State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Alabama by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by CI*Rank

Explanation of Column Headers

Death Rate (95% Confidence Interval) - The death rate is based upon 100,000 people and is for 5 year(s). Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population (the Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal).

Recent Trends - This is an interpretation of the AAPC:

• 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.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Crenshaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 204.7 with a 95% confidence interval from 175.9 to 237.2 and 39 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 43)

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 203.6 with a 95% confidence interval from 182.2 to 227.2 and 70 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 29)

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 200.7 with a 95% confidence interval from 185.5 to 216.8 and 136 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 20)

Escambia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 194.7 with a 95% confidence interval from 177.4 to 213.4 and 97 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 30)

Cleburne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 189.7 with a 95% confidence interval from 164.4 to 218.2 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 54)

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 183.7 with a 95% confidence interval from 170.1 to 198.2 and 144 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 40)

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 183.5 with a 95% confidence interval from 164.7 to 204.2 and 76 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 53)

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 183.4 with a 95% confidence interval from 170.9 to 196.7 and 169 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (2, 38)

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 183.0 with a 95% confidence interval from 173.0 to 193.4 and 266 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (2, 33)

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 181.7 with a 95% confidence interval from 146.6 to 223.6 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 66)

Chilton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 181.1 with a 95% confidence interval from 165.5 to 197.9 and 104 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 50)

Covington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 180.7 with a 95% confidence interval from 165.3 to 197.3 and 108 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (2, 49)

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 179.9 with a 95% confidence interval from 162.7 to 198.7 and 83 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 54)

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 179.3 with a 95% confidence interval from 161.2 to 199.1 and 73 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (1, 56)

Lawrence County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 179.2 with a 95% confidence interval from 162.1 to 197.9 and 84 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 54)

Hale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 179.0 with a 95% confidence interval from 153.4 to 208.1 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 62)

Barbour County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 178.9 with a 95% confidence interval from 159.3 to 200.4 and 64 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (1, 58)

Pike County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 178.0 with a 95% confidence interval from 158.9 to 198.9 and 66 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (1, 57)

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 176.8 with a 95% confidence interval from 167.3 to 186.9 and 270 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (5, 41)

Pickens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 176.3 with a 95% confidence interval from 154.4 to 200.9 and 49 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (1, 62)

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 175.7 with a 95% confidence interval from 164.6 to 187.4 and 198 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (4, 47)

Geneva County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 172.3 with a 95% confidence interval from 153.9 to 192.5 and 68 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (3, 60)

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 171.3 with a 95% confidence interval from 148.0 to 197.6 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (1, 65)

Wilcox County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 170.9 with a 95% confidence interval from 141.1 to 205.7 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (1, 66)

Lamar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 170.3 with a 95% confidence interval from 146.1 to 198.0 and 37 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (1, 65)

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 169.8 with a 95% confidence interval from 145.9 to 197.1 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (1, 65)

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 169.5 with a 95% confidence interval from 147.9 to 193.8 and 47 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (2, 65)

Chambers County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 169.5 with a 95% confidence interval from 153.3 to 187.0 and 86 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (4, 60)

Lowndes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 169.0 with a 95% confidence interval from 140.0 to 203.0 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (1, 66)

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 168.8 with a 95% confidence interval from 146.6 to 193.8 and 46 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (1, 65)

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 167.7 with a 95% confidence interval from 162.7 to 172.9 and 872 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (18, 45)

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 167.3 with a 95% confidence interval from 157.0 to 178.1 and 207 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (11, 55)

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 167.2 with a 95% confidence interval from 156.2 to 178.7 and 182 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (9, 56)

Conecuh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 166.5 with a 95% confidence interval from 140.0 to 197.2 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (2, 66)

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 166.3 with a 95% confidence interval from 153.8 to 179.7 and 136 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (9, 58)

Bibb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 166.2 with a 95% confidence interval from 145.8 to 189.0 and 49 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (3, 65)

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 165.0 with a 95% confidence interval from 143.9 to 188.9 and 47 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (3, 66)

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 164.4 with a 95% confidence interval from 152.1 to 177.5 and 139 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (10, 61)

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 164.3 with a 95% confidence interval from 150.0 to 179.8 and 107 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (8, 62)

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 163.1 with a 95% confidence interval from 149.3 to 178.0 and 107 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (10, 62)

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 162.3 with a 95% confidence interval from 155.4 to 169.4 and 438 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (22, 55)

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 161.6 with a 95% confidence interval from 151.5 to 172.3 and 198 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (16, 59)

Winston County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 161.1 with a 95% confidence interval from 142.8 to 181.4 and 60 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (6, 66)

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 160.2 with a 95% confidence interval from 156.2 to 164.2 and 1,311 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (30, 54)

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 159.9 with a 95% confidence interval from 150.6 to 169.7 and 229 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (20, 60)

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 159.1 with a 95% confidence interval from 150.6 to 168.0 and 275 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (22, 60)

Coosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 159.0 with a 95% confidence interval from 132.7 to 190.1 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (2, 66)

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 158.6 with a 95% confidence interval from 138.1 to 181.5 and 47 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (5, 66)

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 157.3 with a 95% confidence interval from 145.9 to 169.4 and 147 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (19, 64)

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 157.3 with a 95% confidence interval from 138.4 to 178.3 and 54 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (7, 66)

Sumter County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 157.1 with a 95% confidence interval from 128.4 to 190.6 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (1, 67)

Choctaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 156.9 with a 95% confidence interval from 133.8 to 183.6 and 34 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (4, 66)

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 156.4 with a 95% confidence interval from 140.9 to 173.3 and 81 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (13, 66)

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 153.8 with a 95% confidence interval from 141.2 to 167.2 and 114 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (20, 66)

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 153.6 with a 95% confidence interval from 130.9 to 179.6 and 35 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (6, 67)

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 152.8 with a 95% confidence interval from 144.3 to 161.7 and 252 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (32, 64)

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 152.2 with a 95% confidence interval from 142.4 to 162.6 and 188 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (30, 65)

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 150.7 with a 95% confidence interval from 137.8 to 164.5 and 103 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (24, 66)

Bullock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 149.7 with a 95% confidence interval from 121.9 to 182.6 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (3, 67)

Marengo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 146.1 with a 95% confidence interval from 126.4 to 168.4 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (15, 67)

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 145.1 with a 95% confidence interval from 135.9 to 154.8 and 198 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (42, 66)

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 143.9 with a 95% confidence interval from 138.2 to 149.8 and 515 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (50, 66)

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 142.1 with a 95% confidence interval from 137.3 to 147.2 and 667 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (53, 66)

Perry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 140.2 with a 95% confidence interval from 110.9 to 175.7 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (7, 67)

Limestone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 140.0 with a 95% confidence interval from 130.8 to 149.6 and 183 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (50, 66)

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 135.8 with a 95% confidence interval from 129.2 to 142.8 and 328 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (57, 66)

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 118.0 with a 95% confidence interval from 112.2 to 124.0 and 326 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (65, 67)

Notes:
Created by statecancerprofiles.cancer.gov on 05/11/2026 8:44 pm.

State Cancer Registries may provide more current or more local data.

† 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 (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+).

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

Data for United States does not include Puerto Rico.