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Incidence Rates Table

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Incidence Rate Report for Alabama by County

Brain & ONS (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 6.7 (6.4, 7.0) N/A 387 stable stable trend -0.2 (-0.9, 0.4)
US (SEER+NPCR) 1 N/A 6.3 (6.2, 6.3) N/A 23,548 falling falling trend -1.6 (-2.1, -1.1)
Autauga County 2 Urban 6.0 (3.6, 9.3) 28 (4, 34) 4 falling falling trend -4.4 (-8.0, -1.0)
Baldwin County 2 Urban 6.3 (5.1, 7.9) 24 (9, 33) 19 falling falling trend -5.0 (-20.2, -0.8)
Blount County 2 Urban 7.7 (4.9, 11.5) 14 (1, 34) 5 stable stable trend -0.4 (-4.8, 4.4)
Calhoun County 2 Urban 6.2 (4.4, 8.5) 25 (7, 34) 9 stable stable trend -0.5 (-4.5, 3.3)
Chambers County 2 Rural 6.8 (3.8, 11.4) 19 (2, 34) 3 stable stable trend -3.3 (-10.1, 2.2)
Chilton County 2 Urban 9.2 (5.7, 14.1) 6 (1, 34) 4
*
*
Clarke County 2 Rural 13.5 (7.8, 21.7) 1 (1, 28) 4
*
*
Coffee County 2 Rural 11.2 (7.6, 15.8) 2 (1, 25) 7
*
*
Colbert County 2 Urban 7.5 (4.8, 11.3) 15 (2, 34) 5 stable stable trend 1.4 (-3.0, 6.5)
Covington County 2 Rural 8.7 (5.2, 13.8) 7 (1, 34) 4
*
*
Cullman County 2 Rural 10.1 (7.4, 13.4) 3 (1, 24) 10 stable stable trend -0.1 (-3.4, 3.5)
Dale County 2 Rural 6.7 (4.0, 10.6) 21 (2, 34) 4 stable stable trend 1.0 (-3.7, 6.4)
DeKalb County 2 Rural 8.2 (5.5, 11.8) 10 (1, 33) 6
*
*
Elmore County 2 Urban 6.1 (4.1, 8.8) 27 (5, 34) 6 stable stable trend 0.8 (-3.3, 5.8)
Escambia County 2 Rural 8.2 (4.8, 13.2) 11 (1, 34) 4
*
*
Etowah County 2 Urban 8.4 (6.1, 11.1) 9 (1, 31) 10 stable stable trend 0.8 (-1.8, 3.6)
Houston County 2 Urban 6.8 (4.8, 9.3) 20 (4, 34) 8 stable stable trend -2.0 (-5.1, 1.2)
Jackson County 2 Rural 8.6 (5.5, 12.8) 8 (1, 34) 6 stable stable trend -1.6 (-5.5, 2.2)
Jefferson County 2 Urban 6.2 (5.4, 7.1) 26 (14, 32) 47 stable stable trend -1.0 (-2.7, 0.7)
Lauderdale County 2 Urban 7.8 (5.6, 10.7) 13 (2, 32) 9 stable stable trend -0.2 (-3.5, 3.1)
Lee County 2 Urban 5.8 (4.3, 7.8) 30 (10, 34) 10 stable stable trend -0.7 (-3.7, 2.7)
Limestone County 2 Urban 9.5 (7.1, 12.5) 4 (1, 25) 11 stable stable trend 0.9 (-2.4, 5.1)
Madison County 2 Urban 5.8 (4.8, 6.9) 31 (14, 34) 25 stable stable trend -0.5 (-2.8, 1.9)
Marshall County 2 Rural 7.3 (5.2, 10.0) 17 (3, 34) 8 stable stable trend -1.3 (-5.3, 2.7)
Mobile County 2 Urban 6.8 (5.8, 8.0) 18 (9, 31) 32 stable stable trend 0.4 (-1.4, 2.3)
Montgomery County 2 Urban 5.6 (4.3, 7.1) 32 (14, 34) 14 stable stable trend -0.7 (-2.8, 1.4)
Morgan County 2 Urban 9.4 (7.2, 12.1) 5 (1, 24) 14 stable stable trend 0.8 (-1.7, 3.6)
Russell County 2 Urban 6.3 (3.7, 10.2) 23 (2, 34) 3
*
*
Shelby County 2 Urban 5.4 (4.2, 6.9) 33 (15, 34) 14 stable stable trend -1.9 (-4.8, 1.2)
St. Clair County 2 Urban 8.1 (5.8, 11.0) 12 (2, 32) 9 falling falling trend -15.9 (-26.6, -4.7)
Talladega County 2 Rural 5.9 (3.9, 8.6) 29 (6, 34) 6 stable stable trend -1.5 (-4.8, 1.8)
Tallapoosa County 2 Rural 6.4 (3.5, 10.9) 22 (2, 34) 3
*
*
Tuscaloosa County 2 Urban 4.2 (3.1, 5.7) 34 (23, 34) 10 stable stable trend 17.4 (-3.8, 33.7)
Walker County 2 Urban 7.5 (5.0, 10.9) 16 (2, 34) 6 stable stable trend -1.0 (-5.5, 3.4)
Barbour County 2 Rural
*
*
3 or fewer
*
*
Bibb County 2 Urban
*
*
3 or fewer
*
*
Bullock County 2 Rural
*
*
3 or fewer
*
*
Butler County 2 Rural
*
*
3 or fewer
*
*
Cherokee County 2 Rural
*
*
3 or fewer
*
*
Choctaw County 2 Rural
*
*
3 or fewer
*
*
Clay County 2 Rural
*
*
3 or fewer
*
*
Cleburne County 2 Rural
*
*
3 or fewer
*
*
Conecuh County 2 Rural
*
*
3 or fewer
*
*
Coosa County 2 Rural
*
*
3 or fewer
*
*
Crenshaw County 2 Rural
*
*
3 or fewer
*
*
Dallas County 2 Rural
*
*
3 or fewer
*
*
Fayette County 2 Rural
*
*
3 or fewer
*
*
Franklin County 2 Rural
*
*
3 or fewer
*
*
Geneva County 2 Urban
*
*
3 or fewer
*
*
Greene County 2 Urban
*
*
3 or fewer
*
*
Hale County 2 Urban
*
*
3 or fewer
*
*
Henry County 2 Urban
*
*
3 or fewer
*
*
Lamar County 2 Rural
*
*
3 or fewer
*
*
Lawrence County 2 Urban
*
*
3 or fewer
*
*
Lowndes County 2 Urban
*
*
3 or fewer
*
*
Macon County 2 Urban
*
*
3 or fewer
*
*
Marengo County 2 Rural
*
*
3 or fewer
*
*
Marion County 2 Rural
*
*
3 or fewer
*
*
Monroe County 2 Rural
*
*
3 or fewer
*
*
Perry County 2 Rural
*
*
3 or fewer
*
*
Pickens County 2 Urban
*
*
3 or fewer
*
*
Pike County 2 Rural
*
*
3 or fewer
*
*
Randolph County 2 Rural
*
*
3 or fewer
*
*
Sumter County 2 Rural
*
*
3 or fewer
*
*
Washington County 2 Rural
*
*
3 or fewer
*
*
Wilcox County 2 Rural
*
*
3 or fewer
*
*
Winston County 2 Rural
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 7:01 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 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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