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Incidence Rates Table

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Incidence Rate Report for Alabama by County

Lung & Bronchus (All Stages^), 2018-2022

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

Sorted by Rate

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 descending
Alabama 2 N/A 57.6 (56.8, 58.4) N/A 3,886 falling falling trend -2.2 (-2.5, -2.0)
US (SEER+NPCR) 1 N/A 52.5 (52.4, 52.6) N/A 222,606 falling falling trend -3.5 (-4.0, -3.1)
Perry County 2 Rural 35.5 (22.3, 55.0) 67 (32, 67) 5 stable stable trend -2.3 (-6.2, 1.0)
Sumter County 2 Rural 39.1 (26.2, 56.9) 66 (26, 67) 6 stable stable trend -0.8 (-6.5, 4.6)
Choctaw County 2 Rural 39.2 (28.5, 53.8) 65 (32, 67) 9 falling falling trend -3.5 (-6.3, -0.9)
Shelby County 2 Urban 42.0 (38.6, 45.6) 64 (57, 67) 116 falling falling trend -3.9 (-4.9, -2.9)
Macon County 2 Urban 43.3 (33.5, 55.8) 63 (33, 67) 14 stable stable trend -0.7 (-4.0, 2.8)
Marengo County 2 Rural 43.4 (32.6, 56.9) 62 (28, 67) 12 falling falling trend -2.1 (-3.9, -0.6)
Lee County 2 Urban 43.7 (39.3, 48.4) 61 (54, 67) 77 falling falling trend -1.3 (-2.4, -0.1)
Dallas County 2 Rural 46.8 (39.0, 56.0) 60 (34, 67) 26 falling falling trend -7.4 (-23.2, -2.5)
Washington County 2 Rural 48.2 (36.3, 63.3) 59 (14, 67) 11 stable stable trend -2.4 (-5.1, 0.2)
Madison County 2 Urban 49.6 (46.8, 52.6) 58 (46, 62) 237 falling falling trend -2.5 (-4.7, -1.8)
Chambers County 2 Rural 50.2 (41.9, 60.0) 57 (26, 67) 27 falling falling trend -2.1 (-3.4, -0.8)
Limestone County 2 Urban 50.4 (45.0, 56.3) 56 (38, 64) 67 falling falling trend -3.4 (-8.7, -2.2)
Montgomery County 2 Urban 50.8 (47.0, 54.8) 55 (40, 62) 140 falling falling trend -2.6 (-7.1, -1.6)
Tuscaloosa County 2 Urban 51.8 (47.7, 56.0) 54 (38, 62) 128 falling falling trend -3.0 (-3.7, -2.3)
Jefferson County 2 Urban 52.2 (50.0, 54.5) 53 (43, 59) 441 falling falling trend -1.9 (-2.2, -1.7)
Bullock County 2 Rural 53.6 (37.8, 74.6) 52 (3, 67) 8 stable stable trend 0.2 (-2.6, 3.3)
Fayette County 2 Rural 55.0 (43.0, 69.9) 51 (6, 67) 15 stable stable trend -1.7 (-4.2, 0.7)
Houston County 2 Urban 55.0 (49.7, 60.7) 50 (26, 60) 83 falling falling trend -2.0 (-2.7, -1.2)
Lauderdale County 2 Urban 55.3 (49.8, 61.4) 49 (26, 61) 77 falling falling trend -2.4 (-3.3, -1.5)
Greene County 2 Urban 55.4 (38.7, 78.5) 48 (2, 67) 7
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Baldwin County 2 Urban 55.6 (52.2, 59.3) 47 (31, 57) 203 falling falling trend -5.5 (-10.7, -1.7)
DeKalb County 2 Rural 55.6 (49.1, 62.9) 46 (20, 61) 54 stable stable trend -1.2 (-2.5, 0.2)
Monroe County 2 Rural 57.0 (45.6, 70.9) 45 (5, 65) 18 stable stable trend -1.5 (-3.7, 0.8)
Coffee County 2 Rural 57.6 (49.9, 66.3) 44 (13, 61) 41 falling falling trend -3.0 (-9.7, -1.3)
Pickens County 2 Urban 58.1 (46.3, 72.4) 43 (4, 65) 17 stable stable trend -1.0 (-3.5, 1.5)
Colbert County 2 Urban 58.2 (51.1, 66.1) 42 (13, 59) 50 falling falling trend -11.7 (-22.3, -1.2)
Butler County 2 Rural 58.2 (46.2, 72.8) 41 (4, 65) 17 falling falling trend -2.3 (-4.5, -0.3)
Mobile County 2 Urban 58.6 (55.7, 61.6) 40 (26, 50) 317 falling falling trend -2.4 (-3.5, -2.0)
Cherokee County 2 Rural 58.7 (48.7, 70.6) 39 (6, 62) 26 stable stable trend -1.2 (-3.3, 1.0)
Barbour County 2 Rural 60.3 (49.5, 73.0) 38 (4, 62) 23 falling falling trend -2.0 (-3.9, -0.2)
Coosa County 2 Rural 60.7 (45.4, 81.0) 37 (1, 66) 11 stable stable trend -2.0 (-5.0, 0.9)
Clarke County 2 Rural 61.4 (50.1, 74.8) 36 (3, 62) 22 stable stable trend -1.5 (-3.6, 0.5)
Cullman County 2 Rural 61.5 (55.5, 68.2) 35 (11, 53) 79 stable stable trend -1.5 (-3.1, 0.2)
Autauga County 2 Urban 62.4 (54.5, 71.1) 34 (6, 56) 47 stable stable trend -1.5 (-2.9, 0.0)
Marshall County 2 Rural 62.5 (56.4, 69.1) 33 (10, 51) 80 falling falling trend -2.0 (-2.9, -1.2)
Russell County 2 Urban 62.6 (54.6, 71.6) 32 (6, 55) 46 stable stable trend -0.6 (-2.6, 1.5)
Morgan County 2 Urban 62.7 (57.4, 68.4) 31 (12, 49) 107 falling falling trend -1.5 (-2.5, -0.5)
Chilton County 2 Urban 63.1 (54.3, 73.1) 30 (4, 57) 38 falling falling trend -2.0 (-3.4, -0.7)
Henry County 2 Urban 63.4 (50.9, 78.7) 29 (2, 63) 18 stable stable trend -0.5 (-2.2, 1.4)
Wilcox County 2 Rural 63.6 (46.6, 85.4) 28 (1, 66) 10 stable stable trend -0.2 (-3.2, 2.7)
Cleburne County 2 Rural 64.3 (50.1, 81.9) 27 (1, 64) 14 stable stable trend -1.3 (-3.6, 1.2)
Tallapoosa County 2 Rural 64.6 (56.2, 74.2) 26 (4, 53) 45 stable stable trend -0.4 (-2.0, 1.3)
Hale County 2 Urban 64.7 (50.2, 82.6) 25 (1, 63) 14 rising rising trend 8.4 (1.6, 26.3)
Talladega County 2 Rural 65.1 (58.5, 72.2) 24 (5, 48) 76 stable stable trend -1.0 (-2.1, 0.1)
Winston County 2 Rural 65.1 (54.0, 78.2) 23 (2, 59) 26 falling falling trend -2.7 (-4.4, -1.2)
Elmore County 2 Urban 65.3 (58.7, 72.6) 22 (5, 49) 73 falling falling trend -2.1 (-3.1, -1.0)
Covington County 2 Rural 67.1 (58.0, 77.4) 21 (2, 52) 41 stable stable trend -0.7 (-1.9, 0.7)
Bibb County 2 Urban 67.9 (55.3, 82.8) 20 (1, 58) 21 stable stable trend -0.8 (-3.0, 1.6)
Marion County 2 Rural 67.9 (57.5, 79.8) 19 (1, 54) 31 stable stable trend -1.1 (-2.5, 0.3)
Etowah County 2 Urban 68.2 (62.4, 74.6) 18 (4, 40) 104 falling falling trend -1.5 (-2.6, -0.5)
Blount County 2 Urban 68.3 (60.5, 76.8) 17 (3, 45) 58 stable stable trend -1.1 (-2.2, 0.0)
Conecuh County 2 Rural 68.4 (52.8, 88.3) 16 (1, 62) 14 stable stable trend 0.3 (-2.6, 3.4)
Escambia County 2 Rural 68.8 (58.8, 80.1) 15 (2, 51) 35 stable stable trend -1.2 (-2.9, 0.4)
Pike County 2 Rural 69.8 (58.3, 83.2) 14 (1, 54) 27 stable stable trend 1.0 (-1.0, 3.3)
Lowndes County 2 Urban 69.8 (52.4, 92.1) 13 (1, 64) 11 stable stable trend 0.4 (-4.2, 5.4)
Lamar County 2 Rural 70.1 (55.1, 88.5) 12 (1, 60) 16 stable stable trend 0.1 (-1.8, 2.0)
Dale County 2 Rural 70.3 (61.4, 80.2) 11 (2, 46) 47 stable stable trend -1.1 (-2.5, 0.4)
St. Clair County 2 Urban 71.8 (65.2, 78.8) 10 (2, 34) 91 falling falling trend -2.1 (-3.1, -0.9)
Randolph County 2 Rural 72.7 (60.1, 87.4) 9 (1, 51) 25 stable stable trend 1.6 (-0.8, 4.3)
Lawrence County 2 Urban 72.7 (62.2, 84.6) 8 (1, 44) 36 stable stable trend -1.1 (-2.9, 0.7)
Jackson County 2 Rural 72.7 (64.5, 81.8) 7 (1, 37) 60 falling falling trend -2.3 (-8.4, -0.3)
Walker County 2 Urban 73.0 (65.4, 81.4) 6 (1, 37) 70 falling falling trend -11.0 (-18.8, -2.4)
Calhoun County 2 Urban 74.9 (68.8, 81.4) 5 (1, 26) 118 stable stable trend -0.9 (-2.0, 0.1)
Franklin County 2 Rural 76.4 (64.8, 89.5) 4 (1, 40) 32 stable stable trend 7.7 (-0.6, 13.7)
Geneva County 2 Urban 77.6 (65.5, 91.5) 3 (1, 41) 31 stable stable trend -1.0 (-2.4, 0.4)
Clay County 2 Rural 86.4 (70.0, 106.2) 2 (1, 39) 20 stable stable trend -0.5 (-2.6, 1.7)
Crenshaw County 2 Rural 91.4 (72.6, 114.1) 1 (1, 33) 17 rising rising trend 3.5 (1.3, 6.3)

Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 6:57 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 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.

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