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Incidence Rates Table

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Incidence Rate Report for Alabama by County

Breast (in situ) (All Stages^), 2018-2022

All Races (includes Hispanic), Female, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Alabama 2 N/A 23.8 (23.1, 24.6) N/A 780 stable stable trend -0.6 (-1.3, 0.0)
US (SEER+NPCR) 1 N/A 29.8 (29.7, 29.9) N/A 60,125 stable stable trend 1.6 (-0.3, 3.5)
Lauderdale County 2 Urban 22.8 (17.6, 29.1) 22 (4, 38) 15 stable stable trend -8.4 (-16.7, 0.2)
Colbert County 2 Urban 20.3 (14.8, 27.6) 28 (6, 41) 9 stable stable trend -4.8 (-18.1, 0.2)
Houston County 2 Urban 19.1 (14.6, 24.5) 32 (10, 41) 14 falling falling trend -4.5 (-7.0, -2.4)
Marshall County 2 Rural 16.6 (12.0, 22.4) 38 (15, 42) 9 falling falling trend -4.0 (-8.2, -0.4)
Pike County 2 Rural 23.0 (14.2, 35.4) 20 (1, 42) 5 stable stable trend -3.8 (-11.4, 0.0)
Autauga County 2 Urban 24.0 (17.6, 32.2) 13 (2, 39) 10 stable stable trend -2.9 (-6.6, 0.9)
Limestone County 2 Urban 18.9 (14.3, 24.6) 35 (10, 41) 12 falling falling trend -2.7 (-5.1, -0.2)
Franklin County 2 Rural 23.9 (14.8, 36.7) 14 (1, 41) 5 stable stable trend -2.6 (-18.1, 3.4)
Madison County 2 Urban 27.4 (24.4, 30.7) 7 (3, 20) 66 falling falling trend -2.2 (-3.2, -1.3)
Etowah County 2 Urban 12.6 (9.1, 17.1) 41 (30, 42) 9 stable stable trend -1.8 (-4.3, 0.6)
Tuscaloosa County 2 Urban 22.5 (18.8, 26.7) 23 (7, 36) 28 stable stable trend -1.8 (-4.1, 0.7)
Calhoun County 2 Urban 20.6 (16.3, 25.6) 27 (7, 39) 18 stable stable trend -1.5 (-4.2, 1.2)
Dallas County 2 Rural 24.1 (16.1, 34.9) 12 (1, 41) 6 stable stable trend -1.2 (-4.9, 2.2)
Walker County 2 Urban 19.0 (13.4, 26.4) 33 (7, 42) 8 stable stable trend -1.2 (-4.2, 1.7)
Coffee County 2 Rural 15.2 (9.8, 22.7) 40 (14, 42) 5 stable stable trend -1.1 (-4.4, 2.2)
Lee County 2 Urban 23.3 (19.0, 28.2) 18 (6, 36) 22 stable stable trend -0.9 (-3.4, 2.0)
Tallapoosa County 2 Rural 21.0 (14.0, 30.6) 25 (3, 42) 7 stable stable trend -0.9 (-4.4, 2.3)
DeKalb County 2 Rural 10.3 (6.4, 15.9) 42 (33, 42) 5 stable stable trend -0.8 (-4.9, 3.4)
Escambia County 2 Rural 15.2 (8.7, 25.0) 39 (9, 42) 4 stable stable trend -0.7 (-5.9, 4.4)
Elmore County 2 Urban 25.7 (19.9, 32.6) 10 (2, 35) 14 stable stable trend -0.6 (-4.6, 3.6)
Russell County 2 Urban 18.9 (13.1, 26.6) 34 (7, 42) 7 stable stable trend -0.4 (-4.1, 3.7)
Jefferson County 2 Urban 31.8 (29.4, 34.5) 3 (1, 10) 133 stable stable trend -0.3 (-1.1, 0.5)
Marion County 2 Rural 31.5 (20.3, 46.8) 4 (1, 38) 6 stable stable trend -0.1 (-4.6, 4.2)
Baldwin County 2 Urban 26.9 (23.3, 30.9) 9 (3, 25) 45 stable stable trend 0.0 (-1.6, 1.8)
Dale County 2 Rural 23.0 (15.3, 33.2) 19 (1, 41) 6 stable stable trend 0.0 (-4.6, 4.8)
Chilton County 2 Urban 21.0 (13.7, 30.9) 26 (2, 42) 6 stable stable trend 0.1 (-3.5, 3.8)
Mobile County 2 Urban 22.8 (20.2, 25.6) 21 (9, 31) 62 stable stable trend 0.1 (-1.3, 1.6)
Lawrence County 2 Urban 17.1 (10.9, 26.3) 37 (7, 42) 5 stable stable trend 0.2 (-2.6, 3.4)
Morgan County 2 Urban 23.5 (18.8, 29.0) 17 (5, 36) 19 stable stable trend 0.5 (-2.2, 3.3)
Jackson County 2 Rural 19.3 (13.0, 27.6) 31 (6, 42) 7 stable stable trend 0.6 (-4.3, 5.3)
St. Clair County 2 Urban 30.8 (24.7, 38.0) 5 (1, 24) 19 stable stable trend 0.7 (-1.7, 3.4)
Talladega County 2 Rural 24.4 (18.8, 31.3) 11 (2, 37) 14 stable stable trend 0.7 (-2.1, 3.6)
Clarke County 2 Rural 19.4 (11.5, 31.7) 30 (2, 42) 4 stable stable trend 1.1 (-3.0, 5.6)
Shelby County 2 Urban 34.4 (30.1, 39.2) 2 (1, 9) 49 rising rising trend 1.4 (0.1, 2.8)
Cullman County 2 Rural 20.1 (15.4, 26.0) 29 (7, 40) 13 stable stable trend 1.7 (-2.0, 6.1)
Geneva County 2 Urban 26.9 (16.8, 41.4) 8 (1, 41) 5 stable stable trend 2.4 (-1.8, 7.6)
Montgomery County 2 Urban 23.8 (20.3, 27.8) 15 (6, 32) 35 rising rising trend 11.2 (0.2, 20.9)
Barbour County 2 Rural 21.6 (12.2, 36.0) 24 (1, 42) 4
*
*
Blount County 2 Urban 17.3 (12.0, 24.2) 36 (11, 42) 7
*
*
Chambers County 2 Rural 23.5 (15.4, 34.8) 16 (1, 41) 6
*
*
Macon County 2 Urban 38.0 (23.3, 59.1) 1 (1, 36) 5
*
*
Monroe County 2 Rural 30.7 (18.3, 48.9) 6 (1, 40) 4
*
*
Bibb County 2 Urban
*
*
3 or fewer
*
*
Bullock County 2 Rural
*
*
3 or fewer
*
*
Butler County 2 Rural
*
*
3 or fewer
*
*
Cherokee County 2 Rural
*
*
3 or fewer
*
*
Choctaw County 2 Rural
*
*
3 or fewer
*
*
Clay County 2 Rural
*
*
3 or fewer
*
*
Cleburne County 2 Rural
*
*
3 or fewer
*
*
Conecuh County 2 Rural
*
*
3 or fewer
*
*
Coosa County 2 Rural
*
*
3 or fewer
*
*
Covington County 2 Rural
*
*
3 or fewer
*
*
Crenshaw County 2 Rural
*
*
3 or fewer
*
*
Fayette County 2 Rural
*
*
3 or fewer
*
*
Greene County 2 Urban
*
*
3 or fewer
*
*
Hale County 2 Urban
*
*
3 or fewer
*
*
Henry County 2 Urban
*
*
3 or fewer
*
*
Lamar County 2 Rural
*
*
3 or fewer
*
*
Lowndes County 2 Urban
*
*
3 or fewer
*
*
Marengo County 2 Rural
*
*
3 or fewer
*
*
Perry County 2 Rural
*
*
3 or fewer
*
*
Pickens County 2 Urban
*
*
3 or fewer
*
*
Randolph County 2 Rural
*
*
3 or fewer
*
*
Sumter County 2 Rural
*
*
3 or fewer
*
*
Washington County 2 Rural
*
*
3 or fewer
*
*
Wilcox County 2 Rural
*
*
3 or fewer
*
*
Winston County 2 Rural
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/17/2026 3:30 pm.

State Cancer Registries may provide more current or more local data.

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.


† 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.

‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

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.

⋔ 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.

1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.

2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).

* 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.

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