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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

All Races (includes Hispanic), Both Sexes, Ages <50

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 105.6 (103.9, 107.3) N/A 3,119 rising rising trend 0.4 (0.1, 0.7)
US (SEER+NPCR) 1 N/A 104.6 (104.4, 104.8) N/A 205,200 stable stable trend 0.0 (-0.2, 0.2)
Choctaw County 6 Rural 73.4 (47.4, 108.6) 67 (17, 67) 5 stable stable trend 0.0 (-4.3, 3.8)
Barbour County 6 Rural 76.7 (58.0, 99.5) 66 (32, 67) 11 stable stable trend -0.6 (-2.9, 1.6)
Lee County 6 Urban 81.6 (73.9, 89.8) 65 (52, 67) 85 stable stable trend 0.2 (-0.9, 1.4)
Russell County 6 Urban 82.3 (69.4, 96.8) 64 (40, 67) 29 stable stable trend -0.7 (-2.8, 1.3)
Perry County 6 Rural 82.5 (49.3, 129.0) 62 (2, 67) 4 stable stable trend 2.2 (-2.9, 7.4)
DeKalb County 6 Rural 83.9 (72.0, 97.1) 63 (38, 67) 36 falling falling trend -13.4 (-20.9, -8.7)
Marion County 6 Rural 88.1 (69.1, 110.9) 61 (17, 67) 15 falling falling trend -10.5 (-24.9, -2.8)
Cleburne County 6 Rural 88.7 (62.5, 121.9) 60 (7, 67) 8 falling falling trend -7.5 (-34.9, -1.6)
Bullock County 6 Rural 90.0 (60.2, 129.4) 59 (5, 67) 6 falling falling trend -33.8 (-58.0, -3.1)
Escambia County 6 Rural 92.2 (75.0, 112.1) 58 (19, 67) 20 stable stable trend -1.4 (-4.0, 0.9)
Tuscaloosa County 6 Urban 94.0 (86.6, 101.8) 56 (36, 63) 125 stable stable trend -0.8 (-1.8, 0.2)
Geneva County 6 Urban 94.3 (73.4, 119.2) 57 (10, 67) 14 stable stable trend -1.3 (-4.1, 1.3)
Franklin County 6 Rural 94.5 (76.2, 115.8) 54 (14, 67) 19 stable stable trend 1.0 (-1.0, 3.1)
Henry County 6 Urban 94.6 (69.4, 126.1) 55 (5, 67) 9 stable stable trend -0.2 (-2.6, 2.1)
Covington County 6 Rural 97.8 (79.7, 118.8) 53 (11, 67) 20 stable stable trend 2.0 (-1.3, 5.5)
Blount County 6 Urban 97.9 (83.7, 113.7) 52 (15, 65) 34 stable stable trend 0.0 (-2.1, 2.1)
Montgomery County 6 Urban 98.4 (91.0, 106.2) 51 (30, 61) 133 stable stable trend 0.1 (-0.7, 1.0)
Jackson County 6 Rural 99.8 (84.6, 117.0) 50 (12, 66) 31 stable stable trend 0.8 (-1.5, 3.0)
Madison County 6 Urban 101.8 (96.0, 107.8) 49 (26, 57) 232 stable stable trend 0.7 (-0.2, 1.8)
Baldwin County 6 Urban 102.0 (94.4, 110.1) 48 (23, 58) 133 stable stable trend 0.5 (-0.2, 1.3)
Shelby County 6 Urban 102.6 (95.3, 110.4) 46 (23, 57) 146 stable stable trend 0.0 (-0.9, 1.0)
Hale County 6 Urban 103.6 (74.1, 140.5) 47 (2, 67) 8 stable stable trend -1.0 (-4.2, 1.8)
Limestone County 6 Urban 103.8 (93.0, 115.6) 45 (16, 61) 67 stable stable trend 0.5 (-0.4, 1.5)
Dale County 6 Rural 104.0 (87.8, 122.2) 44 (8, 64) 30 stable stable trend 1.4 (-0.7, 3.6)
Jefferson County 6 Urban 104.5 (100.1, 109.1) 43 (26, 53) 425 stable stable trend -0.2 (-0.8, 0.3)
Macon County 6 Urban 104.9 (77.1, 139.1) 36 (1, 67) 10 stable stable trend 1.1 (-0.8, 2.9)
Mobile County 6 Urban 105.2 (99.5, 111.2) 42 (23, 54) 254 stable stable trend 0.2 (-0.5, 0.9)
St. Clair County 6 Urban 105.5 (93.8, 118.3) 41 (12, 60) 59 stable stable trend 1.0 (-0.6, 2.8)
Pike County 6 Rural 105.6 (84.0, 130.9) 38 (5, 66) 17 stable stable trend 1.6 (-1.6, 4.8)
Coffee County 6 Rural 105.7 (90.5, 122.7) 39 (10, 63) 35 stable stable trend 1.3 (-0.6, 3.4)
Chilton County 6 Urban 106.3 (89.4, 125.3) 40 (8, 64) 28 stable stable trend -0.5 (-2.4, 1.3)
Colbert County 6 Urban 106.6 (91.2, 123.9) 35 (8, 63) 34 stable stable trend -5.8 (-19.0, 0.7)
Bibb County 6 Urban 106.9 (84.3, 133.8) 37 (3, 66) 16 stable stable trend 1.6 (-1.3, 4.7)
Marshall County 6 Rural 109.4 (97.5, 122.4) 33 (10, 59) 62 stable stable trend 0.2 (-1.5, 1.9)
Houston County 6 Urban 109.4 (98.1, 121.7) 34 (12, 57) 69 stable stable trend -0.1 (-1.4, 1.2)
Monroe County 6 Rural 110.4 (84.2, 142.0) 27 (2, 66) 12 stable stable trend 1.0 (-2.4, 4.2)
Chambers County 6 Rural 110.5 (90.7, 133.3) 32 (4, 64) 22 stable stable trend 1.1 (-0.7, 2.9)
Sumter County 6 Rural 111.6 (75.1, 158.9) 31 (1, 67) 6 stable stable trend 2.6 (-1.8, 7.0)
Elmore County 6 Urban 111.9 (99.6, 125.2) 30 (9, 56) 61 stable stable trend 0.9 (-1.1, 2.9)
Etowah County 6 Urban 112.9 (101.3, 125.5) 29 (8, 55) 69 stable stable trend 0.6 (-0.4, 1.7)
Greene County 6 Urban 114.0 (71.2, 172.3) 28 (1, 67) 4 stable stable trend 1.8 (-2.5, 5.9)
Cullman County 6 Rural 114.5 (101.7, 128.5) 24 (6, 56) 58 stable stable trend 1.2 (-0.7, 3.2)
Randolph County 6 Rural 114.5 (89.1, 145.0) 26 (2, 65) 14 stable stable trend 0.9 (-2.2, 4.1)
Fayette County 6 Rural 114.7 (85.8, 150.3) 25 (1, 66) 11 stable stable trend -3.0 (-23.7, 1.9)
Lauderdale County 6 Urban 114.8 (101.8, 128.8) 23 (6, 54) 58 rising rising trend 1.6 (0.4, 2.9)
Autauga County 6 Urban 116.7 (101.5, 133.6) 22 (4, 54) 42 stable stable trend 0.0 (-1.4, 1.3)
Conecuh County 6 Rural 118.5 (82.8, 164.1) 21 (1, 67) 7 stable stable trend 1.8 (-3.0, 6.4)
Pickens County 6 Urban 119.7 (92.1, 152.8) 18 (1, 64) 13 falling falling trend -30.3 (-47.6, -16.1)
Dallas County 6 Rural 119.8 (99.5, 143.0) 20 (2, 59) 25 stable stable trend 1.8 (-0.3, 3.8)
Morgan County 6 Urban 121.2 (110.1, 133.2) 19 (5, 43) 87 stable stable trend 1.0 (-0.3, 2.3)
Winston County 6 Rural 121.7 (96.1, 151.9) 16 (1, 61) 16 stable stable trend 1.3 (-1.3, 3.8)
Walker County 6 Urban 121.9 (106.4, 139.0) 17 (3, 51) 45 stable stable trend 1.1 (-0.1, 2.3)
Clay County 6 Rural 123.0 (90.5, 163.2) 13 (1, 66) 10 stable stable trend 0.4 (-4.0, 4.5)
Cherokee County 6 Rural 123.8 (98.4, 153.7) 15 (1, 62) 17 stable stable trend 1.1 (-3.8, 5.9)
Wilcox County 6 Rural 124.1 (86.6, 171.8) 14 (1, 67) 7 stable stable trend -1.1 (-4.4, 1.8)
Tallapoosa County 6 Rural 125.8 (105.3, 149.1) 10 (1, 52) 27 stable stable trend 1.1 (-0.9, 3.1)
Calhoun County 6 Urban 126.4 (114.6, 139.1) 12 (3, 34) 85 stable stable trend 4.9 (-5.3, 14.7)
Butler County 6 Rural 127.5 (99.0, 161.5) 11 (1, 62) 14 stable stable trend 0.1 (-3.7, 3.7)
Lawrence County 6 Urban 127.8 (106.0, 152.9) 9 (1, 54) 24 stable stable trend 1.3 (-0.5, 3.2)
Talladega County 6 Rural 129.5 (115.4, 144.8) 8 (2, 37) 62 stable stable trend 1.5 (-0.1, 3.2)
Lamar County 6 Rural 130.8 (97.1, 172.3) 7 (1, 64) 10 stable stable trend 1.3 (-0.9, 3.5)
Clarke County 6 Rural 133.6 (107.0, 164.7) 6 (1, 57) 18 stable stable trend 1.0 (-0.3, 2.3)
Coosa County 6 Rural 136.7 (96.5, 188.2) 5 (1, 66) 8 stable stable trend 3.0 (-2.6, 9.2)
Washington County 6 Rural 142.7 (109.1, 183.2) 4 (1, 58) 12 stable stable trend 2.9 (-0.9, 6.8)
Crenshaw County 6 Rural 144.2 (107.7, 188.7) 3 (1, 59) 11 stable stable trend 3.1 (-0.2, 6.7)
Marengo County 6 Rural 151.2 (119.7, 188.3) 2 (1, 48) 16 rising rising trend 3.0 (0.5, 5.7)
Lowndes County 6 Urban 162.7 (117.9, 218.4) 1 (1, 56) 9 stable stable trend 1.1 (-2.5, 4.4)
Notes:
Created by statecancerprofiles.cancer.gov on 10/10/2024 1:05 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.
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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