Incidence Rates Table
Incidence Rate Report for Alabama by County
Breast (All Stages^), 2018-2022
Black Non-Hispanic, Female, All Ages
Sorted by Rate
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 | 134.1 (130.4, 137.8) | N/A | 1,071 |
rising 
|
3.0 (1.5, 4.2) |
| US (SEER+NPCR) 1 | N/A | 130.5 (129.8, 131.2) | N/A | 31,484 |
stable 
|
0.4 (-0.3, 0.6) |
| Russell County 2 | Urban | 95.5 (75.3, 119.7) | 48 (29, 48) | 16 |
stable
|
-3.8 (-15.5, 0.1) |
| Tallapoosa County 2 | Rural | 100.3 (69.7, 140.4) | 47 (14, 48) | 7 |
stable
|
0.4 (-4.5, 6.4) |
| Elmore County 2 | Urban | 105.7 (78.1, 140.0) | 46 (12, 48) | 10 |
stable
|
0.2 (-2.4, 3.2) |
| Coffee County 2 | Rural | 107.3 (72.0, 154.7) | 45 (8, 48) | 6 |
stable
|
1.0 (-2.4, 5.0) |
| Covington County 2 | Rural | 107.7 (60.0, 178.6) | 44 (3, 48) | 3 |
|
|
| Henry County 2 | Urban | 108.6 (65.0, 175.1) | 43 (4, 48) | 4 |
|
|
| Chambers County 2 | Rural | 110.8 (80.9, 148.4) | 42 (10, 48) | 10 |
rising
|
3.3 (0.5, 6.9) |
| Monroe County 2 | Rural | 114.8 (77.0, 165.5) | 41 (5, 48) | 7 |
stable
|
0.5 (-3.8, 5.2) |
| Lawrence County 2 | Urban | 119.6 (67.4, 202.0) | 40 (1, 48) | 3 |
stable
|
0.9 (-2.9, 5.2) |
| Wilcox County 2 | Rural | 121.9 (81.1, 176.9) | 39 (3, 48) | 6 |
stable
|
1.3 (-1.3, 4.1) |
| Escambia County 2 | Rural | 123.4 (86.7, 170.5) | 38 (4, 48) | 8 |
stable
|
-0.8 (-4.7, 3.4) |
| Dale County 2 | Rural | 124.2 (87.2, 172.0) | 37 (4, 48) | 8 |
stable
|
0.0 (-3.5, 3.8) |
| Calhoun County 2 | Urban | 124.8 (99.1, 155.2) | 36 (7, 47) | 18 |
stable
|
-0.5 (-2.5, 1.5) |
| Shelby County 2 | Urban | 125.4 (100.8, 154.4) | 35 (8, 47) | 20 |
stable
|
-0.8 (-3.2, 2.5) |
| Baldwin County 2 | Urban | 126.2 (96.9, 161.5) | 34 (7, 48) | 14 |
stable
|
1.7 (-0.3, 4.1) |
| Etowah County 2 | Urban | 126.8 (96.0, 164.5) | 33 (5, 48) | 12 |
stable
|
-1.2 (-3.5, 1.1) |
| Limestone County 2 | Urban | 127.2 (93.8, 169.1) | 32 (4, 48) | 10 |
rising
|
3.8 (0.4, 9.2) |
| Lee County 2 | Urban | 128.1 (107.0, 152.2) | 31 (10, 46) | 28 |
stable
|
1.2 (-1.5, 4.7) |
| Mobile County 2 | Urban | 129.2 (118.4, 140.6) | 30 (16, 41) | 115 |
stable
|
0.7 (-0.4, 1.8) |
| Choctaw County 2 | Rural | 129.6 (83.8, 195.0) | 29 (1, 48) | 6 |
|
|
| Bullock County 2 | Rural | 130.0 (86.4, 189.4) | 28 (2, 48) | 6 |
stable
|
1.2 (-4.2, 7.1) |
| Jefferson County 2 | Urban | 131.1 (123.5, 139.1) | 27 (17, 38) | 238 |
stable
|
0.2 (-0.5, 1.0) |
| Barbour County 2 | Rural | 134.4 (96.6, 182.4) | 26 (2, 48) | 9 |
stable
|
1.3 (-1.8, 4.7) |
| Colbert County 2 | Urban | 134.9 (94.8, 186.6) | 25 (2, 48) | 8 |
stable
|
1.0 (-3.1, 5.9) |
| Houston County 2 | Urban | 136.4 (111.5, 165.1) | 24 (6, 45) | 22 |
stable
|
1.7 (-1.4, 5.4) |
| Greene County 2 | Urban | 138.8 (90.9, 204.4) | 23 (1, 48) | 7 |
stable
|
2.1 (-0.5, 4.7) |
| Morgan County 2 | Urban | 139.8 (105.7, 181.5) | 22 (2, 47) | 12 |
stable
|
-1.3 (-3.6, 1.2) |
| Montgomery County 2 | Urban | 140.3 (128.3, 153.0) | 21 (10, 36) | 108 |
rising
|
1.3 (0.2, 2.6) |
| Tuscaloosa County 2 | Urban | 141.5 (124.7, 160.0) | 20 (7, 39) | 54 |
stable
|
0.4 (-1.3, 2.4) |
| Perry County 2 | Rural | 142.0 (92.9, 209.1) | 19 (1, 48) | 6 |
stable
|
1.1 (-2.9, 5.2) |
| Madison County 2 | Urban | 142.4 (127.9, 158.1) | 18 (8, 36) | 75 |
stable
|
0.9 (0.0, 2.0) |
| Lowndes County 2 | Urban | 143.0 (97.6, 203.2) | 17 (1, 48) | 7 |
stable
|
2.6 (-0.8, 6.5) |
| Macon County 2 | Urban | 145.4 (111.7, 186.6) | 16 (2, 46) | 15 |
rising
|
3.9 (0.8, 7.5) |
| Sumter County 2 | Rural | 148.7 (103.1, 208.0) | 15 (1, 48) | 8 |
stable
|
2.9 (-0.7, 7.0) |
| Autauga County 2 | Urban | 150.2 (112.0, 197.8) | 14 (1, 46) | 11 |
stable
|
-4.5 (-21.5, 2.3) |
| Talladega County 2 | Rural | 150.3 (123.2, 181.6) | 13 (3, 41) | 23 |
stable
|
1.8 (-0.4, 4.2) |
| Lauderdale County 2 | Urban | 156.0 (108.8, 216.4) | 12 (1, 47) | 8 |
stable
|
1.4 (-1.5, 4.5) |
| Dallas County 2 | Rural | 159.4 (133.2, 189.4) | 11 (2, 37) | 29 |
rising
|
2.3 (0.5, 4.3) |
| Hale County 2 | Urban | 163.8 (118.9, 221.0) | 10 (1, 46) | 10 |
|
|
| St. Clair County 2 | Urban | 164.5 (117.0, 226.1) | 9 (1, 45) | 8 |
|
|
| Butler County 2 | Rural | 164.8 (119.5, 222.0) | 8 (1, 45) | 9 |
|
|
| Pike County 2 | Rural | 166.8 (123.8, 219.9) | 7 (1, 44) | 11 |
rising
|
4.0 (1.2, 7.5) |
| Washington County 2 | Rural | 172.3 (100.1, 277.8) | 6 (1, 48) | 4 |
|
|
| Crenshaw County 2 | Rural | 176.4 (103.4, 283.7) | 5 (1, 48) | 4 |
|
|
| Pickens County 2 | Urban | 183.4 (134.2, 246.2) | 4 (1, 40) | 10 |
stable
|
-16.1 (-40.8, 2.9) |
| Marengo County 2 | Rural | 189.9 (144.4, 245.9) | 3 (1, 35) | 13 |
rising
|
15.0 (5.3, 41.2) |
| Bibb County 2 | Urban | 193.8 (116.1, 304.6) | 2 (1, 48) | 4 |
|
|
| Clarke County 2 | Rural | 195.5 (149.9, 251.1) | 1 (1, 30) | 13 |
rising
|
2.8 (0.6, 5.3) |
| Blount County 2 | Urban |
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| Cherokee County 2 | Rural |
|
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| Chilton County 2 | Urban |
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| Clay County 2 | Rural |
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| Cleburne County 2 | Rural |
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| Conecuh County 2 | Rural |
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| Coosa County 2 | Rural |
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| Cullman County 2 | Rural |
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| DeKalb County 2 | Rural |
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| Fayette County 2 | Rural |
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| Franklin County 2 | Rural |
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| Geneva County 2 | Urban |
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| Jackson County 2 | Rural |
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| Lamar County 2 | Rural |
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| Marion County 2 | Rural |
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| Marshall County 2 | Rural |
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| Randolph County 2 | Rural |
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| Walker County 2 | Urban |
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| Winston County 2 | Rural |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/28/2026 12:21 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 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.