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Incidence Rates Table

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Incidence Rate Report for Alabama by County

All Cancer Sites (All Stages^), 2017-2021

White Non-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 6 N/A 433.0 (430.2, 435.8) N/A 20,095 falling falling trend -0.8 (-1.3, -0.5)
US (SEER+NPCR) § 1 N/A 463.1 (462.7, 463.4) N/A 1,300,948 falling falling trend -0.4 (-0.5, -0.2)
Lee County 6 Urban 341.3 (326.5, 356.5) 67 (63, 67) 423 stable stable trend -0.8 (-1.6, 0.0)
DeKalb County 6 Rural 373.4 (354.4, 393.3) 66 (54, 67) 314 falling falling trend -1.3 (-2.4, -0.8)
Choctaw County 6 Rural 378.4 (328.6, 434.9) 65 (17, 67) 46 stable stable trend -2.3 (-20.7, 1.1)
Bullock County 6 Rural 378.7 (297.7, 484.6) 64 (3, 67) 16 falling falling trend -3.8 (-7.3, -1.6)
Tuscaloosa County 6 Urban 384.0 (370.3, 398.1) 63 (53, 66) 632 falling falling trend -2.7 (-4.0, -2.1)
Coosa County 6 Rural 388.9 (333.0, 452.9) 62 (9, 67) 44 stable stable trend -1.1 (-3.0, 0.7)
Perry County 6 Rural 393.3 (307.7, 501.1) 61 (2, 67) 19 stable stable trend 0.4 (-2.0, 2.8)
Wilcox County 6 Rural 394.3 (318.0, 488.4) 60 (3, 67) 23 stable stable trend -1.4 (-2.9, 0.1)
Covington County 6 Rural 397.5 (371.3, 425.3) 59 (31, 66) 193 stable stable trend -2.9 (-11.9, 0.5)
Shelby County 6 Urban 398.0 (386.1, 410.2) 58 (46, 64) 897 falling falling trend -4.8 (-8.8, -0.9)
Sumter County 6 Rural 401.1 (314.4, 507.7) 57 (2, 67) 19 falling falling trend -18.0 (-29.2, -3.2)
Escambia County 6 Rural 403.3 (372.1, 436.8) 56 (21, 66) 134 falling falling trend -1.3 (-2.2, -0.3)
Russell County 6 Urban 405.7 (376.1, 437.3) 55 (22, 66) 151 stable stable trend -0.4 (-2.4, 1.7)
Lauderdale County 6 Urban 408.0 (390.6, 426.0) 54 (34, 63) 467 falling falling trend -1.3 (-6.4, -0.5)
Cleburne County 6 Rural 412.2 (371.7, 456.1) 53 (11, 66) 82 stable stable trend -0.2 (-1.9, 1.5)
Cullman County 6 Rural 414.2 (396.8, 432.3) 52 (29, 62) 459 stable stable trend -0.2 (-0.8, 0.5)
Madison County 6 Urban 416.0 (406.0, 426.2) 51 (35, 59) 1,406 stable stable trend -0.3 (-1.0, 0.4)
Blount County 6 Urban 416.4 (394.9, 438.9) 50 (23, 63) 303 stable stable trend -0.3 (-1.1, 0.6)
Cherokee County 6 Rural 417.2 (385.9, 450.7) 49 (14, 65) 153 stable stable trend -0.1 (-1.1, 1.0)
Geneva County 6 Urban 420.2 (388.1, 454.6) 48 (13, 65) 140 falling falling trend -1.4 (-4.0, -0.7)
Jackson County 6 Rural 422.5 (400.3, 445.7) 47 (19, 61) 298 stable stable trend 0.0 (-1.0, 1.1)
Chilton County 6 Urban 424.1 (397.6, 452.0) 46 (14, 63) 206 stable stable trend -0.4 (-1.1, 0.4)
Jefferson County 6 Urban 425.2 (416.6, 434.0) 45 (29, 54) 1,985 falling falling trend -0.8 (-1.1, -0.5)
Fayette County 6 Rural 425.4 (384.4, 469.9) 44 (7, 65) 88 stable stable trend -1.7 (-10.1, 0.3)
Marion County 6 Rural 425.9 (396.9, 456.6) 43 (12, 64) 176 stable stable trend -1.3 (-8.1, 0.6)
Marengo County 6 Rural 427.3 (374.2, 486.4) 42 (3, 66) 57 stable stable trend 0.4 (-1.0, 1.7)
Coffee County 6 Rural 427.8 (402.0, 454.9) 41 (13, 62) 218 stable stable trend -1.2 (-10.6, 1.0)
Monroe County 6 Rural 428.5 (383.8, 477.7) 40 (5, 66) 76 stable stable trend 0.3 (-0.7, 1.3)
Limestone County 6 Urban 429.6 (411.3, 448.4) 39 (18, 58) 443 stable stable trend -0.3 (-1.0, 0.4)
Marshall County 6 Rural 432.7 (414.8, 451.2) 38 (17, 56) 482 stable stable trend -0.4 (-0.9, 0.1)
Houston County 6 Urban 433.8 (415.3, 453.0) 37 (16, 56) 454 stable stable trend -0.7 (-1.4, 0.0)
Winston County 6 Rural 436.9 (403.9, 472.1) 36 (8, 62) 148 falling falling trend -1.0 (-2.8, -0.3)
Colbert County 6 Urban 438.0 (414.6, 462.5) 35 (12, 57) 287 falling falling trend -6.3 (-10.4, -0.7)
St. Clair County 6 Urban 440.3 (422.0, 459.2) 34 (14, 53) 464 stable stable trend -0.4 (-0.8, 0.2)
Henry County 6 Urban 440.3 (396.7, 488.1) 33 (4, 64) 85 stable stable trend -1.1 (-2.3, 0.1)
Dallas County 6 Rural 441.1 (394.1, 492.9) 32 (3, 64) 83 stable stable trend -0.5 (-1.9, 0.8)
Clarke County 6 Rural 441.1 (397.4, 489.0) 31 (3, 64) 87 stable stable trend 0.0 (-0.6, 0.6)
Bibb County 6 Urban 441.3 (403.0, 482.5) 30 (5, 63) 103 stable stable trend -0.3 (-1.8, 1.4)
Franklin County 6 Rural 443.0 (411.4, 476.6) 29 (7, 60) 157 stable stable trend 0.0 (-0.7, 0.8)
Autauga County 6 Urban 443.6 (418.7, 469.6) 28 (10, 56) 250 stable stable trend -0.1 (-0.8, 0.7)
Dale County 6 Rural 444.0 (416.7, 472.7) 27 (8, 57) 214 stable stable trend 0.0 (-0.8, 0.8)
Randolph County 6 Rural 444.8 (407.0, 485.6) 26 (4, 61) 116 stable stable trend 0.8 (-0.5, 2.1)
Baldwin County 6 Urban 445.0 (433.7, 456.6) 25 (15, 43) 1,309 stable stable trend 0.0 (-0.5, 0.4)
Montgomery County 6 Urban 449.1 (431.2, 467.6) 24 (10, 47) 550 stable stable trend 0.1 (-0.6, 0.8)
Mobile County 6 Urban 449.3 (438.6, 460.1) 23 (14, 39) 1,466 stable stable trend 1.7 (-0.9, 3.4)
Pike County 6 Rural 450.6 (411.2, 493.0) 22 (4, 61) 107 stable stable trend 0.4 (-0.4, 1.3)
Pickens County 6 Urban 451.5 (404.3, 503.4) 21 (3, 64) 75 stable stable trend 0.1 (-1.7, 1.9)
Macon County 6 Urban 452.9 (369.0, 553.0) 20 (1, 67) 24 stable stable trend 0.3 (-2.3, 3.1)
Lamar County 6 Rural 455.4 (409.7, 505.3) 19 (2, 62) 82 stable stable trend 0.5 (-0.9, 2.0)
Etowah County 6 Urban 460.5 (442.6, 479.0) 18 (8, 39) 548 stable stable trend 0.0 (-0.7, 0.7)
Barbour County 6 Rural 462.9 (419.6, 510.5) 17 (2, 60) 95 stable stable trend 0.2 (-0.7, 1.1)
Chambers County 6 Rural 467.6 (431.8, 505.9) 16 (3, 51) 144 falling falling trend -2.6 (-9.5, -0.3)
Elmore County 6 Urban 469.5 (448.6, 491.3) 15 (5, 37) 405 stable stable trend 0.1 (-0.5, 0.7)
Hale County 6 Urban 470.9 (406.7, 543.6) 14 (1, 65) 44 stable stable trend 0.0 (-3.1, 3.1)
Conecuh County 6 Rural 473.8 (409.9, 546.4) 13 (1, 64) 50 stable stable trend 0.4 (-0.8, 1.6)
Talladega County 6 Rural 475.2 (452.2, 499.2) 12 (3, 33) 358 stable stable trend 0.2 (-0.6, 1.0)
Butler County 6 Rural 475.7 (423.8, 532.9) 11 (1, 60) 74 stable stable trend 0.5 (-1.2, 2.1)
Morgan County 6 Urban 476.5 (459.4, 494.2) 10 (4, 26) 643 stable stable trend -0.5 (-1.0, 0.1)
Clay County 6 Rural 477.4 (430.2, 529.0) 9 (1, 58) 84 stable stable trend -0.7 (-1.8, 0.4)
Greene County 6 Urban 481.7 (364.7, 639.2) 8 (1, 67) 13 stable stable trend 1.0 (-2.1, 4.2)
Tallapoosa County 6 Rural 488.3 (457.7, 520.6) 7 (2, 30) 232 stable stable trend 0.6 (-0.2, 1.4)
Walker County 6 Urban 491.0 (469.0, 513.8) 6 (2, 22) 413 falling falling trend -3.7 (-7.3, -0.2)
Washington County 6 Rural 501.4 (448.6, 559.3) 5 (1, 45) 75 stable stable trend 0.1 (-1.3, 1.5)
Lawrence County 6 Urban 504.4 (471.2, 539.5) 4 (1, 23) 187 stable stable trend 0.2 (-0.7, 1.1)
Calhoun County 6 Urban 505.9 (487.1, 525.3) 3 (1, 14) 596 rising rising trend 2.5 (1.1, 4.9)
Lowndes County 6 Urban 566.8 (454.9, 701.1) 2 (1, 58) 24 stable stable trend 0.4 (-2.2, 2.8)
Crenshaw County 6 Rural 568.0 (509.8, 631.7) 1 (1, 12) 78 falling falling trend -8.1 (-15.9, -1.5)
Notes:
Created by statecancerprofiles.cancer.gov on 10/03/2024 3:14 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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 in the Surveillance, Epidemiology, and End Results (SEER) Summary/Historic Combined Summary Stage (2004+).
⋔ 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. More information about methodology can be found on the CI*Rank website.

Φ Rural-Urban Continuum Codes provided by the USDA.
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 2023 submission.
6 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 2023 submission).
8 Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with SEER November 2023 data.

Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.

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.

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