Incidence Rates Table
Incidence Rate Report for Alabama by County
Colon & Rectum (All Stages^), 2017-2021
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Count
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 | 40.1 (39.4, 40.8) | N/A | 2,483 |
falling 
|
-1.8 (-2.9, -1.3) |
| US (SEER+NPCR) 1 | N/A | 36.4 (36.3, 36.4) | N/A | 140,088 |
falling
|
-1.1 (-1.3, -0.9) |
| Bullock County 6 | Rural | 43.8 (28.8, 64.3) | 33 (1, 67) | 6 |
stable 
|
-2.5 (-8.8, 2.9) |
| Coosa County 6 | Rural | 40.0 (26.3, 59.3) | 48 (2, 67) | 6 |
stable
|
0.5 (-3.3, 4.5) |
| Perry County 6 | Rural | 49.4 (33.2, 71.7) | 12 (1, 67) | 6 |
stable
|
-0.1 (-4.7, 4.5) |
| Greene County 6 | Urban | 58.9 (39.2, 85.9) | 2 (1, 65) | 7 |
stable
|
-1.1 (-4.5, 1.9) |
| Lowndes County 6 | Urban | 53.3 (36.7, 75.3) | 7 (1, 66) | 7 |
stable
|
-1.1 (-4.5, 2.4) |
| Lamar County 6 | Rural | 37.3 (26.0, 52.3) | 56 (4, 67) | 8 |
falling
|
-12.4 (-30.7, -2.9) |
| Sumter County 6 | Rural | 54.1 (37.2, 76.3) | 6 (1, 66) | 8 |
stable
|
3.3 (-3.4, 10.4) |
| Wilcox County 6 | Rural | 56.9 (39.3, 79.8) | 3 (1, 66) | 8 |
stable
|
-2.1 (-5.0, 0.5) |
| Clay County 6 | Rural | 40.5 (28.6, 56.2) | 45 (2, 67) | 8 |
stable
|
-1.5 (-4.6, 1.4) |
| Conecuh County 6 | Rural | 48.2 (33.5, 67.7) | 17 (1, 67) | 8 |
stable
|
-2.4 (-5.1, 0.1) |
| Choctaw County 6 | Rural | 44.5 (31.4, 61.9) | 27 (1, 67) | 9 |
stable
|
0.7 (-3.5, 5.3) |
| Henry County 6 | Urban | 33.4 (23.8, 46.0) | 63 (12, 67) | 9 |
stable
|
-3.0 (-6.9, 0.6) |
| Hale County 6 | Urban | 46.3 (33.4, 62.9) | 22 (1, 67) | 9 |
stable
|
19.0 (-2.5, 34.1) |
| Geneva County 6 | Urban | 27.5 (20.1, 37.0) | 67 (37, 67) | 10 |
falling
|
-2.9 (-5.6, -0.6) |
| Crenshaw County 6 | Rural | 53.1 (39.0, 71.3) | 8 (1, 64) | 10 |
stable
|
1.1 (-1.9, 4.6) |
| Cleburne County 6 | Rural | 48.2 (35.7, 64.2) | 16 (1, 65) | 10 |
stable
|
-0.5 (-3.2, 2.5) |
| Washington County 6 | Rural | 51.3 (37.8, 68.4) | 10 (1, 65) | 11 |
falling
|
-21.2 (-37.1, -0.4) |
| Barbour County 6 | Rural | 32.2 (23.9, 42.6) | 65 (19, 67) | 11 |
stable
|
-1.8 (-5.2, 1.6) |
| Fayette County 6 | Rural | 50.4 (37.8, 66.2) | 11 (1, 65) | 12 |
stable
|
1.3 (-2.6, 5.3) |
| Bibb County 6 | Urban | 41.3 (31.3, 53.6) | 41 (4, 67) | 12 |
falling
|
-3.1 (-5.9, -0.4) |
| Macon County 6 | Urban | 47.7 (35.7, 62.7) | 20 (1, 65) | 12 |
stable
|
0.9 (-2.8, 4.9) |
| Butler County 6 | Rural | 47.9 (36.3, 62.4) | 18 (1, 65) | 13 |
stable
|
-0.5 (-3.9, 3.0) |
| Marengo County 6 | Rural | 45.3 (34.5, 58.8) | 23 (2, 66) | 13 |
stable
|
-0.3 (-2.8, 2.3) |
| Cherokee County 6 | Rural | 37.3 (28.2, 48.8) | 55 (9, 67) | 13 |
stable
|
-1.2 (-5.0, 2.5) |
| Randolph County 6 | Rural | 42.0 (32.1, 54.4) | 38 (3, 67) | 13 |
stable
|
0.7 (-3.0, 4.5) |
| Winston County 6 | Rural | 39.4 (30.4, 50.5) | 49 (6, 67) | 14 |
stable
|
-0.8 (-4.1, 2.4) |
| Pickens County 6 | Urban | 55.2 (43.2, 70.0) | 4 (1, 55) | 15 |
rising 
|
7.4 (0.2, 27.8) |
| Monroe County 6 | Rural | 54.5 (42.5, 69.2) | 5 (1, 56) | 16 |
stable
|
0.5 (-2.4, 3.4) |
| Pike County 6 | Rural | 51.5 (40.9, 64.0) | 9 (1, 58) | 17 |
rising
|
22.5 (3.8, 35.9) |
| Marion County 6 | Rural | 42.6 (34.0, 53.1) | 36 (4, 65) | 18 |
stable
|
-1.4 (-3.3, 0.3) |
| Franklin County 6 | Rural | 44.4 (35.7, 54.7) | 28 (3, 64) | 19 |
stable
|
-1.1 (-2.9, 0.7) |
| Chambers County 6 | Rural | 42.8 (34.6, 52.4) | 35 (5, 65) | 21 |
stable
|
-1.5 (-3.8, 0.7) |
| Escambia County 6 | Rural | 43.9 (35.6, 53.7) | 31 (4, 64) | 21 |
stable
|
-2.1 (-4.5, 0.3) |
| Lawrence County 6 | Urban | 48.5 (39.3, 59.4) | 13 (2, 59) | 21 |
stable
|
-1.3 (-4.4, 1.9) |
| Coffee County 6 | Rural | 34.4 (28.1, 41.7) | 61 (25, 67) | 22 |
stable
|
-1.7 (-4.7, 1.3) |
| Covington County 6 | Rural | 40.2 (32.8, 49.0) | 47 (7, 66) | 22 |
stable
|
-5.5 (-25.4, 0.7) |
| Clarke County 6 | Rural | 68.5 (56.2, 83.0) | 1 (1, 16) | 23 |
stable
|
0.0 (-1.7, 1.7) |
| Dale County 6 | Rural | 37.7 (31.0, 45.6) | 54 (14, 67) | 23 |
stable
|
-1.0 (-3.2, 1.2) |
| Chilton County 6 | Urban | 44.0 (36.3, 53.0) | 30 (5, 64) | 24 |
stable
|
0.0 (-2.9, 3.0) |
| Dallas County 6 | Rural | 47.7 (39.4, 57.4) | 19 (3, 60) | 25 |
stable
|
-0.8 (-3.4, 1.7) |
| Russell County 6 | Urban | 38.4 (31.8, 46.0) | 51 (13, 66) | 25 |
stable
|
-2.2 (-4.4, 0.0) |
| Tallapoosa County 6 | Rural | 44.2 (36.5, 53.2) | 29 (4, 63) | 26 |
stable
|
-0.5 (-2.3, 1.3) |
| Blount County 6 | Urban | 38.2 (32.0, 45.4) | 52 (15, 66) | 28 |
stable
|
-0.7 (-2.8, 1.3) |
| Autauga County 6 | Urban | 41.8 (35.2, 49.4) | 39 (8, 64) | 29 |
falling
|
-2.2 (-3.6, -0.7) |
| Colbert County 6 | Urban | 38.8 (32.7, 45.8) | 50 (14, 65) | 31 |
falling
|
-2.1 (-3.6, -0.8) |
| Jackson County 6 | Rural | 47.1 (40.1, 55.1) | 21 (3, 55) | 35 |
stable
|
-0.8 (-2.7, 1.0) |
| DeKalb County 6 | Rural | 40.6 (34.9, 47.1) | 42 (12, 63) | 38 |
stable
|
0.0 (-2.3, 2.6) |
| Elmore County 6 | Urban | 40.4 (35.0, 46.5) | 46 (14, 63) | 41 |
falling
|
-2.2 (-3.4, -0.9) |
| Walker County 6 | Urban | 48.3 (41.7, 55.6) | 15 (3, 51) | 42 |
stable
|
-0.2 (-3.0, 2.7) |
| Limestone County 6 | Urban | 37.9 (33.0, 43.2) | 53 (20, 65) | 46 |
stable
|
0.0 (-1.6, 4.0) |
| St. Clair County 6 | Urban | 40.6 (35.4, 46.4) | 43 (13, 62) | 46 |
stable
|
0.0 (-1.3, 1.6) |
| Cullman County 6 | Rural | 40.6 (35.4, 46.4) | 44 (14, 63) | 47 |
stable
|
-1.0 (-3.0, 1.0) |
| Talladega County 6 | Rural | 45.0 (39.2, 51.4) | 25 (6, 55) | 47 |
stable
|
-0.8 (-3.2, 1.6) |
| Houston County 6 | Urban | 34.3 (29.9, 39.1) | 62 (37, 67) | 47 |
stable
|
-1.9 (-4.0, 0.2) |
| Lee County 6 | Urban | 28.3 (24.8, 32.3) | 66 (57, 67) | 48 |
falling
|
-2.7 (-4.1, -1.3) |
| Marshall County 6 | Rural | 42.5 (37.2, 48.3) | 37 (10, 60) | 49 |
stable
|
-0.8 (-2.0, 0.5) |
| Lauderdale County 6 | Urban | 41.7 (36.6, 47.5) | 40 (12, 61) | 52 |
stable
|
-1.4 (-2.9, 0.1) |
| Etowah County 6 | Urban | 43.5 (38.5, 48.9) | 34 (9, 56) | 60 |
falling
|
-1.4 (-2.8, -0.1) |
| Morgan County 6 | Urban | 43.9 (39.2, 49.0) | 32 (9, 53) | 69 |
stable
|
-1.4 (-3.0, 0.2) |
| Calhoun County 6 | Urban | 48.4 (43.3, 54.0) | 14 (4, 43) | 70 |
stable
|
-0.2 (-2.2, 1.7) |
| Tuscaloosa County 6 | Urban | 34.4 (31.0, 38.1) | 60 (41, 66) | 79 |
falling
|
-2.7 (-4.5, -0.9) |
| Shelby County 6 | Urban | 32.4 (29.3, 35.7) | 64 (49, 67) | 84 |
falling
|
-1.8 (-2.8, -0.6) |
| Baldwin County 6 | Urban | 35.6 (32.6, 38.8) | 57 (40, 65) | 115 |
falling
|
-2.9 (-7.7, -1.3) |
| Montgomery County 6 | Urban | 44.6 (41.0, 48.5) | 26 (11, 48) | 117 |
stable
|
-0.9 (-2.8, 0.9) |
| Madison County 6 | Urban | 35.5 (33.0, 38.1) | 58 (42, 65) | 159 |
falling
|
-2.2 (-3.0, -1.3) |
| Mobile County 6 | Urban | 45.2 (42.5, 48.0) | 24 (12, 42) | 223 |
falling
|
-1.1 (-1.9, -0.3) |
| Jefferson County 6 | Urban | 35.2 (33.3, 37.1) | 59 (45, 64) | 279 |
stable
|
-1.8 (-3.2, 1.4) |
Notes:
Created by statecancerprofiles.cancer.gov on 07/10/2025 1:22 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 07/10/2025 1:22 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.