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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

White Non-Hispanic, Both Sexes, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
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 ascending
Alabama 2 N/A 437.0 (434.2, 439.8) N/A 20,285 falling falling trend -0.7 (-1.0, -0.4)
US (SEER+NPCR) § 1 N/A 467.1 (466.7, 467.5) N/A 1,354,187 falling falling trend -1.1 (-1.7, -0.7)
Winston County 2 Rural 457.0 (422.8, 493.4) 22 (4, 56) 153 stable stable trend 2.8 (0.0, 6.3)
Crenshaw County 2 Rural 541.4 (485.2, 603.0) 2 (1, 24) 75 rising rising trend 2.5 (1.2, 3.8)
Calhoun County 2 Urban 514.8 (495.7, 534.5) 3 (1, 11) 605 rising rising trend 2.4 (0.9, 5.2)
Mobile County 2 Urban 464.3 (453.4, 475.4) 19 (9, 31) 1,508 rising rising trend 1.9 (0.1, 3.8)
Greene County 2 Urban 421.5 (301.4, 586.0) 50 (1, 67) 11 stable stable trend 0.7 (-2.3, 3.6)
Pike County 2 Rural 471.6 (430.9, 515.5) 12 (1, 55) 110 stable stable trend 0.7 (0.0, 1.5)
Randolph County 2 Rural 442.0 (404.6, 482.3) 31 (5, 62) 118 stable stable trend 0.7 (-0.6, 2.0)
Tallapoosa County 2 Rural 493.1 (462.3, 525.7) 7 (1, 31) 234 stable stable trend 0.6 (-0.2, 1.4)
Butler County 2 Rural 461.0 (410.1, 517.2) 20 (1, 62) 72 stable stable trend 0.5 (-1.0, 2.0)
Conecuh County 2 Rural 486.1 (420.5, 560.8) 9 (1, 61) 50 stable stable trend 0.4 (-0.8, 1.5)
Monroe County 2 Rural 443.9 (398.3, 494.0) 30 (2, 64) 79 stable stable trend 0.4 (-0.5, 1.4)
Perry County 2 Rural 364.1 (279.8, 471.9) 65 (4, 67) 16 stable stable trend 0.4 (-2.0, 2.6)
Washington County 2 Rural 496.4 (444.2, 553.6) 5 (1, 52) 75 stable stable trend 0.3 (-1.0, 1.5)
Dale County 2 Rural 457.6 (429.9, 486.9) 21 (5, 52) 221 stable stable trend 0.2 (-0.5, 1.0)
Etowah County 2 Urban 473.3 (455.1, 492.2) 10 (4, 32) 560 stable stable trend 0.2 (-0.4, 0.7)
Lamar County 2 Rural 434.8 (390.6, 483.1) 37 (5, 64) 79 stable stable trend 0.2 (-1.1, 1.5)
Lowndes County 2 Urban 545.6 (435.7, 678.2) 1 (1, 63) 23 stable stable trend 0.2 (-1.9, 2.2)
Montgomery County 2 Urban 450.6 (432.4, 469.5) 24 (10, 48) 537 stable stable trend 0.2 (-0.5, 0.7)
Pickens County 2 Urban 436.0 (389.5, 487.2) 35 (4, 65) 72 stable stable trend 0.2 (-1.4, 1.7)
Baldwin County 2 Urban 450.9 (439.6, 462.5) 23 (14, 41) 1,353 stable stable trend 0.1 (-0.3, 0.5)
Barbour County 2 Rural 465.1 (420.7, 513.7) 16 (2, 58) 93 stable stable trend 0.1 (-0.8, 1.0)
Cherokee County 2 Rural 423.9 (392.5, 457.4) 48 (10, 64) 158 stable stable trend 0.1 (-0.8, 1.0)
Elmore County 2 Urban 472.9 (451.9, 494.6) 11 (4, 36) 413 stable stable trend 0.1 (-0.4, 0.6)
Lawrence County 2 Urban 499.3 (465.8, 534.7) 4 (1, 30) 182 stable stable trend 0.1 (-0.7, 0.9)
Marengo County 2 Rural 416.9 (365.1, 474.7) 54 (5, 67) 56 stable stable trend 0.1 (-1.1, 1.2)
Talladega County 2 Rural 464.8 (442.1, 488.4) 18 (4, 42) 354 stable stable trend 0.1 (-0.6, 0.8)
Clarke County 2 Rural 447.5 (403.6, 495.5) 25 (3, 62) 88 stable stable trend 0.0 (-0.6, 0.5)
Macon County 2 Urban 469.3 (385.1, 569.2) 14 (1, 67) 25 stable stable trend 0.0 (-2.5, 2.5)
Autauga County 2 Urban 447.0 (422.1, 473.1) 26 (7, 55) 254 stable stable trend -0.1 (-0.8, 0.7)
Blount County 2 Urban 430.6 (408.7, 453.5) 40 (16, 59) 313 stable stable trend -0.1 (-0.8, 0.6)
Chambers County 2 Rural 469.8 (433.9, 508.4) 13 (2, 52) 144 stable stable trend -0.1 (-0.9, 0.8)
Chilton County 2 Urban 437.7 (410.6, 466.3) 32 (9, 59) 211 stable stable trend -0.1 (-0.8, 0.6)
Cleburne County 2 Rural 428.5 (387.5, 472.9) 43 (6, 64) 86 stable stable trend -0.1 (-1.6, 1.4)
Cullman County 2 Rural 424.1 (406.4, 442.4) 47 (23, 59) 474 stable stable trend -0.1 (-0.6, 0.5)
Franklin County 2 Rural 435.4 (403.8, 469.0) 36 (9, 61) 153 stable stable trend -0.2 (-1.0, 0.7)
Hale County 2 Urban 465.0 (401.4, 537.1) 17 (1, 65) 44 stable stable trend -0.2 (-2.9, 2.4)
Marshall County 2 Rural 446.3 (428.0, 465.2) 27 (11, 50) 494 stable stable trend -0.2 (-0.7, 0.3)
Lee County 2 Urban 363.8 (348.7, 379.4) 66 (58, 67) 460 stable stable trend -0.3 (-1.0, 0.5)
Madison County 2 Urban 421.7 (411.6, 431.9) 49 (32, 57) 1,434 stable stable trend -0.3 (-0.9, 0.3)
Russell County 2 Urban 427.7 (397.3, 459.9) 45 (10, 62) 162 stable stable trend -0.3 (-2.0, 1.5)
Lauderdale County 2 Urban 408.1 (390.7, 426.1) 57 (35, 62) 469 stable stable trend -0.4 (-1.7, 1.9)
Morgan County 2 Urban 465.2 (448.2, 482.7) 15 (6, 36) 625 falling falling trend -0.5 (-1.0, -0.1)
Clay County 2 Rural 495.2 (447.1, 547.5) 6 (1, 49) 87 stable stable trend -0.6 (-1.5, 0.3)
Dallas County 2 Rural 437.1 (389.1, 490.2) 33 (3, 65) 79 stable stable trend -0.6 (-1.7, 0.4)
Houston County 2 Urban 444.2 (425.4, 463.6) 29 (12, 53) 464 falling falling trend -0.6 (-1.1, -0.1)
Coffee County 2 Rural 434.7 (408.7, 462.0) 38 (11, 60) 221 stable stable trend -0.7 (-7.3, 1.3)
Jefferson County 2 Urban 429.7 (421.0, 438.7) 41 (29, 53) 1,969 falling falling trend -0.7 (-0.9, -0.4)
Henry County 2 Urban 445.1 (401.6, 492.8) 28 (3, 63) 87 stable stable trend -0.8 (-1.9, 0.2)
Coosa County 2 Rural 409.3 (352.7, 473.9) 56 (5, 67) 48 stable stable trend -0.9 (-3.0, 1.0)
DeKalb County 2 Rural 382.8 (363.5, 402.9) 61 (50, 67) 323 falling falling trend -0.9 (-2.5, -0.4)
Jackson County 2 Rural 432.2 (409.7, 455.7) 39 (14, 59) 304 stable stable trend -1.0 (-9.6, 1.8)
Shelby County 2 Urban 400.8 (388.8, 413.1) 58 (46, 63) 905 falling falling trend -1.0 (-1.5, -0.4)
Escambia County 2 Rural 396.8 (365.8, 429.9) 59 (28, 66) 133 falling falling trend -1.1 (-1.9, -0.2)
Geneva County 2 Urban 424.4 (392.0, 459.0) 46 (11, 64) 141 falling falling trend -1.1 (-3.6, -0.5)
Fayette County 2 Rural 420.2 (379.2, 464.8) 52 (8, 66) 86 stable stable trend -1.3 (-7.6, 0.2)
Marion County 2 Rural 417.8 (388.9, 448.5) 53 (17, 64) 170 stable stable trend -1.5 (-5.1, 0.0)
Wilcox County 2 Rural 409.9 (331.2, 506.6) 55 (1, 67) 23 falling falling trend -1.5 (-2.8, -0.2)
Choctaw County 2 Rural 368.1 (318.9, 424.0) 64 (23, 67) 45 falling falling trend -1.7 (-9.4, -0.2)
Covington County 2 Rural 395.5 (369.1, 423.4) 60 (33, 66) 191 stable stable trend -2.4 (-9.6, 0.3)
Bibb County 2 Urban 428.6 (390.7, 469.5) 42 (8, 64) 100 falling falling trend -2.5 (-9.2, -0.7)
Tuscaloosa County 2 Urban 376.3 (362.7, 390.4) 63 (56, 67) 616 falling falling trend -2.6 (-3.7, -2.0)
Limestone County 2 Urban 421.2 (403.3, 439.7) 51 (24, 60) 445 falling falling trend -3.2 (-8.4, -0.7)
St. Clair County 2 Urban 436.6 (418.5, 455.3) 34 (16, 56) 468 falling falling trend -3.3 (-6.0, -0.5)
Bullock County 2 Rural 376.5 (295.9, 481.7) 62 (4, 67) 16 falling falling trend -4.1 (-7.1, -2.1)
Walker County 2 Urban 491.3 (469.1, 514.3) 8 (2, 23) 409 falling falling trend -4.4 (-7.2, -1.6)
Colbert County 2 Urban 427.7 (404.6, 452.0) 44 (16, 60) 281 falling falling trend -6.2 (-10.6, -1.0)
Sumter County 2 Rural 328.1 (247.9, 428.8) 67 (10, 67) 15 falling falling trend -17.2 (-30.8, -7.0)

Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 3:01 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.


† 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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