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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

All Races (includes Hispanic), Both Sexes, Ages <65

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 6 236.5 (234.5, 238.4) N/A 12,000 stable stable trend 0.2 (-0.1, 0.5)
US (SEER+NPCR) 1 225.0 (224.8, 225.3) N/A 726,500 stable stable trend -0.1 (-0.2, 0.0)
Lowndes County 6 321.5 (270.6, 379.6) 1 (1, 37) 33 stable stable trend 1.8 (-0.4, 4.1)
Pickens County 6 295.1 (261.3, 332.4) 2 (1, 37) 62 stable stable trend 0.8 (-1.0, 2.7)
Crenshaw County 6 291.0 (250.6, 336.3) 3 (1, 50) 42 rising rising trend 3.2 (1.4, 5.3)
Lamar County 6 288.1 (248.1, 333.2) 4 (1, 51) 42 stable stable trend 1.5 (-0.2, 3.3)
Walker County 6 285.4 (266.7, 305.2) 5 (1, 22) 194 rising rising trend 1.1 (0.3, 2.0)
Wilcox County 6 282.2 (237.7, 333.2) 6 (1, 62) 32 stable stable trend -0.1 (-1.7, 1.5)
Autauga County 6 274.9 (255.6, 295.3) 7 (2, 34) 160 rising rising trend 1.0 (0.1, 1.8)
Perry County 6 274.8 (224.7, 333.1) 8 (1, 65) 24 stable stable trend 1.5 (-2.1, 5.2)
Clarke County 6 274.7 (245.0, 307.2) 9 (1, 49) 69 rising rising trend 3.5 (1.4, 8.0)
Tallapoosa County 6 274.6 (251.3, 299.7) 10 (1, 39) 121 stable stable trend 0.7 (-0.2, 1.6)
Sumter County 6 271.9 (227.8, 322.3) 11 (1, 64) 33 rising rising trend 1.6 (0.1, 3.3)
Elmore County 6 271.4 (255.5, 288.0) 12 (3, 31) 235 stable stable trend 0.9 (-0.3, 2.1)
Dallas County 6 270.0 (245.9, 295.8) 13 (2, 46) 107 stable stable trend 1.1 (-0.9, 3.2)
Butler County 6 267.7 (234.9, 304.0) 14 (1, 61) 55 stable stable trend 0.8 (-0.8, 2.6)
Chambers County 6 265.9 (241.4, 292.5) 15 (2, 54) 97 stable stable trend 0.8 (-0.3, 2.0)
Bibb County 6 264.5 (235.2, 296.7) 16 (2, 60) 62 stable stable trend 0.6 (-0.9, 2.4)
Talladega County 6 262.1 (246.0, 278.9) 17 (4, 43) 221 stable stable trend 0.6 (-0.2, 1.5)
Clay County 6 262.0 (223.8, 305.4) 18 (1, 64) 38 stable stable trend -1.1 (-2.5, 0.2)
Greene County 6 259.3 (209.1, 318.5) 19 (1, 67) 23 stable stable trend 0.1 (-2.5, 2.6)
Macon County 6 258.4 (224.0, 297.0) 20 (1, 63) 48 stable stable trend 1.4 (-0.4, 3.2)
Lawrence County 6 255.7 (231.5, 281.8) 21 (3, 59) 92 stable stable trend 0.0 (-0.9, 0.9)
Calhoun County 6 254.3 (240.9, 268.2) 22 (9, 45) 302 stable stable trend 2.4 (-2.7, 6.7)
Colbert County 6 252.2 (233.4, 272.2) 23 (6, 55) 149 rising rising trend 1.1 (0.2, 2.0)
Marengo County 6 251.3 (218.9, 287.3) 24 (2, 64) 49 stable stable trend 0.3 (-0.8, 1.5)
Morgan County 6 250.0 (237.2, 263.4) 25 (11, 49) 312 stable stable trend -0.1 (-0.8, 0.7)
Henry County 6 249.6 (217.1, 286.0) 26 (2, 65) 47 stable stable trend 0.1 (-1.1, 1.3)
Fayette County 6 248.5 (214.7, 286.4) 27 (2, 65) 44 stable stable trend 1.0 (-2.0, 4.2)
Hale County 6 245.7 (210.5, 285.4) 28 (2, 66) 40 stable stable trend -2.8 (-15.6, 0.5)
Monroe County 6 245.0 (215.1, 278.1) 29 (3, 65) 56 stable stable trend -0.2 (-6.5, 1.1)
Jackson County 6 245.0 (226.1, 265.1) 30 (9, 61) 140 stable stable trend 1.1 (-0.4, 2.5)
Etowah County 6 244.7 (231.1, 258.9) 31 (13, 55) 266 stable stable trend 0.3 (-0.3, 1.0)
St. Clair County 6 244.1 (229.7, 259.1) 32 (12, 57) 233 stable stable trend 0.4 (-0.5, 1.3)
Escambia County 6 242.1 (220.0, 266.0) 33 (8, 63) 94 stable stable trend 0.2 (-1.0, 1.4)
Pike County 6 241.7 (216.1, 269.7) 34 (6, 64) 71 stable stable trend 0.5 (-0.5, 1.5)
Randolph County 6 241.6 (213.3, 273.0) 35 (4, 65) 60 stable stable trend 1.4 (-1.2, 4.1)
Cullman County 6 238.4 (223.3, 254.3) 36 (15, 61) 204 stable stable trend 0.5 (-0.5, 1.5)
Marshall County 6 238.4 (224.3, 253.3) 37 (16, 60) 230 stable stable trend 0.4 (-0.4, 1.3)
Limestone County 6 238.2 (224.9, 252.2) 38 (17, 59) 252 rising rising trend 0.8 (0.1, 1.6)
Montgomery County 6 238.2 (229.0, 247.7) 39 (23, 56) 539 rising rising trend 0.7 (0.1, 1.4)
Jefferson County 6 237.3 (231.9, 242.8) 40 (27, 52) 1,610 stable stable trend -0.3 (-0.7, 0.2)
Washington County 6 235.7 (202.8, 272.7) 41 (3, 66) 42 stable stable trend 0.6 (-1.4, 2.6)
Covington County 6 235.4 (213.2, 259.4) 42 (11, 64) 94 stable stable trend 0.7 (-1.6, 3.1)
Conecuh County 6 234.4 (196.5, 278.1) 43 (3, 67) 32 stable stable trend 0.4 (-2.5, 3.4)
Lauderdale County 6 233.7 (219.2, 248.9) 44 (17, 63) 218 stable stable trend 0.5 (-0.7, 1.7)
Coosa County 6 233.4 (192.5, 281.4) 45 (2, 67) 28 stable stable trend 1.1 (-1.7, 4.0)
Bullock County 6 233.2 (192.0, 281.0) 46 (2, 67) 25 falling falling trend -3.0 (-16.6, -0.3)
Barbour County 6 232.1 (206.3, 260.6) 47 (10, 66) 63 stable stable trend 0.2 (-1.8, 2.1)
Mobile County 6 231.3 (224.6, 238.1) 48 (32, 58) 990 stable stable trend -0.1 (-0.6, 0.5)
Madison County 6 229.8 (222.9, 237.0) 49 (33, 60) 897 stable stable trend 0.1 (-0.5, 0.8)
Cleburne County 6 228.6 (195.3, 266.4) 50 (6, 67) 37 falling falling trend -3.5 (-8.2, -0.9)
Houston County 6 228.6 (215.5, 242.3) 51 (24, 63) 248 stable stable trend -0.3 (-1.0, 0.4)
Winston County 6 228.1 (201.1, 257.9) 52 (10, 66) 59 stable stable trend -0.5 (-2.3, 1.3)
Blount County 6 226.6 (209.2, 245.2) 53 (23, 65) 136 stable stable trend 0.4 (-0.7, 1.6)
Dale County 6 226.6 (207.4, 247.1) 54 (18, 65) 113 stable stable trend 0.1 (-1.4, 1.6)
Chilton County 6 226.3 (206.5, 247.6) 55 (19, 65) 104 stable stable trend -0.4 (-1.5, 0.8)
Cherokee County 6 224.5 (198.8, 252.9) 56 (15, 66) 65 stable stable trend 0.6 (-1.6, 3.0)
Choctaw County 6 224.3 (188.5, 265.5) 57 (6, 67) 32 falling falling trend -12.2 (-21.9, -0.6)
Tuscaloosa County 6 224.0 (214.4, 234.0) 58 (34, 63) 434 falling falling trend -1.8 (-7.0, -1.0)
Coffee County 6 222.8 (204.6, 242.4) 59 (22, 65) 117 stable stable trend 0.4 (-0.7, 1.5)
Marion County 6 222.7 (199.3, 248.4) 60 (16, 67) 73 stable stable trend 0.7 (-0.9, 2.3)
Franklin County 6 220.6 (197.3, 246.0) 61 (18, 67) 69 stable stable trend 0.3 (-0.8, 1.4)
Geneva County 6 219.4 (194.3, 247.1) 62 (17, 67) 62 stable stable trend -0.4 (-1.8, 1.1)
Baldwin County 6 219.2 (210.3, 228.4) 63 (41, 64) 511 stable stable trend 0.2 (-0.3, 0.6)
Shelby County 6 209.8 (201.2, 218.7) 64 (52, 66) 471 stable stable trend -0.5 (-1.1, 0.2)
Russell County 6 198.0 (181.9, 215.3) 65 (53, 67) 119 stable stable trend 0.3 (-1.5, 2.3)
DeKalb County 6 191.7 (177.2, 207.1) 66 (58, 67) 140 falling falling trend -7.8 (-12.4, -4.7)
Lee County 6 183.0 (173.1, 193.3) 67 (63, 67) 271 stable stable trend -0.7 (-6.3, 1.8)
Notes:
Created by statecancerprofiles.cancer.gov on 06/13/2024 6:29 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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