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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

Black Non-Hispanic, Both Sexes, 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 ascending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Alabama 6 N/A 430.6 (425.7, 435.7) N/A 6,147 falling falling trend -0.9 (-2.1, -0.6)
US (SEER+NPCR) 1 N/A 447.9 (447.0, 448.8) N/A 191,594 falling falling trend -0.7 (-0.9, -0.1)
Jefferson County 6 Urban 441.1 (430.4, 451.9) 30 (20, 42) 1,426 falling falling trend -1.0 (-1.6, -0.4)
Mobile County 6 Urban 430.8 (415.9, 446.1) 35 (22, 48) 682 falling falling trend -0.8 (-1.4, -0.3)
Montgomery County 6 Urban 447.0 (430.5, 464.1) 27 (15, 42) 595 stable stable trend 0.5 (0.0, 1.0)
Madison County 6 Urban 381.1 (362.5, 400.5) 55 (41, 62) 347 falling falling trend -2.2 (-3.1, -1.6)
Tuscaloosa County 6 Urban 408.7 (386.0, 432.3) 47 (26, 58) 268 falling falling trend -2.2 (-7.9, -1.1)
Lee County 6 Urban 366.7 (337.9, 397.2) 61 (43, 64) 137 falling falling trend -2.4 (-4.7, -1.0)
Dallas County 6 Rural 410.4 (378.4, 444.5) 45 (20, 60) 132 stable stable trend 0.0 (-1.4, 1.6)
Houston County 6 Urban 437.6 (403.1, 474.4) 31 (12, 54) 127 stable stable trend -0.9 (-1.9, 0.1)
Talladega County 6 Rural 420.7 (386.5, 457.1) 42 (17, 59) 124 stable stable trend 0.4 (-1.2, 3.2)
Calhoun County 6 Urban 468.7 (429.9, 510.1) 20 (7, 46) 118 stable stable trend 0.6 (-0.7, 4.1)
Shelby County 6 Urban 380.6 (343.1, 420.9) 56 (27, 64) 95 falling falling trend -8.8 (-16.4, -2.0)
Baldwin County 6 Urban 431.6 (390.8, 475.5) 34 (12, 58) 90 stable stable trend -0.5 (-1.6, 0.7)
Russell County 6 Urban 318.5 (288.4, 350.9) 65 (56, 66) 89 falling falling trend -6.6 (-23.0, -2.3)
Macon County 6 Urban 421.3 (379.4, 466.9) 40 (12, 61) 86 stable stable trend 0.9 (-1.0, 2.9)
Elmore County 6 Urban 515.1 (462.3, 572.1) 9 (1, 35) 81 stable stable trend 0.2 (-1.5, 2.2)
Etowah County 6 Urban 434.2 (389.7, 482.6) 33 (9, 59) 77 stable stable trend -1.0 (-2.5, 0.5)
Clarke County 6 Rural 586.0 (526.0, 651.3) 2 (1, 15) 74 rising rising trend 9.7 (2.3, 17.0)
Morgan County 6 Urban 488.3 (436.5, 544.5) 13 (2, 46) 73 stable stable trend -0.8 (-3.0, 1.6)
Chambers County 6 Rural 383.4 (341.7, 428.9) 54 (23, 64) 66 falling falling trend -8.3 (-12.8, -3.2)
Tallapoosa County 6 Rural 486.3 (433.2, 544.2) 15 (3, 48) 65 stable stable trend 0.5 (-1.3, 2.4)
Autauga County 6 Urban 519.5 (460.6, 583.8) 7 (1, 37) 61 stable stable trend -0.2 (-1.2, 1.0)
Barbour County 6 Rural 428.7 (380.1, 482.0) 39 (9, 61) 60 stable stable trend -0.5 (-1.7, 0.8)
Limestone County 6 Urban 398.1 (351.2, 449.6) 48 (17, 64) 59 stable stable trend 0.4 (-1.1, 2.3)
Marengo County 6 Rural 461.6 (406.7, 522.1) 22 (4, 56) 56 stable stable trend 0.4 (-1.3, 2.2)
Pickens County 6 Urban 574.5 (506.2, 649.9) 3 (1, 22) 55 stable stable trend 2.3 (0.0, 8.6)
Pike County 6 Rural 469.9 (413.2, 532.2) 19 (3, 54) 53 stable stable trend 0.9 (-0.4, 2.3)
Lowndes County 6 Urban 537.9 (470.7, 612.4) 4 (1, 36) 50 rising rising trend 1.9 (0.7, 3.3)
Sumter County 6 Rural 466.6 (406.6, 533.4) 21 (3, 57) 50 stable stable trend 1.4 (-0.2, 3.0)
Colbert County 6 Urban 413.5 (361.3, 471.4) 44 (11, 63) 49 stable stable trend 0.7 (-1.2, 2.7)
Hale County 6 Urban 448.3 (391.2, 511.7) 26 (6, 60) 48 rising rising trend 13.6 (2.0, 24.0)
Escambia County 6 Rural 377.3 (330.3, 429.2) 58 (21, 65) 48 stable stable trend -1.1 (-2.3, 0.1)
Wilcox County 6 Rural 524.7 (457.4, 599.5) 6 (1, 42) 47 stable stable trend 0.8 (-1.3, 3.0)
Butler County 6 Rural 449.4 (390.7, 514.6) 25 (4, 59) 45 stable stable trend 0.4 (-1.0, 1.8)
Dale County 6 Rural 429.5 (371.4, 494.1) 38 (6, 62) 44 stable stable trend -0.9 (-2.7, 1.0)
Coffee County 6 Rural 430.0 (372.4, 494.0) 36 (8, 63) 43 stable stable trend -0.3 (-1.9, 1.4)
Lauderdale County 6 Urban 443.7 (384.0, 509.9) 29 (5, 60) 43 falling falling trend -1.5 (-2.9, -0.2)
Monroe County 6 Rural 409.5 (353.6, 472.1) 46 (11, 64) 42 stable stable trend -3.1 (-13.0, 0.1)
Greene County 6 Urban 458.3 (392.7, 532.5) 23 (3, 59) 40 stable stable trend 0.2 (-1.5, 1.9)
Bullock County 6 Rural 444.6 (381.4, 515.7) 28 (5, 61) 38 stable stable trend 0.6 (-1.2, 2.4)
St. Clair County 6 Urban 393.8 (333.0, 462.6) 50 (12, 65) 35 stable stable trend -1.7 (-3.6, 0.4)
Choctaw County 6 Rural 390.2 (327.6, 462.5) 51 (12, 65) 32 stable stable trend -5.5 (-17.6, 0.6)
Perry County 6 Rural 429.7 (363.2, 505.3) 37 (6, 63) 32 stable stable trend -0.8 (-2.8, 1.2)
Henry County 6 Urban 483.7 (407.6, 571.4) 17 (1, 58) 31 stable stable trend -0.2 (-2.0, 1.7)
Conecuh County 6 Rural 436.3 (366.9, 515.7) 32 (4, 63) 31 stable stable trend 0.8 (-2.2, 3.8)
Lawrence County 6 Urban 498.6 (409.9, 602.1) 11 (1, 59) 26 stable stable trend -0.3 (-2.1, 1.5)
Bibb County 6 Urban 489.0 (400.9, 590.8) 12 (1, 60) 23 stable stable trend 1.1 (-1.2, 3.6)
Walker County 6 Urban 505.4 (412.0, 613.7) 10 (1, 59) 23 stable stable trend -0.3 (-3.4, 3.0)
Washington County 6 Rural 487.1 (396.8, 592.9) 14 (1, 61) 23 stable stable trend -0.1 (-2.2, 2.0)
Chilton County 6 Urban 453.2 (369.9, 549.8) 24 (2, 64) 22 stable stable trend -1.6 (-4.1, 0.8)
Crenshaw County 6 Rural 534.7 (434.2, 652.5) 5 (1, 56) 22 rising rising trend 3.0 (0.3, 6.1)
Covington County 6 Rural 377.3 (306.6, 459.7) 59 (12, 66) 21 stable stable trend 0.4 (-2.4, 3.5)
Randolph County 6 Rural 388.7 (314.0, 476.3) 53 (9, 66) 20 stable stable trend -5.2 (-36.2, 4.0)
Coosa County 6 Rural 420.8 (334.6, 524.6) 41 (3, 65) 19 stable stable trend 1.6 (-2.0, 5.7)
Geneva County 6 Urban 413.5 (318.8, 529.0) 43 (3, 66) 14 stable stable trend -1.5 (-4.6, 1.6)
Marshall County 6 Rural 516.1 (370.0, 696.8) 8 (1, 65) 10 stable stable trend -1.5 (-4.4, 2.0)
Fayette County 6 Rural 355.3 (257.5, 480.7) 62 (7, 66) 10 stable stable trend -0.5 (-3.2, 2.3)
Clay County 6 Rural 375.0 (272.0, 505.7) 60 (5, 66) 10 stable stable trend -0.7 (-4.3, 3.0)
Jackson County 6 Rural 328.3 (227.0, 460.2) 64 (11, 66) 8 stable stable trend -2.3 (-7.4, 2.7)
Lamar County 6 Rural 396.1 (276.2, 553.3) 49 (2, 66) 8 falling falling trend -17.2 (-41.4, -1.1)
Cherokee County 6 Rural 485.1 (334.3, 686.5) 16 (1, 65) 8
*
*
Franklin County 6 Rural 329.1 (215.8, 484.2) 63 (5, 66) 6 stable stable trend 23.2 (-10.7, 51.6)
Blount County 6 Urban 477.3 (308.8, 705.6) 18 (1, 66) 5 stable stable trend -2.7 (-8.5, 3.4)
Marion County 6 Rural 388.8 (252.1, 575.0) 52 (1, 66) 5 stable stable trend -1.4 (-5.7, 3.3)
DeKalb County 6 Rural 380.2 (244.3, 565.2) 57 (1, 66) 5 stable stable trend -1.1 (-6.2, 4.4)
Cleburne County 6 Rural 630.1 (374.9, 1,002.9) 1 (1, 66) 4 stable stable trend 1.6 (-4.6, 8.6)
Cullman County 6 Rural 239.8 (134.7, 398.1) 66 (20, 66) 3
*
*
Winston County 6 Rural
*
*
3 or fewer
*
*
Notes:
Created by statecancerprofiles.cancer.gov on 12/06/2024 6:05 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 (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.
* 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
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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