval from 128.3 to 153.0 and 108 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (10, 36)
- Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from 0.2 to 2.6.
Morgan County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 139.8 with a 95% confidence interval from 105.7 to 181.5 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (2, 47)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.6 to 1.2.
Perry County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 142.0 with a 95% confidence interval from 92.9 to 209.1 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (1, 48)
- Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -2.9 to 5.2.
Pickens County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 183.4 with a 95% confidence interval from 134.2 to 246.2 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 40)
- Recent Trend : The trend is because the trend is -16.1 with a 95% confidence interval from -40.8 to 2.9.
Pike County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 166.8 with a 95% confidence interval from 123.8 to 219.9 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 44)
- Recent Trend : The trend is because the trend is 4.0 with a 95% confidence interval from 1.2 to 7.5.
Russell County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 95.5 with a 95% confidence interval from 75.3 to 119.7 and 16 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (29, 48)
- Recent Trend : The trend is because the trend is -3.8 with a 95% confidence interval from -15.5 to 0.1.
Shelby County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 125.4 with a 95% confidence interval from 100.8 to 154.4 and 20 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (8, 47)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -3.2 to 2.5.
St. Clair County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 164.5 with a 95% confidence interval from 117.0 to 226.1 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 45)
- Recent Trend :
Sumter County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 148.7 with a 95% confidence interval from 103.1 to 208.0 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (1, 48)
- Recent Trend : The trend is because the trend is 2.9 with a 95% confidence interval from -0.7 to 7.0.
Talladega County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 150.3 with a 95% confidence interval from 123.2 to 181.6 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (3, 41)
- Recent Trend : The trend is because the trend is 1.8 with a 95% confidence interval from -0.4 to 4.2.
Tallapoosa County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 100.3 with a 95% confidence interval from 69.7 to 140.4 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (14, 48)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -4.5 to 6.4.
Tuscaloosa County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 141.5 with a 95% confidence interval from 124.7 to 160.0 and 54 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (7, 39)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.3 to 2.4.
Washington County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 172.3 with a 95% confidence interval from 100.1 to 277.8 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 48)
- Recent Trend :
Wilcox County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 121.9 with a 95% confidence interval from 81.1 to 176.9 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (3, 48)
- Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -1.3 to 4.1.
Notes:
Created by statecancerprofiles.cancer.gov on 03/27/2026 7:22 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.


