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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), Female, All Ages

Sorted by Count

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 ascending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Alabama 6 N/A 394.9 (391.8, 398.1) N/A 13,017 rising rising trend 0.3 (0.1, 0.5)
US (SEER+NPCR) 1 N/A 421.1 (420.7, 421.5) N/A 856,144 stable stable trend -0.5 (-1.2, 0.1)
Jefferson County 6 Urban 390.4 (381.9, 399.1) 40 (25, 51) 1,713 stable stable trend -0.3 (-0.6, 0.0)
Mobile County 6 Urban 394.4 (383.4, 405.6) 36 (21, 51) 1,060 stable stable trend 0.1 (-0.3, 0.5)
Madison County 6 Urban 402.6 (391.0, 414.6) 27 (15, 46) 962 stable stable trend -2.6 (-6.0, 0.2)
Baldwin County 6 Urban 407.9 (393.4, 422.8) 23 (11, 45) 675 stable stable trend 0.5 (0.0, 1.0)
Montgomery County 6 Urban 402.9 (388.1, 418.2) 26 (13, 48) 592 stable stable trend 0.5 (-0.2, 1.1)
Shelby County 6 Urban 377.3 (362.5, 392.5) 52 (29, 60) 519 stable stable trend -0.1 (-0.8, 0.7)
Tuscaloosa County 6 Urban 352.6 (337.7, 368.0) 61 (48, 65) 444 falling falling trend -1.8 (-3.9, -1.2)
Morgan County 6 Urban 427.3 (406.5, 449.0) 13 (4, 37) 346 stable stable trend 0.2 (-0.6, 1.0)
Calhoun County 6 Urban 441.5 (419.8, 464.0) 7 (2, 26) 344 rising rising trend 0.9 (0.3, 1.6)
Etowah County 6 Urban 432.3 (410.3, 455.3) 11 (3, 34) 318 rising rising trend 0.7 (0.1, 1.3)
Lee County 6 Urban 318.7 (302.0, 336.0) 66 (60, 67) 285 falling falling trend -2.3 (-5.8, -0.9)
Houston County 6 Urban 391.9 (371.0, 413.8) 38 (14, 58) 284 stable stable trend -0.2 (-0.9, 0.6)
Lauderdale County 6 Urban 396.1 (373.2, 420.2) 34 (12, 57) 259 falling falling trend -3.8 (-6.1, -1.9)
Limestone County 6 Urban 398.4 (376.0, 421.8) 32 (11, 57) 249 stable stable trend 0.7 (-0.3, 1.7)
Marshall County 6 Rural 397.5 (374.8, 421.3) 33 (12, 57) 248 stable stable trend -0.1 (-0.7, 0.6)
St. Clair County 6 Urban 398.5 (375.6, 422.7) 31 (10, 57) 241 falling falling trend -1.9 (-4.9, -0.5)
Talladega County 6 Rural 428.2 (403.0, 454.7) 12 (3, 41) 237 stable stable trend 0.6 (-0.3, 1.6)
Cullman County 6 Rural 391.8 (368.5, 416.4) 39 (13, 58) 232 stable stable trend 0.6 (-0.2, 1.4)
Elmore County 6 Urban 400.2 (376.5, 425.2) 30 (9, 57) 222 stable stable trend 0.1 (-0.9, 1.1)
Walker County 6 Urban 456.6 (428.0, 486.7) 4 (1, 23) 214 stable stable trend 0.7 (-0.2, 1.6)
Colbert County 6 Urban 382.4 (354.7, 411.8) 50 (14, 63) 159 stable stable trend 0.2 (-0.6, 1.1)
DeKalb County 6 Rural 338.5 (314.4, 364.1) 64 (47, 67) 157 stable stable trend 0.1 (-1.1, 1.3)
Blount County 6 Urban 394.5 (366.2, 424.6) 35 (9, 60) 156 stable stable trend 0.7 (-0.5, 2.0)
Jackson County 6 Rural 408.4 (378.4, 440.3) 22 (5, 55) 155 stable stable trend 0.9 (-0.4, 2.2)
Autauga County 6 Urban 417.1 (387.5, 448.5) 16 (4, 52) 154 stable stable trend 0.4 (-0.3, 1.2)
Tallapoosa County 6 Rural 451.3 (415.3, 489.9) 5 (1, 32) 137 rising rising trend 1.1 (0.1, 2.2)
Coffee County 6 Rural 387.1 (357.2, 419.0) 44 (11, 63) 132 stable stable trend 0.8 (-0.4, 2.0)
Dale County 6 Rural 401.0 (369.4, 434.6) 29 (6, 60) 129 rising rising trend 1.2 (0.1, 2.3)
Russell County 6 Urban 337.5 (310.7, 366.0) 65 (45, 67) 124 falling falling trend -3.6 (-18.5, -0.6)
Dallas County 6 Rural 401.9 (367.1, 439.4) 28 (5, 61) 111 stable stable trend 0.3 (-0.7, 1.3)
Chilton County 6 Urban 376.3 (343.6, 411.3) 53 (13, 65) 106 stable stable trend 0.4 (-0.9, 1.7)
Covington County 6 Rural 354.8 (322.9, 389.3) 60 (22, 67) 104 stable stable trend -2.9 (-14.4, 0.9)
Lawrence County 6 Urban 438.6 (399.2, 481.2) 9 (2, 49) 101 stable stable trend 0.5 (-0.5, 1.5)
Chambers County 6 Rural 384.9 (349.5, 423.2) 46 (8, 65) 98 falling falling trend -1.5 (-3.1, -0.4)
Escambia County 6 Rural 355.8 (322.1, 392.2) 59 (22, 67) 90 stable stable trend -0.4 (-1.6, 0.7)
Marion County 6 Rural 378.7 (340.8, 420.1) 51 (8, 66) 82 rising rising trend 1.3 (0.1, 2.5)
Pike County 6 Rural 421.7 (379.9, 466.9) 15 (2, 58) 81 stable stable trend 1.0 (-0.1, 2.2)
Clarke County 6 Rural 459.3 (412.4, 510.4) 3 (1, 40) 78 stable stable trend 1.2 (0.0, 2.5)
Franklin County 6 Rural 375.9 (338.0, 417.0) 54 (10, 66) 77 stable stable trend 0.0 (-1.2, 1.3)
Cherokee County 6 Rural 390.1 (347.1, 437.4) 41 (5, 66) 72 stable stable trend 0.8 (-1.1, 2.8)
Pickens County 6 Urban 521.2 (465.0, 582.9) 1 (1, 14) 69 rising rising trend 2.5 (0.4, 4.8)
Geneva County 6 Urban 349.0 (310.3, 391.5) 63 (19, 67) 67 falling falling trend -4.8 (-13.3, -0.2)
Barbour County 6 Rural 383.1 (340.2, 430.3) 48 (6, 66) 67 stable stable trend 0.8 (-0.5, 2.1)
Winston County 6 Rural 373.8 (331.5, 420.6) 55 (7, 67) 66 stable stable trend -0.7 (-2.4, 0.9)
Randolph County 6 Rural 382.5 (338.3, 431.2) 49 (6, 66) 62 stable stable trend 0.5 (-1.1, 2.1)
Butler County 6 Rural 413.3 (364.3, 467.6) 18 (2, 63) 58 stable stable trend 1.2 (0.0, 2.4)
Monroe County 6 Rural 389.2 (342.1, 441.4) 42 (4, 67) 57 stable stable trend 1.1 (-0.6, 2.9)
Marengo County 6 Rural 412.9 (363.0, 468.1) 19 (2, 64) 56 rising rising trend 10.2 (0.5, 17.1)
Bibb County 6 Urban 383.9 (337.5, 435.4) 47 (4, 67) 53 stable stable trend 0.2 (-1.6, 2.2)
Macon County 6 Urban 363.6 (316.5, 416.2) 58 (8, 67) 51 stable stable trend 0.8 (-1.0, 2.7)
Fayette County 6 Rural 407.1 (354.6, 465.8) 24 (2, 65) 50 stable stable trend 0.8 (-1.4, 3.0)
Henry County 6 Urban 368.0 (320.1, 421.8) 56 (8, 67) 49 stable stable trend -0.6 (-2.1, 0.9)
Crenshaw County 6 Rural 515.4 (448.8, 589.8) 2 (1, 21) 49 rising rising trend 3.4 (1.9, 5.0)
Washington County 6 Rural 422.6 (366.3, 485.7) 14 (1, 63) 45 stable stable trend 1.4 (-0.2, 3.0)
Clay County 6 Rural 441.0 (381.3, 508.0) 8 (1, 61) 45 stable stable trend 0.3 (-1.2, 1.7)
Lamar County 6 Rural 433.5 (373.8, 500.8) 10 (1, 63) 44 stable stable trend 0.9 (-1.0, 2.8)
Hale County 6 Urban 387.2 (333.9, 447.1) 43 (3, 67) 42 stable stable trend 0.8 (-2.1, 3.7)
Cleburne County 6 Rural 350.5 (299.3, 408.6) 62 (10, 67) 37 stable stable trend 0.1 (-2.9, 3.3)
Conecuh County 6 Rural 385.7 (326.2, 453.8) 45 (2, 67) 35 stable stable trend -0.9 (-21.2, 5.4)
Sumter County 6 Rural 405.3 (341.7, 478.0) 25 (1, 67) 34 stable stable trend 1.5 (-0.4, 3.4)
Lowndes County 6 Urban 450.4 (379.6, 531.3) 6 (1, 62) 33 rising rising trend 1.7 (0.1, 3.3)
Choctaw County 6 Rural 315.0 (264.6, 373.3) 67 (25, 67) 33 falling falling trend -10.1 (-21.5, -1.8)
Wilcox County 6 Rural 415.4 (350.4, 489.8) 17 (1, 67) 32 stable stable trend -0.2 (-2.2, 1.7)
Coosa County 6 Rural 367.3 (303.9, 441.7) 57 (3, 67) 29 stable stable trend 0.7 (-1.8, 3.3)
Perry County 6 Rural 392.2 (325.4, 470.1) 37 (2, 67) 27 stable stable trend 0.9 (-1.1, 2.8)
Bullock County 6 Rural 412.2 (340.5, 495.5) 20 (1, 67) 26 stable stable trend -1.6 (-9.7, 0.5)
Greene County 6 Urban 411.9 (337.1, 499.9) 21 (1, 67) 26 stable stable trend 1.4 (-1.2, 4.2)
Notes:
Created by statecancerprofiles.cancer.gov on 12/13/2024 8:11 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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