Incidence Rates Table
Incidence Rate Report for Alabama by County
Breast (All Stages^), 2018-2022
All Races (includes Hispanic), Female, 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 | 127.9 (126.1, 129.7) | N/A | 4,181 |
rising 
|
2.6 (0.6, 3.7) |
| US (SEER+NPCR) 1 | N/A | 131.3 (131.1, 131.6) | N/A | 270,245 |
rising
|
0.6 (0.5, 0.8) |
| Perry County 2 | Rural | 127.1 (88.3, 178.5) | 30 (1, 67) | 8 |
stable 
|
0.8 (-1.9, 3.4) |
| Greene County 2 | Urban | 140.3 (95.8, 199.4) | 15 (1, 67) | 8 |
stable
|
1.9 (-0.3, 4.1) |
| Coosa County 2 | Rural | 105.5 (73.8, 148.3) | 56 (5, 67) | 9 |
stable
|
-1.2 (-5.7, 3.2) |
| Bullock County 2 | Rural | 147.0 (104.8, 201.5) | 11 (1, 66) | 9 |
stable
|
1.3 (-1.5, 4.2) |
| Wilcox County 2 | Rural | 123.0 (88.4, 167.4) | 37 (1, 67) | 9 |
rising
|
2.5 (0.3, 9.0) |
| Sumter County 2 | Rural | 123.1 (87.1, 169.2) | 36 (1, 67) | 9 |
stable
|
2.2 (-2.0, 6.8) |
| Conecuh County 2 | Rural | 105.7 (76.1, 144.4) | 55 (4, 67) | 10 |
stable
|
-0.1 (-2.8, 2.7) |
| Choctaw County 2 | Rural | 98.1 (71.5, 132.7) | 64 (10, 67) | 10 |
stable
|
-1.6 (-11.5, 1.5) |
| Lamar County 2 | Rural | 109.1 (79.8, 146.3) | 51 (6, 67) | 10 |
falling 
|
-12.0 (-28.9, -2.9) |
| Lowndes County 2 | Urban | 149.0 (109.7, 198.9) | 8 (1, 64) | 11 |
stable
|
2.7 (0.0, 5.7) |
| Cleburne County 2 | Rural | 110.3 (82.2, 145.5) | 50 (5, 67) | 12 |
stable
|
0.2 (-3.2, 3.8) |
| Fayette County 2 | Rural | 102.1 (76.7, 134.0) | 62 (10, 67) | 12 |
falling
|
-3.8 (-16.0, -1.0) |
| Crenshaw County 2 | Rural | 136.2 (102.3, 178.4) | 18 (1, 66) | 13 |
rising
|
3.9 (1.0, 14.2) |
| Henry County 2 | Urban | 104.7 (80.8, 134.4) | 58 (10, 67) | 15 |
stable
|
-1.5 (-4.3, 1.2) |
| Washington County 2 | Rural | 147.1 (114.5, 186.7) | 10 (1, 60) | 16 |
stable
|
-0.4 (-4.0, 3.0) |
| Geneva County 2 | Urban | 85.8 (67.1, 108.6) | 66 (41, 67) | 16 |
stable
|
-1.1 (-4.0, 1.7) |
| Randolph County 2 | Rural | 102.9 (80.6, 130.0) | 61 (15, 67) | 16 |
stable
|
-0.5 (-2.4, 1.3) |
| Bibb County 2 | Urban | 123.4 (97.5, 154.5) | 35 (3, 66) | 17 |
stable
|
0.9 (-2.9, 5.0) |
| Clay County 2 | Rural | 161.3 (127.0, 202.9) | 5 (1, 50) | 17 |
rising
|
7.0 (0.7, 24.5) |
| Hale County 2 | Urban | 165.0 (131.0, 205.9) | 3 (1, 47) | 18 |
rising
|
19.5 (2.8, 33.8) |
| Macon County 2 | Urban | 134.3 (105.8, 168.7) | 19 (1, 64) | 18 |
stable
|
2.5 (-0.6, 5.9) |
| Monroe County 2 | Rural | 128.7 (102.2, 160.6) | 27 (2, 66) | 19 |
stable
|
0.6 (-2.2, 3.4) |
| Winston County 2 | Rural | 114.6 (91.4, 142.4) | 48 (7, 67) | 20 |
stable
|
0.0 (-3.2, 3.1) |
| Escambia County 2 | Rural | 84.4 (67.7, 104.0) | 67 (46, 67) | 20 |
stable
|
-1.7 (-4.2, 0.7) |
| Cherokee County 2 | Rural | 109.0 (86.7, 135.7) | 52 (9, 67) | 20 |
stable
|
-0.4 (-3.3, 2.4) |
| Franklin County 2 | Rural | 104.7 (84.6, 128.4) | 57 (16, 67) | 20 |
stable
|
-0.8 (-4.4, 2.7) |
| Marengo County 2 | Rural | 166.1 (134.1, 203.6) | 2 (1, 44) | 21 |
rising
|
3.0 (1.4, 4.9) |
| Butler County 2 | Rural | 161.1 (130.5, 197.2) | 6 (1, 48) | 22 |
rising
|
2.4 (0.4, 4.5) |
| Pickens County 2 | Urban | 164.4 (133.6, 200.9) | 4 (1, 43) | 22 |
stable
|
-13.4 (-32.4, 1.1) |
| Barbour County 2 | Rural | 129.9 (105.0, 159.3) | 25 (2, 65) | 22 |
rising
|
19.6 (1.9, 33.8) |
| Marion County 2 | Rural | 104.3 (84.9, 127.2) | 59 (17, 67) | 23 |
stable
|
1.2 (-0.7, 3.2) |
| Chambers County 2 | Rural | 110.3 (91.4, 132.3) | 49 (13, 67) | 27 |
stable
|
0.2 (-1.5, 2.0) |
| Clarke County 2 | Rural | 171.3 (142.3, 204.7) | 1 (1, 32) | 28 |
rising
|
1.7 (0.3, 3.3) |
| Lawrence County 2 | Urban | 127.5 (106.0, 152.2) | 29 (4, 62) | 28 |
rising
|
3.2 (0.8, 12.2) |
| Pike County 2 | Rural | 156.2 (130.5, 185.7) | 7 (1, 44) | 28 |
rising
|
2.8 (1.0, 4.8) |
| Covington County 2 | Rural | 103.1 (85.9, 123.1) | 60 (21, 67) | 29 |
stable
|
1.7 (-1.3, 5.0) |
| Chilton County 2 | Urban | 107.5 (90.8, 126.6) | 54 (20, 67) | 31 |
stable
|
-0.3 (-1.7, 1.2) |
| Russell County 2 | Urban | 99.3 (85.1, 115.3) | 63 (34, 67) | 37 |
falling
|
-3.8 (-11.5, -1.0) |
| Dale County 2 | Rural | 120.8 (103.9, 139.9) | 40 (9, 63) | 40 |
stable
|
1.3 (-0.5, 3.2) |
| Coffee County 2 | Rural | 118.3 (101.9, 136.6) | 42 (11, 64) | 40 |
stable
|
0.8 (-0.9, 2.6) |
| Dallas County 2 | Rural | 147.8 (126.6, 171.6) | 9 (1, 46) | 40 |
stable
|
1.1 (-0.3, 2.6) |
| DeKalb County 2 | Rural | 90.6 (78.3, 104.4) | 65 (49, 67) | 42 |
stable
|
-0.5 (-2.3, 1.4) |
| Tallapoosa County 2 | Rural | 136.2 (117.1, 157.9) | 17 (3, 54) | 43 |
rising
|
14.3 (3.0, 21.6) |
| Blount County 2 | Urban | 115.1 (99.9, 132.2) | 46 (15, 64) | 45 |
stable
|
1.2 (-0.8, 3.4) |
| Jackson County 2 | Rural | 122.3 (106.3, 140.3) | 38 (8, 61) | 47 |
stable
|
0.6 (-1.3, 2.7) |
| Colbert County 2 | Urban | 114.7 (99.7, 131.5) | 47 (14, 64) | 47 |
stable
|
0.1 (-1.7, 1.8) |
| Autauga County 2 | Urban | 125.0 (109.2, 142.5) | 32 (8, 59) | 47 |
stable
|
0.6 (-0.8, 2.2) |
| Walker County 2 | Urban | 127.8 (112.8, 144.3) | 28 (7, 56) | 60 |
rising
|
1.6 (0.3, 2.9) |
| Marshall County 2 | Rural | 108.9 (97.1, 121.8) | 53 (27, 64) | 68 |
stable
|
0.5 (-0.8, 1.9) |
| Talladega County 2 | Rural | 130.7 (116.8, 145.9) | 24 (7, 53) | 71 |
stable
|
0.8 (-1.0, 2.7) |
| Elmore County 2 | Urban | 132.1 (118.6, 146.8) | 23 (6, 52) | 73 |
stable
|
0.4 (-0.8, 1.7) |
| Lauderdale County 2 | Urban | 118.7 (106.0, 132.6) | 41 (15, 61) | 75 |
stable
|
0.5 (-0.9, 2.0) |
| Limestone County 2 | Urban | 115.4 (103.8, 128.1) | 45 (20, 61) | 75 |
stable
|
0.6 (-1.3, 2.9) |
| Cullman County 2 | Rural | 124.2 (111.4, 138.1) | 34 (11, 56) | 76 |
stable
|
1.1 (-0.3, 2.6) |
| St. Clair County 2 | Urban | 133.3 (120.2, 147.5) | 21 (7, 48) | 82 |
rising
|
2.2 (0.7, 4.0) |
| Etowah County 2 | Urban | 116.1 (104.7, 128.5) | 43 (19, 61) | 84 |
stable
|
0.1 (-0.9, 1.2) |
| Calhoun County 2 | Urban | 115.9 (104.9, 127.7) | 44 (21, 61) | 91 |
stable
|
0.5 (-0.2, 1.2) |
| Houston County 2 | Urban | 133.2 (121.1, 146.4) | 22 (7, 47) | 95 |
stable
|
0.7 (-0.5, 1.9) |
| Morgan County 2 | Urban | 124.3 (113.2, 136.3) | 33 (13, 55) | 100 |
stable
|
0.7 (-0.2, 1.7) |
| Lee County 2 | Urban | 122.2 (112.0, 133.0) | 39 (16, 55) | 112 |
rising
|
10.5 (1.2, 17.0) |
| Tuscaloosa County 2 | Urban | 129.8 (120.8, 139.4) | 26 (10, 47) | 162 |
stable
|
-0.2 (-1.2, 0.8) |
| Shelby County 2 | Urban | 142.6 (133.6, 152.0) | 12 (5, 29) | 198 |
rising
|
3.6 (0.4, 9.2) |
| Montgomery County 2 | Urban | 141.2 (132.3, 150.5) | 13 (5, 32) | 202 |
rising
|
0.7 (0.1, 1.4) |
| Baldwin County 2 | Urban | 138.6 (130.2, 147.3) | 16 (6, 33) | 232 |
rising
|
7.1 (2.3, 10.4) |
| Mobile County 2 | Urban | 125.4 (119.1, 131.8) | 31 (18, 46) | 332 |
stable
|
4.4 (-0.6, 7.9) |
| Madison County 2 | Urban | 140.3 (133.5, 147.5) | 14 (7, 28) | 336 |
stable
|
0.6 (0.0, 1.3) |
| Jefferson County 2 | Urban | 133.4 (128.4, 138.6) | 20 (12, 34) | 573 |
rising
|
0.4 (0.1, 0.8) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 10:55 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.