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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

Colon & Rectum

All Races, Both Sexes

Sorted by priority index
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 descending
Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
 sort by trend descending
United States - falling falling trend - 52,152 13.1 (13.1, 13.2) - -1.9 (-2.1, -1.8)
Alabama - falling falling trend - 902 14.7 (14.3, 15.1) - -2.0 (-2.5, -1.5)
Clarke County 4 stable stable trend higher 10 28.2 (20.6, 37.8) 2.1 -0.2 (-1.6, 1.3)
Colbert County 4 stable stable trend higher 14 17.7 (13.7, 22.7) 1.4 -0.8 (-2.2, 0.7)
Dallas County 4 stable stable trend higher 12 24.4 (18.3, 31.9) 1.9 0.0 (-1.4, 1.5)
Fayette County 4 stable stable trend higher 5 22.4 (14.3, 33.9) 1.7 1.7 (-0.8, 4.2)
Jackson County 4 stable stable trend higher 15 20.5 (16.0, 26.1) 1.6 0.1 (-0.7, 1.0)
Marion County 4 stable stable trend higher 10 22.3 (16.5, 29.9) 1.7 0.1 (-1.3, 1.5)
Russell County 4 stable stable trend higher 12 19.0 (14.4, 24.6) 1.4 -0.6 (-1.9, 0.7)
Talladega County 4 stable stable trend higher 20 19.0 (15.4, 23.2) 1.4 -0.4 (-1.4, 0.7)
Walker County 4 stable stable trend higher 16 19.8 (15.6, 24.9) 1.5 0.2 (-0.7, 1.1)
Calhoun County 5 falling falling trend higher 26 17.2 (14.3, 20.6) 1.3 -1.9 (-3.3, -0.5)
Barbour County 6 stable stable trend similar 6 16.5 (10.9, 24.3) 1.3 -0.1 (-1.9, 1.6)
Butler County 6 stable stable trend similar 5 17.3 (11.3, 25.8) 1.3 0.1 (-1.6, 1.9)
Chambers County 6 stable stable trend similar 7 17.0 (11.7, 23.9) 1.3 0.0 (-1.3, 1.4)
Cherokee County 6 stable stable trend similar 4 9.0 (5.4, 14.8) 0.7 -1.5 (-3.5, 0.7)
Chilton County 6 stable stable trend similar 8 15.0 (10.7, 20.5) 1.1 -0.6 (-2.2, 1.0)
Covington County 6 stable stable trend similar 9 16.8 (12.1, 23.0) 1.3 -0.7 (-2.0, 0.6)
Cullman County 6 stable stable trend similar 14 12.7 (9.8, 16.2) 1.0 -0.8 (-1.9, 0.3)
DeKalb County 6 stable stable trend similar 12 13.1 (9.9, 17.1) 1.0 1.0 (-0.4, 2.4)
Escambia County 6 stable stable trend similar 9 17.8 (12.9, 24.2) 1.4 -0.5 (-1.8, 0.9)
Etowah County 6 stable stable trend similar 21 15.0 (12.2, 18.3) 1.1 -0.8 (-1.6, 0.1)
Franklin County 6 stable stable trend similar 6 15.2 (10.2, 21.9) 1.2 -1.2 (-2.4, 0.0)
Henry County 6 stable stable trend similar 4 16.2 (9.4, 26.3) 1.2 -0.9 (-2.9, 1.3)
Lauderdale County 6 stable stable trend similar 18 13.9 (11.1, 17.2) 1.1 -0.8 (-1.8, 0.2)
Lee County 6 stable stable trend similar 21 13.9 (11.3, 16.8) 1.1 -0.6 (-1.6, 0.5)
Macon County 6 stable stable trend similar 5 20.0 (12.8, 30.3) 1.5 -1.2 (-3.0, 0.6)
Marshall County 6 stable stable trend similar 16 13.1 (10.3, 16.5) 1.0 -1.0 (-2.0, 0.1)
Monroe County 6 stable stable trend similar 3 10.9 (5.9, 18.7) 0.8 -0.8 (-2.9, 1.3)
Pickens County 6 stable stable trend similar 4 15.5 (9.7, 24.1) 1.2 -0.6 (-2.1, 0.9)
Pike County 6 stable stable trend similar 5 14.7 (9.5, 21.8) 1.1 -1.0 (-2.6, 0.6)
Randolph County 6 stable stable trend similar 5 17.8 (11.4, 26.8) 1.4 -1.2 (-2.7, 0.3)
Tallapoosa County 6 stable stable trend similar 10 17.7 (12.8, 23.9) 1.3 -0.3 (-1.5, 0.9)
Winston County 6 stable stable trend similar 5 13.9 (8.8, 21.2) 1.1 -1.5 (-3.1, 0.2)
Autauga County 8 falling falling trend similar 9 14.2 (10.4, 19.1) 1.1 -1.7 (-3.1, -0.4)
Baldwin County 8 falling falling trend similar 38 12.0 (10.3, 13.9) 0.9 -2.7 (-3.5, -1.8)
Blount County 8 falling falling trend similar 12 14.8 (11.2, 19.3) 1.1 -1.9 (-3.0, -0.8)
Coffee County 8 falling falling trend similar 7 10.1 (6.9, 14.2) 0.8 -2.2 (-3.5, -0.9)
Dale County 8 falling falling trend similar 8 13.0 (9.3, 17.8) 1.0 -2.7 (-3.7, -1.6)
Elmore County 8 falling falling trend similar 15 15.4 (12.0, 19.4) 1.2 -1.5 (-2.6, -0.3)
Houston County 8 falling falling trend similar 19 14.3 (11.5, 17.6) 1.1 -1.3 (-2.3, -0.4)
Jefferson County 8 falling falling trend similar 111 13.7 (12.6, 14.9) 1.0 -1.9 (-2.3, -1.5)
Lamar County 8 falling falling trend similar 4 18.5 (11.2, 29.8) 1.4 -1.6 (-3.0, -0.1)
Limestone County 8 falling falling trend similar 13 11.6 (8.9, 14.8) 0.9 -1.8 (-3.0, -0.5)
Madison County 8 falling falling trend similar 56 13.1 (11.6, 14.8) 1.0 -1.7 (-2.2, -1.2)
Mobile County 8 falling falling trend similar 72 14.5 (13.0, 16.1) 1.1 -1.7 (-2.1, -1.2)
Montgomery County 8 falling falling trend similar 39 15.0 (12.9, 17.3) 1.1 -1.5 (-2.1, -0.8)
Morgan County 8 falling falling trend similar 20 13.4 (10.8, 16.3) 1.0 -1.2 (-2.0, -0.4)
Shelby County 8 falling falling trend similar 29 11.6 (9.7, 13.7) 0.9 -2.2 (-3.2, -1.1)
St. Clair County 8 falling falling trend similar 15 14.2 (11.0, 17.9) 1.1 -1.4 (-2.6, -0.1)
Tuscaloosa County 8 falling falling trend similar 30 13.6 (11.5, 16.0) 1.0 -1.8 (-2.7, -0.8)
Bibb County
**
** similar 4 14.5 (8.8, 22.8) 1.1
**
Cleburne County
**
** similar 4 18.6 (11.2, 29.8) 1.4
**
Conecuh County
**
** similar 4 20.9 (11.8, 34.8) 1.6
**
Crenshaw County
**
** higher 5 26.9 (17.0, 40.8) 2.0
**
Geneva County
**
** similar 5 13.1 (8.2, 20.3) 1.0
**
Lawrence County
**
** higher 8 19.4 (13.7, 26.9) 1.5
**
Lowndes County
**
** similar 3 21.0 (11.9, 35.5) 1.6
**
Marengo County
**
** higher 6 21.1 (13.9, 31.0) 1.6
**
Washington County
**
** similar 4 17.3 (10.2, 27.9) 1.3
**
Wilcox County
**
** higher 4 26.7 (15.4, 43.5) 2.0
**
Bullock County
**
**
*
3 or fewer
*
*
**
Choctaw County
**
**
*
3 or fewer
*
*
**
Clay County
**
**
*
3 or fewer
*
*
**
Coosa County
**
**
*
3 or fewer
*
*
**
Greene County
**
**
*
3 or fewer
*
*
**
Hale County
**
**
*
3 or fewer
*
*
**
Perry County
**
**
*
3 or fewer
*
*
**
Sumter County
**
**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/06/2024 6:59 pm.

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 has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** 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).

Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Bullock County, Choctaw County, Clay County, Coosa County, Greene County, Hale County, Perry County, Sumter County

Trend for the following could not be reliably determined due to small number of deaths per year:
Bibb County, Cleburne County, Conecuh County, Crenshaw County, Geneva County, Lawrence County, Lowndes County, Marengo County, Washington County, Wilcox County


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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