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Incidence Rates Table

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Incidence Rate Report for Alabama by County

Colon & Rectum (All Stages^), 2017-2021

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Ruralurban

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban ascending
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 40.1 (39.4, 40.8) N/A 2,483 falling falling trend -1.8 (-2.9, -1.3)
US (SEER+NPCR) 1 N/A 36.4 (36.3, 36.4) N/A 140,088 falling falling trend -1.1 (-1.3, -0.9)
Autauga County 6 Urban 41.8 (35.2, 49.4) 39 (8, 64) 29 falling falling trend -2.2 (-3.6, -0.7)
Baldwin County 6 Urban 35.6 (32.6, 38.8) 57 (40, 65) 115 falling falling trend -2.9 (-7.7, -1.3)
Bibb County 6 Urban 41.3 (31.3, 53.6) 41 (4, 67) 12 falling falling trend -3.1 (-5.9, -0.4)
Blount County 6 Urban 38.2 (32.0, 45.4) 52 (15, 66) 28 stable stable trend -0.7 (-2.8, 1.3)
Calhoun County 6 Urban 48.4 (43.3, 54.0) 14 (4, 43) 70 stable stable trend -0.2 (-2.2, 1.7)
Chilton County 6 Urban 44.0 (36.3, 53.0) 30 (5, 64) 24 stable stable trend 0.0 (-2.9, 3.0)
Colbert County 6 Urban 38.8 (32.7, 45.8) 50 (14, 65) 31 falling falling trend -2.1 (-3.6, -0.8)
Elmore County 6 Urban 40.4 (35.0, 46.5) 46 (14, 63) 41 falling falling trend -2.2 (-3.4, -0.9)
Etowah County 6 Urban 43.5 (38.5, 48.9) 34 (9, 56) 60 falling falling trend -1.4 (-2.8, -0.1)
Geneva County 6 Urban 27.5 (20.1, 37.0) 67 (37, 67) 10 falling falling trend -2.9 (-5.6, -0.6)
Greene County 6 Urban 58.9 (39.2, 85.9) 2 (1, 65) 7 stable stable trend -1.1 (-4.5, 1.9)
Hale County 6 Urban 46.3 (33.4, 62.9) 22 (1, 67) 9 stable stable trend 19.0 (-2.5, 34.1)
Henry County 6 Urban 33.4 (23.8, 46.0) 63 (12, 67) 9 stable stable trend -3.0 (-6.9, 0.6)
Houston County 6 Urban 34.3 (29.9, 39.1) 62 (37, 67) 47 stable stable trend -1.9 (-4.0, 0.2)
Jefferson County 6 Urban 35.2 (33.3, 37.1) 59 (45, 64) 279 stable stable trend -1.8 (-3.2, 1.4)
Lauderdale County 6 Urban 41.7 (36.6, 47.5) 40 (12, 61) 52 stable stable trend -1.4 (-2.9, 0.1)
Lawrence County 6 Urban 48.5 (39.3, 59.4) 13 (2, 59) 21 stable stable trend -1.3 (-4.4, 1.9)
Lee County 6 Urban 28.3 (24.8, 32.3) 66 (57, 67) 48 falling falling trend -2.7 (-4.1, -1.3)
Limestone County 6 Urban 37.9 (33.0, 43.2) 53 (20, 65) 46 stable stable trend 0.0 (-1.6, 4.0)
Lowndes County 6 Urban 53.3 (36.7, 75.3) 7 (1, 66) 7 stable stable trend -1.1 (-4.5, 2.4)
Macon County 6 Urban 47.7 (35.7, 62.7) 20 (1, 65) 12 stable stable trend 0.9 (-2.8, 4.9)
Madison County 6 Urban 35.5 (33.0, 38.1) 58 (42, 65) 159 falling falling trend -2.2 (-3.0, -1.3)
Mobile County 6 Urban 45.2 (42.5, 48.0) 24 (12, 42) 223 falling falling trend -1.1 (-1.9, -0.3)
Montgomery County 6 Urban 44.6 (41.0, 48.5) 26 (11, 48) 117 stable stable trend -0.9 (-2.8, 0.9)
Morgan County 6 Urban 43.9 (39.2, 49.0) 32 (9, 53) 69 stable stable trend -1.4 (-3.0, 0.2)
Pickens County 6 Urban 55.2 (43.2, 70.0) 4 (1, 55) 15 rising rising trend 7.4 (0.2, 27.8)
Russell County 6 Urban 38.4 (31.8, 46.0) 51 (13, 66) 25 stable stable trend -2.2 (-4.4, 0.0)
Shelby County 6 Urban 32.4 (29.3, 35.7) 64 (49, 67) 84 falling falling trend -1.8 (-2.8, -0.6)
St. Clair County 6 Urban 40.6 (35.4, 46.4) 43 (13, 62) 46 stable stable trend 0.0 (-1.3, 1.6)
Tuscaloosa County 6 Urban 34.4 (31.0, 38.1) 60 (41, 66) 79 falling falling trend -2.7 (-4.5, -0.9)
Walker County 6 Urban 48.3 (41.7, 55.6) 15 (3, 51) 42 stable stable trend -0.2 (-3.0, 2.7)
Barbour County 6 Rural 32.2 (23.9, 42.6) 65 (19, 67) 11 stable stable trend -1.8 (-5.2, 1.6)
Bullock County 6 Rural 43.8 (28.8, 64.3) 33 (1, 67) 6 stable stable trend -2.5 (-8.8, 2.9)
Butler County 6 Rural 47.9 (36.3, 62.4) 18 (1, 65) 13 stable stable trend -0.5 (-3.9, 3.0)
Chambers County 6 Rural 42.8 (34.6, 52.4) 35 (5, 65) 21 stable stable trend -1.5 (-3.8, 0.7)
Cherokee County 6 Rural 37.3 (28.2, 48.8) 55 (9, 67) 13 stable stable trend -1.2 (-5.0, 2.5)
Choctaw County 6 Rural 44.5 (31.4, 61.9) 27 (1, 67) 9 stable stable trend 0.7 (-3.5, 5.3)
Clarke County 6 Rural 68.5 (56.2, 83.0) 1 (1, 16) 23 stable stable trend 0.0 (-1.7, 1.7)
Clay County 6 Rural 40.5 (28.6, 56.2) 45 (2, 67) 8 stable stable trend -1.5 (-4.6, 1.4)
Cleburne County 6 Rural 48.2 (35.7, 64.2) 16 (1, 65) 10 stable stable trend -0.5 (-3.2, 2.5)
Coffee County 6 Rural 34.4 (28.1, 41.7) 61 (25, 67) 22 stable stable trend -1.7 (-4.7, 1.3)
Conecuh County 6 Rural 48.2 (33.5, 67.7) 17 (1, 67) 8 stable stable trend -2.4 (-5.1, 0.1)
Coosa County 6 Rural 40.0 (26.3, 59.3) 48 (2, 67) 6 stable stable trend 0.5 (-3.3, 4.5)
Covington County 6 Rural 40.2 (32.8, 49.0) 47 (7, 66) 22 stable stable trend -5.5 (-25.4, 0.7)
Crenshaw County 6 Rural 53.1 (39.0, 71.3) 8 (1, 64) 10 stable stable trend 1.1 (-1.9, 4.6)
Cullman County 6 Rural 40.6 (35.4, 46.4) 44 (14, 63) 47 stable stable trend -1.0 (-3.0, 1.0)
Dale County 6 Rural 37.7 (31.0, 45.6) 54 (14, 67) 23 stable stable trend -1.0 (-3.2, 1.2)
Dallas County 6 Rural 47.7 (39.4, 57.4) 19 (3, 60) 25 stable stable trend -0.8 (-3.4, 1.7)
DeKalb County 6 Rural 40.6 (34.9, 47.1) 42 (12, 63) 38 stable stable trend 0.0 (-2.3, 2.6)
Escambia County 6 Rural 43.9 (35.6, 53.7) 31 (4, 64) 21 stable stable trend -2.1 (-4.5, 0.3)
Fayette County 6 Rural 50.4 (37.8, 66.2) 11 (1, 65) 12 stable stable trend 1.3 (-2.6, 5.3)
Franklin County 6 Rural 44.4 (35.7, 54.7) 28 (3, 64) 19 stable stable trend -1.1 (-2.9, 0.7)
Jackson County 6 Rural 47.1 (40.1, 55.1) 21 (3, 55) 35 stable stable trend -0.8 (-2.7, 1.0)
Lamar County 6 Rural 37.3 (26.0, 52.3) 56 (4, 67) 8 falling falling trend -12.4 (-30.7, -2.9)
Marengo County 6 Rural 45.3 (34.5, 58.8) 23 (2, 66) 13 stable stable trend -0.3 (-2.8, 2.3)
Marion County 6 Rural 42.6 (34.0, 53.1) 36 (4, 65) 18 stable stable trend -1.4 (-3.3, 0.3)
Marshall County 6 Rural 42.5 (37.2, 48.3) 37 (10, 60) 49 stable stable trend -0.8 (-2.0, 0.5)
Monroe County 6 Rural 54.5 (42.5, 69.2) 5 (1, 56) 16 stable stable trend 0.5 (-2.4, 3.4)
Perry County 6 Rural 49.4 (33.2, 71.7) 12 (1, 67) 6 stable stable trend -0.1 (-4.7, 4.5)
Pike County 6 Rural 51.5 (40.9, 64.0) 9 (1, 58) 17 rising rising trend 22.5 (3.8, 35.9)
Randolph County 6 Rural 42.0 (32.1, 54.4) 38 (3, 67) 13 stable stable trend 0.7 (-3.0, 4.5)
Sumter County 6 Rural 54.1 (37.2, 76.3) 6 (1, 66) 8 stable stable trend 3.3 (-3.4, 10.4)
Talladega County 6 Rural 45.0 (39.2, 51.4) 25 (6, 55) 47 stable stable trend -0.8 (-3.2, 1.6)
Tallapoosa County 6 Rural 44.2 (36.5, 53.2) 29 (4, 63) 26 stable stable trend -0.5 (-2.3, 1.3)
Washington County 6 Rural 51.3 (37.8, 68.4) 10 (1, 65) 11 falling falling trend -21.2 (-37.1, -0.4)
Wilcox County 6 Rural 56.9 (39.3, 79.8) 3 (1, 66) 8 stable stable trend -2.1 (-5.0, 0.5)
Winston County 6 Rural 39.4 (30.4, 50.5) 49 (6, 67) 14 stable stable trend -0.8 (-4.1, 2.4)
Notes:
Created by statecancerprofiles.cancer.gov on 12/12/2024 9:41 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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