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Incidence Rates Table

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Incidence Rate Report for Alabama by County

All Cancer Sites (All Stages^), 2016-2020

White Non-Hispanic, Both Sexes, All Ages

Sorted by Rate
County
 sort alphabetically by name ascending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate ascending
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 6 442.1 (439.3, 445.0) N/A 20,104 falling falling trend -0.7 (-1.2, -0.3)
US (SEER+NPCR) § 1 461.9 (461.6, 462.3) N/A 1,273,624 stable stable trend -0.2 (-0.5, 0.2)
Lowndes County 6 663.7 (538.8, 812.0) 1 (1, 22) 27 stable stable trend 1.2 (-1.3, 3.7)
Crenshaw County 6 561.1 (504.4, 622.9) 2 (1, 18) 80 rising rising trend 4.0 (1.7, 10.0)
Walker County 6 519.3 (496.3, 543.2) 3 (2, 14) 423 rising rising trend 0.5 (0.2, 0.9)
Elmore County 6 504.1 (481.7, 527.4) 4 (2, 20) 407 stable stable trend 0.5 (-0.1, 1.2)
Dallas County 6 501.5 (450.3, 557.8) 5 (1, 48) 90 stable stable trend 0.0 (-1.1, 1.1)
Clay County 6 493.5 (443.9, 547.7) 6 (2, 55) 81 stable stable trend 5.5 (-1.6, 10.7)
Chambers County 6 490.8 (453.2, 531.1) 7 (2, 42) 144 stable stable trend 0.3 (-0.8, 1.4)
Lawrence County 6 490.3 (457.5, 525.0) 8 (2, 37) 181 stable stable trend -0.1 (-1.0, 0.9)
Tallapoosa County 6 487.3 (456.3, 520.1) 9 (2, 38) 223 rising rising trend 4.8 (0.3, 8.2)
Greene County 6 486.7 (361.9, 653.1) 10 (1, 67) 14 stable stable trend 1.0 (-2.2, 4.5)
Calhoun County 6 486.5 (467.9, 505.6) 11 (3, 26) 569 stable stable trend 0.4 (-0.1, 0.9)
Lamar County 6 480.3 (433.3, 531.5) 12 (2, 56) 86 stable stable trend 0.8 (-0.6, 2.4)
Morgan County 6 480.3 (462.9, 498.2) 13 (5, 28) 632 stable stable trend -0.5 (-0.9, 0.0)
Talladega County 6 478.5 (455.3, 502.8) 14 (4, 36) 353 stable stable trend 0.3 (-0.6, 1.2)
Barbour County 6 478.2 (433.5, 527.1) 15 (2, 55) 96 stable stable trend 0.3 (-0.7, 1.3)
Autauga County 6 474.6 (448.4, 502.1) 16 (4, 43) 256 stable stable trend 0.4 (-0.4, 1.4)
Butler County 6 473.3 (421.7, 530.0) 17 (2, 61) 75 stable stable trend 0.4 (-1.6, 2.4)
Etowah County 6 470.4 (452.3, 489.2) 18 (7, 36) 553 stable stable trend 0.1 (-0.7, 0.9)
Franklin County 6 465.7 (432.7, 500.8) 19 (4, 55) 159 stable stable trend 0.3 (-0.5, 1.0)
Colbert County 6 465.4 (440.9, 491.1) 20 (5, 46) 295 rising rising trend 0.8 (0.1, 1.5)
Montgomery County 6 465.1 (446.9, 484.0) 21 (8, 40) 567 stable stable trend 0.3 (-0.4, 1.0)
Bibb County 6 463.6 (423.7, 506.4) 22 (3, 60) 105 stable stable trend 0.1 (-1.2, 1.6)
Pickens County 6 462.3 (413.5, 515.9) 23 (2, 62) 76 stable stable trend 0.1 (-1.7, 2.1)
St. Clair County 6 455.2 (436.3, 474.8) 24 (10, 48) 466 stable stable trend -0.2 (-0.6, 0.4)
Macon County 6 449.0 (362.4, 553.0) 25 (1, 67) 22 stable stable trend 0.5 (-1.8, 3.1)
Baldwin County 6 448.3 (436.7, 460.3) 26 (18, 45) 1,255 stable stable trend 0.1 (-0.4, 0.7)
Limestone County 6 446.9 (427.9, 466.5) 27 (13, 53) 442 stable stable trend -0.1 (-0.7, 0.6)
Clarke County 6 444.5 (401.1, 491.9) 28 (5, 64) 89 stable stable trend 0.0 (-0.7, 0.7)
Henry County 6 442.9 (398.6, 491.4) 29 (4, 65) 83 stable stable trend -0.9 (-2.3, 0.5)
Dale County 6 442.2 (414.8, 471.0) 30 (10, 59) 211 stable stable trend 0.1 (-0.9, 1.1)
Pike County 6 441.4 (403.3, 482.6) 31 (6, 63) 108 stable stable trend -4.5 (-9.8, 0.6)
Mobile County 6 441.2 (430.7, 451.9) 32 (22, 50) 1,447 falling falling trend -1.2 (-5.1, -0.5)
Madison County 6 441.0 (430.5, 451.7) 33 (22, 49) 1,436 stable stable trend 0.0 (-0.7, 0.7)
Jackson County 6 439.7 (416.9, 463.7) 34 (14, 59) 304 stable stable trend 0.4 (-0.5, 1.5)
Wilcox County 6 439.6 (358.1, 539.2) 35 (2, 67) 25 stable stable trend -1.0 (-2.6, 0.6)
Geneva County 6 437.9 (405.1, 473.0) 36 (8, 63) 145 falling falling trend -1.2 (-5.3, -0.4)
Houston County 6 437.7 (419.1, 457.1) 37 (19, 57) 454 stable stable trend -0.6 (-1.3, 0.1)
Marshall County 6 437.3 (419.3, 456.0) 38 (19, 57) 484 stable stable trend -0.3 (-0.8, 0.2)
Jefferson County 6 435.4 (426.5, 444.3) 39 (26, 52) 2,009 falling falling trend -0.6 (-1.0, -0.3)
Cullman County 6 434.6 (416.3, 453.7) 40 (19, 58) 457 stable stable trend 0.1 (-0.6, 0.9)
Fayette County 6 433.2 (392.3, 477.8) 41 (7, 65) 90 stable stable trend -2.0 (-13.9, 1.8)
Blount County 6 431.8 (409.7, 454.8) 42 (18, 61) 309 stable stable trend 0.0 (-0.8, 1.0)
Washington County 6 430.4 (383.4, 482.3) 43 (5, 67) 68 stable stable trend -1.7 (-8.8, 0.0)
Hale County 6 429.9 (368.5, 499.8) 44 (3, 67) 40 stable stable trend -0.5 (-3.5, 2.6)
Randolph County 6 428.6 (392.2, 467.9) 45 (10, 65) 116 stable stable trend 0.9 (-0.7, 2.5)
Sumter County 6 428.4 (331.8, 546.5) 46 (1, 67) 19 stable stable trend -12.4 (-26.4, 2.5)
Marion County 6 424.5 (396.0, 454.9) 47 (17, 64) 179 stable stable trend -1.7 (-7.8, 1.1)
Coffee County 6 423.7 (398.1, 450.7) 48 (20, 64) 216 stable stable trend 0.4 (-0.5, 1.3)
Winston County 6 423.7 (391.7, 457.9) 49 (13, 65) 146 falling falling trend -1.4 (-2.9, -0.6)
Conecuh County 6 423.0 (365.7, 488.5) 50 (4, 67) 47 stable stable trend -0.3 (-1.5, 0.8)
Escambia County 6 421.9 (389.9, 456.0) 51 (17, 65) 140 stable stable trend -0.8 (-2.0, 0.3)
Tuscaloosa County 6 420.0 (405.1, 435.3) 52 (31, 61) 643 falling falling trend -1.9 (-5.2, -1.2)
Monroe County 6 415.0 (371.5, 462.9) 53 (10, 67) 76 stable stable trend -0.2 (-1.2, 0.9)
Covington County 6 414.5 (387.4, 443.2) 54 (22, 65) 196 stable stable trend -5.6 (-12.0, 0.4)
Chilton County 6 413.3 (387.0, 441.0) 55 (25, 65) 198 stable stable trend -0.4 (-1.5, 0.7)
Lauderdale County 6 412.5 (395.1, 430.6) 56 (33, 64) 471 falling falling trend -1.5 (-7.4, -0.2)
Russell County 6 411.6 (381.6, 443.5) 57 (22, 66) 151 stable stable trend 0.0 (-1.9, 2.1)
Choctaw County 6 410.0 (357.6, 469.1) 58 (8, 67) 49 stable stable trend 0.1 (-1.5, 1.9)
Shelby County 6 405.3 (393.1, 417.8) 59 (45, 64) 893 falling falling trend -0.8 (-1.4, -0.2)
Perry County 6 404.7 (316.1, 515.4) 60 (2, 67) 19 stable stable trend 0.6 (-2.1, 3.3)
Marengo County 6 401.3 (351.1, 457.4) 61 (10, 67) 55 falling falling trend -2.4 (-11.6, -0.2)
Cleburne County 6 400.1 (360.2, 443.6) 62 (17, 67) 79 falling falling trend -4.4 (-8.9, -1.4)
Bullock County 6 396.9 (312.3, 506.6) 63 (3, 67) 16 falling falling trend -3.5 (-7.0, -1.2)
Cherokee County 6 384.7 (355.4, 416.1) 64 (40, 67) 147 stable stable trend -0.5 (-1.8, 0.9)
Coosa County 6 383.6 (328.7, 446.5) 65 (14, 67) 44 stable stable trend -1.4 (-4.0, 1.0)
DeKalb County 6 374.0 (354.8, 393.9) 66 (55, 67) 313 falling falling trend -1.4 (-2.7, -0.8)
Lee County 6 356.1 (340.6, 372.2) 67 (61, 67) 415 stable stable trend -0.4 (-1.1, 0.4)
Notes:
Created by statecancerprofiles.cancer.gov on 03/28/2024 5:55 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. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

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 stage.
⋔ 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.


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 2022 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 2022 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 modifed by NCI. The US Population Data File is used with SEER November 2022 data.
Data for the United States does not include data from Nevada.
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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