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Data Table for Rate/Trend Comparison by State/County

Death Rate/Trend Comparison by State/County, 2016-2020

Alabama versus United States

All Races, Both Sexes

Sorted by priority index
Cancer Site and Sex
 sort alphabetically by cancer site ascending
Priority Index1
1=highest
9=lowest

 sort by priority index ascending
Recent Trend2
County Death
Rate
Compared
to
US Rate
Average Annual Count
 sort by count descending
Age-Adjusted Death Rate

deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
Rate
Ratio3
County
to
US
 sort by rate descending
Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
 sort by trend descending
Breast (Female) 8 falling falling trend similar 702 20.9 (20.2, 21.6) 1.1 -1.3 (-1.5, -1.1)
Colon & Rectum (Female) 8 falling falling trend similar 410 12.0 (11.5, 12.5) 1.1 -1.4 (-1.6, -1.1)
Esophagus (Female) 8 falling falling trend similar 47 1.3 (1.2, 1.5) 1.0 -0.8 (-1.5, -0.2)
Leukemia (Female) 8 falling falling trend similar 161 4.8 (4.5, 5.2) 1.1 -1.0 (-1.3, -0.7)
Leukemia (Male) 8 falling falling trend similar 212 8.2 (7.7, 8.8) 1.0 -1.0 (-1.5, -0.6)
Lung & Bronchus (Female) 8 falling falling trend similar 1,181 33.1 (32.3, 34.0) 1.1 -3.6 (-5.0, -2.2)
Melanoma of the Skin (Female) 8 falling falling trend similar 47 1.5 (1.3, 1.7) 1.1 -1.1 (-1.8, -0.4)
Melanoma of the Skin (Male) 8 falling falling trend similar 82 3.1 (2.8, 3.5) 1.0 -5.7 (-8.7, -2.6)
Non-Hodgkin Lymphoma (Female) 8 falling falling trend similar 124 3.5 (3.2, 3.8) 0.9 -5.9 (-7.9, -3.8)
Non-Hodgkin Lymphoma (Male) 8 falling falling trend similar 174 6.7 (6.2, 7.1) 1.0 -2.0 (-2.4, -1.5)
Oral Cavity & Pharynx (Female) 8 falling falling trend similar 48 1.4 (1.2, 1.6) 1.0 -1.3 (-2.0, -0.6)
Ovary (Female) 8 falling falling trend similar 224 6.5 (6.1, 6.9) 1.0 -3.4 (-4.3, -2.5)
Stomach (Female) 8 falling falling trend similar 78 2.3 (2.1, 2.5) 1.1 -2.1 (-2.5, -1.6)
Stomach (Male) 8 falling falling trend similar 102 3.7 (3.4, 4.1) 1.0 -2.4 (-2.8, -2.1)
Uterus (Corpus & Uterus, NOS) (Female) 7 stable stable trend lower 135 3.8 (3.5, 4.1) 0.8 0.3 (-0.1, 0.6)
Bladder (Female) 6 stable stable trend similar 76 2.2 (1.9, 2.4) 1.1 0.6 (0.0, 1.2)
Brain & ONS (Female) 6 stable stable trend similar 136 4.1 (3.8, 4.4) 1.1 0.2 (-0.2, 0.6)
Brain & ONS (Male) 6 stable stable trend similar 165 5.9 (5.5, 6.3) 1.1 0.2 (-0.1, 0.6)
Esophagus (Male) 6 stable stable trend similar 195 6.8 (6.3, 7.2) 1.0 -0.1 (-0.5, 0.3)
Kidney & Renal Pelvis (Female) 6 stable stable trend similar 81 2.3 (2.1, 2.6) 1.1 -0.1 (-0.7, 0.6)
Kidney & Renal Pelvis (Male) 6 stable stable trend similar 148 5.3 (4.9, 5.7) 1.0 0.0 (-0.3, 0.4)
Prostate (Male) 6 stable stable trend similar 508 20.2 (19.4, 21.1) 1.1 -0.8 (-4.7, 3.3)
Thyroid (Female) 6 stable stable trend similar 14 0.4 (0.3, 0.5) 0.8 0.5 (-0.7, 1.8)
Colon & Rectum (Male) 5 falling falling trend higher 492 18.1 (17.3, 18.8) 1.2 -2.1 (-2.8, -1.5)
Lung & Bronchus (Male) 5 falling falling trend higher 1,693 59.6 (58.3, 60.9) 1.4 -4.2 (-4.7, -3.7)
Cervix (Female) 4 stable stable trend higher 92 3.1 (2.8, 3.4) 1.4 0.3 (-0.5, 1.1)
Oral Cavity & Pharynx (Male) 4 stable stable trend higher 142 5.0 (4.6, 5.4) 1.3 2.0 (-0.3, 4.2)
Bladder (Male) 2 rising rising trend similar 190 7.5 (7.1, 8.1) 1.1 0.7 (0.3, 1.2)
Liver & Bile Duct (Female) 2 rising rising trend similar 159 4.5 (4.2, 4.8) 1.1 1.5 (1.0, 1.9)
Liver & Bile Duct (Male) 2 rising rising trend similar 312 10.5 (10.0, 11.1) 1.1 2.2 (1.8, 2.5)
Pancreas (Female) 2 rising rising trend similar 357 10.1 (9.6, 10.6) 1.0 0.5 (0.3, 0.7)
Pancreas (Male) 2 rising rising trend similar 391 14.0 (13.3, 14.6) 1.1 0.3 (0.1, 0.5)
Childhood (Ages <15, All Sites) (Female)
**
** similar 8 1.9 (1.4, 2.6) 1.0
**
Childhood (Ages <15, All Sites) (Male)
**
** similar 11 2.3 (1.7, 3.0) 1.1
**
Childhood (Ages <20, All Sites) (Female)
**
** similar 12 2.0 (1.6, 2.6) 1.0
**
Childhood (Ages <20, All Sites) (Male)
**
** similar 14 2.3 (1.8, 2.9) 1.0
**
Thyroid (Male)
**
** similar 11 0.4 (0.3, 0.6) 0.8
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/04/2024 9:25 am.

Trend2
     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.
Rate Comparison
     Above     when 95% confident the rate is above and Rate Ratio3 > 1.10
     Similar     when unable to conclude above or below with confidence.
     Below     when 95% confident the rate is below and Rate Ratio3 < 0.90

** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
1 Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.
2 Recent trend in death rates is usually an Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint Version 4.8.0.0. Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected geographic areas.
3 Rate ratio is the county rate divided by the US rate. Previous versions of this table used one-year rates for states and five-year rates for counties. As of June 2018, only five-year rates are used.
Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with mortality data.
Note: 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. Suppression is used to avoid misinterpretation when rates are unstable.

State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).
Trend for the following could not be reliably determined due to small number of deaths per year:
Childhood (Ages <15, All Sites) (Female), Childhood (Ages <15, All Sites) (Male), Childhood (Ages <20, All Sites) (Female), Childhood (Ages <20, All Sites) (Male), Thyroid (Male)


Interpret Rankings provides insight into interpreting cancer 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.

Data for United States does not include Puerto Rico.

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