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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

Liver & Bile Duct

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 - 27,509 6.6 (6.6, 6.7) - -0.6 (-1.2, 0.0)
Alabama - rising rising trend - 471 7.2 (6.9, 7.5) - 2.0 (1.7, 2.3)
Etowah County 1 rising rising trend higher 13 9.1 (7.0, 11.7) 1.4 1.3 (0.1, 2.6)
Jefferson County 1 rising rising trend higher 66 8.1 (7.2, 9.1) 1.2 2.8 (2.0, 3.5)
Mobile County 1 rising rising trend higher 57 10.4 (9.2, 11.7) 1.6 4.0 (3.2, 4.8)
Walker County 1 rising rising trend higher 10 10.1 (7.4, 13.5) 1.5 3.0 (1.1, 4.8)
Lauderdale County 2 rising rising trend similar 9 6.5 (4.7, 8.8) 1.0 2.7 (1.0, 4.3)
Madison County 2 rising rising trend similar 31 6.8 (5.7, 8.0) 1.0 2.1 (0.9, 3.4)
Morgan County 2 rising rising trend similar 12 7.6 (5.7, 9.9) 1.1 2.7 (1.0, 4.5)
Tuscaloosa County 2 rising rising trend similar 12 5.3 (4.0, 6.8) 0.8 2.4 (0.7, 4.1)
Houston County 6 stable stable trend similar 8 5.5 (3.9, 7.6) 0.8 1.5 (-0.2, 3.2)
Jackson County 6 stable stable trend similar 6 7.9 (5.3, 11.6) 1.2 2.3 (-1.2, 6.0)
Shelby County 6 stable stable trend similar 14 5.4 (4.2, 6.8) 0.8 1.5 (-0.1, 3.2)
Baldwin County 7 stable stable trend lower 18 5.4 (4.4, 6.7) 0.8 -9.6 (-20.8, 3.2)
Montgomery County 7 stable stable trend lower 15 5.4 (4.2, 6.8) 0.8 -0.4 (-1.9, 1.1)
Autauga County
**
** similar 5 6.7 (4.3, 10.1) 1.0
**
Barbour County
**
** similar 3 8.8 (5.1, 14.6) 1.3
**
Blount County
**
** similar 7 8.3 (5.7, 11.9) 1.3
**
Calhoun County
**
** higher 15 9.2 (7.1, 11.7) 1.4
**
Chambers County
**
** similar 3 6.6 (3.8, 11.0) 1.0
**
Cherokee County
**
** similar 4 8.0 (4.8, 13.2) 1.2
**
Chilton County
**
** similar 5 7.9 (5.0, 12.2) 1.2
**
Colbert County
**
** similar 6 8.0 (5.4, 11.5) 1.2
**
Covington County
**
** similar 4 6.3 (3.6, 10.5) 1.0
**
Cullman County
**
** similar 7 6.5 (4.5, 9.1) 1.0
**
Dale County
**
** similar 5 8.2 (5.4, 12.2) 1.2
**
Dallas County
**
** similar 3 5.8 (3.3, 9.8) 0.9
**
DeKalb County
**
** similar 6 6.2 (4.1, 8.9) 0.9
**
Elmore County
**
** similar 7 7.6 (5.3, 10.6) 1.1
**
Escambia County
**
** similar 4 6.7 (3.9, 10.9) 1.0
**
Lawrence County
**
** similar 4 7.3 (4.3, 11.9) 1.1
**
Lee County
**
** similar 9 5.6 (4.0, 7.6) 0.8
**
Limestone County
**
** similar 8 6.7 (4.8, 9.2) 1.0
**
Marion County
**
** similar 4 8.8 (5.3, 14.0) 1.3
**
Marshall County
**
** similar 8 6.0 (4.3, 8.3) 0.9
**
Russell County
**
** similar 6 9.2 (6.2, 13.1) 1.4
**
St. Clair County
**
** similar 11 9.0 (6.7, 11.9) 1.4
**
Talladega County
**
** similar 10 8.3 (6.1, 11.1) 1.2
**
Tallapoosa County
**
** similar 4 5.4 (3.2, 8.9) 0.8
**
Washington County
**
** similar 3 12.6 (7.1, 21.3) 1.9
**
Bibb County
**
**
*
3 or fewer
*
*
**
Bullock County
**
**
*
3 or fewer
*
*
**
Butler County
**
**
*
3 or fewer
*
*
**
Choctaw County
**
**
*
3 or fewer
*
*
**
Clarke County
**
**
*
3 or fewer
*
*
**
Clay County
**
**
*
3 or fewer
*
*
**
Cleburne County
**
**
*
3 or fewer
*
*
**
Coffee County
**
**
*
3 or fewer
*
*
**
Conecuh County
**
**
*
3 or fewer
*
*
**
Coosa County
**
**
*
3 or fewer
*
*
**
Crenshaw County
**
**
*
3 or fewer
*
*
**
Fayette County
**
**
*
3 or fewer
*
*
**
Franklin County
**
**
*
3 or fewer
*
*
**
Geneva County
**
**
*
3 or fewer
*
*
**
Greene County
**
**
*
3 or fewer
*
*
**
Hale County
**
**
*
3 or fewer
*
*
**
Henry County
**
**
*
3 or fewer
*
*
**
Lamar County
**
**
*
3 or fewer
*
*
**
Lowndes County
**
**
*
3 or fewer
*
*
**
Macon County
**
**
*
3 or fewer
*
*
**
Marengo County
**
**
*
3 or fewer
*
*
**
Monroe County
**
**
*
3 or fewer
*
*
**
Perry County
**
**
*
3 or fewer
*
*
**
Pickens County
**
**
*
3 or fewer
*
*
**
Pike County
**
**
*
3 or fewer
*
*
**
Randolph County
**
**
*
3 or fewer
*
*
**
Sumter County
**
**
*
3 or fewer
*
*
**
Wilcox County
**
**
*
3 or fewer
*
*
**
Winston County
**
**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 04/29/2024 6:05 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 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:
Bibb County, Bullock County, Butler County, Choctaw County, Clarke County, Clay County, Cleburne County, Coffee County, Conecuh County, Coosa County, Crenshaw County, Fayette County, Franklin County, Geneva County, Greene County, Hale County, Henry County, Lamar County, Lowndes County, Macon County, Marengo County, Monroe County, Perry County, Pickens County, Pike County, Randolph County, Sumter County, Wilcox County, Winston County

Trend for the following could not be reliably determined due to small number of deaths per year:
Autauga County, Barbour County, Blount County, Calhoun County, Chambers County, Cherokee County, Chilton County, Colbert County, Covington County, Cullman County, Dale County, Dallas County, DeKalb County, Elmore County, Escambia County, Lawrence County, Lee County, Limestone County, Marion County, Marshall County, Russell County, St. Clair County, Talladega County, Tallapoosa County, Washington 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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