Incidence Rates Table
Incidence Rate Report for Alabama by County
Breast (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by Recentaapc
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) |
| Barbour County 2 | Rural | 129.9 (105.0, 159.3) | 25 (2, 65) | 22 |
rising
|
19.6 (1.9, 33.8) |
| Hale County 2 | Urban | 165.0 (131.0, 205.9) | 3 (1, 47) | 18 |
rising
|
19.5 (2.8, 33.8) |
| Tallapoosa County 2 | Rural | 136.2 (117.1, 157.9) | 17 (3, 54) | 43 |
rising
|
14.3 (3.0, 21.6) |
| Lee County 2 | Urban | 122.2 (112.0, 133.0) | 39 (16, 55) | 112 |
rising
|
10.5 (1.2, 17.0) |
| Baldwin County 2 | Urban | 138.6 (130.2, 147.3) | 16 (6, 33) | 232 |
rising
|
7.1 (2.3, 10.4) |
| Clay County 2 | Rural | 161.3 (127.0, 202.9) | 5 (1, 50) | 17 |
rising
|
7.0 (0.7, 24.5) |
| Mobile County 2 | Urban | 125.4 (119.1, 131.8) | 31 (18, 46) | 332 |
stable 
|
4.4 (-0.6, 7.9) |
| Crenshaw County 2 | Rural | 136.2 (102.3, 178.4) | 18 (1, 66) | 13 |
rising
|
3.9 (1.0, 14.2) |
| Shelby County 2 | Urban | 142.6 (133.6, 152.0) | 12 (5, 29) | 198 |
rising
|
3.6 (0.4, 9.2) |
| Lawrence County 2 | Urban | 127.5 (106.0, 152.2) | 29 (4, 62) | 28 |
rising
|
3.2 (0.8, 12.2) |
| Marengo County 2 | Rural | 166.1 (134.1, 203.6) | 2 (1, 44) | 21 |
rising
|
3.0 (1.4, 4.9) |
| Pike County 2 | Rural | 156.2 (130.5, 185.7) | 7 (1, 44) | 28 |
rising
|
2.8 (1.0, 4.8) |
| Lowndes County 2 | Urban | 149.0 (109.7, 198.9) | 8 (1, 64) | 11 |
stable
|
2.7 (0.0, 5.7) |
| Macon County 2 | Urban | 134.3 (105.8, 168.7) | 19 (1, 64) | 18 |
stable
|
2.5 (-0.6, 5.9) |
| Wilcox County 2 | Rural | 123.0 (88.4, 167.4) | 37 (1, 67) | 9 |
rising
|
2.5 (0.3, 9.0) |
| Butler County 2 | Rural | 161.1 (130.5, 197.2) | 6 (1, 48) | 22 |
rising
|
2.4 (0.4, 4.5) |
| St. Clair County 2 | Urban | 133.3 (120.2, 147.5) | 21 (7, 48) | 82 |
rising
|
2.2 (0.7, 4.0) |
| Sumter County 2 | Rural | 123.1 (87.1, 169.2) | 36 (1, 67) | 9 |
stable
|
2.2 (-2.0, 6.8) |
| Greene County 2 | Urban | 140.3 (95.8, 199.4) | 15 (1, 67) | 8 |
stable
|
1.9 (-0.3, 4.1) |
| Clarke County 2 | Rural | 171.3 (142.3, 204.7) | 1 (1, 32) | 28 |
rising
|
1.7 (0.3, 3.3) |
| Covington County 2 | Rural | 103.1 (85.9, 123.1) | 60 (21, 67) | 29 |
stable
|
1.7 (-1.3, 5.0) |
| Walker County 2 | Urban | 127.8 (112.8, 144.3) | 28 (7, 56) | 60 |
rising
|
1.6 (0.3, 2.9) |
| Bullock County 2 | Rural | 147.0 (104.8, 201.5) | 11 (1, 66) | 9 |
stable
|
1.3 (-1.5, 4.2) |
| Dale County 2 | Rural | 120.8 (103.9, 139.9) | 40 (9, 63) | 40 |
stable
|
1.3 (-0.5, 3.2) |
| Blount County 2 | Urban | 115.1 (99.9, 132.2) | 46 (15, 64) | 45 |
stable
|
1.2 (-0.8, 3.4) |
| Marion County 2 | Rural | 104.3 (84.9, 127.2) | 59 (17, 67) | 23 |
stable
|
1.2 (-0.7, 3.2) |
| Cullman County 2 | Rural | 124.2 (111.4, 138.1) | 34 (11, 56) | 76 |
stable
|
1.1 (-0.3, 2.6) |
| Dallas County 2 | Rural | 147.8 (126.6, 171.6) | 9 (1, 46) | 40 |
stable
|
1.1 (-0.3, 2.6) |
| Bibb County 2 | Urban | 123.4 (97.5, 154.5) | 35 (3, 66) | 17 |
stable
|
0.9 (-2.9, 5.0) |
| Coffee County 2 | Rural | 118.3 (101.9, 136.6) | 42 (11, 64) | 40 |
stable
|
0.8 (-0.9, 2.6) |
| Perry County 2 | Rural | 127.1 (88.3, 178.5) | 30 (1, 67) | 8 |
stable
|
0.8 (-1.9, 3.4) |
| Talladega County 2 | Rural | 130.7 (116.8, 145.9) | 24 (7, 53) | 71 |
stable
|
0.8 (-1.0, 2.7) |
| Houston County 2 | Urban | 133.2 (121.1, 146.4) | 22 (7, 47) | 95 |
stable
|
0.7 (-0.5, 1.9) |
| Montgomery County 2 | Urban | 141.2 (132.3, 150.5) | 13 (5, 32) | 202 |
rising
|
0.7 (0.1, 1.4) |
| Morgan County 2 | Urban | 124.3 (113.2, 136.3) | 33 (13, 55) | 100 |
stable
|
0.7 (-0.2, 1.7) |
| Autauga County 2 | Urban | 125.0 (109.2, 142.5) | 32 (8, 59) | 47 |
stable
|
0.6 (-0.8, 2.2) |
| Jackson County 2 | Rural | 122.3 (106.3, 140.3) | 38 (8, 61) | 47 |
stable
|
0.6 (-1.3, 2.7) |
| Limestone County 2 | Urban | 115.4 (103.8, 128.1) | 45 (20, 61) | 75 |
stable
|
0.6 (-1.3, 2.9) |
| Madison County 2 | Urban | 140.3 (133.5, 147.5) | 14 (7, 28) | 336 |
stable
|
0.6 (0.0, 1.3) |
| Monroe County 2 | Rural | 128.7 (102.2, 160.6) | 27 (2, 66) | 19 |
stable
|
0.6 (-2.2, 3.4) |
| Calhoun County 2 | Urban | 115.9 (104.9, 127.7) | 44 (21, 61) | 91 |
stable
|
0.5 (-0.2, 1.2) |
| Lauderdale County 2 | Urban | 118.7 (106.0, 132.6) | 41 (15, 61) | 75 |
stable
|
0.5 (-0.9, 2.0) |
| Marshall County 2 | Rural | 108.9 (97.1, 121.8) | 53 (27, 64) | 68 |
stable
|
0.5 (-0.8, 1.9) |
| Elmore County 2 | Urban | 132.1 (118.6, 146.8) | 23 (6, 52) | 73 |
stable
|
0.4 (-0.8, 1.7) |
| Jefferson County 2 | Urban | 133.4 (128.4, 138.6) | 20 (12, 34) | 573 |
rising
|
0.4 (0.1, 0.8) |
| Chambers County 2 | Rural | 110.3 (91.4, 132.3) | 49 (13, 67) | 27 |
stable
|
0.2 (-1.5, 2.0) |
| Cleburne County 2 | Rural | 110.3 (82.2, 145.5) | 50 (5, 67) | 12 |
stable
|
0.2 (-3.2, 3.8) |
| Colbert County 2 | Urban | 114.7 (99.7, 131.5) | 47 (14, 64) | 47 |
stable
|
0.1 (-1.7, 1.8) |
| Etowah County 2 | Urban | 116.1 (104.7, 128.5) | 43 (19, 61) | 84 |
stable
|
0.1 (-0.9, 1.2) |
| Winston County 2 | Rural | 114.6 (91.4, 142.4) | 48 (7, 67) | 20 |
stable
|
0.0 (-3.2, 3.1) |
| Conecuh County 2 | Rural | 105.7 (76.1, 144.4) | 55 (4, 67) | 10 |
stable
|
-0.1 (-2.8, 2.7) |
| Tuscaloosa County 2 | Urban | 129.8 (120.8, 139.4) | 26 (10, 47) | 162 |
stable
|
-0.2 (-1.2, 0.8) |
| Chilton County 2 | Urban | 107.5 (90.8, 126.6) | 54 (20, 67) | 31 |
stable
|
-0.3 (-1.7, 1.2) |
| Cherokee County 2 | Rural | 109.0 (86.7, 135.7) | 52 (9, 67) | 20 |
stable
|
-0.4 (-3.3, 2.4) |
| Washington County 2 | Rural | 147.1 (114.5, 186.7) | 10 (1, 60) | 16 |
stable
|
-0.4 (-4.0, 3.0) |
| DeKalb County 2 | Rural | 90.6 (78.3, 104.4) | 65 (49, 67) | 42 |
stable
|
-0.5 (-2.3, 1.4) |
| Randolph County 2 | Rural | 102.9 (80.6, 130.0) | 61 (15, 67) | 16 |
stable
|
-0.5 (-2.4, 1.3) |
| Franklin County 2 | Rural | 104.7 (84.6, 128.4) | 57 (16, 67) | 20 |
stable
|
-0.8 (-4.4, 2.7) |
| Geneva County 2 | Urban | 85.8 (67.1, 108.6) | 66 (41, 67) | 16 |
stable
|
-1.1 (-4.0, 1.7) |
| Coosa County 2 | Rural | 105.5 (73.8, 148.3) | 56 (5, 67) | 9 |
stable
|
-1.2 (-5.7, 3.2) |
| Henry County 2 | Urban | 104.7 (80.8, 134.4) | 58 (10, 67) | 15 |
stable
|
-1.5 (-4.3, 1.2) |
| Choctaw County 2 | Rural | 98.1 (71.5, 132.7) | 64 (10, 67) | 10 |
stable
|
-1.6 (-11.5, 1.5) |
| Escambia County 2 | Rural | 84.4 (67.7, 104.0) | 67 (46, 67) | 20 |
stable
|
-1.7 (-4.2, 0.7) |
| Fayette County 2 | Rural | 102.1 (76.7, 134.0) | 62 (10, 67) | 12 |
falling 
|
-3.8 (-16.0, -1.0) |
| Russell County 2 | Urban | 99.3 (85.1, 115.3) | 63 (34, 67) | 37 |
falling
|
-3.8 (-11.5, -1.0) |
| Lamar County 2 | Rural | 109.1 (79.8, 146.3) | 51 (6, 67) | 10 |
falling
|
-12.0 (-28.9, -2.9) |
| Pickens County 2 | Urban | 164.4 (133.6, 200.9) | 4 (1, 43) | 22 |
stable
|
-13.4 (-32.4, 1.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 5:49 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 for United States does not include Puerto Rico.