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Incidence Rates Table

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Incidence Rate Report for Alabama by County

All Cancer Sites (All Stages^), 2018-2022

All Races (includes Hispanic), Both Sexes, Ages <65

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 228.6 (226.7, 230.5) N/A 11,859 falling falling trend -0.3 (-0.9, -0.1)
US (SEER+NPCR) 1 N/A 223.5 (223.3, 223.8) N/A 753,674 falling falling trend -0.2 (-0.3, -0.1)
Choctaw County 2 Rural 176.4 (145.4, 212.9) 67 (37, 67) 26 falling falling trend -9.9 (-22.5, -0.8)
Sumter County 2 Rural 253.7 (209.2, 305.1) 16 (1, 65) 28 stable stable trend -6.0 (-16.6, 0.3)
Dallas County 2 Rural 224.2 (202.2, 248.0) 50 (12, 65) 89 stable stable trend -5.7 (-18.2, 0.1)
Limestone County 2 Urban 218.9 (206.5, 231.9) 55 (27, 62) 250 falling falling trend -5.3 (-8.2, -1.1)
Walker County 2 Urban 266.8 (248.9, 285.8) 9 (2, 32) 186 stable stable trend -5.1 (-10.7, 0.5)
Russell County 2 Urban 197.3 (181.3, 214.4) 64 (48, 67) 122 falling falling trend -3.6 (-11.9, -1.1)
Madison County 2 Urban 209.0 (202.5, 215.7) 58 (49, 63) 865 falling falling trend -2.7 (-5.9, -0.5)
Tuscaloosa County 2 Urban 197.7 (188.9, 206.7) 63 (54, 66) 410 falling falling trend -2.5 (-3.3, -1.9)
Bullock County 2 Rural 202.5 (165.4, 245.9) 61 (9, 67) 23 stable stable trend -2.3 (-19.8, 1.3)
Cleburne County 2 Rural 240.4 (206.6, 278.6) 32 (2, 64) 40 falling falling trend -2.0 (-4.7, -0.5)
Clay County 2 Rural 252.3 (215.6, 293.9) 19 (1, 63) 39 falling falling trend -1.3 (-2.4, -0.2)
Fayette County 2 Rural 223.6 (190.8, 260.7) 52 (5, 67) 38 stable stable trend -1.3 (-11.3, 0.6)
Shelby County 2 Urban 206.6 (198.2, 215.4) 59 (49, 64) 474 falling falling trend -0.7 (-1.2, -0.1)
Geneva County 2 Urban 203.0 (179.0, 229.5) 60 (25, 67) 58 stable stable trend -0.6 (-1.9, 0.6)
Jefferson County 2 Urban 233.0 (227.7, 238.4) 41 (26, 50) 1,581 stable stable trend -0.4 (-0.8, 0.0)
Morgan County 2 Urban 233.0 (220.9, 245.7) 40 (18, 56) 301 stable stable trend -0.4 (-1.1, 0.4)
Lee County 2 Urban 186.6 (177.0, 196.6) 65 (59, 67) 299 stable stable trend -0.3 (-1.2, 0.7)
Franklin County 2 Rural 198.5 (176.7, 222.3) 62 (33, 67) 64 stable stable trend -0.2 (-1.3, 0.8)
Houston County 2 Urban 229.8 (216.7, 243.5) 44 (19, 58) 252 stable stable trend -0.2 (-0.9, 0.5)
Bibb County 2 Urban 243.5 (215.7, 274.3) 28 (3, 61) 59 stable stable trend -0.1 (-1.6, 1.4)
Chilton County 2 Urban 240.7 (220.4, 262.4) 31 (6, 58) 113 stable stable trend -0.1 (-1.2, 0.9)
DeKalb County 2 Rural 177.9 (164.1, 192.6) 66 (60, 67) 134 stable stable trend -0.1 (-1.3, 1.1)
Monroe County 2 Rural 240.8 (211.0, 274.0) 30 (3, 63) 55 stable stable trend -0.1 (-3.6, 0.8)
Baldwin County 2 Urban 215.3 (206.7, 224.1) 56 (42, 62) 537 stable stable trend 0.0 (-0.4, 0.4)
Dale County 2 Rural 219.9 (200.9, 240.3) 54 (20, 64) 109 stable stable trend 0.0 (-1.1, 1.1)
Greene County 2 Urban 259.6 (207.9, 321.0) 12 (1, 66) 21 stable stable trend 0.0 (-2.1, 1.9)
Henry County 2 Urban 242.7 (210.8, 278.5) 29 (2, 63) 46 stable stable trend 0.0 (-1.3, 1.2)
Winston County 2 Rural 253.5 (224.3, 285.6) 17 (2, 59) 64 stable stable trend 0.0 (-1.5, 1.4)
Escambia County 2 Rural 228.2 (206.5, 251.7) 46 (11, 63) 87 stable stable trend 0.1 (-1.0, 1.1)
Marshall County 2 Rural 229.7 (216.0, 244.1) 45 (18, 59) 229 stable stable trend 0.1 (-0.6, 0.8)
Barbour County 2 Rural 234.1 (207.9, 262.9) 38 (5, 63) 62 stable stable trend 0.2 (-1.4, 1.7)
Coffee County 2 Rural 225.2 (207.1, 244.6) 49 (17, 63) 121 stable stable trend 0.2 (-0.7, 1.1)
Lawrence County 2 Urban 258.8 (234.3, 285.4) 13 (2, 52) 93 stable stable trend 0.2 (-0.7, 1.0)
St. Clair County 2 Urban 234.6 (220.7, 249.1) 36 (13, 56) 232 stable stable trend 0.2 (-0.5, 1.0)
Tallapoosa County 2 Rural 256.7 (234.4, 280.6) 14 (2, 50) 117 stable stable trend 0.2 (-0.5, 0.9)
Chambers County 2 Rural 250.1 (226.8, 275.3) 21 (3, 56) 96 stable stable trend 0.3 (-0.5, 1.2)
Cullman County 2 Rural 231.5 (217.1, 246.7) 43 (15, 58) 212 stable stable trend 0.3 (-0.5, 1.1)
Elmore County 2 Urban 247.8 (233.2, 263.1) 23 (7, 49) 232 stable stable trend 0.3 (-0.7, 1.3)
Lauderdale County 2 Urban 222.7 (208.5, 237.7) 53 (24, 62) 207 stable stable trend 0.3 (-0.5, 1.1)
Pickens County 2 Urban 244.7 (214.5, 278.3) 27 (2, 62) 53 stable stable trend 0.3 (-1.1, 1.8)
Talladega County 2 Rural 252.2 (236.7, 268.5) 20 (6, 45) 218 stable stable trend 0.3 (-0.4, 0.9)
Blount County 2 Urban 232.4 (214.9, 250.9) 42 (12, 60) 143 stable stable trend 0.4 (-0.4, 1.2)
Colbert County 2 Urban 237.6 (219.6, 256.7) 33 (10, 59) 145 stable stable trend 0.4 (-0.4, 1.2)
Etowah County 2 Urban 246.9 (233.2, 261.3) 24 (8, 48) 268 stable stable trend 0.4 (-0.2, 1.0)
Jackson County 2 Rural 234.9 (216.5, 254.4) 35 (11, 60) 136 stable stable trend 0.4 (-0.9, 1.6)
Wilcox County 2 Rural 282.0 (237.1, 333.5) 4 (1, 56) 31 stable stable trend 0.4 (-1.3, 2.0)
Autauga County 2 Urban 254.7 (236.7, 273.9) 15 (4, 48) 158 stable stable trend 0.5 (-0.1, 1.1)
Covington County 2 Rural 223.7 (202.2, 247.1) 51 (14, 64) 91 stable stable trend 0.5 (-1.1, 2.1)
Lamar County 2 Rural 236.6 (200.4, 277.8) 34 (3, 66) 34 stable stable trend 0.5 (-1.0, 2.0)
Montgomery County 2 Urban 233.4 (224.2, 242.8) 39 (20, 54) 529 stable stable trend 0.5 (0.0, 0.9)
Cherokee County 2 Rural 226.5 (199.9, 255.8) 48 (8, 65) 64 stable stable trend 0.6 (-1.3, 2.5)
Marion County 2 Rural 227.3 (203.4, 253.5) 47 (10, 64) 73 stable stable trend 0.6 (-0.3, 1.5)
Coosa County 2 Rural 210.1 (171.3, 256.1) 57 (6, 67) 26 stable stable trend 0.7 (-1.7, 3.1)
Hale County 2 Urban 261.5 (225.7, 301.8) 10 (1, 59) 44 stable stable trend 0.7 (-1.5, 2.9)
Marengo County 2 Rural 269.0 (235.5, 306.1) 7 (1, 54) 53 stable stable trend 0.7 (-0.3, 1.8)
Mobile County 2 Urban 234.5 (227.7, 241.4) 37 (22, 50) 992 rising rising trend 0.7 (0.1, 1.9)
Washington County 2 Rural 248.4 (213.2, 288.0) 22 (1, 64) 41 stable stable trend 0.8 (-0.8, 2.5)
Lowndes County 2 Urban 290.1 (242.8, 344.3) 3 (1, 56) 31 stable stable trend 0.9 (-1.0, 2.8)
Butler County 2 Rural 281.8 (247.9, 319.3) 5 (1, 45) 56 stable stable trend 1.0 (-0.4, 2.3)
Randolph County 2 Rural 244.7 (216.0, 276.5) 26 (3, 62) 61 stable stable trend 1.0 (-0.9, 3.1)
Macon County 2 Urban 246.6 (213.3, 283.9) 25 (2, 63) 47 stable stable trend 1.1 (-0.3, 2.6)
Pike County 2 Rural 268.2 (240.4, 298.3) 8 (1, 46) 75 rising rising trend 1.1 (0.2, 2.1)
Perry County 2 Rural 253.3 (205.7, 309.3) 18 (1, 66) 23 stable stable trend 1.2 (-1.4, 3.6)
Conecuh County 2 Rural 298.6 (253.3, 350.1) 1 (1, 43) 37 stable stable trend 1.3 (-0.9, 3.4)
Calhoun County 2 Urban 261.0 (247.5, 275.1) 11 (4, 31) 310 rising rising trend 2.2 (0.6, 6.1)
Clarke County 2 Rural 278.9 (248.2, 312.6) 6 (1, 42) 68 rising rising trend 2.5 (0.9, 7.2)
Crenshaw County 2 Rural 291.0 (250.5, 336.6) 2 (1, 42) 43 rising rising trend 2.9 (1.1, 4.8)

Notes:
Created by statecancerprofiles.cancer.gov on 03/17/2026 4:45 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 for United States does not include Puerto Rico.

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