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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 65+

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 1,828.0 (1,814.9, 1,841.2) N/A 15,329 falling falling trend -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 falling trend -0.7 (-0.9, -0.5)
Coosa County 6 Rural 1,448.0 (1,240.1, 1,681.1) 67 (33, 67) 35 stable stable trend -1.7 (-3.9, 0.5)
Lee County 6 Urban 1,517.6 (1,441.3, 1,596.9) 66 (56, 67) 311 falling falling trend -4.0 (-12.3, -0.2)
Escambia County 6 Rural 1,530.7 (1,400.8, 1,669.6) 65 (43, 67) 103 falling falling trend -8.7 (-14.6, -2.5)
Russell County 6 Urban 1,576.4 (1,456.3, 1,703.7) 64 (37, 67) 132 falling falling trend -4.1 (-19.7, -1.1)
Covington County 6 Rural 1,611.1 (1,488.6, 1,740.9) 63 (33, 67) 129 falling falling trend -1.4 (-2.7, -0.6)
Monroe County 6 Rural 1,617.0 (1,445.2, 1,803.6) 62 (20, 67) 66 stable stable trend 0.3 (-1.3, 1.9)
Cullman County 6 Rural 1,634.0 (1,546.0, 1,725.7) 61 (33, 66) 263 falling falling trend -2.9 (-6.9, -1.3)
Perry County 6 Rural 1,660.4 (1,400.7, 1,954.4) 60 (4, 67) 29 stable stable trend -1.2 (-3.6, 1.0)
DeKalb County 6 Rural 1,671.8 (1,569.4, 1,779.2) 59 (28, 66) 204 falling falling trend -1.0 (-1.6, -0.4)
Shelby County 6 Urban 1,683.6 (1,620.9, 1,748.2) 58 (35, 63) 566 falling falling trend -7.0 (-9.8, -4.5)
Lauderdale County 6 Urban 1,684.1 (1,600.9, 1,770.5) 57 (32, 64) 311 falling falling trend -1.3 (-1.9, -0.8)
Tuscaloosa County 6 Urban 1,686.8 (1,620.0, 1,755.7) 56 (34, 63) 502 falling falling trend -2.5 (-5.2, -1.7)
Marengo County 6 Rural 1,691.6 (1,510.2, 1,888.9) 55 (10, 67) 64 falling falling trend -1.2 (-4.9, -0.1)
Choctaw County 6 Rural 1,695.0 (1,490.2, 1,920.4) 54 (6, 67) 50 stable stable trend 0.6 (-1.2, 2.5)
Cherokee County 6 Rural 1,705.2 (1,555.2, 1,865.9) 53 (14, 66) 98 stable stable trend 4.5 (-1.6, 10.5)
Chilton County 6 Urban 1,708.0 (1,574.8, 1,849.6) 52 (16, 66) 125 stable stable trend -0.8 (-2.0, 0.5)
Blount County 6 Urban 1,709.9 (1,599.6, 1,825.8) 51 (21, 65) 182 stable stable trend -0.8 (-1.8, 0.4)
Cleburne County 6 Rural 1,712.0 (1,503.2, 1,942.0) 50 (6, 67) 50 stable stable trend -0.8 (-2.6, 1.2)
Dallas County 6 Rural 1,715.7 (1,581.9, 1,858.0) 49 (15, 66) 125 falling falling trend -2.4 (-4.0, -1.4)
Macon County 6 Urban 1,733.4 (1,549.4, 1,933.6) 48 (7, 67) 67 stable stable trend 0.8 (-1.2, 3.0)
Hale County 6 Urban 1,736.5 (1,524.4, 1,970.0) 47 (5, 67) 49 stable stable trend -0.4 (-2.4, 1.6)
Madison County 6 Urban 1,737.6 (1,688.9, 1,787.4) 46 (30, 58) 980 stable stable trend -0.6 (-1.3, 0.1)
Chambers County 6 Rural 1,744.8 (1,606.8, 1,891.7) 45 (10, 65) 120 falling falling trend -2.7 (-5.8, -1.2)
Lamar County 6 Rural 1,747.8 (1,542.6, 1,972.7) 44 (4, 67) 53 stable stable trend -0.2 (-2.2, 1.8)
Fayette County 6 Rural 1,756.9 (1,563.7, 1,967.6) 43 (5, 67) 61 stable stable trend -0.1 (-1.4, 1.2)
Marshall County 6 Rural 1,757.8 (1,667.2, 1,852.0) 42 (18, 61) 287 falling falling trend -1.0 (-1.4, -0.5)
Randolph County 6 Rural 1,764.1 (1,593.8, 1,947.8) 41 (7, 66) 80 stable stable trend -1.9 (-8.2, 0.0)
Jackson County 6 Rural 1,772.2 (1,659.1, 1,891.2) 40 (13, 62) 187 stable stable trend -0.2 (-0.9, 0.6)
Winston County 6 Rural 1,775.5 (1,615.0, 1,947.7) 39 (8, 65) 91 stable stable trend -1.0 (-2.4, 0.5)
Limestone County 6 Urban 1,784.5 (1,689.4, 1,883.5) 38 (15, 60) 271 stable stable trend -0.7 (-1.4, 0.0)
Wilcox County 6 Rural 1,787.0 (1,539.4, 2,063.4) 37 (2, 67) 38 stable stable trend -0.1 (-1.6, 1.5)
Butler County 6 Rural 1,787.8 (1,600.7, 1,990.7) 36 (4, 66) 68 stable stable trend 0.1 (-1.4, 1.7)
Coffee County 6 Rural 1,790.6 (1,667.0, 1,920.9) 35 (11, 63) 159 stable stable trend -0.1 (-1.1, 0.9)
Colbert County 6 Urban 1,791.1 (1,680.7, 1,906.8) 34 (12, 61) 199 stable stable trend -1.9 (-11.5, 0.0)
Greene County 6 Urban 1,805.0 (1,529.6, 2,115.7) 33 (2, 67) 32 stable stable trend 0.6 (-1.6, 3.0)
Geneva County 6 Urban 1,805.9 (1,646.8, 1,976.3) 32 (5, 64) 96 stable stable trend -0.9 (-2.3, 0.5)
Marion County 6 Rural 1,816.1 (1,668.3, 1,973.4) 31 (6, 63) 112 stable stable trend 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 falling trend -1.1 (-1.5, -0.7)
Bibb County 6 Urban 1,831.2 (1,641.7, 2,036.8) 29 (3, 65) 69 stable stable trend -0.2 (-1.5, 1.2)
Houston County 6 Urban 1,833.2 (1,746.8, 1,922.9) 28 (11, 52) 344 falling falling trend -1.2 (-2.0, -0.3)
Conecuh County 6 Rural 1,833.8 (1,610.2, 2,079.8) 27 (2, 66) 49 rising rising trend 10.1 (1.0, 15.9)
Washington County 6 Rural 1,835.9 (1,622.8, 2,069.4) 26 (3, 66) 55 stable stable trend 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 stable trend 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 falling trend -5.3 (-9.1, -1.1)
Autauga County 6 Urban 1,855.2 (1,730.3, 1,986.9) 23 (5, 57) 166 stable stable trend -0.4 (-1.3, 0.7)
Sumter County 6 Rural 1,863.2 (1,611.8, 2,142.5) 22 (2, 66) 41 stable stable trend 0.9 (-1.8, 3.7)
Henry County 6 Urban 1,866.9 (1,676.5, 2,073.3) 21 (2, 65) 72 falling falling trend -1.4 (-2.4, -0.4)
Talladega County 6 Rural 1,869.8 (1,770.2, 1,973.6) 20 (7, 51) 273 falling falling trend -1.1 (-4.9, -0.2)
Franklin County 6 Rural 1,906.6 (1,744.8, 2,079.6) 19 (2, 57) 103 stable stable trend -0.4 (-1.5, 0.6)
Pike County 6 Rural 1,907.7 (1,738.2, 2,089.3) 18 (2, 58) 94 stable stable trend 0.5 (-0.4, 1.5)
Etowah County 6 Urban 1,925.0 (1,837.7, 2,015.4) 17 (5, 38) 376 stable stable trend -0.4 (-1.0, 0.3)
Montgomery County 6 Urban 1,929.2 (1,863.0, 1,997.1) 16 (6, 32) 662 stable stable trend 0.1 (-0.6, 0.8)
Dale County 6 Rural 1,934.5 (1,802.2, 2,074.1) 15 (3, 49) 161 stable stable trend -0.2 (-1.6, 1.2)
Lawrence County 6 Urban 1,945.4 (1,790.4, 2,110.3) 14 (2, 51) 119 stable stable trend -0.5 (-1.6, 0.6)
Barbour County 6 Rural 1,968.1 (1,795.4, 2,153.0) 13 (2, 54) 98 stable stable trend -0.3 (-1.5, 0.9)
Clarke County 6 Rural 1,990.2 (1,813.3, 2,179.7) 12 (1, 50) 93 stable stable trend 5.7 (-0.1, 9.3)
Tallapoosa County 6 Rural 1,993.4 (1,863.9, 2,129.6) 11 (2, 38) 181 rising rising trend 0.7 (0.1, 1.3)
Morgan County 6 Urban 2,001.9 (1,916.8, 2,089.9) 10 (3, 26) 423 falling falling trend -0.9 (-1.6, -0.2)
Clay County 6 Rural 2,004.9 (1,781.0, 2,249.3) 9 (1, 57) 59 stable stable trend 0.1 (-1.6, 1.9)
Walker County 6 Urban 2,012.4 (1,901.5, 2,128.2) 8 (2, 31) 253 stable stable trend -0.4 (-1.0, 0.3)
Baldwin County 6 Urban 2,019.2 (1,960.6, 2,079.1) 7 (3, 19) 925 stable stable trend 0.0 (-0.5, 0.6)
Bullock County 6 Rural 2,022.3 (1,727.1, 2,353.7) 6 (1, 65) 34 stable stable trend 1.3 (-0.6, 3.3)
Elmore County 6 Urban 2,028.3 (1,919.8, 2,141.4) 5 (2, 27) 271 stable stable trend -0.1 (-0.7, 0.6)
Pickens County 6 Urban 2,049.8 (1,846.6, 2,269.5) 4 (1, 47) 75 stable stable trend 0.7 (-0.4, 1.9)
Calhoun County 6 Urban 2,104.8 (2,014.8, 2,197.9) 3 (1, 14) 422 stable stable trend 0.5 (-0.1, 1.1)
Lowndes County 6 Urban 2,328.7 (2,034.7, 2,653.5) 2 (1, 23) 46 rising rising trend 1.9 (0.5, 3.4)
Crenshaw County 6 Rural 2,354.4 (2,088.3, 2,645.1) 1 (1, 16) 59 rising rising trend 3.9 (2.2, 9.9)
Notes:
Created by statecancerprofiles.cancer.gov on 10/09/2024 4:02 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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