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Incidence Rates Table

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Incidence Rate Report for Alabama by County

All Cancer Sites (All Stages^), 2018-2022

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

Sorted by Name

County
 sort alphabetically by name descending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Alabama 2 N/A 432.6 (430.3, 435.0) N/A 27,512 falling falling trend -0.7 (-1.0, -0.5)
US (SEER+NPCR) 1 N/A 448.6 (448.3, 448.9) N/A 1,821,045 falling falling trend -1.0 (-1.6, -0.5)
Autauga County 2 Urban 459.8 (437.4, 483.1) 16 (4, 42) 330 stable stable trend 0.0 (-0.5, 0.6)
Baldwin County 2 Urban 443.9 (433.4, 454.6) 26 (15, 42) 1,491 stable stable trend 0.1 (-0.3, 0.5)
Barbour County 2 Rural 448.3 (416.6, 482.1) 23 (4, 57) 158 stable stable trend -0.1 (-0.9, 0.8)
Bibb County 2 Urban 429.4 (395.5, 465.5) 40 (7, 65) 124 falling falling trend -2.2 (-7.6, -0.6)
Blount County 2 Urban 421.1 (400.3, 442.7) 46 (19, 62) 328 stable stable trend -0.2 (-1.0, 0.6)
Bullock County 2 Rural 425.1 (376.0, 479.2) 45 (4, 67) 58 stable stable trend -0.9 (-2.2, 0.1)
Butler County 2 Rural 467.1 (429.2, 507.8) 13 (2, 54) 124 stable stable trend 0.7 (-0.4, 1.9)
Calhoun County 2 Urban 497.7 (481.2, 514.6) 4 (2, 14) 743 rising rising trend 1.9 (0.4, 4.6)
Chambers County 2 Rural 441.0 (414.0, 469.5) 31 (7, 59) 217 falling falling trend -1.3 (-4.5, -0.3)
Cherokee County 2 Rural 425.2 (394.7, 457.7) 44 (10, 65) 168 stable stable trend 0.1 (-0.8, 1.0)
Chilton County 2 Urban 431.1 (406.4, 457.0) 37 (12, 61) 242 stable stable trend -0.3 (-1.1, 0.5)
Choctaw County 2 Rural 375.1 (336.8, 417.2) 65 (31, 67) 78 stable stable trend -1.0 (-6.4, 0.3)
Clarke County 2 Rural 503.3 (467.9, 541.0) 3 (1, 24) 164 stable stable trend 0.5 (-0.1, 1.2)
Clay County 2 Rural 482.8 (439.2, 529.9) 7 (1, 50) 100 stable stable trend -0.5 (-1.3, 0.3)
Cleburne County 2 Rural 439.5 (399.0, 483.3) 32 (3, 64) 93 stable stable trend 0.1 (-1.2, 1.4)
Coffee County 2 Rural 420.3 (398.1, 443.6) 47 (18, 63) 279 stable stable trend -0.3 (-4.1, 0.9)
Colbert County 2 Urban 427.5 (406.5, 449.2) 42 (15, 60) 341 stable stable trend -5.1 (-10.8, 0.0)
Conecuh County 2 Rural 487.3 (438.6, 540.5) 5 (1, 51) 86 stable stable trend 0.8 (-0.5, 2.0)
Coosa County 2 Rural 384.8 (340.7, 433.9) 63 (17, 67) 66 stable stable trend -0.6 (-2.5, 1.2)
Covington County 2 Rural 398.3 (373.8, 424.1) 59 (28, 67) 220 stable stable trend 0.2 (-0.9, 1.2)
Crenshaw County 2 Rural 566.6 (516.7, 620.4) 1 (1, 8) 104 rising rising trend 2.9 (1.7, 4.2)
Cullman County 2 Rural 413.5 (396.6, 431.0) 52 (30, 62) 485 stable stable trend -0.1 (-0.7, 0.4)
Dale County 2 Rural 443.8 (420.0, 468.7) 27 (8, 54) 277 stable stable trend 0.1 (-0.7, 0.8)
Dallas County 2 Rural 408.5 (382.8, 435.6) 55 (23, 66) 211 falling falling trend -4.6 (-10.2, -1.3)
DeKalb County 2 Rural 374.7 (356.7, 393.4) 66 (54, 67) 346 falling falling trend -0.9 (-2.5, -0.4)
Elmore County 2 Urban 474.6 (455.9, 493.9) 10 (3, 28) 512 stable stable trend 0.1 (-0.3, 0.7)
Escambia County 2 Rural 392.1 (366.9, 418.7) 61 (34, 67) 191 falling falling trend -1.0 (-1.6, -0.5)
Etowah County 2 Urban 465.9 (449.4, 482.8) 15 (5, 33) 654 stable stable trend 0.0 (-0.4, 0.5)
Fayette County 2 Rural 414.3 (376.4, 455.4) 50 (9, 67) 98 stable stable trend -1.7 (-10.4, 0.4)
Franklin County 2 Rural 411.8 (383.7, 441.6) 54 (18, 66) 166 stable stable trend -0.4 (-1.1, 0.2)
Geneva County 2 Urban 413.8 (384.3, 445.2) 51 (16, 66) 159 falling falling trend -1.2 (-5.0, -0.5)
Greene County 2 Urban 427.3 (371.0, 490.5) 43 (2, 67) 49 stable stable trend 0.2 (-1.5, 1.9)
Hale County 2 Urban 451.1 (409.5, 496.2) 19 (2, 62) 95 stable stable trend 0.1 (-1.5, 1.8)
Henry County 2 Urban 450.1 (413.0, 490.0) 21 (3, 61) 121 stable stable trend -0.7 (-1.5, 0.1)
Houston County 2 Urban 442.1 (426.2, 458.6) 29 (13, 49) 615 falling falling trend -0.6 (-1.0, -0.2)
Jackson County 2 Rural 430.7 (409.1, 453.2) 38 (14, 59) 325 stable stable trend -0.9 (-9.6, 2.2)
Jefferson County 2 Urban 437.0 (430.4, 443.7) 35 (23, 44) 3,540 falling falling trend -0.7 (-1.0, -0.5)
Lamar County 2 Rural 436.6 (394.9, 481.9) 36 (3, 66) 89 stable stable trend 0.2 (-1.3, 1.7)
Lauderdale County 2 Urban 406.8 (390.4, 423.6) 57 (36, 64) 520 falling falling trend -1.0 (-2.8, -0.5)
Lawrence County 2 Urban 471.6 (442.4, 502.4) 12 (2, 44) 212 stable stable trend -0.1 (-0.8, 0.5)
Lee County 2 Urban 366.2 (353.3, 379.4) 67 (61, 67) 643 stable stable trend -0.3 (-1.0, 0.5)
Limestone County 2 Urban 414.6 (398.5, 431.1) 49 (30, 62) 528 falling falling trend -3.1 (-7.6, -0.8)
Lowndes County 2 Urban 532.8 (477.4, 593.4) 2 (1, 27) 75 stable stable trend 1.0 (-0.3, 2.4)
Macon County 2 Urban 442.1 (404.4, 482.8) 30 (4, 63) 117 stable stable trend 0.9 (-0.1, 2.0)
Madison County 2 Urban 407.2 (398.8, 415.7) 56 (43, 61) 1,886 falling falling trend -2.3 (-7.0, -0.1)
Marengo County 2 Rural 445.2 (407.8, 485.2) 25 (3, 62) 117 stable stable trend 0.4 (-0.3, 1.1)
Marion County 2 Rural 419.3 (391.3, 449.0) 48 (15, 65) 180 falling falling trend -1.4 (-4.6, -0.1)
Marshall County 2 Rural 429.7 (412.9, 447.0) 39 (18, 57) 524 stable stable trend -0.4 (-0.8, 0.1)
Mobile County 2 Urban 443.0 (434.6, 451.5) 28 (17, 41) 2,260 stable stable trend 0.5 (-0.2, 2.0)
Monroe County 2 Rural 427.9 (393.2, 465.1) 41 (8, 65) 125 stable stable trend -0.3 (-5.2, 0.8)
Montgomery County 2 Urban 449.9 (438.3, 461.8) 22 (12, 40) 1,202 stable stable trend 0.3 (0.0, 0.7)
Morgan County 2 Urban 450.4 (435.3, 465.9) 20 (9, 42) 716 falling falling trend -0.6 (-1.1, -0.1)
Perry County 2 Rural 405.9 (353.5, 464.6) 58 (4, 67) 48 falling falling trend -2.2 (-10.3, -0.2)
Pickens County 2 Urban 466.7 (429.7, 506.3) 14 (2, 54) 126 stable stable trend 0.5 (-0.5, 1.5)
Pike County 2 Rural 481.8 (449.0, 516.3) 8 (2, 40) 172 rising rising trend 0.9 (0.2, 1.7)
Randolph County 2 Rural 437.9 (404.5, 473.5) 34 (5, 62) 142 stable stable trend 0.6 (-0.5, 1.8)
Russell County 2 Urban 393.0 (371.7, 415.1) 60 (41, 67) 273 stable stable trend -0.6 (-2.3, 1.1)
Shelby County 2 Urban 390.2 (379.4, 401.2) 62 (52, 66) 1,045 falling falling trend -4.3 (-6.8, -1.4)
St. Clair County 2 Urban 438.7 (421.5, 456.4) 33 (12, 53) 521 falling falling trend -3.0 (-5.9, -0.1)
Sumter County 2 Rural 413.4 (364.7, 467.1) 53 (4, 67) 62 falling falling trend -10.7 (-18.5, -2.1)
Talladega County 2 Rural 452.4 (434.0, 471.5) 18 (7, 45) 491 stable stable trend -0.6 (-4.1, 0.1)
Tallapoosa County 2 Rural 476.6 (451.0, 503.4) 9 (2, 36) 300 stable stable trend -2.6 (-5.5, 0.4)
Tuscaloosa County 2 Urban 383.2 (371.9, 394.8) 64 (55, 67) 915 falling falling trend -2.4 (-3.2, -1.9)
Walker County 2 Urban 485.3 (464.2, 507.2) 6 (2, 24) 436 falling falling trend -4.5 (-6.9, -2.0)
Washington County 2 Rural 458.3 (416.7, 503.3) 17 (2, 61) 99 stable stable trend 0.0 (-0.9, 1.0)
Wilcox County 2 Rural 473.7 (422.9, 529.3) 11 (1, 59) 70 stable stable trend 0.1 (-1.0, 1.2)
Winston County 2 Rural 447.6 (414.7, 482.6) 24 (4, 59) 156 stable stable trend 2.4 (-0.3, 5.7)

Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 2:46 am.

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.


† 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.

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