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 Rate
County
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2023 Rural-Urban Continuum Codes Φ
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Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval) 
|
CI*Rank ⋔ (95% Confidence Interval)
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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 |
| Geneva County 2 | Urban | 46.3 (29.7, 68.8) | 63 (14, 63) | 5 | 48.1 |
| DeKalb County 2 | Rural | 47.0 (36.1, 60.2) | 62 (28, 63) | 13 | 41.7 |
| Marshall County 2 | Rural | 47.5 (37.7, 59.1) | 61 (31, 63) | 17 | 36.7 |
| Barbour County 2 | Rural | 47.6 (30.3, 71.3) | 60 (11, 63) | 5 | 48.0 |
| Colbert County 2 | Urban | 48.6 (36.6, 63.4) | 59 (22, 63) | 11 | 41.2 |
| Lee County 2 | Urban | 49.7 (41.1, 59.6) | 58 (31, 63) | 25 | 56.9 |
| Marion County 2 | Rural | 49.9 (34.0, 70.7) | 57 (13, 63) | 6 | 42.7 |
| Lauderdale County 2 | Urban | 51.1 (41.4, 62.3) | 56 (26, 63) | 20 | 45.2 |
| Elmore County 2 | Urban | 52.9 (42.1, 65.6) | 55 (20, 63) | 17 | 46.7 |
| Houston County 2 | Urban | 53.8 (44.0, 65.2) | 54 (20, 63) | 22 | 51.4 |
| Coffee County 2 | Rural | 54.1 (40.1, 71.4) | 53 (13, 63) | 10 | 50.5 |
| Cherokee County 2 | Rural | 54.7 (37.0, 77.9) | 52 (7, 63) | 6 | 49.2 |
| Covington County 2 | Rural | 55.1 (40.1, 73.9) | 51 (10, 63) | 9 | 45.5 |
| Franklin County 2 | Rural | 57.1 (39.6, 79.8) | 50 (7, 63) | 7 | 42.7 |
| Baldwin County 2 | Urban | 58.0 (51.3, 65.4) | 49 (22, 58) | 57 | 51.8 |
| Dale County 2 | Rural | 59.2 (44.1, 77.8) | 48 (8, 63) | 11 | 51.5 |
| Dallas County 2 | Rural | 59.6 (43.6, 79.7) | 47 (7, 63) | 10 | 48.0 |
| Bibb County 2 | Urban | 60.3 (39.3, 88.9) | 46 (3, 63) | 5 | 52.0 |
| Shelby County 2 | Urban | 60.4 (52.8, 68.8) | 45 (19, 57) | 47 | 64.0 |
| Madison County 2 | Urban | 60.7 (54.8, 67.0) | 44 (21, 55) | 81 | 57.9 |
| Tuscaloosa County 2 | Urban | 60.9 (52.7, 70.1) | 43 (16, 58) | 41 | 61.3 |
| Jefferson County 2 | Urban | 61.0 (56.5, 65.7) | 42 (22, 52) | 142 | 58.1 |
| Montgomery County 2 | Urban | 61.2 (53.5, 69.8) | 41 (17, 57) | 47 | 47.1 |
| Hale County 2 | Urban | 61.3 (35.8, 97.9) | 40 (2, 63) | 4 | 46.2 |
| Macon County 2 | Urban | 61.3 (39.1, 91.9) | 39 (2, 63) | 5 | 42.4 |
| Henry County 2 | Urban | 61.4 (38.4, 93.0) | 38 (2, 63) | 5 | 52.3 |
| Blount County 2 | Urban | 61.8 (48.0, 78.3) | 37 (7, 62) | 14 | 55.1 |
| Cullman County 2 | Rural | 61.8 (50.4, 75.0) | 36 (11, 61) | 21 | 52.2 |
| Limestone County 2 | Urban | 62.1 (51.0, 75.0) | 35 (11, 60) | 23 | 56.5 |
| Butler County 2 | Rural | 62.5 (39.9, 93.1) | 34 (3, 63) | 5 | 48.1 |
| Etowah County 2 | Urban | 62.5 (52.1, 74.5) | 33 (12, 59) | 26 | 49.1 |
| Winston County 2 | Rural | 63.6 (43.8, 89.3) | 32 (3, 63) | 7 | 47.2 |
| Escambia County 2 | Rural | 63.9 (46.6, 85.6) | 31 (5, 63) | 9 | 56.1 |
| Lamar County 2 | Rural | 64.2 (39.4, 99.0) | 30 (1, 63) | 4 | 53.8 |
| Talladega County 2 | Rural | 65.2 (53.0, 79.4) | 29 (7, 58) | 21 | 52.3 |
| Cleburne County 2 | Rural | 65.5 (40.2, 100.9) | 28 (1, 63) | 4 | 44.7 |
| Choctaw County 2 | Rural | 67.4 (39.7, 106.4) | 27 (1, 63) | 4 | 51.4 |
| Monroe County 2 | Rural | 67.4 (45.3, 96.8) | 26 (2, 63) | 6 | 42.9 |
| Morgan County 2 | Urban | 67.5 (57.2, 79.1) | 25 (8, 54) | 31 | 54.0 |
| Autauga County 2 | Urban | 68.8 (53.6, 87.0) | 24 (4, 60) | 14 | 55.5 |
| Tallapoosa County 2 | Rural | 68.8 (52.5, 88.7) | 23 (4, 61) | 13 | 57.3 |
| Pike County 2 | Rural | 70.7 (48.6, 99.1) | 22 (2, 63) | 7 | 44.7 |
| Lawrence County 2 | Urban | 70.8 (52.6, 93.6) | 21 (3, 61) | 10 | 53.7 |
| St. Clair County 2 | Urban | 71.2 (59.0, 85.2) | 20 (5, 53) | 25 | 60.0 |
| Chilton County 2 | Urban | 72.8 (55.1, 94.4) | 19 (3, 60) | 12 | 57.8 |
| Chambers County 2 | Rural | 72.9 (54.4, 95.7) | 18 (2, 60) | 11 | 55.1 |
| Walker County 2 | Urban | 75.5 (61.3, 92.1) | 17 (3, 50) | 20 | 54.0 |
| Randolph County 2 | Rural | 77.1 (54.8, 105.7) | 16 (1, 62) | 8 | 57.1 |
| Jackson County 2 | Rural | 77.1 (61.1, 96.1) | 15 (2, 54) | 17 | 55.7 |
| Mobile County 2 | Urban | 77.5 (71.1, 84.3) | 14 (6, 28) | 113 | 58.9 |
| Russell County 2 | Urban | 78.7 (61.6, 99.1) | 13 (1, 52) | 15 | 59.8 |
| Marengo County 2 | Rural | 79.6 (53.7, 113.7) | 12 (1, 63) | 6 | 53.4 |
| Crenshaw County 2 | Rural | 80.5 (51.1, 121.3) | 11 (1, 63) | 5 | 49.0 |
| Washington County 2 | Rural | 80.9 (53.3, 117.9) | 10 (1, 63) | 6 | 59.6 |
| Clay County 2 | Rural | 83.9 (54.4, 123.5) | 9 (1, 63) | 5 | 61.9 |
| Fayette County 2 | Rural | 84.0 (54.7, 123.1) | 8 (1, 62) | 5 | 51.9 |
| Calhoun County 2 | Urban | 86.0 (73.8, 99.6) | 7 (1, 28) | 37 | 57.4 |
| Wilcox County 2 | Rural | 87.3 (51.7, 138.0) | 6 (1, 63) | 4 | 59.4 |
| Lowndes County 2 | Urban | 90.2 (54.5, 140.8) | 5 (1, 63) | 4 | 64.5 |
| Bullock County 2 | Rural | 90.9 (51.3, 148.2) | 4 (1, 63) | 3 | 55.2 |
| Pickens County 2 | Urban | 96.1 (68.0, 132.2) | 3 (1, 51) | 8 | 57.4 |
| Clarke County 2 | Rural | 101.3 (75.1, 133.9) | 2 (1, 41) | 10 | 52.6 |
| Greene County 2 | Urban | 111.7 (65.5, 177.5) | 1 (1, 62) | 4 | 63.3 |
| 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 03/25/2026 10:07 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.