Incidence Rates Table
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
|
2023 Rural-Urban Continuum Codes Φ
|
Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval) 
|
CI*Rank ⋔ (95% Confidence Interval)
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Incidence Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|
| Alabama 6 | N/A | 105.6 (103.9, 107.3) | N/A | 3,119 |
rising 
|
0.4 (0.1, 0.7) |
| US (SEER+NPCR) 1 | N/A | 104.6 (104.4, 104.8) | N/A | 205,200 |
stable 
|
0.0 (-0.2, 0.2) |
| Lowndes County 6 | Urban | 162.7 (117.9, 218.4) | 1 (1, 56) | 9 |
stable
|
1.1 (-2.5, 4.4) |
| Marengo County 6 | Rural | 151.2 (119.7, 188.3) | 2 (1, 48) | 16 |
rising
|
3.0 (0.5, 5.7) |
| Crenshaw County 6 | Rural | 144.2 (107.7, 188.7) | 3 (1, 59) | 11 |
stable
|
3.1 (-0.2, 6.7) |
| Washington County 6 | Rural | 142.7 (109.1, 183.2) | 4 (1, 58) | 12 |
stable
|
2.9 (-0.9, 6.8) |
| Coosa County 6 | Rural | 136.7 (96.5, 188.2) | 5 (1, 66) | 8 |
stable
|
3.0 (-2.6, 9.2) |
| Clarke County 6 | Rural | 133.6 (107.0, 164.7) | 6 (1, 57) | 18 |
stable
|
1.0 (-0.3, 2.3) |
| Lamar County 6 | Rural | 130.8 (97.1, 172.3) | 7 (1, 64) | 10 |
stable
|
1.3 (-0.9, 3.5) |
| Talladega County 6 | Rural | 129.5 (115.4, 144.8) | 8 (2, 37) | 62 |
stable
|
1.5 (-0.1, 3.2) |
| Lawrence County 6 | Urban | 127.8 (106.0, 152.9) | 9 (1, 54) | 24 |
stable
|
1.3 (-0.5, 3.2) |
| Butler County 6 | Rural | 127.5 (99.0, 161.5) | 11 (1, 62) | 14 |
stable
|
0.1 (-3.7, 3.7) |
| Calhoun County 6 | Urban | 126.4 (114.6, 139.1) | 12 (3, 34) | 85 |
stable
|
4.9 (-5.3, 14.7) |
| Tallapoosa County 6 | Rural | 125.8 (105.3, 149.1) | 10 (1, 52) | 27 |
stable
|
1.1 (-0.9, 3.1) |
| Wilcox County 6 | Rural | 124.1 (86.6, 171.8) | 14 (1, 67) | 7 |
stable
|
-1.1 (-4.4, 1.8) |
| Cherokee County 6 | Rural | 123.8 (98.4, 153.7) | 15 (1, 62) | 17 |
stable
|
1.1 (-3.8, 5.9) |
| Clay County 6 | Rural | 123.0 (90.5, 163.2) | 13 (1, 66) | 10 |
stable
|
0.4 (-4.0, 4.5) |
| Walker County 6 | Urban | 121.9 (106.4, 139.0) | 17 (3, 51) | 45 |
stable
|
1.1 (-0.1, 2.3) |
| Winston County 6 | Rural | 121.7 (96.1, 151.9) | 16 (1, 61) | 16 |
stable
|
1.3 (-1.3, 3.8) |
| Morgan County 6 | Urban | 121.2 (110.1, 133.2) | 19 (5, 43) | 87 |
stable
|
1.0 (-0.3, 2.3) |
| Dallas County 6 | Rural | 119.8 (99.5, 143.0) | 20 (2, 59) | 25 |
stable
|
1.8 (-0.3, 3.8) |
| Pickens County 6 | Urban | 119.7 (92.1, 152.8) | 18 (1, 64) | 13 |
falling 
|
-30.3 (-47.6, -16.1) |
| Conecuh County 6 | Rural | 118.5 (82.8, 164.1) | 21 (1, 67) | 7 |
stable
|
1.8 (-3.0, 6.4) |
| Autauga County 6 | Urban | 116.7 (101.5, 133.6) | 22 (4, 54) | 42 |
stable
|
0.0 (-1.4, 1.3) |
| Lauderdale County 6 | Urban | 114.8 (101.8, 128.8) | 23 (6, 54) | 58 |
rising
|
1.6 (0.4, 2.9) |
| Fayette County 6 | Rural | 114.7 (85.8, 150.3) | 25 (1, 66) | 11 |
stable
|
-3.0 (-23.7, 1.9) |
| Randolph County 6 | Rural | 114.5 (89.1, 145.0) | 26 (2, 65) | 14 |
stable
|
0.9 (-2.2, 4.1) |
| Cullman County 6 | Rural | 114.5 (101.7, 128.5) | 24 (6, 56) | 58 |
stable
|
1.2 (-0.7, 3.2) |
| Greene County 6 | Urban | 114.0 (71.2, 172.3) | 28 (1, 67) | 4 |
stable
|
1.8 (-2.5, 5.9) |
| Etowah County 6 | Urban | 112.9 (101.3, 125.5) | 29 (8, 55) | 69 |
stable
|
0.6 (-0.4, 1.7) |
| Elmore County 6 | Urban | 111.9 (99.6, 125.2) | 30 (9, 56) | 61 |
stable
|
0.9 (-1.1, 2.9) |
| Sumter County 6 | Rural | 111.6 (75.1, 158.9) | 31 (1, 67) | 6 |
stable
|
2.6 (-1.8, 7.0) |
| Chambers County 6 | Rural | 110.5 (90.7, 133.3) | 32 (4, 64) | 22 |
stable
|
1.1 (-0.7, 2.9) |
| Monroe County 6 | Rural | 110.4 (84.2, 142.0) | 27 (2, 66) | 12 |
stable
|
1.0 (-2.4, 4.2) |
| Houston County 6 | Urban | 109.4 (98.1, 121.7) | 34 (12, 57) | 69 |
stable
|
-0.1 (-1.4, 1.2) |
| Marshall County 6 | Rural | 109.4 (97.5, 122.4) | 33 (10, 59) | 62 |
stable
|
0.2 (-1.5, 1.9) |
| Bibb County 6 | Urban | 106.9 (84.3, 133.8) | 37 (3, 66) | 16 |
stable
|
1.6 (-1.3, 4.7) |
| Colbert County 6 | Urban | 106.6 (91.2, 123.9) | 35 (8, 63) | 34 |
stable
|
-5.8 (-19.0, 0.7) |
| Chilton County 6 | Urban | 106.3 (89.4, 125.3) | 40 (8, 64) | 28 |
stable
|
-0.5 (-2.4, 1.3) |
| Coffee County 6 | Rural | 105.7 (90.5, 122.7) | 39 (10, 63) | 35 |
stable
|
1.3 (-0.6, 3.4) |
| Pike County 6 | Rural | 105.6 (84.0, 130.9) | 38 (5, 66) | 17 |
stable
|
1.6 (-1.6, 4.8) |
| St. Clair County 6 | Urban | 105.5 (93.8, 118.3) | 41 (12, 60) | 59 |
stable
|
1.0 (-0.6, 2.8) |
| Mobile County 6 | Urban | 105.2 (99.5, 111.2) | 42 (23, 54) | 254 |
stable
|
0.2 (-0.5, 0.9) |
| Macon County 6 | Urban | 104.9 (77.1, 139.1) | 36 (1, 67) | 10 |
stable
|
1.1 (-0.8, 2.9) |
| Jefferson County 6 | Urban | 104.5 (100.1, 109.1) | 43 (26, 53) | 425 |
stable
|
-0.2 (-0.8, 0.3) |
| Dale County 6 | Rural | 104.0 (87.8, 122.2) | 44 (8, 64) | 30 |
stable
|
1.4 (-0.7, 3.6) |
| Limestone County 6 | Urban | 103.8 (93.0, 115.6) | 45 (16, 61) | 67 |
stable
|
0.5 (-0.4, 1.5) |
| Hale County 6 | Urban | 103.6 (74.1, 140.5) | 47 (2, 67) | 8 |
stable
|
-1.0 (-4.2, 1.8) |
| Shelby County 6 | Urban | 102.6 (95.3, 110.4) | 46 (23, 57) | 146 |
stable
|
0.0 (-0.9, 1.0) |
| Baldwin County 6 | Urban | 102.0 (94.4, 110.1) | 48 (23, 58) | 133 |
stable
|
0.5 (-0.2, 1.3) |
| Madison County 6 | Urban | 101.8 (96.0, 107.8) | 49 (26, 57) | 232 |
stable
|
0.7 (-0.2, 1.8) |
| Jackson County 6 | Rural | 99.8 (84.6, 117.0) | 50 (12, 66) | 31 |
stable
|
0.8 (-1.5, 3.0) |
| Montgomery County 6 | Urban | 98.4 (91.0, 106.2) | 51 (30, 61) | 133 |
stable
|
0.1 (-0.7, 1.0) |
| Blount County 6 | Urban | 97.9 (83.7, 113.7) | 52 (15, 65) | 34 |
stable
|
0.0 (-2.1, 2.1) |
| Covington County 6 | Rural | 97.8 (79.7, 118.8) | 53 (11, 67) | 20 |
stable
|
2.0 (-1.3, 5.5) |
| Henry County 6 | Urban | 94.6 (69.4, 126.1) | 55 (5, 67) | 9 |
stable
|
-0.2 (-2.6, 2.1) |
| Franklin County 6 | Rural | 94.5 (76.2, 115.8) | 54 (14, 67) | 19 |
stable
|
1.0 (-1.0, 3.1) |
| Geneva County 6 | Urban | 94.3 (73.4, 119.2) | 57 (10, 67) | 14 |
stable
|
-1.3 (-4.1, 1.3) |
| Tuscaloosa County 6 | Urban | 94.0 (86.6, 101.8) | 56 (36, 63) | 125 |
stable
|
-0.8 (-1.8, 0.2) |
| Escambia County 6 | Rural | 92.2 (75.0, 112.1) | 58 (19, 67) | 20 |
stable
|
-1.4 (-4.0, 0.9) |
| Bullock County 6 | Rural | 90.0 (60.2, 129.4) | 59 (5, 67) | 6 |
falling
|
-33.8 (-58.0, -3.1) |
| Cleburne County 6 | Rural | 88.7 (62.5, 121.9) | 60 (7, 67) | 8 |
falling
|
-7.5 (-34.9, -1.6) |
| Marion County 6 | Rural | 88.1 (69.1, 110.9) | 61 (17, 67) | 15 |
falling
|
-10.5 (-24.9, -2.8) |
| DeKalb County 6 | Rural | 83.9 (72.0, 97.1) | 63 (38, 67) | 36 |
falling
|
-13.4 (-20.9, -8.7) |
| Perry County 6 | Rural | 82.5 (49.3, 129.0) | 62 (2, 67) | 4 |
stable
|
2.2 (-2.9, 7.4) |
| Russell County 6 | Urban | 82.3 (69.4, 96.8) | 64 (40, 67) | 29 |
stable
|
-0.7 (-2.8, 1.3) |
| Lee County 6 | Urban | 81.6 (73.9, 89.8) | 65 (52, 67) | 85 |
stable
|
0.2 (-0.9, 1.4) |
| Barbour County 6 | Rural | 76.7 (58.0, 99.5) | 66 (32, 67) | 11 |
stable
|
-0.6 (-2.9, 1.6) |
| Choctaw County 6 | Rural | 73.4 (47.4, 108.6) | 67 (17, 67) | 5 |
stable
|
0.0 (-4.3, 3.8) |
Notes:
Created by statecancerprofiles.cancer.gov on 07/11/2025 11:31 pm.
State Cancer Registries may provide more current or more local data.
† 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.
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+).
Φ Rural-Urban Continuum Codes provided by the USDA.
Source: SEER and NPCR data. For more specific information please see the table.
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.
Created by statecancerprofiles.cancer.gov on 07/11/2025 11:31 pm.
State Cancer Registries may provide more current or more local data.
† 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.
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+).
Φ Rural-Urban Continuum Codes provided by the USDA.
Source: SEER and NPCR data. For more specific information please see the table.
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.