State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Alabama by County

Colon & Rectum (Late Stage^), 2018-2022

All Races (includes Hispanic), Both Sexes, Ages 50+

Sorted by Name

Explanation of Column Headers
Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Percent of Cases with Late Stage - This is the number of late stages cases compared to the number of cases for all stages.

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Alabama²

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 63.4 with a 95% confidence interval from 61.8 to 65.1 and 1,174 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 64.3 with a 95% confidence interval from 64.1 to 64.5 and 75,131 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A

Autauga County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 68.8 with a 95% confidence interval from 53.6 to 87.0 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (4, 60)
• Percent of Cases with Late Stage :

Baldwin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 58.0 with a 95% confidence interval from 51.3 to 65.4 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (22, 58)
• Percent of Cases with Late Stage :

Barbour County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 47.6 with a 95% confidence interval from 30.3 to 71.3 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (11, 63)
• Percent of Cases with Late Stage :

Bibb County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 60.3 with a 95% confidence interval from 39.3 to 88.9 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (3, 63)
• Percent of Cases with Late Stage :

Blount County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 61.8 with a 95% confidence interval from 48.0 to 78.3 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (7, 62)
• Percent of Cases with Late Stage :

Bullock County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 90.9 with a 95% confidence interval from 51.3 to 148.2 and 3 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 63)
• Percent of Cases with Late Stage :

Butler County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 62.5 with a 95% confidence interval from 39.9 to 93.1 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (3, 63)
• Percent of Cases with Late Stage :

Calhoun County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 86.0 with a 95% confidence interval from 73.8 to 99.6 and 37 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 28)
• Percent of Cases with Late Stage :

Chambers County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 72.9 with a 95% confidence interval from 54.4 to 95.7 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (2, 60)
• Percent of Cases with Late Stage :

Cherokee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 54.7 with a 95% confidence interval from 37.0 to 77.9 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (7, 63)
• Percent of Cases with Late Stage :

Chilton County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 72.8 with a 95% confidence interval from 55.1 to 94.4 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (3, 60)
• Percent of Cases with Late Stage :

Choctaw County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 67.4 with a 95% confidence interval from 39.7 to 106.4 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (1, 63)
• Percent of Cases with Late Stage :

Clarke County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 101.3 with a 95% confidence interval from 75.1 to 133.9 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 41)
• Percent of Cases with Late Stage :

Clay County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 83.9 with a 95% confidence interval from 54.4 to 123.5 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 63)
• Percent of Cases with Late Stage :

Cleburne County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 65.5 with a 95% confidence interval from 40.2 to 100.9 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (1, 63)
• Percent of Cases with Late Stage :

Coffee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 54.1 with a 95% confidence interval from 40.1 to 71.4 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (13, 63)
• Percent of Cases with Late Stage :

Colbert County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 48.6 with a 95% confidence interval from 36.6 to 63.4 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (22, 63)
• Percent of Cases with Late Stage :

Covington County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 55.1 with a 95% confidence interval from 40.1 to 73.9 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (10, 63)
• Percent of Cases with Late Stage :

Crenshaw County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 80.5 with a 95% confidence interval from 51.1 to 121.3 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 63)
• Percent of Cases with Late Stage :

Cullman County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 61.8 with a 95% confidence interval from 50.4 to 75.0 and 21 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (11, 61)
• Percent of Cases with Late Stage :

Dale County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 59.2 with a 95% confidence interval from 44.1 to 77.8 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (8, 63)
• Percent of Cases with Late Stage :

Dallas County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 59.6 with a 95% confidence interval from 43.6 to 79.7 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (7, 63)
• Percent of Cases with Late Stage :

DeKalb County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 47.0 with a 95% confidence interval from 36.1 to 60.2 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (28, 63)
• Percent of Cases with Late Stage :

Elmore County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 52.9 with a 95% confidence interval from 42.1 to 65.6 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (20, 63)
• Percent of Cases with Late Stage :

Escambia County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 63.9 with a 95% confidence interval from 46.6 to 85.6 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (5, 63)
• Percent of Cases with Late Stage :

Etowah County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 62.5 with a 95% confidence interval from 52.1 to 74.5 and 26 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (12, 59)
• Percent of Cases with Late Stage :

Fayette County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 84.0 with a 95% confidence interval from 54.7 to 123.1 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 62)
• Percent of Cases with Late Stage :

Franklin County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 57.1 with a 95% confidence interval from 39.6 to 79.8 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (7, 63)
• Percent of Cases with Late Stage :

Geneva County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 46.3 with a 95% confidence interval from 29.7 to 68.8 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (14, 63)
• Percent of Cases with Late Stage :

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 111.7 with a 95% confidence interval from 65.5 to 177.5 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 62)
• Percent of Cases with Late Stage :

Hale County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 61.3 with a 95% confidence interval from 35.8 to 97.9 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (2, 63)
• Percent of Cases with Late Stage :

Henry County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 61.4 with a 95% confidence interval from 38.4 to 93.0 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (2, 63)
• Percent of Cases with Late Stage :

Houston County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 53.8 with a 95% confidence interval from 44.0 to 65.2 and 22 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (20, 63)
• Percent of Cases with Late Stage :

Jackson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 77.1 with a 95% confidence interval from 61.1 to 96.1 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (2, 54)
• Percent of Cases with Late Stage :

Jefferson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 61.0 with a 95% confidence interval from 56.5 to 65.7 and 142 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (22, 52)
• Percent of Cases with Late Stage :

Lamar County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 64.2 with a 95% confidence interval from 39.4 to 99.0 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (1, 63)
• Percent of Cases with Late Stage :

Lauderdale County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 51.1 with a 95% confidence interval from 41.4 to 62.3 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (26, 63)
• Percent of Cases with Late Stage :

Lawrence County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 70.8 with a 95% confidence interval from 52.6 to 93.6 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (3, 61)
• Percent of Cases with Late Stage :

Lee County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 49.7 with a 95% confidence interval from 41.1 to 59.6 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (31, 63)
• Percent of Cases with Late Stage :

Limestone County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 62.1 with a 95% confidence interval from 51.0 to 75.0 and 23 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (11, 60)
• Percent of Cases with Late Stage :

Lowndes County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 90.2 with a 95% confidence interval from 54.5 to 140.8 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 63)
• Percent of Cases with Late Stage :

Macon County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 61.3 with a 95% confidence interval from 39.1 to 91.9 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (2, 63)
• Percent of Cases with Late Stage :

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 60.7 with a 95% confidence interval from 54.8 to 67.0 and 81 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (21, 55)
• Percent of Cases with Late Stage :

Marengo County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 79.6 with a 95% confidence interval from 53.7 to 113.7 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (1, 63)
• Percent of Cases with Late Stage :

Marion County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 49.9 with a 95% confidence interval from 34.0 to 70.7 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (13, 63)
• Percent of Cases with Late Stage :

Marshall County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 47.5 with a 95% confidence interval from 37.7 to 59.1 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (31, 63)
• Percent of Cases with Late Stage :

Mobile County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 77.5 with a 95% confidence interval from 71.1 to 84.3 and 113 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (6, 28)
• Percent of Cases with Late Stage :

Monroe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 67.4 with a 95% confidence interval from 45.3 to 96.8 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (2, 63)
• Percent of Cases with Late Stage :

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 61.2 with a 95% confidence interval from 53.5 to 69.8 and 47 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (17, 57)
• Percent of Cases with Late Stage :

Morgan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 67.5 with a 95% confidence interval from 57.2 to 79.1 and 31 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (8, 54)
• Percent of Cases with Late Stage :

Pickens County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 96.1 with a 95% confidence interval from 68.0 to 132.2 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 51)
• Percent of Cases with Late Stage :

Pike County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 70.7 with a 95% confidence interval from 48.6 to 99.1 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (2, 63)
• Percent of Cases with Late Stage :

Randolph County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 77.1 with a 95% confidence interval from 54.8 to 105.7 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (1, 62)
• Percent of Cases with Late Stage :

Russell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 78.7 with a 95% confidence interval from 61.6 to 99.1 and 15 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (1, 52)
• Percent of Cases with Late Stage :

Shelby County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 60.4 with a 95% confidence interval from 52.8 to 68.8 and 47 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (19, 57)
• Percent of Cases with Late Stage :

St. Clair County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 71.2 with a 95% confidence interval from 59.0 to 85.2 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (5, 53)
• Percent of Cases with Late Stage :

Talladega County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 65.2 with a 95% confidence interval from 53.0 to 79.4 and 21 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (7, 58)
• Percent of Cases with Late Stage :

Tallapoosa County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 68.8 with a 95% confidence interval from 52.5 to 88.7 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (4, 61)
• Percent of Cases with Late Stage :

Tuscaloosa County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 60.9 with a 95% confidence interval from 52.7 to 70.1 and 41 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (16, 58)
• Percent of Cases with Late Stage :

Walker County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 75.5 with a 95% confidence interval from 61.3 to 92.1 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (3, 50)
• Percent of Cases with Late Stage :

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 80.9 with a 95% confidence interval from 53.3 to 117.9 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (1, 63)
• Percent of Cases with Late Stage :

Wilcox County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 87.3 with a 95% confidence interval from 51.7 to 138.0 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 63)
• Percent of Cases with Late Stage :

Winston County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 63.6 with a 95% confidence interval from 43.8 to 89.3 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (3, 63)
• Percent of Cases with Late Stage :

Conecuh County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Percent of Cases with Late Stage : *

Coosa County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Percent of Cases with Late Stage : *

Perry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Percent of Cases with Late Stage : *

Sumter County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Percent of Cases with Late Stage : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 2:42 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 are computed using cancers classified as malignant based on ICD-O-3. For more information see malignant.html.

^ Late Stage is defined as cases determined to be regional or distant. 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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.

Data for United States does not include Puerto Rico.