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Incidence Rates Table

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Incidence Rate Report for Alabama by County

Breast (All Stages^), 2018-2022

All Races (includes Hispanic), Female, All Ages

Sorted by Count

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 127.9 (126.1, 129.7) N/A 4,181 rising rising trend 2.6 (0.6, 3.7)
US (SEER+NPCR) 1 N/A 131.3 (131.1, 131.6) N/A 270,245 rising rising trend 0.6 (0.5, 0.8)
Perry County 2 Rural 127.1 (88.3, 178.5) 30 (1, 67) 8 stable stable trend 0.8 (-1.9, 3.4)
Greene County 2 Urban 140.3 (95.8, 199.4) 15 (1, 67) 8 stable stable trend 1.9 (-0.3, 4.1)
Coosa County 2 Rural 105.5 (73.8, 148.3) 56 (5, 67) 9 stable stable trend -1.2 (-5.7, 3.2)
Bullock County 2 Rural 147.0 (104.8, 201.5) 11 (1, 66) 9 stable stable trend 1.3 (-1.5, 4.2)
Wilcox County 2 Rural 123.0 (88.4, 167.4) 37 (1, 67) 9 rising rising trend 2.5 (0.3, 9.0)
Sumter County 2 Rural 123.1 (87.1, 169.2) 36 (1, 67) 9 stable stable trend 2.2 (-2.0, 6.8)
Conecuh County 2 Rural 105.7 (76.1, 144.4) 55 (4, 67) 10 stable stable trend -0.1 (-2.8, 2.7)
Choctaw County 2 Rural 98.1 (71.5, 132.7) 64 (10, 67) 10 stable stable trend -1.6 (-11.5, 1.5)
Lamar County 2 Rural 109.1 (79.8, 146.3) 51 (6, 67) 10 falling falling trend -12.0 (-28.9, -2.9)
Lowndes County 2 Urban 149.0 (109.7, 198.9) 8 (1, 64) 11 stable stable trend 2.7 (0.0, 5.7)
Cleburne County 2 Rural 110.3 (82.2, 145.5) 50 (5, 67) 12 stable stable trend 0.2 (-3.2, 3.8)
Fayette County 2 Rural 102.1 (76.7, 134.0) 62 (10, 67) 12 falling falling trend -3.8 (-16.0, -1.0)
Crenshaw County 2 Rural 136.2 (102.3, 178.4) 18 (1, 66) 13 rising rising trend 3.9 (1.0, 14.2)
Henry County 2 Urban 104.7 (80.8, 134.4) 58 (10, 67) 15 stable stable trend -1.5 (-4.3, 1.2)
Washington County 2 Rural 147.1 (114.5, 186.7) 10 (1, 60) 16 stable stable trend -0.4 (-4.0, 3.0)
Geneva County 2 Urban 85.8 (67.1, 108.6) 66 (41, 67) 16 stable stable trend -1.1 (-4.0, 1.7)
Randolph County 2 Rural 102.9 (80.6, 130.0) 61 (15, 67) 16 stable stable trend -0.5 (-2.4, 1.3)
Bibb County 2 Urban 123.4 (97.5, 154.5) 35 (3, 66) 17 stable stable trend 0.9 (-2.9, 5.0)
Clay County 2 Rural 161.3 (127.0, 202.9) 5 (1, 50) 17 rising rising trend 7.0 (0.7, 24.5)
Hale County 2 Urban 165.0 (131.0, 205.9) 3 (1, 47) 18 rising rising trend 19.5 (2.8, 33.8)
Macon County 2 Urban 134.3 (105.8, 168.7) 19 (1, 64) 18 stable stable trend 2.5 (-0.6, 5.9)
Monroe County 2 Rural 128.7 (102.2, 160.6) 27 (2, 66) 19 stable stable trend 0.6 (-2.2, 3.4)
Winston County 2 Rural 114.6 (91.4, 142.4) 48 (7, 67) 20 stable stable trend 0.0 (-3.2, 3.1)
Escambia County 2 Rural 84.4 (67.7, 104.0) 67 (46, 67) 20 stable stable trend -1.7 (-4.2, 0.7)
Cherokee County 2 Rural 109.0 (86.7, 135.7) 52 (9, 67) 20 stable stable trend -0.4 (-3.3, 2.4)
Franklin County 2 Rural 104.7 (84.6, 128.4) 57 (16, 67) 20 stable stable trend -0.8 (-4.4, 2.7)
Marengo County 2 Rural 166.1 (134.1, 203.6) 2 (1, 44) 21 rising rising trend 3.0 (1.4, 4.9)
Butler County 2 Rural 161.1 (130.5, 197.2) 6 (1, 48) 22 rising rising trend 2.4 (0.4, 4.5)
Pickens County 2 Urban 164.4 (133.6, 200.9) 4 (1, 43) 22 stable stable trend -13.4 (-32.4, 1.1)
Barbour County 2 Rural 129.9 (105.0, 159.3) 25 (2, 65) 22 rising rising trend 19.6 (1.9, 33.8)
Marion County 2 Rural 104.3 (84.9, 127.2) 59 (17, 67) 23 stable stable trend 1.2 (-0.7, 3.2)
Chambers County 2 Rural 110.3 (91.4, 132.3) 49 (13, 67) 27 stable stable trend 0.2 (-1.5, 2.0)
Clarke County 2 Rural 171.3 (142.3, 204.7) 1 (1, 32) 28 rising rising trend 1.7 (0.3, 3.3)
Lawrence County 2 Urban 127.5 (106.0, 152.2) 29 (4, 62) 28 rising rising trend 3.2 (0.8, 12.2)
Pike County 2 Rural 156.2 (130.5, 185.7) 7 (1, 44) 28 rising rising trend 2.8 (1.0, 4.8)
Covington County 2 Rural 103.1 (85.9, 123.1) 60 (21, 67) 29 stable stable trend 1.7 (-1.3, 5.0)
Chilton County 2 Urban 107.5 (90.8, 126.6) 54 (20, 67) 31 stable stable trend -0.3 (-1.7, 1.2)
Russell County 2 Urban 99.3 (85.1, 115.3) 63 (34, 67) 37 falling falling trend -3.8 (-11.5, -1.0)
Dale County 2 Rural 120.8 (103.9, 139.9) 40 (9, 63) 40 stable stable trend 1.3 (-0.5, 3.2)
Coffee County 2 Rural 118.3 (101.9, 136.6) 42 (11, 64) 40 stable stable trend 0.8 (-0.9, 2.6)
Dallas County 2 Rural 147.8 (126.6, 171.6) 9 (1, 46) 40 stable stable trend 1.1 (-0.3, 2.6)
DeKalb County 2 Rural 90.6 (78.3, 104.4) 65 (49, 67) 42 stable stable trend -0.5 (-2.3, 1.4)
Tallapoosa County 2 Rural 136.2 (117.1, 157.9) 17 (3, 54) 43 rising rising trend 14.3 (3.0, 21.6)
Blount County 2 Urban 115.1 (99.9, 132.2) 46 (15, 64) 45 stable stable trend 1.2 (-0.8, 3.4)
Jackson County 2 Rural 122.3 (106.3, 140.3) 38 (8, 61) 47 stable stable trend 0.6 (-1.3, 2.7)
Colbert County 2 Urban 114.7 (99.7, 131.5) 47 (14, 64) 47 stable stable trend 0.1 (-1.7, 1.8)
Autauga County 2 Urban 125.0 (109.2, 142.5) 32 (8, 59) 47 stable stable trend 0.6 (-0.8, 2.2)
Walker County 2 Urban 127.8 (112.8, 144.3) 28 (7, 56) 60 rising rising trend 1.6 (0.3, 2.9)
Marshall County 2 Rural 108.9 (97.1, 121.8) 53 (27, 64) 68 stable stable trend 0.5 (-0.8, 1.9)
Talladega County 2 Rural 130.7 (116.8, 145.9) 24 (7, 53) 71 stable stable trend 0.8 (-1.0, 2.7)
Elmore County 2 Urban 132.1 (118.6, 146.8) 23 (6, 52) 73 stable stable trend 0.4 (-0.8, 1.7)
Lauderdale County 2 Urban 118.7 (106.0, 132.6) 41 (15, 61) 75 stable stable trend 0.5 (-0.9, 2.0)
Limestone County 2 Urban 115.4 (103.8, 128.1) 45 (20, 61) 75 stable stable trend 0.6 (-1.3, 2.9)
Cullman County 2 Rural 124.2 (111.4, 138.1) 34 (11, 56) 76 stable stable trend 1.1 (-0.3, 2.6)
St. Clair County 2 Urban 133.3 (120.2, 147.5) 21 (7, 48) 82 rising rising trend 2.2 (0.7, 4.0)
Etowah County 2 Urban 116.1 (104.7, 128.5) 43 (19, 61) 84 stable stable trend 0.1 (-0.9, 1.2)
Calhoun County 2 Urban 115.9 (104.9, 127.7) 44 (21, 61) 91 stable stable trend 0.5 (-0.2, 1.2)
Houston County 2 Urban 133.2 (121.1, 146.4) 22 (7, 47) 95 stable stable trend 0.7 (-0.5, 1.9)
Morgan County 2 Urban 124.3 (113.2, 136.3) 33 (13, 55) 100 stable stable trend 0.7 (-0.2, 1.7)
Lee County 2 Urban 122.2 (112.0, 133.0) 39 (16, 55) 112 rising rising trend 10.5 (1.2, 17.0)
Tuscaloosa County 2 Urban 129.8 (120.8, 139.4) 26 (10, 47) 162 stable stable trend -0.2 (-1.2, 0.8)
Shelby County 2 Urban 142.6 (133.6, 152.0) 12 (5, 29) 198 rising rising trend 3.6 (0.4, 9.2)
Montgomery County 2 Urban 141.2 (132.3, 150.5) 13 (5, 32) 202 rising rising trend 0.7 (0.1, 1.4)
Baldwin County 2 Urban 138.6 (130.2, 147.3) 16 (6, 33) 232 rising rising trend 7.1 (2.3, 10.4)
Mobile County 2 Urban 125.4 (119.1, 131.8) 31 (18, 46) 332 stable stable trend 4.4 (-0.6, 7.9)
Madison County 2 Urban 140.3 (133.5, 147.5) 14 (7, 28) 336 stable stable trend 0.6 (0.0, 1.3)
Jefferson County 2 Urban 133.4 (128.4, 138.6) 20 (12, 34) 573 rising rising trend 0.4 (0.1, 0.8)

Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 6:55 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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