## Interpretation of Incidence Rates Data

### Incidence Rate Report for Alabama by County

Lung & Bronchus, 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 71.3 with a 95% confidence interval from 70.3 to 72.3 and 3,999 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.7 to -1.9.

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

- Rate : The incidence rate is 62.4 with a 95% confidence interval from 62.3 to 62.6 and 214,614 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.0 to -2.0.

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

- Rate : The incidence rate is 98.3 with a 95% confidence interval from 89.2 to 108.1 and 89 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -9.9 to 11.2.

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

- Rate : The incidence rate is 90.8 with a 95% confidence interval from 76.9 to 106.7 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -12.5 with a 95% confidence interval from -23.7 to 0.4.

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

- Rate : The incidence rate is 90.3 with a 95% confidence interval from 77.2 to 105.2 and 35 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -16.1 to 12.8.

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

- Rate : The incidence rate is 88.1 with a 95% confidence interval from 75.6 to 102.3 and 37 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.0 with a 95% confidence interval from -28.3 to 15.3.

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

- Rate : The incidence rate is 87.9 with a 95% confidence interval from 65.0 to 117.0 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.2 with a 95% confidence interval from -28.3 to 69.3.

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

- Rate : The incidence rate is 86.4 with a 95% confidence interval from 71.0 to 104.2 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -31.4 to 32.9.

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

- Rate : The incidence rate is 84.2 with a 95% confidence interval from 77.5 to 91.3 and 120 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -13.9 to 7.5.

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

- Rate : The incidence rate is 83.3 with a 95% confidence interval from 65.8 to 104.5 and 16 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.8 with a 95% confidence interval from -30.7 to 7.2.

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

- Rate : The incidence rate is 83.1 with a 95% confidence interval from 62.5 to 108.8 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -20.5 to 13.6.

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

- Rate : The incidence rate is 83.0 with a 95% confidence interval from 72.3 to 95.1 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.7 with a 95% confidence interval from -11.2 to 25.9.

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

- Rate : The incidence rate is 82.6 with a 95% confidence interval from 63.9 to 106.0 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.5 with a 95% confidence interval from -43.5 to 38.7.

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

- Rate : The incidence rate is 82.4 with a 95% confidence interval from 69.8 to 96.9 and 32 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.1 with a 95% confidence interval from -13.0 to 31.7.

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

- Rate : The incidence rate is 81.9 with a 95% confidence interval from 75.1 to 89.1 and 110 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -9.8 to 10.6.

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

- Rate : The incidence rate is 80.9 with a 95% confidence interval from 71.7 to 91.1 and 58 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -14.7 to 11.3.

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

- Rate : The incidence rate is 80.4 with a 95% confidence interval from 74.0 to 87.4 and 116 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -12.0 to 6.4.

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

- Rate : The incidence rate is 80.4 with a 95% confidence interval from 64.0 to 100.3 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.1 with a 95% confidence interval from -14.5 to 26.6.

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

- Rate : The incidence rate is 79.4 with a 95% confidence interval from 72.1 to 87.2 and 90 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.3 with a 95% confidence interval from -12.6 to 2.6.

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

- Rate : The incidence rate is 78.7 with a 95% confidence interval from 68.8 to 89.6 and 47 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -15.4 to 9.7.

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

- Rate : The incidence rate is 78.1 with a 95% confidence interval from 69.7 to 87.2 and 66 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -13.9 to 8.4.

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

- Rate : The incidence rate is 77.3 with a 95% confidence interval from 62.3 to 95.3 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.1 with a 95% confidence interval from -36.5 to 38.8.

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

- Rate : The incidence rate is 76.7 with a 95% confidence interval from 66.7 to 87.7 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -11.4 to 5.7.

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

- Rate : The incidence rate is 76.2 with a 95% confidence interval from 65.6 to 88.0 and 39 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.4 with a 95% confidence interval from -16.9 to 38.8.

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

- Rate : The incidence rate is 75.9 with a 95% confidence interval from 67.2 to 85.5 and 57 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -15.6 to 8.3.

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

- Rate : The incidence rate is 75.5 with a 95% confidence interval from 64.8 to 87.6 and 36 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -21.5 to 27.2.

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

- Rate : The incidence rate is 75.5 with a 95% confidence interval from 62.2 to 91.0 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.5 with a 95% confidence interval from -27.8 to 16.0.

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

- Rate : The incidence rate is 75.4 with a 95% confidence interval from 71.9 to 79.1 and 347 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -6.5 to 2.4.

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

- Rate : The incidence rate is 75.4 with a 95% confidence interval from 64.4 to 87.9 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.9 with a 95% confidence interval from -8.5 to -7.3.

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

- Rate : The incidence rate is 74.9 with a 95% confidence interval from 58.1 to 95.4 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.8 with a 95% confidence interval from -20.1 to 37.4.

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

- Rate : The incidence rate is 74.9 with a 95% confidence interval from 65.1 to 85.7 and 43 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -14.9 to 18.6.

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

- Rate : The incidence rate is 74.8 with a 95% confidence interval from 58.9 to 93.9 and 16 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -23.4 to 29.2.

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

- Rate : The incidence rate is 74.7 with a 95% confidence interval from 67.1 to 83.1 and 72 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -6.9 to 2.5.

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

- Rate : The incidence rate is 74.6 with a 95% confidence interval from 61.8 to 89.4 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.4 with a 95% confidence interval from -18.3 to 7.3.

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

- Rate : The incidence rate is 74.2 with a 95% confidence interval from 63.1 to 86.9 and 33 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -12.5 to 17.1.

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

- Rate : The incidence rate is 74.0 with a 95% confidence interval from 66.5 to 82.1 and 74 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -1.9 to 7.1.

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

- Rate : The incidence rate is 73.9 with a 95% confidence interval from 63.7 to 85.4 and 39 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -17.6 to 20.8.

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

- Rate : The incidence rate is 73.5 with a 95% confidence interval from 57.1 to 93.8 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.7 with a 95% confidence interval from -41.4 to 39.2.

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

- Rate : The incidence rate is 73.4 with a 95% confidence interval from 65.7 to 81.8 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -11.3 to 6.6.

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

- Rate : The incidence rate is 73.2 with a 95% confidence interval from 54.4 to 96.7 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.2 with a 95% confidence interval from -24.0 to 15.8.

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

- Rate : The incidence rate is 72.4 with a 95% confidence interval from 60.7 to 85.8 and 28 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -18.9 to 15.6.

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

- Rate : The incidence rate is 72.3 with a 95% confidence interval from 66.9 to 78.1 and 135 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -11.4 to 3.7.

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

- Rate : The incidence rate is 71.5 with a 95% confidence interval from 62.3 to 81.9 and 43 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.2 with a 95% confidence interval from -20.0 to 7.6.

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

- Rate : The incidence rate is 71.0 with a 95% confidence interval from 55.0 to 90.6 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -25.5 to 39.0.

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

- Rate : The incidence rate is 70.8 with a 95% confidence interval from 64.2 to 77.8 and 88 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -6.7 to 2.2.

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

- Rate : The incidence rate is 70.5 with a 95% confidence interval from 61.0 to 81.3 and 41 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -12.1 to 18.3.

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

- Rate : The incidence rate is 69.7 with a 95% confidence interval from 61.2 to 79.0 and 51 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.6 with a 95% confidence interval from -27.8 to 3.4.

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

- Rate : The incidence rate is 69.6 with a 95% confidence interval from 62.6 to 77.3 and 73 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -20.4 to 20.3.

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

- Rate : The incidence rate is 69.5 with a 95% confidence interval from 57.3 to 83.7 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -12.4 to 11.1.

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

- Rate : The incidence rate is 69.3 with a 95% confidence interval from 62.9 to 76.3 and 87 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -8.2 to 6.1.

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

- Rate : The incidence rate is 66.9 with a 95% confidence interval from 62.4 to 71.7 and 170 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.0 with a 95% confidence interval from -10.2 to 18.3.

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

- Rate : The incidence rate is 66.5 with a 95% confidence interval from 52.7 to 83.3 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -14.3 with a 95% confidence interval from -24.3 to -2.9.

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

- Rate : The incidence rate is 65.8 with a 95% confidence interval from 47.3 to 89.6 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.2 with a 95% confidence interval from -27.6 to 58.7.

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

- Rate : The incidence rate is 65.6 with a 95% confidence interval from 52.8 to 81.0 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.2 with a 95% confidence interval from -26.2 to 2.0.

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

- Rate : The incidence rate is 65.1 with a 95% confidence interval from 62.5 to 67.8 and 482 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.3 to -0.3.

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

- Rate : The incidence rate is 64.8 with a 95% confidence interval from 61.1 to 68.6 and 236 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -7.2 to -1.9.

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

- Rate : The incidence rate is 62.3 with a 95% confidence interval from 50.2 to 76.7 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.5 with a 95% confidence interval from -26.5 to 13.9.

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

- Rate : The incidence rate is 61.8 with a 95% confidence interval from 50.5 to 74.9 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.9 with a 95% confidence interval from -35.2 to 19.8.

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

- Rate : The incidence rate is 61.6 with a 95% confidence interval from 49.3 to 76.4 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -9.0 to 10.1.

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

- Rate : The incidence rate is 61.5 with a 95% confidence interval from 46.3 to 80.6 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 14.7 with a 95% confidence interval from -21.8 to 68.4.

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

- Rate : The incidence rate is 61.0 with a 95% confidence interval from 56.5 to 65.6 and 144 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -9.6 with a 95% confidence interval from -15.1 to -3.8.

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

- Rate : The incidence rate is 60.8 with a 95% confidence interval from 53.5 to 68.9 and 51 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -11.9 to 8.8.

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

- Rate : The incidence rate is 59.4 with a 95% confidence interval from 53.2 to 66.1 and 71 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -4.6 to 5.6.

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

- Rate : The incidence rate is 58.3 with a 95% confidence interval from 46.4 to 72.7 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -10.7 to 16.6.

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

- Rate : The incidence rate is 57.9 with a 95% confidence interval from 45.3 to 73.3 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.1 with a 95% confidence interval from -37.2 to 40.5.

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

- Rate : The incidence rate is 57.6 with a 95% confidence interval from 41.1 to 79.0 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -14.5 with a 95% confidence interval from -42.7 to 27.6.

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

- Rate : The incidence rate is 57.1 with a 95% confidence interval from 52.2 to 62.2 and 108 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.1 with a 95% confidence interval from -15.0 to 3.8.

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

- Rate : The incidence rate is 55.5 with a 95% confidence interval from 40.5 to 74.7 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -30.3 to 37.1.

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

- Rate : The incidence rate is 49.2 with a 95% confidence interval from 36.3 to 66.0 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 9.7 with a 95% confidence interval from -31.4 to 75.3.

**Notes:**

Created by statecancerprofiles.cancer.gov on 12/04/2016 11:28 pm.

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.