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 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 | 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) |
| Marion County 2 | Rural | 94.5 (74.7, 118.0) | 55 (9, 67) | 16 |
stable
|
8.1 (-8.4, 20.9) |
| Calhoun County 2 | Urban | 127.3 (115.4, 140.0) | 8 (1, 33) | 85 |
rising
|
4.2 (0.7, 12.6) |
| Coosa County 2 | Rural | 109.9 (73.6, 158.1) | 33 (1, 67) | 6 |
stable
|
2.5 (-2.7, 8.0) |
| Marengo County 2 | Rural | 140.6 (110.2, 176.7) | 3 (1, 57) | 15 |
stable
|
2.5 (-0.3, 5.5) |
| Washington County 2 | Rural | 126.3 (94.4, 165.4) | 10 (1, 65) | 11 |
stable
|
2.4 (-0.7, 5.4) |
| Sumter County 2 | Rural | 122.9 (83.5, 173.3) | 13 (1, 67) | 7 |
stable
|
2.3 (-1.7, 6.1) |
| Covington County 2 | Rural | 107.6 (88.4, 129.6) | 35 (4, 64) | 22 |
stable
|
2.2 (-0.9, 5.3) |
| Mobile County 2 | Urban | 108.5 (102.6, 114.5) | 34 (17, 50) | 261 |
rising
|
2.2 (0.4, 6.2) |
| Conecuh County 2 | Rural | 141.4 (101.7, 191.3) | 2 (1, 63) | 8 |
stable
|
2.0 (-1.9, 5.8) |
| Greene County 2 | Urban | 120.7 (76.3, 180.9) | 18 (1, 67) | 5 |
stable
|
2.0 (-1.4, 5.1) |
| Perry County 2 | Rural | 90.2 (54.8, 139.2) | 56 (1, 67) | 4 |
stable
|
2.0 (-2.3, 6.3) |
| Pike County 2 | Rural | 120.8 (97.5, 147.7) | 15 (1, 60) | 19 |
stable
|
1.8 (-1.0, 4.5) |
| Winston County 2 | Rural | 135.5 (108.2, 167.5) | 5 (1, 54) | 17 |
stable
|
1.7 (-0.5, 3.7) |
| Lauderdale County 2 | Urban | 115.5 (102.5, 129.7) | 21 (5, 54) | 58 |
rising
|
1.6 (0.6, 2.6) |
| Dale County 2 | Rural | 110.2 (93.5, 129.0) | 31 (4, 62) | 31 |
stable
|
1.4 (-0.5, 3.3) |
| Lawrence County 2 | Urban | 133.8 (111.3, 159.5) | 6 (1, 48) | 25 |
stable
|
1.4 (-0.2, 2.9) |
| Dallas County 2 | Rural | 111.7 (92.0, 134.3) | 28 (3, 63) | 23 |
stable
|
1.3 (-0.8, 3.4) |
| Talladega County 2 | Rural | 123.4 (109.7, 138.4) | 12 (2, 46) | 59 |
stable
|
1.3 (0.0, 2.5) |
| Bibb County 2 | Urban | 105.3 (82.8, 132.1) | 46 (4, 66) | 15 |
stable
|
1.2 (-1.5, 4.0) |
| Clarke County 2 | Rural | 139.0 (111.5, 171.2) | 4 (1, 56) | 18 |
stable
|
1.2 (0.0, 2.4) |
| Coffee County 2 | Rural | 106.2 (91.0, 123.2) | 43 (8, 64) | 35 |
stable
|
1.2 (-0.6, 3.1) |
| Cullman County 2 | Rural | 116.5 (103.6, 130.6) | 20 (5, 51) | 60 |
stable
|
1.2 (-0.5, 2.9) |
| Lowndes County 2 | Urban | 154.9 (111.4, 209.4) | 1 (1, 62) | 8 |
stable
|
1.2 (-1.9, 4.1) |
| Cherokee County 2 | Rural | 114.4 (89.8, 143.6) | 22 (1, 65) | 15 |
stable
|
1.1 (-2.9, 5.0) |
| Etowah County 2 | Urban | 120.9 (108.8, 133.9) | 17 (4, 47) | 74 |
stable
|
1.1 (-0.1, 2.2) |
| Macon County 2 | Urban | 105.3 (77.0, 140.2) | 37 (1, 67) | 10 |
stable
|
1.1 (-0.6, 2.8) |
| St. Clair County 2 | Urban | 105.1 (93.4, 117.8) | 45 (12, 61) | 59 |
stable
|
1.0 (-0.5, 2.5) |
| Walker County 2 | Urban | 122.0 (106.4, 139.2) | 14 (2, 52) | 44 |
stable
|
1.0 (-0.1, 2.0) |
| Baldwin County 2 | Urban | 106.0 (98.3, 114.1) | 40 (17, 55) | 141 |
stable
|
0.8 (0.0, 1.5) |
| Elmore County 2 | Urban | 110.9 (98.7, 124.2) | 30 (8, 56) | 61 |
stable
|
0.7 (-1.2, 2.6) |
| Franklin County 2 | Rural | 92.6 (74.4, 113.9) | 59 (12, 67) | 18 |
stable
|
0.7 (-1.1, 2.6) |
| Lamar County 2 | Rural | 113.2 (82.0, 152.3) | 24 (1, 67) | 9 |
stable
|
0.7 (-1.5, 2.9) |
| Monroe County 2 | Rural | 95.9 (71.4, 126.0) | 52 (5, 67) | 10 |
stable
|
0.7 (-2.5, 3.7) |
| Morgan County 2 | Urban | 110.5 (99.9, 121.9) | 29 (9, 55) | 80 |
stable
|
0.7 (-0.7, 2.1) |
| Randolph County 2 | Rural | 112.9 (87.5, 143.3) | 26 (1, 65) | 14 |
stable
|
0.7 (-1.8, 3.1) |
| Lee County 2 | Urban | 89.2 (81.2, 97.8) | 60 (41, 65) | 94 |
stable
|
0.6 (-0.4, 1.7) |
| Tallapoosa County 2 | Rural | 118.9 (98.9, 141.7) | 16 (1, 59) | 25 |
stable
|
0.6 (-1.2, 2.3) |
| Jackson County 2 | Rural | 102.1 (86.8, 119.4) | 47 (10, 65) | 32 |
stable
|
0.5 (-1.5, 2.5) |
| Blount County 2 | Urban | 106.5 (91.7, 123.0) | 41 (8, 63) | 37 |
stable
|
0.4 (-1.4, 2.2) |
| Marshall County 2 | Rural | 106.6 (94.9, 119.4) | 39 (12, 60) | 60 |
stable
|
0.2 (-1.3, 1.6) |
| Shelby County 2 | Urban | 106.8 (99.4, 114.7) | 38 (17, 55) | 153 |
stable
|
0.2 (-0.5, 0.9) |
| Butler County 2 | Rural | 126.9 (98.3, 161.1) | 9 (1, 63) | 13 |
stable
|
0.1 (-3.2, 3.1) |
| Houston County 2 | Urban | 112.3 (100.9, 124.7) | 25 (7, 54) | 71 |
stable
|
0.1 (-1.1, 1.2) |
| Montgomery County 2 | Urban | 99.7 (92.3, 107.6) | 49 (26, 61) | 134 |
stable
|
0.1 (-0.7, 0.8) |
| Autauga County 2 | Urban | 117.6 (102.3, 134.5) | 19 (3, 57) | 43 |
stable
|
0.0 (-1.1, 1.1) |
| 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) |
| Clay County 2 | Rural | 127.3 (94.3, 168.0) | 7 (1, 65) | 10 |
stable
|
-0.1 (-3.4, 3.0) |
| Henry County 2 | Urban | 95.5 (70.3, 126.9) | 53 (4, 67) | 10 |
stable
|
-0.1 (-2.2, 1.9) |
| Jefferson County 2 | Urban | 105.2 (100.7, 109.7) | 44 (24, 52) | 426 |
stable
|
-0.2 (-0.7, 0.4) |
| Chilton County 2 | Urban | 110.7 (93.6, 130.1) | 32 (5, 62) | 30 |
stable
|
-0.3 (-1.9, 1.4) |
| Choctaw County 2 | Rural | 64.7 (40.4, 98.2) | 67 (27, 67) | 4 |
stable
|
-0.3 (-4.7, 3.4) |
| Russell County 2 | Urban | 87.6 (74.2, 102.6) | 62 (31, 67) | 31 |
stable
|
-0.6 (-2.3, 1.0) |
| Barbour County 2 | Rural | 83.6 (64.0, 107.3) | 64 (18, 67) | 12 |
stable
|
-0.7 (-3.1, 1.3) |
| Tuscaloosa County 2 | Urban | 97.1 (89.6, 104.9) | 51 (28, 62) | 130 |
stable
|
-0.7 (-1.5, 0.1) |
| Escambia County 2 | Rural | 95.0 (77.5, 115.3) | 54 (12, 67) | 21 |
stable
|
-0.8 (-3.5, 1.6) |
| Geneva County 2 | Urban | 93.5 (72.8, 118.3) | 58 (9, 67) | 14 |
stable
|
-0.9 (-3.6, 1.5) |
| Wilcox County 2 | Rural | 112.4 (77.1, 158.0) | 27 (1, 67) | 7 |
stable
|
-1.3 (-4.4, 1.5) |
| Hale County 2 | Urban | 84.9 (58.6, 118.7) | 63 (7, 67) | 7 |
stable
|
-1.4 (-4.8, 1.4) |
| Fayette County 2 | Rural | 113.8 (84.6, 149.7) | 23 (1, 66) | 10 |
stable
|
-2.1 (-18.6, 2.1) |
| Madison County 2 | Urban | 99.6 (93.9, 105.5) | 48 (29, 59) | 230 |
stable
|
-2.9 (-7.6, 0.2) |
| Colbert County 2 | Urban | 107.8 (92.3, 125.1) | 36 (6, 62) | 35 |
stable
|
-4.3 (-14.3, 0.6) |
| Cleburne County 2 | Rural | 89.7 (63.6, 123.0) | 61 (5, 67) | 8 |
falling 
|
-5.6 (-20.4, -1.7) |
| Limestone County 2 | Urban | 98.6 (88.2, 109.8) | 50 (20, 63) | 66 |
falling
|
-6.5 (-10.8, -0.4) |
| Chambers County 2 | Rural | 105.3 (85.8, 127.9) | 42 (5, 65) | 21 |
stable
|
-12.1 (-26.7, 2.2) |
| Crenshaw County 2 | Rural | 126.1 (91.7, 168.8) | 11 (1, 65) | 9 |
stable
|
-17.9 (-37.9, 4.4) |
| Pickens County 2 | Urban | 91.7 (68.2, 120.8) | 57 (6, 67) | 10 |
falling
|
-17.9 (-40.8, -6.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/27/2026 9:06 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.