Incidence Rates Table
Incidence Rate Report for Alabama by County
Colon & Rectum (Late Stage^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages 50+
Sorted by CI*Rank
County
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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
|
Percent of Cases with Late Stage
|
|---|---|---|---|---|---|
| Alabama 2 | N/A | 63.4 (61.8, 65.1) | N/A | 1,174 | 53.7 |
| US (SEER+NPCR) 1 | N/A | 64.3 (64.1, 64.5) | N/A | 75,131 | 59.3 |
| Greene County 2 | Urban | 111.7 (65.5, 177.5) | 1 (1, 62) | 4 | 63.3 |
| Clarke County 2 | Rural | 101.3 (75.1, 133.9) | 2 (1, 41) | 10 | 52.6 |
| Pickens County 2 | Urban | 96.1 (68.0, 132.2) | 3 (1, 51) | 8 | 57.4 |
| Bullock County 2 | Rural | 90.9 (51.3, 148.2) | 4 (1, 63) | 3 | 55.2 |
| Lowndes County 2 | Urban | 90.2 (54.5, 140.8) | 5 (1, 63) | 4 | 64.5 |
| Wilcox County 2 | Rural | 87.3 (51.7, 138.0) | 6 (1, 63) | 4 | 59.4 |
| Calhoun County 2 | Urban | 86.0 (73.8, 99.6) | 7 (1, 28) | 37 | 57.4 |
| Fayette County 2 | Rural | 84.0 (54.7, 123.1) | 8 (1, 62) | 5 | 51.9 |
| Clay County 2 | Rural | 83.9 (54.4, 123.5) | 9 (1, 63) | 5 | 61.9 |
| Washington County 2 | Rural | 80.9 (53.3, 117.9) | 10 (1, 63) | 6 | 59.6 |
| Crenshaw County 2 | Rural | 80.5 (51.1, 121.3) | 11 (1, 63) | 5 | 49.0 |
| Marengo County 2 | Rural | 79.6 (53.7, 113.7) | 12 (1, 63) | 6 | 53.4 |
| Russell County 2 | Urban | 78.7 (61.6, 99.1) | 13 (1, 52) | 15 | 59.8 |
| Mobile County 2 | Urban | 77.5 (71.1, 84.3) | 14 (6, 28) | 113 | 58.9 |
| Jackson County 2 | Rural | 77.1 (61.1, 96.1) | 15 (2, 54) | 17 | 55.7 |
| Randolph County 2 | Rural | 77.1 (54.8, 105.7) | 16 (1, 62) | 8 | 57.1 |
| Walker County 2 | Urban | 75.5 (61.3, 92.1) | 17 (3, 50) | 20 | 54.0 |
| Chambers County 2 | Rural | 72.9 (54.4, 95.7) | 18 (2, 60) | 11 | 55.1 |
| Chilton County 2 | Urban | 72.8 (55.1, 94.4) | 19 (3, 60) | 12 | 57.8 |
| St. Clair County 2 | Urban | 71.2 (59.0, 85.2) | 20 (5, 53) | 25 | 60.0 |
| Lawrence County 2 | Urban | 70.8 (52.6, 93.6) | 21 (3, 61) | 10 | 53.7 |
| Pike County 2 | Rural | 70.7 (48.6, 99.1) | 22 (2, 63) | 7 | 44.7 |
| Tallapoosa County 2 | Rural | 68.8 (52.5, 88.7) | 23 (4, 61) | 13 | 57.3 |
| Autauga County 2 | Urban | 68.8 (53.6, 87.0) | 24 (4, 60) | 14 | 55.5 |
| Morgan County 2 | Urban | 67.5 (57.2, 79.1) | 25 (8, 54) | 31 | 54.0 |
| Monroe County 2 | Rural | 67.4 (45.3, 96.8) | 26 (2, 63) | 6 | 42.9 |
| Choctaw County 2 | Rural | 67.4 (39.7, 106.4) | 27 (1, 63) | 4 | 51.4 |
| Cleburne County 2 | Rural | 65.5 (40.2, 100.9) | 28 (1, 63) | 4 | 44.7 |
| Talladega County 2 | Rural | 65.2 (53.0, 79.4) | 29 (7, 58) | 21 | 52.3 |
| Lamar County 2 | Rural | 64.2 (39.4, 99.0) | 30 (1, 63) | 4 | 53.8 |
| Escambia County 2 | Rural | 63.9 (46.6, 85.6) | 31 (5, 63) | 9 | 56.1 |
| Winston County 2 | Rural | 63.6 (43.8, 89.3) | 32 (3, 63) | 7 | 47.2 |
| Etowah County 2 | Urban | 62.5 (52.1, 74.5) | 33 (12, 59) | 26 | 49.1 |
| Butler County 2 | Rural | 62.5 (39.9, 93.1) | 34 (3, 63) | 5 | 48.1 |
| Limestone County 2 | Urban | 62.1 (51.0, 75.0) | 35 (11, 60) | 23 | 56.5 |
| Cullman County 2 | Rural | 61.8 (50.4, 75.0) | 36 (11, 61) | 21 | 52.2 |
| Blount County 2 | Urban | 61.8 (48.0, 78.3) | 37 (7, 62) | 14 | 55.1 |
| Henry County 2 | Urban | 61.4 (38.4, 93.0) | 38 (2, 63) | 5 | 52.3 |
| Macon County 2 | Urban | 61.3 (39.1, 91.9) | 39 (2, 63) | 5 | 42.4 |
| Hale County 2 | Urban | 61.3 (35.8, 97.9) | 40 (2, 63) | 4 | 46.2 |
| Montgomery County 2 | Urban | 61.2 (53.5, 69.8) | 41 (17, 57) | 47 | 47.1 |
| Jefferson County 2 | Urban | 61.0 (56.5, 65.7) | 42 (22, 52) | 142 | 58.1 |
| Tuscaloosa County 2 | Urban | 60.9 (52.7, 70.1) | 43 (16, 58) | 41 | 61.3 |
| Madison County 2 | Urban | 60.7 (54.8, 67.0) | 44 (21, 55) | 81 | 57.9 |
| Shelby County 2 | Urban | 60.4 (52.8, 68.8) | 45 (19, 57) | 47 | 64.0 |
| Bibb County 2 | Urban | 60.3 (39.3, 88.9) | 46 (3, 63) | 5 | 52.0 |
| Dallas County 2 | Rural | 59.6 (43.6, 79.7) | 47 (7, 63) | 10 | 48.0 |
| Dale County 2 | Rural | 59.2 (44.1, 77.8) | 48 (8, 63) | 11 | 51.5 |
| Baldwin County 2 | Urban | 58.0 (51.3, 65.4) | 49 (22, 58) | 57 | 51.8 |
| Franklin County 2 | Rural | 57.1 (39.6, 79.8) | 50 (7, 63) | 7 | 42.7 |
| Covington County 2 | Rural | 55.1 (40.1, 73.9) | 51 (10, 63) | 9 | 45.5 |
| Cherokee County 2 | Rural | 54.7 (37.0, 77.9) | 52 (7, 63) | 6 | 49.2 |
| Coffee County 2 | Rural | 54.1 (40.1, 71.4) | 53 (13, 63) | 10 | 50.5 |
| Houston County 2 | Urban | 53.8 (44.0, 65.2) | 54 (20, 63) | 22 | 51.4 |
| Elmore County 2 | Urban | 52.9 (42.1, 65.6) | 55 (20, 63) | 17 | 46.7 |
| Lauderdale County 2 | Urban | 51.1 (41.4, 62.3) | 56 (26, 63) | 20 | 45.2 |
| Marion County 2 | Rural | 49.9 (34.0, 70.7) | 57 (13, 63) | 6 | 42.7 |
| Lee County 2 | Urban | 49.7 (41.1, 59.6) | 58 (31, 63) | 25 | 56.9 |
| Colbert County 2 | Urban | 48.6 (36.6, 63.4) | 59 (22, 63) | 11 | 41.2 |
| Barbour County 2 | Rural | 47.6 (30.3, 71.3) | 60 (11, 63) | 5 | 48.0 |
| Marshall County 2 | Rural | 47.5 (37.7, 59.1) | 61 (31, 63) | 17 | 36.7 |
| DeKalb County 2 | Rural | 47.0 (36.1, 60.2) | 62 (28, 63) | 13 | 41.7 |
| Geneva County 2 | Urban | 46.3 (29.7, 68.8) | 63 (14, 63) | 5 | 48.1 |
| Conecuh County 2 | Rural |
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| Coosa County 2 | Rural |
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| Perry County 2 | Rural |
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| Sumter County 2 | Rural |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 5:14 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 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.