Incidence Rates Table
Incidence Rate Report for Alabama by County
Breast (All Stages^), 2017-2021
All Races (includes Hispanic), Female, All Ages
Sorted by Rate
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 | 123.3 (121.5, 125.1) | N/A | 3,989 |
rising 
|
0.5 (0.2, 0.8) |
| US (SEER+NPCR) 1 | N/A | 129.8 (129.5, 130.0) | N/A | 258,398 |
rising
|
0.6 (0.4, 0.8) |
| Pickens County 6 | Urban | 205.8 (169.6, 247.7) | 1 (1, 9) | 26 |
falling 
|
-24.4 (-40.6, -2.7) |
| Clarke County 6 | Rural | 169.3 (140.8, 202.2) | 2 (1, 30) | 28 |
stable 
|
4.7 (-8.7, 16.2) |
| Marengo County 6 | Rural | 159.6 (128.0, 196.8) | 3 (1, 46) | 20 |
rising
|
18.7 (3.6, 28.6) |
| Hale County 6 | Urban | 153.9 (120.7, 194.1) | 4 (1, 56) | 17 |
stable
|
2.0 (-0.5, 4.8) |
| Clay County 6 | Rural | 153.6 (119.4, 195.4) | 5 (1, 56) | 16 |
rising
|
8.4 (1.2, 24.5) |
| Butler County 6 | Rural | 152.3 (122.2, 187.9) | 6 (1, 54) | 20 |
rising
|
2.9 (0.7, 5.2) |
| Bullock County 6 | Rural | 147.2 (102.1, 205.3) | 7 (1, 66) | 8 |
stable
|
0.3 (-2.6, 3.3) |
| Dallas County 6 | Rural | 143.5 (122.3, 167.4) | 8 (2, 48) | 38 |
stable
|
1.4 (-0.2, 3.1) |
| Pike County 6 | Rural | 142.3 (117.5, 170.9) | 9 (2, 54) | 25 |
rising
|
2.2 (0.3, 4.4) |
| Greene County 6 | Urban | 141.9 (98.9, 198.8) | 10 (1, 67) | 9 |
stable
|
1.8 (-0.6, 4.2) |
| Washington County 6 | Rural | 141.2 (109.9, 179.3) | 11 (1, 61) | 15 |
stable
|
-0.7 (-4.6, 3.1) |
| Monroe County 6 | Rural | 140.9 (112.3, 175.1) | 12 (1, 59) | 19 |
stable
|
0.9 (-2.1, 4.0) |
| Crenshaw County 6 | Rural | 140.3 (105.8, 183.0) | 13 (1, 64) | 13 |
rising
|
4.5 (1.3, 15.9) |
| Madison County 6 | Urban | 138.7 (131.9, 145.9) | 14 (5, 26) | 328 |
stable
|
0.6 (-0.2, 1.4) |
| Shelby County 6 | Urban | 137.1 (128.2, 146.5) | 15 (5, 32) | 187 |
stable
|
4.2 (-0.4, 10.1) |
| Montgomery County 6 | Urban | 134.3 (125.7, 143.5) | 16 (6, 36) | 192 |
stable
|
0.6 (-0.3, 1.5) |
| Wilcox County 6 | Rural | 131.0 (94.6, 177.6) | 17 (1, 67) | 10 |
rising
|
2.9 (0.5, 7.9) |
| Lawrence County 6 | Urban | 130.7 (109.3, 155.4) | 18 (3, 59) | 29 |
stable
|
3.4 (-9.4, 15.0) |
| Jefferson County 6 | Urban | 129.8 (124.8, 134.9) | 19 (11, 34) | 559 |
stable
|
0.3 (-0.1, 0.7) |
| Walker County 6 | Urban | 129.1 (114.1, 145.6) | 20 (6, 53) | 61 |
rising
|
1.9 (0.6, 3.4) |
| Talladega County 6 | Rural | 128.8 (115.0, 143.8) | 21 (6, 50) | 70 |
stable
|
0.8 (-1.6, 3.3) |
| Sumter County 6 | Rural | 128.4 (92.5, 174.0) | 22 (1, 66) | 10 |
stable
|
2.4 (-1.8, 7.0) |
| Macon County 6 | Urban | 128.0 (99.4, 162.6) | 23 (2, 65) | 17 |
stable
|
1.6 (-1.9, 5.4) |
| Baldwin County 6 | Urban | 127.2 (119.2, 135.8) | 24 (10, 43) | 208 |
rising
|
0.9 (0.1, 1.7) |
| Perry County 6 | Rural | 126.8 (88.3, 177.6) | 25 (1, 67) | 8 |
stable
|
1.0 (-2.4, 4.3) |
| St. Clair County 6 | Urban | 126.7 (113.8, 140.7) | 26 (8, 51) | 76 |
rising
|
2.0 (0.2, 4.1) |
| Elmore County 6 | Urban | 126.6 (113.4, 141.1) | 27 (8, 53) | 70 |
stable
|
-0.2 (-1.7, 1.5) |
| Morgan County 6 | Urban | 126.1 (114.8, 138.2) | 28 (9, 48) | 101 |
stable
|
0.8 (-0.4, 2.0) |
| Lamar County 6 | Rural | 125.7 (93.7, 165.7) | 29 (2, 66) | 12 |
stable
|
-9.7 (-25.2, 1.5) |
| Houston County 6 | Urban | 125.4 (113.5, 138.3) | 30 (8, 50) | 88 |
stable
|
0.6 (-0.9, 2.1) |
| Tuscaloosa County 6 | Urban | 125.2 (116.2, 134.6) | 31 (11, 48) | 155 |
stable
|
-0.2 (-1.4, 0.9) |
| Bibb County 6 | Urban | 124.6 (98.5, 155.9) | 32 (3, 65) | 17 |
stable
|
1.2 (-3.0, 6.1) |
| Tallapoosa County 6 | Rural | 123.1 (105.1, 143.5) | 33 (5, 60) | 39 |
rising
|
11.5 (0.1, 19.5) |
| Lauderdale County 6 | Urban | 121.6 (108.7, 135.8) | 34 (9, 55) | 76 |
stable
|
0.7 (-0.8, 2.2) |
| Jackson County 6 | Rural | 121.6 (105.5, 139.6) | 35 (7, 60) | 46 |
stable
|
1.0 (-1.0, 3.1) |
| Limestone County 6 | Urban | 120.8 (108.5, 134.1) | 36 (11, 56) | 75 |
stable
|
0.8 (-1.4, 3.5) |
| Lowndes County 6 | Urban | 120.1 (86.0, 164.3) | 37 (2, 67) | 9 |
stable
|
1.7 (-1.4, 4.9) |
| Autauga County 6 | Urban | 118.1 (102.8, 135.3) | 38 (9, 61) | 44 |
stable
|
-3.4 (-17.9, 0.3) |
| Mobile County 6 | Urban | 117.8 (111.8, 124.1) | 39 (23, 50) | 311 |
stable
|
-0.3 (-0.9, 0.4) |
| Cullman County 6 | Rural | 116.5 (104.0, 130.2) | 40 (13, 59) | 69 |
stable
|
0.8 (-0.6, 2.3) |
| Conecuh County 6 | Rural | 115.9 (86.2, 154.1) | 41 (3, 67) | 11 |
stable
|
0.2 (-2.2, 2.8) |
| Calhoun County 6 | Urban | 114.6 (103.7, 126.4) | 42 (17, 59) | 89 |
stable
|
0.5 (-0.4, 1.4) |
| Dale County 6 | Rural | 113.9 (97.3, 132.7) | 43 (10, 64) | 37 |
stable
|
0.9 (-1.0, 2.9) |
| Blount County 6 | Urban | 113.3 (98.3, 130.2) | 44 (13, 63) | 45 |
stable
|
1.0 (-1.0, 3.3) |
| Fayette County 6 | Rural | 110.7 (83.9, 144.0) | 45 (5, 67) | 13 |
stable
|
1.5 (-1.9, 9.7) |
| Etowah County 6 | Urban | 110.4 (99.4, 122.4) | 46 (22, 62) | 81 |
stable
|
-0.2 (-1.4, 0.9) |
| Chambers County 6 | Rural | 109.4 (90.8, 131.1) | 47 (11, 66) | 27 |
stable
|
0.0 (-1.9, 1.9) |
| Franklin County 6 | Rural | 108.8 (88.6, 132.4) | 48 (10, 67) | 22 |
stable
|
-0.6 (-4.6, 3.4) |
| Coffee County 6 | Rural | 108.5 (92.9, 126.1) | 49 (15, 66) | 37 |
stable
|
0.6 (-1.6, 3.0) |
| Colbert County 6 | Urban | 108.1 (93.3, 124.7) | 50 (18, 65) | 43 |
stable
|
-0.2 (-2.0, 1.6) |
| Barbour County 6 | Rural | 108.0 (85.3, 135.4) | 51 (9, 67) | 18 |
stable
|
-0.7 (-3.4, 1.9) |
| Winston County 6 | Rural | 104.7 (82.6, 131.5) | 52 (9, 67) | 18 |
stable
|
-0.5 (-3.9, 2.8) |
| Lee County 6 | Urban | 104.4 (94.9, 114.6) | 53 (32, 64) | 93 |
stable
|
-0.1 (-1.3, 1.2) |
| Marshall County 6 | Rural | 103.4 (92.0, 116.0) | 54 (30, 65) | 65 |
stable
|
0.4 (-1.1, 1.9) |
| Cherokee County 6 | Rural | 101.3 (80.0, 127.1) | 55 (12, 67) | 19 |
stable
|
-0.7 (-4.0, 2.5) |
| Marion County 6 | Rural | 100.7 (81.3, 123.8) | 56 (16, 67) | 21 |
stable
|
-8.7 (-22.4, 0.2) |
| Henry County 6 | Urban | 100.5 (76.3, 130.8) | 57 (10, 67) | 14 |
stable
|
-2.2 (-5.6, 1.0) |
| Chilton County 6 | Urban | 100.4 (84.0, 119.2) | 58 (23, 67) | 29 |
stable
|
-0.3 (-2.0, 1.4) |
| Covington County 6 | Rural | 98.4 (81.4, 118.2) | 59 (24, 67) | 28 |
stable
|
2.0 (-1.2, 5.6) |
| Cleburne County 6 | Rural | 96.8 (70.9, 129.9) | 60 (9, 67) | 10 |
stable
|
-0.3 (-4.3, 4.2) |
| Randolph County 6 | Rural | 96.6 (74.8, 123.3) | 61 (17, 67) | 15 |
stable
|
-1.1 (-3.1, 0.8) |
| Geneva County 6 | Urban | 94.0 (74.2, 117.9) | 62 (19, 67) | 18 |
stable
|
-0.9 (-4.1, 2.3) |
| Russell County 6 | Urban | 91.3 (77.7, 106.8) | 63 (41, 67) | 34 |
falling
|
-4.8 (-14.2, -1.3) |
| Coosa County 6 | Rural | 87.5 (58.3, 128.1) | 64 (10, 67) | 7 |
stable
|
-1.9 (-6.8, 2.9) |
| DeKalb County 6 | Rural | 86.8 (74.6, 100.6) | 65 (48, 67) | 39 |
stable
|
-0.8 (-3.1, 1.5) |
| Escambia County 6 | Rural | 86.6 (70.0, 106.2) | 66 (37, 67) | 21 |
stable
|
-1.8 (-4.3, 0.7) |
| Choctaw County 6 | Rural | 85.4 (59.6, 119.7) | 67 (20, 67) | 8 |
stable
|
-2.3 (-24.5, 1.8) |
Notes:
Created by statecancerprofiles.cancer.gov on 07/16/2025 4:03 pm.
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 07/16/2025 4:03 pm.
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.