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 | 1,291.1 (1,283.8, 1,298.5) | N/A | 24,354 |
falling 
|
-0.8 (-1.1, -0.6) |
| US (SEER+NPCR) 1 | N/A | 1,350.7 (1,349.8, 1,351.7) | N/A | 1,608,177 |
falling
|
-1.2 (-1.8, -0.7) |
| Lee County 2 | Urban | 1,094.2 (1,052.5, 1,137.1) | 67 (59, 67) | 549 |
stable 
|
-0.5 (-1.3, 0.3) |
| Coosa County 2 | Rural | 1,110.2 (985.4, 1,246.6) | 66 (30, 67) | 60 |
stable
|
-1.1 (-2.8, 0.5) |
| Tuscaloosa County 2 | Urban | 1,135.3 (1,099.2, 1,172.3) | 65 (54, 67) | 785 |
falling
|
-2.6 (-3.4, -2.1) |
| Shelby County 2 | Urban | 1,136.2 (1,102.4, 1,170.7) | 64 (55, 67) | 892 |
falling
|
-5.3 (-7.5, -2.6) |
| DeKalb County 2 | Rural | 1,156.1 (1,098.6, 1,216.0) | 63 (45, 67) | 313 |
stable
|
2.3 (-1.2, 5.5) |
| Covington County 2 | Rural | 1,162.7 (1,090.3, 1,238.7) | 62 (38, 67) | 198 |
falling
|
-1.0 (-5.4, -0.2) |
| Escambia County 2 | Rural | 1,174.7 (1,096.3, 1,257.3) | 61 (32, 67) | 171 |
falling
|
-1.1 (-1.7, -0.5) |
| Lauderdale County 2 | Urban | 1,175.2 (1,127.0, 1,225.0) | 60 (44, 66) | 462 |
falling
|
-1.7 (-5.0, -1.1) |
| Sumter County 2 | Rural | 1,180.4 (1,040.9, 1,333.5) | 59 (9, 67) | 55 |
falling
|
-13.2 (-23.1, -1.4) |
| Choctaw County 2 | Rural | 1,191.1 (1,070.4, 1,321.8) | 58 (14, 67) | 73 |
stable
|
-0.7 (-9.4, 1.1) |
| Dallas County 2 | Rural | 1,191.4 (1,114.6, 1,272.0) | 57 (28, 67) | 189 |
falling
|
-2.3 (-6.3, -1.1) |
| Russell County 2 | Urban | 1,197.0 (1,128.7, 1,268.3) | 56 (32, 67) | 242 |
stable
|
-0.6 (-2.4, 1.3) |
| Cullman County 2 | Rural | 1,197.0 (1,145.9, 1,249.9) | 55 (38, 65) | 425 |
stable
|
-0.4 (-1.0, 0.1) |
| Fayette County 2 | Rural | 1,207.0 (1,094.5, 1,328.0) | 54 (14, 67) | 88 |
stable
|
-0.3 (-1.5, 0.8) |
| Madison County 2 | Urban | 1,215.6 (1,189.1, 1,242.6) | 53 (41, 60) | 1,653 |
falling
|
-0.6 (-1.1, -0.1) |
| Perry County 2 | Rural | 1,226.5 (1,065.7, 1,404.7) | 52 (3, 67) | 44 |
stable
|
-0.5 (-2.2, 1.1) |
| Greene County 2 | Urban | 1,236.2 (1,073.6, 1,416.6) | 51 (3, 67) | 45 |
stable
|
-0.3 (-2.0, 1.5) |
| Cherokee County 2 | Rural | 1,244.7 (1,155.9, 1,338.6) | 50 (12, 66) | 153 |
stable
|
-0.1 (-1.1, 0.8) |
| Limestone County 2 | Urban | 1,245.1 (1,193.8, 1,298.0) | 49 (26, 61) | 462 |
falling
|
-2.9 (-7.6, -0.6) |
| Coffee County 2 | Rural | 1,248.3 (1,178.4, 1,321.3) | 48 (19, 63) | 244 |
stable
|
-0.1 (-0.8, 0.6) |
| Marengo County 2 | Rural | 1,249.6 (1,141.7, 1,365.1) | 47 (9, 67) | 102 |
stable
|
-0.1 (-0.8, 0.7) |
| Blount County 2 | Urban | 1,250.2 (1,186.0, 1,317.0) | 46 (18, 62) | 291 |
stable
|
-0.3 (-1.3, 0.7) |
| Franklin County 2 | Rural | 1,252.3 (1,162.9, 1,346.8) | 45 (12, 66) | 148 |
stable
|
-0.7 (-1.5, 0.2) |
| Geneva County 2 | Urban | 1,257.3 (1,166.0, 1,353.8) | 44 (11, 66) | 145 |
falling
|
-1.2 (-4.5, -0.5) |
| Winston County 2 | Rural | 1,267.2 (1,173.2, 1,366.7) | 43 (10, 65) | 138 |
falling
|
-1.0 (-1.8, -0.1) |
| Colbert County 2 | Urban | 1,268.4 (1,204.8, 1,334.5) | 42 (17, 60) | 306 |
stable
|
0.0 (-1.0, 1.0) |
| Marion County 2 | Rural | 1,274.4 (1,188.0, 1,365.5) | 41 (10, 64) | 165 |
stable
|
0.7 (-0.1, 1.4) |
| Chilton County 2 | Urban | 1,275.6 (1,198.7, 1,356.3) | 40 (13, 61) | 212 |
stable
|
-0.4 (-1.1, 0.4) |
| Marshall County 2 | Rural | 1,280.3 (1,228.0, 1,334.3) | 39 (17, 56) | 463 |
falling
|
-0.5 (-0.8, -0.1) |
| Bibb County 2 | Urban | 1,283.3 (1,176.7, 1,397.0) | 38 (6, 66) | 109 |
falling
|
-2.2 (-8.6, -0.7) |
| Lamar County 2 | Rural | 1,289.1 (1,164.1, 1,423.9) | 37 (3, 66) | 80 |
stable
|
-1.8 (-10.3, 0.1) |
| Jackson County 2 | Rural | 1,294.2 (1,227.5, 1,363.7) | 36 (11, 57) | 293 |
stable
|
-0.9 (-8.4, 1.4) |
| Randolph County 2 | Rural | 1,294.6 (1,195.0, 1,400.3) | 35 (6, 63) | 129 |
stable
|
-1.1 (-7.6, 0.7) |
| Monroe County 2 | Rural | 1,301.9 (1,195.4, 1,415.4) | 34 (4, 63) | 115 |
stable
|
0.5 (-0.5, 1.6) |
| Jefferson County 2 | Urban | 1,308.8 (1,287.9, 1,330.0) | 33 (21, 43) | 3,111 |
falling
|
-0.8 (-1.1, -0.5) |
| Houston County 2 | Urban | 1,309.9 (1,260.4, 1,360.9) | 32 (13, 50) | 544 |
falling
|
-0.8 (-1.3, -0.2) |
| St. Clair County 2 | Urban | 1,315.6 (1,261.6, 1,371.3) | 31 (12, 50) | 461 |
falling
|
-3.1 (-5.8, -0.6) |
| Talladega County 2 | Rural | 1,317.8 (1,261.6, 1,375.8) | 30 (11, 51) | 431 |
falling
|
-1.0 (-2.9, -0.4) |
| Dale County 2 | Rural | 1,321.4 (1,247.4, 1,398.7) | 29 (8, 55) | 246 |
stable
|
-0.2 (-1.1, 0.9) |
| Mobile County 2 | Urban | 1,322.5 (1,296.2, 1,349.3) | 28 (16, 42) | 1,997 |
stable
|
0.3 (-0.6, 2.2) |
| Chambers County 2 | Rural | 1,322.7 (1,240.0, 1,409.6) | 27 (5, 57) | 197 |
falling
|
-1.3 (-5.3, -0.1) |
| Macon County 2 | Urban | 1,323.7 (1,211.2, 1,444.1) | 26 (3, 63) | 107 |
stable
|
0.9 (-0.4, 2.1) |
| Bullock County 2 | Rural | 1,328.1 (1,169.2, 1,502.8) | 25 (2, 67) | 53 |
stable
|
-0.6 (-2.6, 0.6) |
| Baldwin County 2 | Urban | 1,332.4 (1,300.1, 1,365.3) | 24 (14, 41) | 1,349 |
stable
|
-0.1 (-0.5, 0.4) |
| Washington County 2 | Rural | 1,333.8 (1,210.2, 1,466.8) | 23 (2, 62) | 88 |
stable
|
-0.3 (-1.2, 0.5) |
| Morgan County 2 | Urban | 1,344.7 (1,297.7, 1,392.9) | 22 (9, 43) | 636 |
falling
|
-0.9 (-1.4, -0.4) |
| Cleburne County 2 | Rural | 1,359.7 (1,231.8, 1,497.4) | 21 (2, 61) | 85 |
stable
|
0.2 (-1.2, 1.8) |
| Autauga County 2 | Urban | 1,360.2 (1,289.9, 1,433.4) | 20 (4, 47) | 287 |
stable
|
0.0 (-0.6, 0.7) |
| Lawrence County 2 | Urban | 1,362.8 (1,275.3, 1,454.8) | 19 (3, 51) | 186 |
stable
|
-0.4 (-1.3, 0.5) |
| Butler County 2 | Rural | 1,364.4 (1,250.5, 1,486.0) | 18 (2, 58) | 111 |
stable
|
0.9 (-0.2, 2.0) |
| Montgomery County 2 | Urban | 1,371.6 (1,334.3, 1,409.6) | 17 (8, 33) | 1,068 |
stable
|
0.4 (0.0, 0.8) |
| Etowah County 2 | Urban | 1,375.4 (1,324.9, 1,427.4) | 16 (6, 37) | 580 |
stable
|
-0.2 (-0.7, 0.4) |
| Henry County 2 | Urban | 1,383.3 (1,268.0, 1,506.4) | 15 (2, 54) | 111 |
stable
|
-0.8 (-1.9, 0.3) |
| Conecuh County 2 | Rural | 1,400.0 (1,260.3, 1,550.9) | 14 (2, 57) | 77 |
stable
|
0.5 (-0.5, 1.6) |
| Barbour County 2 | Rural | 1,407.4 (1,305.4, 1,515.4) | 13 (2, 48) | 145 |
stable
|
0.1 (-0.8, 1.0) |
| Clay County 2 | Rural | 1,413.5 (1,284.1, 1,552.6) | 12 (2, 52) | 89 |
stable
|
-0.6 (-1.8, 0.7) |
| Tallapoosa County 2 | Rural | 1,414.1 (1,338.6, 1,492.8) | 11 (2, 35) | 274 |
stable
|
0.5 (-0.1, 1.0) |
| Hale County 2 | Urban | 1,414.2 (1,281.9, 1,556.6) | 10 (1, 56) | 88 |
stable
|
0.5 (-1.0, 2.1) |
| Wilcox County 2 | Rural | 1,425.4 (1,269.2, 1,595.6) | 9 (1, 59) | 63 |
stable
|
0.4 (-1.2, 2.1) |
| Pike County 2 | Rural | 1,430.2 (1,329.3, 1,536.8) | 8 (2, 43) | 153 |
rising 
|
0.8 (0.1, 1.6) |
| Elmore County 2 | Urban | 1,432.6 (1,372.8, 1,494.3) | 7 (2, 26) | 451 |
stable
|
0.0 (-0.6, 0.7) |
| Walker County 2 | Urban | 1,442.7 (1,378.3, 1,509.4) | 6 (2, 26) | 392 |
falling
|
-4.4 (-6.6, -2.3) |
| Pickens County 2 | Urban | 1,447.8 (1,330.7, 1,572.5) | 5 (1, 45) | 116 |
stable
|
0.5 (-0.2, 1.3) |
| Clarke County 2 | Rural | 1,464.3 (1,359.0, 1,575.6) | 4 (1, 35) | 147 |
stable
|
0.4 (-0.3, 1.0) |
| Calhoun County 2 | Urban | 1,471.5 (1,420.6, 1,523.7) | 3 (2, 16) | 657 |
stable
|
0.4 (-0.1, 0.8) |
| Lowndes County 2 | Urban | 1,530.2 (1,367.7, 1,706.7) | 2 (1, 42) | 67 |
stable
|
0.9 (-0.8, 2.7) |
| Crenshaw County 2 | Rural | 1,726.3 (1,571.6, 1,892.2) | 1 (1, 5) | 95 |
stable
|
4.1 (-2.3, 11.4) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/28/2026 8:55 pm.
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.