Incidence Rates Table
Incidence Rate Report for Alabama by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages <50
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 | 106.3 (104.6, 107.9) | N/A | 3,141 |
rising 
|
0.4 (0.1, 0.7) |
| US (SEER+NPCR) 1 | N/A | 105.7 (105.5, 105.9) | N/A | 211,922 |
stable 
|
0.1 (-0.1, 0.2) |
| Lowndes County 2 | Urban | 154.9 (111.4, 209.4) | 1 (1, 62) | 8 |
stable
|
1.2 (-1.9, 4.1) |
| Conecuh County 2 | Rural | 141.4 (101.7, 191.3) | 2 (1, 63) | 8 |
stable
|
2.0 (-1.9, 5.8) |
| Marengo County 2 | Rural | 140.6 (110.2, 176.7) | 3 (1, 57) | 15 |
stable
|
2.5 (-0.3, 5.5) |
| Clarke County 2 | Rural | 139.0 (111.5, 171.2) | 4 (1, 56) | 18 |
stable
|
1.2 (0.0, 2.4) |
| Winston County 2 | Rural | 135.5 (108.2, 167.5) | 5 (1, 54) | 17 |
stable
|
1.7 (-0.5, 3.7) |
| Lawrence County 2 | Urban | 133.8 (111.3, 159.5) | 6 (1, 48) | 25 |
stable
|
1.4 (-0.2, 2.9) |
| Clay County 2 | Rural | 127.3 (94.3, 168.0) | 7 (1, 65) | 10 |
stable
|
-0.1 (-3.4, 3.0) |
| Calhoun County 2 | Urban | 127.3 (115.4, 140.0) | 8 (1, 33) | 85 |
rising
|
4.2 (0.7, 12.6) |
| Butler County 2 | Rural | 126.9 (98.3, 161.1) | 9 (1, 63) | 13 |
stable
|
0.1 (-3.2, 3.1) |
| Washington County 2 | Rural | 126.3 (94.4, 165.4) | 10 (1, 65) | 11 |
stable
|
2.4 (-0.7, 5.4) |
| Crenshaw County 2 | Rural | 126.1 (91.7, 168.8) | 11 (1, 65) | 9 |
stable
|
-17.9 (-37.9, 4.4) |
| Talladega County 2 | Rural | 123.4 (109.7, 138.4) | 12 (2, 46) | 59 |
stable
|
1.3 (0.0, 2.5) |
| Sumter County 2 | Rural | 122.9 (83.5, 173.3) | 13 (1, 67) | 7 |
stable
|
2.3 (-1.7, 6.1) |
| Walker County 2 | Urban | 122.0 (106.4, 139.2) | 14 (2, 52) | 44 |
stable
|
1.0 (-0.1, 2.0) |
| Etowah County 2 | Urban | 120.9 (108.8, 133.9) | 17 (4, 47) | 74 |
stable
|
1.1 (-0.1, 2.2) |
| Pike County 2 | Rural | 120.8 (97.5, 147.7) | 15 (1, 60) | 19 |
stable
|
1.8 (-1.0, 4.5) |
| Greene County 2 | Urban | 120.7 (76.3, 180.9) | 18 (1, 67) | 5 |
stable
|
2.0 (-1.4, 5.1) |
| Tallapoosa County 2 | Rural | 118.9 (98.9, 141.7) | 16 (1, 59) | 25 |
stable
|
0.6 (-1.2, 2.3) |
| Autauga County 2 | Urban | 117.6 (102.3, 134.5) | 19 (3, 57) | 43 |
stable
|
0.0 (-1.1, 1.1) |
| Cullman County 2 | Rural | 116.5 (103.6, 130.6) | 20 (5, 51) | 60 |
stable
|
1.2 (-0.5, 2.9) |
| Lauderdale County 2 | Urban | 115.5 (102.5, 129.7) | 21 (5, 54) | 58 |
rising
|
1.6 (0.6, 2.6) |
| Cherokee County 2 | Rural | 114.4 (89.8, 143.6) | 22 (1, 65) | 15 |
stable
|
1.1 (-2.9, 5.0) |
| Fayette County 2 | Rural | 113.8 (84.6, 149.7) | 23 (1, 66) | 10 |
stable
|
-2.1 (-18.6, 2.1) |
| Lamar County 2 | Rural | 113.2 (82.0, 152.3) | 24 (1, 67) | 9 |
stable
|
0.7 (-1.5, 2.9) |
| Randolph County 2 | Rural | 112.9 (87.5, 143.3) | 26 (1, 65) | 14 |
stable
|
0.7 (-1.8, 3.1) |
| Wilcox County 2 | Rural | 112.4 (77.1, 158.0) | 27 (1, 67) | 7 |
stable
|
-1.3 (-4.4, 1.5) |
| Houston County 2 | Urban | 112.3 (100.9, 124.7) | 25 (7, 54) | 71 |
stable
|
0.1 (-1.1, 1.2) |
| Dallas County 2 | Rural | 111.7 (92.0, 134.3) | 28 (3, 63) | 23 |
stable
|
1.3 (-0.8, 3.4) |
| Elmore County 2 | Urban | 110.9 (98.7, 124.2) | 30 (8, 56) | 61 |
stable
|
0.7 (-1.2, 2.6) |
| Chilton County 2 | Urban | 110.7 (93.6, 130.1) | 32 (5, 62) | 30 |
stable
|
-0.3 (-1.9, 1.4) |
| Morgan County 2 | Urban | 110.5 (99.9, 121.9) | 29 (9, 55) | 80 |
stable
|
0.7 (-0.7, 2.1) |
| Dale County 2 | Rural | 110.2 (93.5, 129.0) | 31 (4, 62) | 31 |
stable
|
1.4 (-0.5, 3.3) |
| Coosa County 2 | Rural | 109.9 (73.6, 158.1) | 33 (1, 67) | 6 |
stable
|
2.5 (-2.7, 8.0) |
| Mobile County 2 | Urban | 108.5 (102.6, 114.5) | 34 (17, 50) | 261 |
rising
|
2.2 (0.4, 6.2) |
| Colbert County 2 | Urban | 107.8 (92.3, 125.1) | 36 (6, 62) | 35 |
stable
|
-4.3 (-14.3, 0.6) |
| Covington County 2 | Rural | 107.6 (88.4, 129.6) | 35 (4, 64) | 22 |
stable
|
2.2 (-0.9, 5.3) |
| Shelby County 2 | Urban | 106.8 (99.4, 114.7) | 38 (17, 55) | 153 |
stable
|
0.2 (-0.5, 0.9) |
| Marshall County 2 | Rural | 106.6 (94.9, 119.4) | 39 (12, 60) | 60 |
stable
|
0.2 (-1.3, 1.6) |
| Blount County 2 | Urban | 106.5 (91.7, 123.0) | 41 (8, 63) | 37 |
stable
|
0.4 (-1.4, 2.2) |
| Coffee County 2 | Rural | 106.2 (91.0, 123.2) | 43 (8, 64) | 35 |
stable
|
1.2 (-0.6, 3.1) |
| Baldwin County 2 | Urban | 106.0 (98.3, 114.1) | 40 (17, 55) | 141 |
stable
|
0.8 (0.0, 1.5) |
| Chambers County 2 | Rural | 105.3 (85.8, 127.9) | 42 (5, 65) | 21 |
stable
|
-12.1 (-26.7, 2.2) |
| Macon County 2 | Urban | 105.3 (77.0, 140.2) | 37 (1, 67) | 10 |
stable
|
1.1 (-0.6, 2.8) |
| Bibb County 2 | Urban | 105.3 (82.8, 132.1) | 46 (4, 66) | 15 |
stable
|
1.2 (-1.5, 4.0) |
| Jefferson County 2 | Urban | 105.2 (100.7, 109.7) | 44 (24, 52) | 426 |
stable
|
-0.2 (-0.7, 0.4) |
| St. Clair County 2 | Urban | 105.1 (93.4, 117.8) | 45 (12, 61) | 59 |
stable
|
1.0 (-0.5, 2.5) |
| Jackson County 2 | Rural | 102.1 (86.8, 119.4) | 47 (10, 65) | 32 |
stable
|
0.5 (-1.5, 2.5) |
| Montgomery County 2 | Urban | 99.7 (92.3, 107.6) | 49 (26, 61) | 134 |
stable
|
0.1 (-0.7, 0.8) |
| Madison County 2 | Urban | 99.6 (93.9, 105.5) | 48 (29, 59) | 230 |
stable
|
-2.9 (-7.6, 0.2) |
| Limestone County 2 | Urban | 98.6 (88.2, 109.8) | 50 (20, 63) | 66 |
falling 
|
-6.5 (-10.8, -0.4) |
| Tuscaloosa County 2 | Urban | 97.1 (89.6, 104.9) | 51 (28, 62) | 130 |
stable
|
-0.7 (-1.5, 0.1) |
| Monroe County 2 | Rural | 95.9 (71.4, 126.0) | 52 (5, 67) | 10 |
stable
|
0.7 (-2.5, 3.7) |
| Henry County 2 | Urban | 95.5 (70.3, 126.9) | 53 (4, 67) | 10 |
stable
|
-0.1 (-2.2, 1.9) |
| Escambia County 2 | Rural | 95.0 (77.5, 115.3) | 54 (12, 67) | 21 |
stable
|
-0.8 (-3.5, 1.6) |
| Marion County 2 | Rural | 94.5 (74.7, 118.0) | 55 (9, 67) | 16 |
stable
|
8.1 (-8.4, 20.9) |
| Geneva County 2 | Urban | 93.5 (72.8, 118.3) | 58 (9, 67) | 14 |
stable
|
-0.9 (-3.6, 1.5) |
| Franklin County 2 | Rural | 92.6 (74.4, 113.9) | 59 (12, 67) | 18 |
stable
|
0.7 (-1.1, 2.6) |
| Pickens County 2 | Urban | 91.7 (68.2, 120.8) | 57 (6, 67) | 10 |
falling
|
-17.9 (-40.8, -6.1) |
| Perry County 2 | Rural | 90.2 (54.8, 139.2) | 56 (1, 67) | 4 |
stable
|
2.0 (-2.3, 6.3) |
| Cleburne County 2 | Rural | 89.7 (63.6, 123.0) | 61 (5, 67) | 8 |
falling
|
-5.6 (-20.4, -1.7) |
| Lee County 2 | Urban | 89.2 (81.2, 97.8) | 60 (41, 65) | 94 |
stable
|
0.6 (-0.4, 1.7) |
| Russell County 2 | Urban | 87.6 (74.2, 102.6) | 62 (31, 67) | 31 |
stable
|
-0.6 (-2.3, 1.0) |
| Hale County 2 | Urban | 84.9 (58.6, 118.7) | 63 (7, 67) | 7 |
stable
|
-1.4 (-4.8, 1.4) |
| Barbour County 2 | Rural | 83.6 (64.0, 107.3) | 64 (18, 67) | 12 |
stable
|
-0.7 (-3.1, 1.3) |
| Bullock County 2 | Rural | 81.8 (53.4, 120.0) | 65 (7, 67) | 5 |
stable
|
0.0 (-5.0, 4.5) |
| DeKalb County 2 | Rural | 77.2 (65.9, 90.0) | 66 (50, 67) | 33 |
stable
|
0.0 (-2.3, 2.3) |
| Choctaw County 2 | Rural | 64.7 (40.4, 98.2) | 67 (27, 67) | 4 |
stable
|
-0.3 (-4.7, 3.4) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/25/2026 9:02 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.