Return to Home Incidence > Table

Incidence Rates Table

Data Options
Comparison Options

Incidence Rate Report for Alabama by County

Colon & Rectum (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 40.2 (39.4, 40.9) N/A 2,492 falling falling trend -1.3 (-2.4, -0.8)
US (SEER+NPCR) 1 N/A 36.7 (36.6, 36.7) N/A 145,073 falling falling trend -0.9 (-1.0, -0.8)
Autauga County 2 Urban 41.9 (35.2, 49.4) 39 (9, 64) 29 falling falling trend -2.3 (-3.6, -1.0)
Baldwin County 2 Urban 36.2 (33.2, 39.4) 56 (38, 65) 119 falling falling trend -0.9 (-1.5, -0.2)
Barbour County 2 Rural 30.4 (22.6, 40.3) 66 (27, 67) 11 stable stable trend -2.4 (-5.8, 0.8)
Bibb County 2 Urban 41.3 (31.2, 53.8) 43 (5, 67) 12 falling falling trend -3.0 (-5.4, -0.6)
Blount County 2 Urban 39.6 (33.2, 46.8) 47 (13, 66) 29 stable stable trend -0.8 (-2.6, 0.9)
Bullock County 2 Rural 48.7 (32.7, 70.3) 16 (1, 67) 6 stable stable trend -2.1 (-7.8, 2.9)
Butler County 2 Rural 46.6 (34.9, 61.1) 20 (1, 66) 12 stable stable trend -0.1 (-3.4, 3.2)
Calhoun County 2 Urban 51.0 (45.8, 56.7) 11 (3, 36) 74 stable stable trend 0.2 (-1.8, 2.2)
Chambers County 2 Rural 45.8 (37.3, 55.9) 22 (3, 63) 22 stable stable trend -0.9 (-2.8, 1.1)
Cherokee County 2 Rural 41.6 (31.9, 53.7) 40 (4, 67) 15 stable stable trend 0.0 (-3.1, 3.1)
Chilton County 2 Urban 43.6 (35.9, 52.5) 32 (6, 64) 24 stable stable trend 0.0 (-2.2, 2.5)
Choctaw County 2 Rural 43.6 (30.4, 61.1) 31 (1, 67) 8 stable stable trend 0.7 (-3.0, 4.5)
Clarke County 2 Rural 63.7 (51.7, 78.1) 1 (1, 28) 21 stable stable trend -0.2 (-1.8, 1.5)
Clay County 2 Rural 43.8 (31.5, 59.9) 30 (2, 67) 9 stable stable trend -1.3 (-4.0, 1.2)
Cleburne County 2 Rural 47.6 (35.1, 63.6) 18 (1, 66) 10 stable stable trend -0.3 (-2.8, 2.3)
Coffee County 2 Rural 35.2 (28.9, 42.4) 61 (20, 67) 23 stable stable trend -1.3 (-3.7, 1.1)
Colbert County 2 Urban 37.1 (31.2, 44.0) 55 (19, 67) 29 falling falling trend -8.2 (-17.6, -2.6)
Conecuh County 2 Rural 57.8 (40.8, 80.0) 3 (1, 61) 9 rising rising trend 20.4 (1.4, 34.1)
Coosa County 2 Rural 39.8 (26.1, 59.1) 46 (2, 67) 6 stable stable trend 0.1 (-3.4, 3.6)
Covington County 2 Rural 41.5 (33.8, 50.7) 41 (7, 66) 22 stable stable trend -0.3 (-2.7, 2.0)
Crenshaw County 2 Rural 52.2 (38.3, 70.1) 9 (1, 65) 10 stable stable trend 0.9 (-1.8, 3.9)
Cullman County 2 Rural 39.0 (33.9, 44.7) 50 (20, 65) 46 stable stable trend -0.9 (-2.6, 0.7)
Dale County 2 Rural 38.3 (31.5, 46.2) 52 (12, 67) 23 stable stable trend -0.8 (-2.8, 1.4)
Dallas County 2 Rural 39.1 (31.6, 47.9) 49 (10, 67) 21 stable stable trend -12.1 (-31.4, 0.4)
DeKalb County 2 Rural 35.3 (30.0, 41.3) 60 (27, 67) 33 stable stable trend -0.3 (-2.5, 2.0)
Elmore County 2 Urban 38.2 (33.0, 44.0) 53 (20, 66) 41 falling falling trend -2.1 (-3.2, -1.0)
Escambia County 2 Rural 39.5 (31.7, 48.8) 48 (9, 67) 19 stable stable trend -2.4 (-4.9, 0.0)
Etowah County 2 Urban 44.0 (39.0, 49.5) 29 (9, 55) 60 stable stable trend 0.2 (-3.7, 7.0)
Fayette County 2 Rural 53.3 (39.8, 70.3) 8 (1, 63) 12 stable stable trend 1.4 (-1.8, 4.7)
Franklin County 2 Rural 43.2 (34.6, 53.5) 33 (4, 67) 18 stable stable trend -1.4 (-3.2, 0.3)
Geneva County 2 Urban 30.5 (22.8, 40.2) 65 (27, 67) 11 falling falling trend -2.5 (-5.0, -0.4)
Greene County 2 Urban 59.4 (39.4, 86.8) 2 (1, 67) 7 stable stable trend -1.7 (-4.8, 1.0)
Hale County 2 Urban 42.0 (29.7, 58.1) 38 (2, 67) 8 stable stable trend -1.3 (-4.3, 1.8)
Henry County 2 Urban 35.9 (26.0, 48.9) 57 (9, 67) 9 stable stable trend -3.1 (-6.6, 0.0)
Houston County 2 Urban 32.7 (28.5, 37.4) 64 (42, 67) 46 falling falling trend -6.8 (-18.0, -2.0)
Jackson County 2 Rural 46.9 (39.8, 55.0) 19 (4, 54) 34 stable stable trend -0.9 (-2.6, 0.8)
Jefferson County 2 Urban 35.9 (34.0, 37.9) 58 (43, 63) 283 stable stable trend -0.9 (-1.8, 1.6)
Lamar County 2 Rural 39.9 (28.2, 55.3) 45 (3, 67) 8 stable stable trend -0.1 (-2.5, 2.2)
Lauderdale County 2 Urban 40.9 (35.7, 46.7) 44 (14, 63) 51 falling falling trend -1.4 (-2.8, -0.2)
Lawrence County 2 Urban 51.3 (41.8, 62.5) 10 (1, 53) 23 stable stable trend -1.0 (-3.7, 1.6)
Lee County 2 Urban 30.1 (26.5, 34.1) 67 (52, 67) 52 falling falling trend -2.1 (-3.4, -0.7)
Limestone County 2 Urban 38.0 (33.1, 43.3) 54 (22, 66) 47 stable stable trend -0.2 (-1.6, 3.4)
Lowndes County 2 Urban 45.9 (31.2, 65.9) 21 (1, 67) 7 stable stable trend -1.8 (-5.3, 1.7)
Macon County 2 Urban 50.0 (37.6, 65.5) 12 (1, 65) 13 stable stable trend 0.5 (-2.6, 3.6)
Madison County 2 Urban 35.5 (33.1, 38.2) 59 (41, 65) 161 falling falling trend -2.0 (-2.8, -1.3)
Marengo County 2 Rural 42.2 (32.0, 55.2) 37 (3, 67) 12 stable stable trend -0.9 (-3.5, 1.5)
Marion County 2 Rural 41.4 (32.7, 52.0) 42 (5, 67) 17 stable stable trend -1.3 (-2.7, 0.1)
Marshall County 2 Rural 44.6 (39.2, 50.5) 26 (8, 53) 52 stable stable trend -0.4 (-1.5, 0.8)
Mobile County 2 Urban 44.6 (41.9, 47.4) 27 (14, 44) 220 falling falling trend -1.0 (-1.6, -0.4)
Monroe County 2 Rural 55.9 (43.5, 71.0) 6 (1, 56) 16 stable stable trend 0.2 (-2.3, 2.8)
Montgomery County 2 Urban 45.2 (41.5, 49.2) 24 (10, 45) 116 stable stable trend -0.9 (-2.4, 0.7)
Morgan County 2 Urban 43.2 (38.5, 48.3) 34 (12, 55) 67 falling falling trend -1.3 (-2.6, -0.1)
Perry County 2 Rural 48.8 (31.7, 72.6) 15 (1, 67) 6 stable stable trend 0.2 (-3.6, 3.8)
Pickens County 2 Urban 56.4 (43.9, 71.6) 5 (1, 51) 15 rising rising trend 6.4 (0.1, 26.5)
Pike County 2 Rural 55.6 (44.4, 68.9) 7 (1, 45) 18 rising rising trend 21.1 (0.9, 38.5)
Randolph County 2 Rural 45.7 (35.4, 58.2) 23 (2, 65) 15 stable stable trend 0.5 (-2.2, 3.2)
Russell County 2 Urban 42.6 (35.7, 50.5) 36 (7, 64) 28 stable stable trend -1.5 (-3.8, 0.8)
Shelby County 2 Urban 33.5 (30.4, 36.9) 63 (44, 67) 88 falling falling trend -1.6 (-2.5, -0.6)
St. Clair County 2 Urban 38.6 (33.6, 44.2) 51 (19, 65) 45 stable stable trend -0.3 (-1.5, 1.0)
Sumter County 2 Rural 49.8 (32.9, 72.4) 13 (1, 67) 7 stable stable trend 3.0 (-2.5, 8.9)
Talladega County 2 Rural 44.2 (38.5, 50.6) 28 (8, 57) 46 stable stable trend -1.2 (-3.4, 1.1)
Tallapoosa County 2 Rural 42.9 (35.2, 51.9) 35 (6, 65) 25 stable stable trend -0.7 (-2.4, 0.9)
Tuscaloosa County 2 Urban 34.9 (31.5, 38.6) 62 (38, 66) 80 falling falling trend -2.6 (-4.2, -1.0)
Walker County 2 Urban 48.3 (41.7, 55.7) 17 (3, 48) 42 stable stable trend -0.1 (-2.6, 2.5)
Washington County 2 Rural 49.8 (36.5, 66.5) 14 (1, 66) 11 stable stable trend 2.0 (-0.2, 4.4)
Wilcox County 2 Rural 56.9 (39.4, 79.9) 4 (1, 66) 8 stable stable trend -2.2 (-4.8, 0.1)
Winston County 2 Rural 44.9 (35.2, 56.9) 25 (3, 65) 16 stable stable trend -0.2 (-3.0, 2.6)

Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 10:39 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.

Return to Top