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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

Brain & ONS

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 - rising rising trend - 17,206 4.4 (4.4, 4.4) - 0.3 (0.1, 0.5)
Alabama - stable stable trend - 301 5.0 (4.7, 5.2) - 0.3 (-0.1, 0.6)
Lauderdale County 1 rising rising trend higher 8 6.8 (4.8, 9.4) 1.5 1.8 (0.2, 3.4)
Etowah County 4 stable stable trend higher 9 6.8 (4.9, 9.2) 1.5 0.0 (-1.6, 1.7)
Baldwin County 6 stable stable trend similar 16 5.2 (4.1, 6.6) 1.2 0.4 (-0.9, 1.9)
Calhoun County 6 stable stable trend similar 6 4.4 (2.9, 6.4) 1.0 0.3 (-1.4, 2.1)
Cullman County 6 stable stable trend similar 6 5.5 (3.7, 8.0) 1.3 0.6 (-1.4, 2.7)
Houston County 6 stable stable trend similar 5 3.8 (2.5, 5.7) 0.9 -0.8 (-2.6, 1.1)
Jackson County 6 stable stable trend similar 4 5.7 (3.4, 9.0) 1.3 -1.0 (-2.9, 0.9)
Limestone County 6 stable stable trend similar 6 5.2 (3.5, 7.6) 1.2 -0.6 (-2.3, 1.1)
Madison County 6 stable stable trend similar 21 4.9 (4.0, 5.9) 1.1 0.7 (-0.4, 1.8)
Marshall County 6 stable stable trend similar 5 4.6 (2.9, 6.8) 1.0 -0.2 (-1.8, 1.5)
Mobile County 6 stable stable trend similar 24 4.8 (4.0, 5.8) 1.1 0.1 (-0.7, 1.0)
Morgan County 6 stable stable trend similar 9 5.9 (4.3, 7.9) 1.3 1.0 (-0.7, 2.7)
Shelby County 6 stable stable trend similar 12 4.8 (3.7, 6.3) 1.1 0.4 (-1.4, 2.3)
Walker County 6 stable stable trend similar 4 4.8 (3.0, 7.5) 1.1 -0.8 (-2.2, 0.7)
Montgomery County 7 stable stable trend lower 8 3.1 (2.2, 4.3) 0.7 -0.3 (-1.6, 1.1)
Jefferson County 8 falling falling trend similar 38 4.9 (4.2, 5.7) 1.1 -14.1 (-24.9, -1.8)
Tuscaloosa County 9 falling falling trend lower 7 3.1 (2.1, 4.4) 0.7 -1.9 (-3.6, -0.2)
Autauga County
**
 		** similar 3 4.7 (2.7, 7.8) 1.1
**
Blount County
**
 		** similar 5 6.2 (3.9, 9.5) 1.4
**
Coffee County
**
 		** similar 4 5.8 (3.4, 9.3) 1.3
**
Colbert County
**
 		** higher 5 7.4 (4.8, 11.0) 1.7
**
Covington County
**
 		** higher 4 8.2 (4.9, 13.0) 1.8
**
DeKalb County
**
 		** similar 5 5.6 (3.6, 8.3) 1.3
**
Elmore County
**
 		** similar 6 5.5 (3.6, 8.1) 1.2
**
Franklin County
**
 		** higher 4 9.5 (5.6, 15.3) 2.2
**
Lee County
**
 		** similar 8 5.3 (3.7, 7.3) 1.2
**
Marion County
**
 		** higher 4 9.2 (5.3, 15.1) 2.1
**
St. Clair County
**
 		** higher 7 6.9 (4.8, 9.6) 1.6
**
Talladega County
**
 		** similar 6 5.3 (3.6, 7.7) 1.2
**
Barbour County
**
 		**
*
3 or fewer
*
*
**
Bibb County
**
 		**
*
3 or fewer
*
*
**
Bullock County
**
 		**
*
3 or fewer
*
*
**
Butler County
**
 		**
*
3 or fewer
*
*
**
Chambers County
**
 		**
*
3 or fewer
*
*
**
Cherokee County
**
 		**
*
3 or fewer
*
*
**
Chilton County
**
 		**
*
3 or fewer
*
*
**
Choctaw County
**
 		**
*
3 or fewer
*
*
**
Clarke County
**
 		**
*
3 or fewer
*
*
**
Clay County
**
 		**
*
3 or fewer
*
*
**
Cleburne County
**
 		**
*
3 or fewer
*
*
**
Conecuh County
**
 		**
*
3 or fewer
*
*
**
Coosa County
**
 		**
*
3 or fewer
*
*
**
Crenshaw County
**
 		**
*
3 or fewer
*
*
**
Dale County
**
 		**
*
3 or fewer
*
*
**
Dallas County
**
 		**
*
3 or fewer
*
*
**
Escambia County
**
 		**
*
3 or fewer
*
*
**
Fayette 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
*
*
**
Lawrence 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
*
*
**
Russell County
**
 		**
*
3 or fewer
*
*
**
Sumter County
**
 		**
*
3 or fewer
*
*
**
Tallapoosa County
**
 		**
*
3 or fewer
*
*
**
Washington County
**
 		**
*
3 or fewer
*
*
**
Wilcox County
**
 		**
*
3 or fewer
*
*
**
Winston County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/04/2024 1:57 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:
Barbour County, Bibb County, Bullock County, Butler County, Chambers County, Cherokee County, Chilton County, Choctaw County, Clarke County, Clay County, Cleburne County, Conecuh County, Coosa County, Crenshaw County, Dale County, Dallas County, Escambia County, Fayette County, Geneva County, Greene County, Hale County, Henry County, Lamar County, Lawrence County, Lowndes County, Macon County, Marengo County, Monroe County, Perry County, Pickens County, Pike County, Randolph County, Russell County, Sumter County, Tallapoosa County, Washington County, Wilcox County, Winston County

Trend for the following could not be reliably determined due to small number of deaths per year:
Autauga County, Blount County, Coffee County, Colbert County, Covington County, DeKalb County, Elmore County, Franklin County, Lee County, Marion County, St. Clair County, Talladega 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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