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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Alabama Counties versus United States

All Cancer Sites

All Races, Male

Sorted by rateratio
Counties
 sort alphabetically by name ascending
Priority Index1
1=highest
9=lowest

 sort by priority index descending
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 ascending
Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
 sort by trend descending
United States - falling falling trend - 315,770 177.5 (177.2, 177.8) - -2.2 (-2.5, -2.0)
Alabama - falling falling trend - 5,695 207.4 (205.0, 209.9) - -2.1 (-2.4, -1.9)
Wilcox County 4 stable stable trend higher 18 294.1 (232.6, 367.5) 1.7 -0.3 (-1.5, 0.8)
Macon County 5 falling falling trend higher 30 278.6 (233.9, 329.9) 1.6 -1.1 (-1.8, -0.5)
Escambia County 5 falling falling trend higher 62 277.4 (246.7, 311.0) 1.6 -1.2 (-1.9, -0.5)
Lowndes County 4 stable stable trend higher 17 276.9 (219.0, 346.4) 1.6 -0.9 (-1.9, 0.1)
Walker County 5 falling falling trend higher 108 269.1 (246.1, 293.8) 1.5 -0.8 (-1.3, -0.4)
Dallas County 5 falling falling trend higher 60 268.5 (237.5, 302.7) 1.5 -1.5 (-2.0, -0.9)
Russell County 5 falling falling trend higher 70 259.0 (231.3, 289.0) 1.5 -1.1 (-1.6, -0.7)
Sumter County 4 stable stable trend higher 17 257.6 (203.2, 322.7) 1.5 -1.0 (-2.1, 0.0)
Crenshaw County 4 stable stable trend higher 23 251.5 (205.4, 305.6) 1.4 -0.9 (-1.8, 0.0)
Jackson County 5 falling falling trend higher 83 248.4 (224.1, 274.8) 1.4 -1.0 (-1.6, -0.4)
Barbour County 5 falling falling trend higher 38 244.4 (210.1, 283.0) 1.4 -1.6 (-2.3, -0.9)
Bibb County 5 falling falling trend higher 32 243.5 (205.9, 286.1) 1.4 -1.0 (-1.7, -0.2)
Chambers County 5 falling falling trend higher 49 240.3 (210.1, 273.9) 1.4 -1.1 (-1.7, -0.5)
Talladega County 5 falling falling trend higher 116 238.1 (218.4, 259.2) 1.3 -1.0 (-1.5, -0.6)
Geneva County 5 falling falling trend higher 43 238.1 (206.5, 273.6) 1.3 -1.5 (-2.3, -0.7)
Marengo County 5 falling falling trend higher 28 233.9 (195.7, 278.0) 1.3 -1.2 (-1.9, -0.5)
Henry County 5 falling falling trend higher 28 233.9 (195.1, 279.0) 1.3 -1.2 (-2.0, -0.5)
Tallapoosa County 5 falling falling trend higher 67 233.9 (208.4, 261.9) 1.3 -1.0 (-1.8, -0.3)
Covington County 5 falling falling trend higher 60 233.7 (207.5, 262.7) 1.3 -1.0 (-1.6, -0.4)
Pike County 5 falling falling trend higher 37 233.3 (199.9, 270.6) 1.3 -1.8 (-2.6, -1.1)
Clarke County 5 falling falling trend higher 36 232.5 (198.8, 270.9) 1.3 -1.6 (-2.3, -0.9)
St. Clair County 5 falling falling trend higher 115 230.0 (210.7, 250.5) 1.3 -1.7 (-2.0, -1.3)
Lamar County 5 falling falling trend higher 22 228.4 (186.4, 278.1) 1.3 -1.9 (-2.8, -0.9)
Lawrence County 4 stable stable trend higher 48 227.2 (198.4, 259.2) 1.3 -0.8 (-1.6, 0.0)
Bullock County 8 falling falling trend similar 12 223.1 (168.2, 290.0) 1.3 -1.2 (-2.2, -0.1)
Perry County 6 stable stable trend similar 11 222.5 (166.3, 292.5) 1.3 -0.5 (-1.8, 0.8)
Calhoun County 5 falling falling trend higher 142 220.2 (203.6, 237.8) 1.2 -1.8 (-2.2, -1.4)
Etowah County 5 falling falling trend higher 138 219.4 (202.8, 237.1) 1.2 -1.0 (-1.4, -0.6)
Fayette County 5 falling falling trend higher 25 219.4 (181.4, 263.9) 1.2 -1.5 (-2.3, -0.8)
Marion County 5 falling falling trend higher 47 219.3 (191.6, 250.3) 1.2 -0.8 (-1.5, -0.2)
Winston County 5 falling falling trend higher 38 218.8 (187.8, 254.0) 1.2 -1.2 (-1.9, -0.5)
Clay County 6 stable stable trend similar 20 217.9 (176.4, 267.4) 1.2 -1.0 (-1.9, 0.0)
Elmore County 5 falling falling trend higher 93 216.9 (196.8, 238.6) 1.2 -1.3 (-1.8, -0.9)
Colbert County 5 falling falling trend higher 77 215.9 (194.3, 239.3) 1.2 -1.3 (-1.8, -0.9)
Blount County 5 falling falling trend higher 78 215.7 (194.3, 238.9) 1.2 -1.7 (-2.1, -1.3)
Lee County 5 falling falling trend higher 142 215.2 (198.9, 232.4) 1.2 -1.4 (-1.8, -0.9)
Mobile County 5 falling falling trend higher 480 213.8 (205.0, 222.8) 1.2 -2.2 (-2.6, -1.8)
Franklin County 5 falling falling trend higher 36 212.9 (182.6, 246.8) 1.2 -1.7 (-2.2, -1.1)
Cullman County 5 falling falling trend higher 107 210.6 (192.5, 229.9) 1.2 -1.1 (-1.4, -0.7)
Marshall County 5 falling falling trend higher 116 210.3 (193.0, 228.7) 1.2 -3.7 (-5.9, -1.4)
Dale County 5 falling falling trend higher 59 209.6 (185.9, 235.6) 1.2 -3.0 (-4.4, -1.5)
Jefferson County 5 falling falling trend higher 697 208.0 (200.9, 215.2) 1.2 -1.6 (-1.7, -1.4)
Chilton County 5 falling falling trend higher 54 207.4 (182.6, 234.7) 1.2 -1.3 (-1.9, -0.7)
Morgan County 5 falling falling trend higher 141 204.3 (189.1, 220.4) 1.2 -1.1 (-1.5, -0.7)
Monroe County 8 falling falling trend similar 28 203.5 (170.0, 242.3) 1.1 -1.1 (-2.0, -0.3)
Houston County 5 falling falling trend higher 120 202.1 (185.8, 219.5) 1.1 -1.5 (-1.9, -1.2)
Butler County 8 falling falling trend similar 25 201.4 (166.3, 242.3) 1.1 -1.1 (-1.8, -0.3)
Cleburne County 8 falling falling trend similar 19 201.2 (162.0, 247.7) 1.1 -1.5 (-2.6, -0.3)
Cherokee County 8 falling falling trend similar 42 200.2 (172.9, 231.4) 1.1 -0.9 (-1.8, -0.1)
Lauderdale County 5 falling falling trend higher 117 200.1 (183.9, 217.6) 1.1 -4.1 (-6.9, -1.3)
Hale County 8 falling falling trend similar 18 199.4 (158.7, 248.0) 1.1 -1.7 (-2.7, -0.8)
Montgomery County 5 falling falling trend higher 215 197.4 (185.5, 209.9) 1.1 -2.3 (-2.7, -1.9)
Randolph County 8 falling falling trend similar 30 196.3 (164.9, 232.5) 1.1 -1.0 (-1.7, -0.3)
Coosa County 8 falling falling trend similar 16 192.4 (150.3, 244.6) 1.1 -1.4 (-2.4, -0.3)
DeKalb County 8 falling falling trend similar 79 190.4 (171.5, 210.8) 1.1 -1.3 (-1.9, -0.7)
Washington County 8 falling falling trend similar 21 190.2 (154.1, 233.0) 1.1 -13.9 (-25.7, -0.3)
Baldwin County 8 falling falling trend similar 281 188.5 (178.5, 199.0) 1.1 -1.5 (-1.7, -1.2)
Tuscaloosa County 8 falling falling trend similar 172 186.8 (173.9, 200.3) 1.1 -1.8 (-2.2, -1.4)
Greene County 8 falling falling trend similar 11 185.4 (138.5, 245.6) 1.0 -2.1 (-3.3, -0.9)
Coffee County 8 falling falling trend similar 55 185.2 (163.4, 209.2) 1.0 -1.8 (-2.4, -1.3)
Choctaw County 8 falling falling trend similar 18 182.5 (146.1, 226.8) 1.0 -2.6 (-3.7, -1.6)
Limestone County 8 falling falling trend similar 96 181.9 (165.3, 199.7) 1.0 -2.9 (-3.9, -1.8)
Madison County 8 falling falling trend similar 345 179.0 (170.5, 187.9) 1.0 -2.0 (-2.6, -1.5)
Pickens County 8 falling falling trend similar 23 177.7 (145.8, 214.9) 1.0 -4.1 (-5.6, -2.4)
Autauga County 8 falling falling trend similar 53 176.0 (155.0, 199.0) 1.0 -2.6 (-3.3, -1.9)
Conecuh County 8 falling falling trend similar 17 170.3 (135.2, 213.7) 1.0 -2.6 (-3.5, -1.6)
Shelby County 9 falling falling trend lower 176 156.7 (146.2, 167.8) 0.9 -1.8 (-2.4, -1.3)
Notes:
Created by statecancerprofiles.cancer.gov on 05/19/2024 9:58 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

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).


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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