Incidence Rates Table
Incidence Rate Report for Alabama by County
All Cancer Sites (All Stages^), 2017-2021
All Races (includes Hispanic), Both Sexes, Ages 65+
Sorted by CI*Rank
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 | 1,828.0 (1,814.9, 1,841.2) | N/A | 15,329 |
falling 
|
-1.1 (-1.6, -0.8) |
| US (SEER+NPCR) 1 | N/A | 1,975.2 (1,973.5, 1,977.0) | N/A | 1,010,129 |
falling
|
-0.7 (-0.9, -0.5) |
| Coosa County 6 | Rural | 1,448.0 (1,240.1, 1,681.1) | 67 (33, 67) | 35 |
stable 
|
-1.7 (-3.9, 0.5) |
| Lee County 6 | Urban | 1,517.6 (1,441.3, 1,596.9) | 66 (56, 67) | 311 |
falling
|
-4.0 (-12.3, -0.2) |
| Escambia County 6 | Rural | 1,530.7 (1,400.8, 1,669.6) | 65 (43, 67) | 103 |
falling
|
-8.7 (-14.6, -2.5) |
| Russell County 6 | Urban | 1,576.4 (1,456.3, 1,703.7) | 64 (37, 67) | 132 |
falling
|
-4.1 (-19.7, -1.1) |
| Covington County 6 | Rural | 1,611.1 (1,488.6, 1,740.9) | 63 (33, 67) | 129 |
falling
|
-1.4 (-2.7, -0.6) |
| Monroe County 6 | Rural | 1,617.0 (1,445.2, 1,803.6) | 62 (20, 67) | 66 |
stable
|
0.3 (-1.3, 1.9) |
| Cullman County 6 | Rural | 1,634.0 (1,546.0, 1,725.7) | 61 (33, 66) | 263 |
falling
|
-2.9 (-6.9, -1.3) |
| Perry County 6 | Rural | 1,660.4 (1,400.7, 1,954.4) | 60 (4, 67) | 29 |
stable
|
-1.2 (-3.6, 1.0) |
| DeKalb County 6 | Rural | 1,671.8 (1,569.4, 1,779.2) | 59 (28, 66) | 204 |
falling
|
-1.0 (-1.6, -0.4) |
| Shelby County 6 | Urban | 1,683.6 (1,620.9, 1,748.2) | 58 (35, 63) | 566 |
falling
|
-7.0 (-9.8, -4.5) |
| Lauderdale County 6 | Urban | 1,684.1 (1,600.9, 1,770.5) | 57 (32, 64) | 311 |
falling
|
-1.3 (-1.9, -0.8) |
| Tuscaloosa County 6 | Urban | 1,686.8 (1,620.0, 1,755.7) | 56 (34, 63) | 502 |
falling
|
-2.5 (-5.2, -1.7) |
| Marengo County 6 | Rural | 1,691.6 (1,510.2, 1,888.9) | 55 (10, 67) | 64 |
falling
|
-1.2 (-4.9, -0.1) |
| Choctaw County 6 | Rural | 1,695.0 (1,490.2, 1,920.4) | 54 (6, 67) | 50 |
stable
|
0.6 (-1.2, 2.5) |
| Cherokee County 6 | Rural | 1,705.2 (1,555.2, 1,865.9) | 53 (14, 66) | 98 |
stable
|
4.5 (-1.6, 10.5) |
| Chilton County 6 | Urban | 1,708.0 (1,574.8, 1,849.6) | 52 (16, 66) | 125 |
stable
|
-0.8 (-2.0, 0.5) |
| Blount County 6 | Urban | 1,709.9 (1,599.6, 1,825.8) | 51 (21, 65) | 182 |
stable
|
-0.8 (-1.8, 0.4) |
| Cleburne County 6 | Rural | 1,712.0 (1,503.2, 1,942.0) | 50 (6, 67) | 50 |
stable
|
-0.8 (-2.6, 1.2) |
| Dallas County 6 | Rural | 1,715.7 (1,581.9, 1,858.0) | 49 (15, 66) | 125 |
falling
|
-2.4 (-4.0, -1.4) |
| Macon County 6 | Urban | 1,733.4 (1,549.4, 1,933.6) | 48 (7, 67) | 67 |
stable
|
0.8 (-1.2, 3.0) |
| Hale County 6 | Urban | 1,736.5 (1,524.4, 1,970.0) | 47 (5, 67) | 49 |
stable
|
-0.4 (-2.4, 1.6) |
| Madison County 6 | Urban | 1,737.6 (1,688.9, 1,787.4) | 46 (30, 58) | 980 |
stable
|
-0.6 (-1.3, 0.1) |
| Chambers County 6 | Rural | 1,744.8 (1,606.8, 1,891.7) | 45 (10, 65) | 120 |
falling
|
-2.7 (-5.8, -1.2) |
| Lamar County 6 | Rural | 1,747.8 (1,542.6, 1,972.7) | 44 (4, 67) | 53 |
stable
|
-0.2 (-2.2, 1.8) |
| Fayette County 6 | Rural | 1,756.9 (1,563.7, 1,967.6) | 43 (5, 67) | 61 |
stable
|
-0.1 (-1.4, 1.2) |
| Marshall County 6 | Rural | 1,757.8 (1,667.2, 1,852.0) | 42 (18, 61) | 287 |
falling
|
-1.0 (-1.4, -0.5) |
| Randolph County 6 | Rural | 1,764.1 (1,593.8, 1,947.8) | 41 (7, 66) | 80 |
stable
|
-1.9 (-8.2, 0.0) |
| Jackson County 6 | Rural | 1,772.2 (1,659.1, 1,891.2) | 40 (13, 62) | 187 |
stable
|
-0.2 (-0.9, 0.6) |
| Winston County 6 | Rural | 1,775.5 (1,615.0, 1,947.7) | 39 (8, 65) | 91 |
stable
|
-1.0 (-2.4, 0.5) |
| Limestone County 6 | Urban | 1,784.5 (1,689.4, 1,883.5) | 38 (15, 60) | 271 |
stable
|
-0.7 (-1.4, 0.0) |
| Wilcox County 6 | Rural | 1,787.0 (1,539.4, 2,063.4) | 37 (2, 67) | 38 |
stable
|
-0.1 (-1.6, 1.5) |
| Butler County 6 | Rural | 1,787.8 (1,600.7, 1,990.7) | 36 (4, 66) | 68 |
stable
|
0.1 (-1.4, 1.7) |
| Coffee County 6 | Rural | 1,790.6 (1,667.0, 1,920.9) | 35 (11, 63) | 159 |
stable
|
-0.1 (-1.1, 0.9) |
| Colbert County 6 | Urban | 1,791.1 (1,680.7, 1,906.8) | 34 (12, 61) | 199 |
stable
|
-1.9 (-11.5, 0.0) |
| Greene County 6 | Urban | 1,805.0 (1,529.6, 2,115.7) | 33 (2, 67) | 32 |
stable
|
0.6 (-1.6, 3.0) |
| Geneva County 6 | Urban | 1,805.9 (1,646.8, 1,976.3) | 32 (5, 64) | 96 |
stable
|
-0.9 (-2.3, 0.5) |
| Marion County 6 | Rural | 1,816.1 (1,668.3, 1,973.4) | 31 (6, 63) | 112 |
stable
|
0.7 (-0.3, 1.9) |
| Jefferson County 6 | Urban | 1,829.9 (1,793.0, 1,867.5) | 30 (19, 42) | 1,934 |
falling
|
-1.1 (-1.5, -0.7) |
| Bibb County 6 | Urban | 1,831.2 (1,641.7, 2,036.8) | 29 (3, 65) | 69 |
stable
|
-0.2 (-1.5, 1.2) |
| Houston County 6 | Urban | 1,833.2 (1,746.8, 1,922.9) | 28 (11, 52) | 344 |
falling
|
-1.2 (-2.0, -0.3) |
| Conecuh County 6 | Rural | 1,833.8 (1,610.2, 2,079.8) | 27 (2, 66) | 49 |
rising 
|
10.1 (1.0, 15.9) |
| Washington County 6 | Rural | 1,835.9 (1,622.8, 2,069.4) | 26 (3, 66) | 55 |
stable
|
5.6 (-2.0, 11.7) |
| Mobile County 6 | Urban | 1,837.9 (1,791.4, 1,885.3) | 25 (16, 43) | 1,223 |
stable
|
0.5 (-0.9, 2.5) |
| St. Clair County 6 | Urban | 1,838.9 (1,742.6, 1,939.2) | 24 (10, 54) | 281 |
falling
|
-5.3 (-9.1, -1.1) |
| Autauga County 6 | Urban | 1,855.2 (1,730.3, 1,986.9) | 23 (5, 57) | 166 |
stable
|
-0.4 (-1.3, 0.7) |
| Sumter County 6 | Rural | 1,863.2 (1,611.8, 2,142.5) | 22 (2, 66) | 41 |
stable
|
0.9 (-1.8, 3.7) |
| Henry County 6 | Urban | 1,866.9 (1,676.5, 2,073.3) | 21 (2, 65) | 72 |
falling
|
-1.4 (-2.4, -0.4) |
| Talladega County 6 | Rural | 1,869.8 (1,770.2, 1,973.6) | 20 (7, 51) | 273 |
falling
|
-1.1 (-4.9, -0.2) |
| Franklin County 6 | Rural | 1,906.6 (1,744.8, 2,079.6) | 19 (2, 57) | 103 |
stable
|
-0.4 (-1.5, 0.6) |
| Pike County 6 | Rural | 1,907.7 (1,738.2, 2,089.3) | 18 (2, 58) | 94 |
stable
|
0.5 (-0.4, 1.5) |
| Etowah County 6 | Urban | 1,925.0 (1,837.7, 2,015.4) | 17 (5, 38) | 376 |
stable
|
-0.4 (-1.0, 0.3) |
| Montgomery County 6 | Urban | 1,929.2 (1,863.0, 1,997.1) | 16 (6, 32) | 662 |
stable
|
0.1 (-0.6, 0.8) |
| Dale County 6 | Rural | 1,934.5 (1,802.2, 2,074.1) | 15 (3, 49) | 161 |
stable
|
-0.2 (-1.6, 1.2) |
| Lawrence County 6 | Urban | 1,945.4 (1,790.4, 2,110.3) | 14 (2, 51) | 119 |
stable
|
-0.5 (-1.6, 0.6) |
| Barbour County 6 | Rural | 1,968.1 (1,795.4, 2,153.0) | 13 (2, 54) | 98 |
stable
|
-0.3 (-1.5, 0.9) |
| Clarke County 6 | Rural | 1,990.2 (1,813.3, 2,179.7) | 12 (1, 50) | 93 |
stable
|
5.7 (-0.1, 9.3) |
| Tallapoosa County 6 | Rural | 1,993.4 (1,863.9, 2,129.6) | 11 (2, 38) | 181 |
rising
|
0.7 (0.1, 1.3) |
| Morgan County 6 | Urban | 2,001.9 (1,916.8, 2,089.9) | 10 (3, 26) | 423 |
falling
|
-0.9 (-1.6, -0.2) |
| Clay County 6 | Rural | 2,004.9 (1,781.0, 2,249.3) | 9 (1, 57) | 59 |
stable
|
0.1 (-1.6, 1.9) |
| Walker County 6 | Urban | 2,012.4 (1,901.5, 2,128.2) | 8 (2, 31) | 253 |
stable
|
-0.4 (-1.0, 0.3) |
| Baldwin County 6 | Urban | 2,019.2 (1,960.6, 2,079.1) | 7 (3, 19) | 925 |
stable
|
0.0 (-0.5, 0.6) |
| Bullock County 6 | Rural | 2,022.3 (1,727.1, 2,353.7) | 6 (1, 65) | 34 |
stable
|
1.3 (-0.6, 3.3) |
| Elmore County 6 | Urban | 2,028.3 (1,919.8, 2,141.4) | 5 (2, 27) | 271 |
stable
|
-0.1 (-0.7, 0.6) |
| Pickens County 6 | Urban | 2,049.8 (1,846.6, 2,269.5) | 4 (1, 47) | 75 |
stable
|
0.7 (-0.4, 1.9) |
| Calhoun County 6 | Urban | 2,104.8 (2,014.8, 2,197.9) | 3 (1, 14) | 422 |
stable
|
0.5 (-0.1, 1.1) |
| Lowndes County 6 | Urban | 2,328.7 (2,034.7, 2,653.5) | 2 (1, 23) | 46 |
rising
|
1.9 (0.5, 3.4) |
| Crenshaw County 6 | Rural | 2,354.4 (2,088.3, 2,645.1) | 1 (1, 16) | 59 |
rising
|
3.9 (2.2, 9.9) |
Notes:
Created by statecancerprofiles.cancer.gov on 05/23/2025 11:50 am.
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 05/23/2025 11:50 am.
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.