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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

Lung & Bronchus

All Races, Both Sexes

Sorted by trend
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 ascending
United States - falling falling trend - 142,497 35.0 (34.9, 35.0) - -4.8 (-5.1, -4.6)
Alabama - falling falling trend - 2,874 44.6 (43.9, 45.4) - -3.6 (-4.0, -3.1)
Clay County 4 stable stable trend higher 11 53.1 (40.0, 69.9) 1.5 0.7 (-0.7, 2.0)
Perry County 6 stable stable trend similar 4 34.7 (21.2, 54.5) 1.0 0.1 (-2.1, 2.4)
Bullock County 6 stable stable trend similar 6 46.9 (31.5, 67.8) 1.3 0.1 (-1.7, 1.8)
Cherokee County 4 stable stable trend higher 23 50.7 (41.6, 61.6) 1.5 0.1 (-1.2, 1.3)
Lawrence County 4 stable stable trend higher 29 59.1 (49.7, 70.1) 1.7 0.1 (-0.7, 1.0)
Lowndes County 6 stable stable trend similar 5 36.9 (23.9, 55.2) 1.1 0.0 (-1.9, 2.0)
Barbour County 4 stable stable trend higher 21 58.3 (47.5, 71.0) 1.7 0.0 (-1.1, 1.2)
Randolph County 4 stable stable trend higher 17 46.8 (37.1, 58.7) 1.3 0.0 (-1.1, 1.2)
Covington County 4 stable stable trend higher 33 56.1 (47.8, 65.7) 1.6 0.0 (-1.0, 0.9)
Lamar County 8 falling falling trend similar 10 47.0 (34.3, 63.5) 1.3 -9.7 (-18.0, -0.5)
Baldwin County 4 stable stable trend higher 135 40.3 (37.2, 43.5) 1.2 -8.7 (-18.5, 2.2)
Lee County 5 falling falling trend higher 62 40.7 (36.2, 45.7) 1.2 -7.8 (-12.6, -2.8)
Madison County 8 falling falling trend similar 161 35.9 (33.4, 38.5) 1.0 -6.0 (-8.5, -3.6)
Montgomery County 8 falling falling trend similar 87 32.7 (29.6, 36.0) 0.9 -5.5 (-7.5, -3.5)
Chambers County 5 falling falling trend higher 23 45.3 (37.3, 54.9) 1.3 -5.2 (-8.7, -1.5)
Limestone County 8 falling falling trend similar 47 38.2 (33.4, 43.5) 1.1 -4.6 (-6.2, -3.1)
Shelby County 8 falling falling trend similar 86 33.2 (30.1, 36.6) 1.0 -4.5 (-6.2, -2.8)
Dale County 5 falling falling trend higher 31 48.4 (41.0, 56.7) 1.4 -4.3 (-6.4, -2.2)
Etowah County 5 falling falling trend higher 76 51.0 (46.0, 56.6) 1.5 -4.2 (-6.1, -2.1)
Lauderdale County 5 falling falling trend higher 62 44.5 (39.6, 49.9) 1.3 -4.1 (-7.0, -1.0)
Mobile County 5 falling falling trend higher 244 46.4 (43.8, 49.1) 1.3 -4.1 (-5.8, -2.5)
Jefferson County 5 falling falling trend higher 333 40.9 (38.9, 43.0) 1.2 -4.0 (-5.5, -2.5)
Tuscaloosa County 5 falling falling trend higher 87 38.9 (35.3, 42.9) 1.1 -3.9 (-5.1, -2.6)
DeKalb County 5 falling falling trend higher 46 47.4 (41.4, 54.2) 1.4 -3.3 (-5.4, -1.1)
Marion County 5 falling falling trend higher 24 50.5 (41.8, 60.7) 1.4 -3.3 (-4.9, -1.7)
Choctaw County 8 falling falling trend similar 6 27.3 (18.3, 40.4) 0.8 -2.8 (-4.2, -1.5)
Marshall County 5 falling falling trend higher 72 56.2 (50.5, 62.5) 1.6 -2.8 (-3.9, -1.6)
Morgan County 5 falling falling trend higher 78 48.0 (43.2, 53.1) 1.4 -2.5 (-3.6, -1.4)
Cleburne County 4 stable stable trend higher 11 48.0 (35.9, 63.5) 1.4 -2.4 (-5.0, 0.2)
Calhoun County 5 falling falling trend higher 84 54.4 (49.2, 60.0) 1.6 -2.4 (-3.3, -1.4)
Autauga County 5 falling falling trend higher 30 44.4 (37.5, 52.3) 1.3 -2.0 (-2.7, -1.2)
Houston County 8 falling falling trend similar 57 39.6 (35.1, 44.6) 1.1 -1.8 (-2.3, -1.3)
St. Clair County 5 falling falling trend higher 61 52.7 (46.8, 59.1) 1.5 -1.7 (-2.4, -1.0)
Pike County 5 falling falling trend higher 18 47.8 (38.1, 59.3) 1.4 -1.6 (-2.9, -0.4)
Marengo County 8 falling falling trend similar 12 42.5 (32.0, 55.6) 1.2 -1.6 (-2.5, -0.6)
Russell County 5 falling falling trend higher 37 55.1 (47.3, 63.9) 1.6 -1.6 (-2.3, -0.9)
Hale County 8 falling falling trend similar 9 38.9 (27.9, 53.3) 1.1 -1.5 (-2.9, 0.0)
Coosa County 8 falling falling trend similar 9 46.9 (34.0, 64.8) 1.3 -1.5 (-2.8, -0.2)
Coffee County 5 falling falling trend higher 33 48.4 (41.3, 56.6) 1.4 -1.4 (-2.0, -0.8)
Colbert County 5 falling falling trend higher 43 52.1 (45.3, 59.8) 1.5 -1.4 (-1.9, -0.9)
Conecuh County 6 stable stable trend similar 10 44.5 (32.8, 60.2) 1.3 -1.2 (-2.6, 0.3)
Washington County 6 stable stable trend similar 9 39.3 (28.5, 53.2) 1.1 -1.2 (-2.6, 0.1)
Macon County 8 falling falling trend similar 13 46.0 (35.5, 59.4) 1.3 -1.2 (-2.3, -0.2)
Henry County 5 falling falling trend higher 13 47.5 (36.4, 61.4) 1.4 -1.2 (-2.1, -0.3)
Clarke County 8 falling falling trend similar 15 40.1 (31.4, 50.9) 1.1 -1.2 (-2.0, -0.4)
Blount County 5 falling falling trend higher 42 52.4 (45.5, 60.1) 1.5 -1.2 (-1.9, -0.6)
Elmore County 5 falling falling trend higher 46 46.6 (40.7, 53.2) 1.3 -1.2 (-1.8, -0.5)
Butler County 6 stable stable trend similar 12 39.4 (30.0, 51.3) 1.1 -1.1 (-2.3, 0.2)
Crenshaw County 5 falling falling trend higher 12 55.8 (42.2, 73.1) 1.6 -1.1 (-2.2, 0.0)
Winston County 5 falling falling trend higher 19 49.4 (39.7, 61.0) 1.4 -1.1 (-2.1, -0.1)
Geneva County 5 falling falling trend higher 26 62.3 (51.9, 74.6) 1.8 -1.0 (-1.9, -0.1)
Cullman County 5 falling falling trend higher 58 49.1 (43.5, 55.2) 1.4 -1.0 (-1.6, -0.4)
Talladega County 5 falling falling trend higher 58 51.9 (45.9, 58.4) 1.5 -1.0 (-1.6, -0.3)
Sumter County 4 stable stable trend higher 10 59.3 (43.2, 80.0) 1.7 -0.8 (-2.3, 0.7)
Pickens County 6 stable stable trend similar 11 37.6 (28.3, 49.3) 1.1 -0.8 (-2.1, 0.5)
Monroe County 6 stable stable trend similar 13 39.3 (30.2, 50.8) 1.1 -0.8 (-2.0, 0.3)
Bibb County 4 stable stable trend higher 15 51.1 (40.0, 64.6) 1.5 -0.8 (-1.9, 0.4)
Jackson County 5 falling falling trend higher 46 58.5 (51.0, 67.0) 1.7 -0.8 (-1.5, -0.1)
Escambia County 5 falling falling trend higher 30 59.6 (50.4, 70.2) 1.7 -0.8 (-1.4, -0.3)
Franklin County 4 stable stable trend higher 21 52.6 (42.9, 64.1) 1.5 -0.7 (-1.6, 0.3)
Dallas County 4 stable stable trend higher 26 47.8 (39.7, 57.2) 1.4 -0.7 (-1.4, 0.1)
Chilton County 4 stable stable trend higher 29 49.0 (41.2, 57.9) 1.4 -0.6 (-1.5, 0.3)
Walker County 4 stable stable trend higher 60 62.5 (55.5, 70.3) 1.8 -0.6 (-1.3, 0.1)
Fayette County 4 stable stable trend higher 15 54.1 (42.3, 68.8) 1.5 -0.5 (-1.5, 0.6)
Tallapoosa County 4 stable stable trend higher 32 48.9 (41.4, 57.6) 1.4 -0.4 (-1.4, 0.6)
Greene County 6 stable stable trend similar 6 45.3 (30.5, 66.4) 1.3 -0.3 (-2.0, 1.3)
Wilcox County 6 stable stable trend similar 7 43.0 (29.4, 61.5) 1.2 -0.1 (-1.7, 1.4)
Notes:
Created by statecancerprofiles.cancer.gov on 05/18/2024 3:37 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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