## Interpretation of Incidence Rates Data

### Incidence Rate Report for by County

All Cancer Sites, 2009-2013

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

Sorted by Rate

**Explanation of Column Headers**

**Incidence Rate (95% Confidence Interval)**- The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

**Recent Trends** - This is an interpretation of the AAPC/APC:

**Rising**when 95% confidence interval of AAPC/APC is above 0.**Stable**when 95% confidence interval of AAPC/APC includes 0.**Falling**when 95% confidence interval of AAPC/APC is below 0.

**AAPC/APC (95% Confidence Interval)** - the change in rate over time

- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.

**Other Notes**

**Line by Line Interpretation of the Report**

#### Alabama^{6,10}

- Rate : The incidence rate is 454.6 with a 95% confidence interval from 452.1 to 457.2 and 25,045 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.0 to -1.3.

#### US (SEER+NPCR)^{1,10}

- Rate : The incidence rate is 448.4 with a 95% confidence interval from 448.1 to 448.7 and 1,540,559 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.6 to -1.2.

#### Perry County^{6,10}

- Rate : The incidence rate is 525.8 with a 95% confidence interval from 468.9 to 587.9 and 66 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -11.0 with a 95% confidence interval from -20.2 to -0.6.

#### Hale County^{6,10}

- Rate : The incidence rate is 510.7 with a 95% confidence interval from 465.2 to 559.7 and 98 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -15.2 to 9.3.

#### Dallas County^{6,10}

- Rate : The incidence rate is 506.8 with a 95% confidence interval from 478.6 to 536.3 and 254 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -8.8 to 9.4.

#### Walker County^{6,10}

- Rate : The incidence rate is 503.5 with a 95% confidence interval from 482.2 to 525.7 and 438 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -2.1 to 3.8.

#### Wilcox County^{6,10}

- Rate : The incidence rate is 501.8 with a 95% confidence interval from 449.6 to 558.7 and 71 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -10.5 to 5.5.

#### Greene County^{6,10}

- Rate : The incidence rate is 500.2 with a 95% confidence interval from 442.0 to 564.3 and 58 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -15.3 to 16.7.

#### Russell County^{6,10}

- Rate : The incidence rate is 500.1 with a 95% confidence interval from 474.3 to 527.0 and 290 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.5 to 0.2.

#### Chambers County^{6,10}

- Rate : The incidence rate is 498.2 with a 95% confidence interval from 468.8 to 529.2 and 224 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -5.2 to 3.3.

#### Lowndes County^{6,10}

- Rate : The incidence rate is 491.9 with a 95% confidence interval from 438.7 to 549.9 and 66 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -11.3 with a 95% confidence interval from -18.2 to -3.9.

#### Conecuh County^{6,10}

- Rate : The incidence rate is 491.5 with a 95% confidence interval from 444.3 to 542.6 and 87 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.8 with a 95% confidence interval from -15.3 to 2.5.

#### Lamar County^{6,10}

- Rate : The incidence rate is 490.4 with a 95% confidence interval from 447.3 to 537.0 and 100 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -15.7 to 20.7.

#### Bibb County^{6,10}

- Rate : The incidence rate is 486.2 with a 95% confidence interval from 448.0 to 526.8 and 124 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -14.9 to 22.0.

#### Clay County^{6,10}

- Rate : The incidence rate is 483.3 with a 95% confidence interval from 438.5 to 531.7 and 89 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -12.9 to 7.2.

#### Elmore County^{6,10}

- Rate : The incidence rate is 478.0 with a 95% confidence interval from 457.0 to 499.7 and 409 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -6.6 to 4.8.

#### Morgan County^{6,10}

- Rate : The incidence rate is 472.4 with a 95% confidence interval from 456.2 to 489.0 and 665 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.8 to 2.0.

#### Bullock County^{6,10}

- Rate : The incidence rate is 471.1 with a 95% confidence interval from 417.9 to 529.3 and 60 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -17.9 to 10.7.

#### Calhoun County^{6,10}

- Rate : The incidence rate is 470.7 with a 95% confidence interval from 454.5 to 487.5 and 657 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -5.8 to 3.3.

#### Cleburne County^{6,10}

- Rate : The incidence rate is 470.0 with a 95% confidence interval from 426.2 to 517.4 and 88 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -10.9 to 13.0.

#### Henry County^{6,10}

- Rate : The incidence rate is 469.9 with a 95% confidence interval from 430.3 to 512.4 and 112 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.1 with a 95% confidence interval from -13.0 to 3.6.

#### Fayette County^{6,10}

- Rate : The incidence rate is 467.3 with a 95% confidence interval from 427.0 to 510.6 and 106 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -14.7 to 15.1.

#### Barbour County^{6,10}

- Rate : The incidence rate is 466.5 with a 95% confidence interval from 433.3 to 501.6 and 153 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -17.3 to 8.7.

#### Etowah County^{6,10}

- Rate : The incidence rate is 465.8 with a 95% confidence interval from 449.1 to 483.0 and 612 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -5.0 to 4.8.

#### Mobile County^{6,10}

- Rate : The incidence rate is 465.1 with a 95% confidence interval from 456.2 to 474.2 and 2,129 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -5.2 to 0.6.

#### Marion County^{6,10}

- Rate : The incidence rate is 464.0 with a 95% confidence interval from 434.4 to 495.3 and 193 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -0.1 to 4.8.

#### Randolph County^{6,10}

- Rate : The incidence rate is 463.9 with a 95% confidence interval from 429.3 to 500.8 and 140 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -16.0 to 9.8.

#### Houston County^{6,10}

- Rate : The incidence rate is 463.8 with a 95% confidence interval from 446.5 to 481.6 and 558 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -10.0 to 0.3.

#### Tuscaloosa County^{6,10}

- Rate : The incidence rate is 461.5 with a 95% confidence interval from 447.5 to 475.8 and 859 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -5.7 to -1.2.

#### Geneva County^{6,10}

- Rate : The incidence rate is 460.9 with a 95% confidence interval from 429.4 to 494.3 and 168 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.7 with a 95% confidence interval from -12.4 to 1.5.

#### Jefferson County^{6,10}

- Rate : The incidence rate is 459.8 with a 95% confidence interval from 452.8 to 466.9 and 3,391 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.6.

#### Autauga County^{6,10}

- Rate : The incidence rate is 459.0 with a 95% confidence interval from 434.2 to 484.9 and 265 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -8.7 to 7.8.

#### Clarke County^{6,10}

- Rate : The incidence rate is 457.6 with a 95% confidence interval from 424.7 to 492.6 and 148 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -5.7 to 6.0.

#### Colbert County^{6,10}

- Rate : The incidence rate is 455.2 with a 95% confidence interval from 432.9 to 478.4 and 328 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -7.3 to 3.0.

#### Washington County^{6,10}

- Rate : The incidence rate is 455.0 with a 95% confidence interval from 414.1 to 499.1 and 95 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -7.6 to 5.8.

#### Marengo County^{6,10}

- Rate : The incidence rate is 454.8 with a 95% confidence interval from 418.6 to 493.5 and 122 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -6.5 to 7.0.

#### Talladega County^{6,10}

- Rate : The incidence rate is 452.3 with a 95% confidence interval from 433.3 to 472.0 and 445 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -8.4 to 3.1.

#### Lawrence County^{6,10}

- Rate : The incidence rate is 452.0 with a 95% confidence interval from 422.8 to 482.9 and 187 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.6 with a 95% confidence interval from -19.8 to 4.3.

#### Butler County^{6,10}

- Rate : The incidence rate is 449.2 with a 95% confidence interval from 412.8 to 488.2 and 119 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -13.2 to 5.3.

#### Coosa County^{6,10}

- Rate : The incidence rate is 449.1 with a 95% confidence interval from 402.1 to 500.6 and 71 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -16.5 to 13.5.

#### Baldwin County^{6,10}

- Rate : The incidence rate is 449.0 with a 95% confidence interval from 436.9 to 461.4 and 1,093 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -5.2 to 4.8.

#### Tallapoosa County^{6,10}

- Rate : The incidence rate is 448.3 with a 95% confidence interval from 422.9 to 474.9 and 248 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -4.1 to 2.6.

#### Macon County^{6,10}

- Rate : The incidence rate is 448.0 with a 95% confidence interval from 410.5 to 488.1 and 111 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.6 with a 95% confidence interval from -17.0 to 5.1.

#### Covington County^{6,10}

- Rate : The incidence rate is 447.9 with a 95% confidence interval from 421.8 to 475.4 and 232 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -1.1 to 9.3.

#### Jackson County^{6,10}

- Rate : The incidence rate is 447.8 with a 95% confidence interval from 425.1 to 471.4 and 309 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -10.3 to 9.7.

#### Pike County^{6,10}

- Rate : The incidence rate is 447.6 with a 95% confidence interval from 415.6 to 481.4 and 152 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.3 to -0.4.

#### Shelby County^{6,10}

- Rate : The incidence rate is 446.3 with a 95% confidence interval from 433.0 to 460.0 and 898 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.0 to 2.1.

#### Winston County^{6,10}

- Rate : The incidence rate is 445.6 with a 95% confidence interval from 413.1 to 480.2 and 148 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.0 to 1.2.

#### Limestone County^{6,10}

- Rate : The incidence rate is 444.1 with a 95% confidence interval from 424.8 to 464.2 and 413 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -8.2 to 6.9.

#### Monroe County^{6,10}

- Rate : The incidence rate is 443.6 with a 95% confidence interval from 409.0 to 480.6 and 127 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -3.7 to 9.7.

#### Dale County^{6,10}

- Rate : The incidence rate is 439.2 with a 95% confidence interval from 414.8 to 464.7 and 250 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.6 with a 95% confidence interval from -12.6 to 1.9.

#### Montgomery County^{6,10}

- Rate : The incidence rate is 438.2 with a 95% confidence interval from 426.2 to 450.5 and 1,036 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -6.4 to 1.1.

#### Cullman County^{6,10}

- Rate : The incidence rate is 437.3 with a 95% confidence interval from 418.8 to 456.5 and 437 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -3.9 to 6.6.

#### Cherokee County^{6,10}

- Rate : The incidence rate is 437.0 with a 95% confidence interval from 406.0 to 469.9 and 160 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.2 with a 95% confidence interval from -0.2 to 8.9.

#### Coffee County^{6,10}

- Rate : The incidence rate is 435.3 with a 95% confidence interval from 411.5 to 460.1 and 257 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -6.4 to 6.2.

#### Marshall County^{6,10}

- Rate : The incidence rate is 434.7 with a 95% confidence interval from 417.2 to 452.8 and 478 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -5.2 to 3.0.

#### Madison County^{6,10}

- Rate : The incidence rate is 434.5 with a 95% confidence interval from 424.8 to 444.3 and 1,585 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -5.4 to 1.5.

#### Chilton County^{6,10}

- Rate : The incidence rate is 432.8 with a 95% confidence interval from 407.0 to 459.7 and 218 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.0 with a 95% confidence interval from -4.9 to 11.5.

#### Franklin County^{6,10}

- Rate : The incidence rate is 432.5 with a 95% confidence interval from 402.8 to 464.0 and 161 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -3.0 to 3.0.

#### Sumter County^{6,10}

- Rate : The incidence rate is 432.4 with a 95% confidence interval from 386.7 to 482.2 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.9 to 1.5.

#### Lauderdale County^{6,10}

- Rate : The incidence rate is 432.1 with a 95% confidence interval from 415.3 to 449.6 and 516 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -7.0 to -0.7.

#### St. Clair County^{6,10}

- Rate : The incidence rate is 431.6 with a 95% confidence interval from 412.8 to 451.1 and 414 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -4.2 to 6.2.

#### Pickens County^{6,10}

- Rate : The incidence rate is 427.6 with a 95% confidence interval from 391.9 to 465.8 and 111 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -12.6 to 9.3.

#### Escambia County^{6,10}

- Rate : The incidence rate is 426.9 with a 95% confidence interval from 400.2 to 454.9 and 197 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -7.2 to 6.3.

#### Blount County^{6,10}

- Rate : The incidence rate is 415.8 with a 95% confidence interval from 394.1 to 438.5 and 287 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -8.5 to 4.9.

#### Crenshaw County^{6,10}

- Rate : The incidence rate is 411.4 with a 95% confidence interval from 369.3 to 457.3 and 73 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -10.2 to 8.6.

#### Lee County^{6,10}

- Rate : The incidence rate is 404.3 with a 95% confidence interval from 388.1 to 421.0 and 496 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -5.2 to 4.0.

#### Choctaw County^{6,10}

- Rate : The incidence rate is 397.2 with a 95% confidence interval from 357.3 to 440.7 and 77 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -6.2 to 7.6.

#### DeKalb County^{6,10}

- Rate : The incidence rate is 387.4 with a 95% confidence interval from 368.3 to 407.3 and 317 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -9.7 to 5.0.

**Notes:**

Created by statecancerprofiles.cancer.gov on 08/27/2016 7:44 am.

Data for the United States does not include data from Nevada

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 1969-2014 US Population Data File is used for SEER and NPCR incidence rates.

‡ Incidence data come from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

^{1}Source: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2015 data submission and SEER November 2015 submission as published in

*United States Cancer Statistics*.

^{6}Source: State Cancer Registry and the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2015 data submission.

^{10}Source: Incidence data provided by the National Program of Cancer Registries (NPCR). EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates 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 1969-2014 US Population Data File is used with NPCR November 2015 data.

Please note that the data comes from different sources. Due to different years of data availablility, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.