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 | 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) |
| Sumter County 2 | Rural | 1,180.4 (1,040.9, 1,333.5) | 59 (9, 67) | 55 |
falling
|
-13.2 (-23.1, -1.4) |
| Shelby County 2 | Urban | 1,136.2 (1,102.4, 1,170.7) | 64 (55, 67) | 892 |
falling
|
-5.3 (-7.5, -2.6) |
| Walker County 2 | Urban | 1,442.7 (1,378.3, 1,509.4) | 6 (2, 26) | 392 |
falling
|
-4.4 (-6.6, -2.3) |
| 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) |
| Limestone County 2 | Urban | 1,245.1 (1,193.8, 1,298.0) | 49 (26, 61) | 462 |
falling
|
-2.9 (-7.6, -0.6) |
| Tuscaloosa County 2 | Urban | 1,135.3 (1,099.2, 1,172.3) | 65 (54, 67) | 785 |
falling
|
-2.6 (-3.4, -2.1) |
| Dallas County 2 | Rural | 1,191.4 (1,114.6, 1,272.0) | 57 (28, 67) | 189 |
falling
|
-2.3 (-6.3, -1.1) |
| 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) |
| Lauderdale County 2 | Urban | 1,175.2 (1,127.0, 1,225.0) | 60 (44, 66) | 462 |
falling
|
-1.7 (-5.0, -1.1) |
| Chambers County 2 | Rural | 1,322.7 (1,240.0, 1,409.6) | 27 (5, 57) | 197 |
falling
|
-1.3 (-5.3, -0.1) |
| Geneva County 2 | Urban | 1,257.3 (1,166.0, 1,353.8) | 44 (11, 66) | 145 |
falling
|
-1.2 (-4.5, -0.5) |
| Coosa County 2 | Rural | 1,110.2 (985.4, 1,246.6) | 66 (30, 67) | 60 |
stable
|
-1.1 (-2.8, 0.5) |
| Escambia County 2 | Rural | 1,174.7 (1,096.3, 1,257.3) | 61 (32, 67) | 171 |
falling
|
-1.1 (-1.7, -0.5) |
| Randolph County 2 | Rural | 1,294.6 (1,195.0, 1,400.3) | 35 (6, 63) | 129 |
stable
|
-1.1 (-7.6, 0.7) |
| Covington County 2 | Rural | 1,162.7 (1,090.3, 1,238.7) | 62 (38, 67) | 198 |
falling
|
-1.0 (-5.4, -0.2) |
| Talladega County 2 | Rural | 1,317.8 (1,261.6, 1,375.8) | 30 (11, 51) | 431 |
falling
|
-1.0 (-2.9, -0.4) |
| Winston County 2 | Rural | 1,267.2 (1,173.2, 1,366.7) | 43 (10, 65) | 138 |
falling
|
-1.0 (-1.8, -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) |
| Morgan County 2 | Urban | 1,344.7 (1,297.7, 1,392.9) | 22 (9, 43) | 636 |
falling
|
-0.9 (-1.4, -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) |
| Houston County 2 | Urban | 1,309.9 (1,260.4, 1,360.9) | 32 (13, 50) | 544 |
falling
|
-0.8 (-1.3, -0.2) |
| 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) |
| Choctaw County 2 | Rural | 1,191.1 (1,070.4, 1,321.8) | 58 (14, 67) | 73 |
stable
|
-0.7 (-9.4, 1.1) |
| Franklin County 2 | Rural | 1,252.3 (1,162.9, 1,346.8) | 45 (12, 66) | 148 |
stable
|
-0.7 (-1.5, 0.2) |
| Bullock County 2 | Rural | 1,328.1 (1,169.2, 1,502.8) | 25 (2, 67) | 53 |
stable
|
-0.6 (-2.6, 0.6) |
| Clay County 2 | Rural | 1,413.5 (1,284.1, 1,552.6) | 12 (2, 52) | 89 |
stable
|
-0.6 (-1.8, 0.7) |
| 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) |
| Russell County 2 | Urban | 1,197.0 (1,128.7, 1,268.3) | 56 (32, 67) | 242 |
stable
|
-0.6 (-2.4, 1.3) |
| Lee County 2 | Urban | 1,094.2 (1,052.5, 1,137.1) | 67 (59, 67) | 549 |
stable
|
-0.5 (-1.3, 0.3) |
| Marshall County 2 | Rural | 1,280.3 (1,228.0, 1,334.3) | 39 (17, 56) | 463 |
falling
|
-0.5 (-0.8, -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) |
| Chilton County 2 | Urban | 1,275.6 (1,198.7, 1,356.3) | 40 (13, 61) | 212 |
stable
|
-0.4 (-1.1, 0.4) |
| Cullman County 2 | Rural | 1,197.0 (1,145.9, 1,249.9) | 55 (38, 65) | 425 |
stable
|
-0.4 (-1.0, 0.1) |
| Lawrence County 2 | Urban | 1,362.8 (1,275.3, 1,454.8) | 19 (3, 51) | 186 |
stable
|
-0.4 (-1.3, 0.5) |
| Blount County 2 | Urban | 1,250.2 (1,186.0, 1,317.0) | 46 (18, 62) | 291 |
stable
|
-0.3 (-1.3, 0.7) |
| Fayette County 2 | Rural | 1,207.0 (1,094.5, 1,328.0) | 54 (14, 67) | 88 |
stable
|
-0.3 (-1.5, 0.8) |
| Greene County 2 | Urban | 1,236.2 (1,073.6, 1,416.6) | 51 (3, 67) | 45 |
stable
|
-0.3 (-2.0, 1.5) |
| Washington County 2 | Rural | 1,333.8 (1,210.2, 1,466.8) | 23 (2, 62) | 88 |
stable
|
-0.3 (-1.2, 0.5) |
| Dale County 2 | Rural | 1,321.4 (1,247.4, 1,398.7) | 29 (8, 55) | 246 |
stable
|
-0.2 (-1.1, 0.9) |
| Etowah County 2 | Urban | 1,375.4 (1,324.9, 1,427.4) | 16 (6, 37) | 580 |
stable
|
-0.2 (-0.7, 0.4) |
| 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) |
| Cherokee County 2 | Rural | 1,244.7 (1,155.9, 1,338.6) | 50 (12, 66) | 153 |
stable
|
-0.1 (-1.1, 0.8) |
| 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) |
| Autauga County 2 | Urban | 1,360.2 (1,289.9, 1,433.4) | 20 (4, 47) | 287 |
stable
|
0.0 (-0.6, 0.7) |
| Colbert County 2 | Urban | 1,268.4 (1,204.8, 1,334.5) | 42 (17, 60) | 306 |
stable
|
0.0 (-1.0, 1.0) |
| Elmore County 2 | Urban | 1,432.6 (1,372.8, 1,494.3) | 7 (2, 26) | 451 |
stable
|
0.0 (-0.6, 0.7) |
| Barbour County 2 | Rural | 1,407.4 (1,305.4, 1,515.4) | 13 (2, 48) | 145 |
stable
|
0.1 (-0.8, 1.0) |
| Cleburne County 2 | Rural | 1,359.7 (1,231.8, 1,497.4) | 21 (2, 61) | 85 |
stable
|
0.2 (-1.2, 1.8) |
| 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) |
| Calhoun County 2 | Urban | 1,471.5 (1,420.6, 1,523.7) | 3 (2, 16) | 657 |
stable
|
0.4 (-0.1, 0.8) |
| Clarke County 2 | Rural | 1,464.3 (1,359.0, 1,575.6) | 4 (1, 35) | 147 |
stable
|
0.4 (-0.3, 1.0) |
| 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) |
| Wilcox County 2 | Rural | 1,425.4 (1,269.2, 1,595.6) | 9 (1, 59) | 63 |
stable
|
0.4 (-1.2, 2.1) |
| Conecuh County 2 | Rural | 1,400.0 (1,260.3, 1,550.9) | 14 (2, 57) | 77 |
stable
|
0.5 (-0.5, 1.6) |
| Hale County 2 | Urban | 1,414.2 (1,281.9, 1,556.6) | 10 (1, 56) | 88 |
stable
|
0.5 (-1.0, 2.1) |
| Monroe County 2 | Rural | 1,301.9 (1,195.4, 1,415.4) | 34 (4, 63) | 115 |
stable
|
0.5 (-0.5, 1.6) |
| Pickens County 2 | Urban | 1,447.8 (1,330.7, 1,572.5) | 5 (1, 45) | 116 |
stable
|
0.5 (-0.2, 1.3) |
| Tallapoosa County 2 | Rural | 1,414.1 (1,338.6, 1,492.8) | 11 (2, 35) | 274 |
stable
|
0.5 (-0.1, 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) |
| Pike County 2 | Rural | 1,430.2 (1,329.3, 1,536.8) | 8 (2, 43) | 153 |
rising 
|
0.8 (0.1, 1.6) |
| Butler County 2 | Rural | 1,364.4 (1,250.5, 1,486.0) | 18 (2, 58) | 111 |
stable
|
0.9 (-0.2, 2.0) |
| Lowndes County 2 | Urban | 1,530.2 (1,367.7, 1,706.7) | 2 (1, 42) | 67 |
stable
|
0.9 (-0.8, 2.7) |
| Macon County 2 | Urban | 1,323.7 (1,211.2, 1,444.1) | 26 (3, 63) | 107 |
stable
|
0.9 (-0.4, 2.1) |
| DeKalb County 2 | Rural | 1,156.1 (1,098.6, 1,216.0) | 63 (45, 67) | 313 |
stable
|
2.3 (-1.2, 5.5) |
| 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 03/18/2026 9:22 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.
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.