State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Alabama by County

All Cancer Sites, 2019-2023

White Non-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

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 218.7 with a 95% confidence interval from 197.6 to 241.6 and 84 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 15)

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 200.7 with a 95% confidence interval from 119.3 to 330.1 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 67)

Crenshaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 199.5 with a 95% confidence interval from 167.3 to 236.9 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 56)

Lawrence County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 197.3 with a 95% confidence interval from 177.4 to 219.1 and 76 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 35)

Cleburne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 192.6 with a 95% confidence interval from 166.4 to 222.2 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 53)

Escambia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 192.1 with a 95% confidence interval from 171.3 to 214.9 and 67 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 45)

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 190.3 with a 95% confidence interval from 176.0 to 205.6 and 140 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 35)

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 187.6 with a 95% confidence interval from 167.7 to 209.5 and 68 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 49)

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 186.9 with a 95% confidence interval from 167.3 to 208.6 and 73 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 46)

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 186.8 with a 95% confidence interval from 175.9 to 198.4 and 231 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (2, 32)

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 186.3 with a 95% confidence interval from 173.3 to 200.2 and 161 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (2, 38)

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 186.0 with a 95% confidence interval from 175.0 to 197.6 and 228 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (3, 34)

Covington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 185.7 with a 95% confidence interval from 169.0 to 203.9 and 98 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (2, 44)

Chilton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 185.2 with a 95% confidence interval from 168.2 to 203.6 and 92 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (2, 46)

Pike County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 182.1 with a 95% confidence interval from 158.3 to 208.9 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 59)

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 181.0 with a 95% confidence interval from 154.9 to 211.1 and 39 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 61)

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 180.9 with a 95% confidence interval from 154.2 to 211.7 and 35 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (1, 61)

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 179.6 with a 95% confidence interval from 166.3 to 193.9 and 145 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (3, 45)

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 178.5 with a 95% confidence interval from 160.9 to 197.8 and 78 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (2, 53)

Chambers County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 177.0 with a 95% confidence interval from 156.4 to 200.0 and 58 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (2, 58)

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 176.8 with a 95% confidence interval from 151.5 to 205.6 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (1, 62)

Lamar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 174.4 with a 95% confidence interval from 148.5 to 204.2 and 34 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (1, 62)

Barbour County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 173.9 with a 95% confidence interval from 148.8 to 203.1 and 37 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (1, 62)

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 172.4 with a 95% confidence interval from 156.3 to 189.9 and 89 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (4, 57)

Geneva County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 171.3 with a 95% confidence interval from 152.0 to 192.9 and 60 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (3, 61)

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 171.3 with a 95% confidence interval from 158.1 to 185.4 and 131 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (7, 54)

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 171.2 with a 95% confidence interval from 160.3 to 182.7 and 197 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (9, 52)

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 170.7 with a 95% confidence interval from 143.4 to 202.9 and 34 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (1, 64)

Coosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 170.4 with a 95% confidence interval from 138.4 to 209.7 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (1, 65)

Bibb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 170.0 with a 95% confidence interval from 147.2 to 195.7 and 41 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (2, 63)

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 169.7 with a 95% confidence interval from 163.4 to 176.2 and 577 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (17, 45)

Pickens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 169.0 with a 95% confidence interval from 142.2 to 200.4 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (2, 64)

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 166.4 with a 95% confidence interval from 138.6 to 199.1 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (2, 64)

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 166.2 with a 95% confidence interval from 155.5 to 177.6 and 186 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (14, 55)

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 166.2 with a 95% confidence interval from 149.5 to 184.6 and 84 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (6, 61)

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 166.0 with a 95% confidence interval from 154.1 to 178.7 and 151 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (13, 58)

Hale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 165.7 with a 95% confidence interval from 129.0 to 210.9 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (1, 66)

Winston County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 164.5 with a 95% confidence interval from 145.6 to 185.5 and 60 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (6, 62)

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 163.9 with a 95% confidence interval from 117.2 to 226.8 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (1, 67)

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 163.9 with a 95% confidence interval from 150.5 to 178.3 and 116 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (13, 60)

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 163.7 with a 95% confidence interval from 139.3 to 191.9 and 35 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (3, 64)

Conecuh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 163.6 with a 95% confidence interval from 128.6 to 207.5 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (1, 67)

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 163.1 with a 95% confidence interval from 150.9 to 176.1 and 141 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (16, 59)

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 162.5 with a 95% confidence interval from 141.3 to 186.6 and 46 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (5, 63)

Choctaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 160.0 with a 95% confidence interval from 130.6 to 195.7 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (2, 66)

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 158.0 with a 95% confidence interval from 148.7 to 167.9 and 225 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (24, 60)

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 157.0 with a 95% confidence interval from 152.0 to 162.2 and 761 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (33, 57)

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 156.8 with a 95% confidence interval from 147.1 to 167.0 and 203 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (26, 61)

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 155.9 with a 95% confidence interval from 145.9 to 166.6 and 199 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (26, 61)

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 155.9 with a 95% confidence interval from 145.4 to 167.0 and 174 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (26, 62)

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 155.7 with a 95% confidence interval from 145.5 to 166.5 and 184 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (26, 62)

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 155.1 with a 95% confidence interval from 129.8 to 185.0 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (5, 66)

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 155.0 with a 95% confidence interval from 140.3 to 171.1 and 83 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (19, 63)

Sumter County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 153.2 with a 95% confidence interval from 95.0 to 234.4 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (1, 67)

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 152.8 with a 95% confidence interval from 138.9 to 167.8 and 92 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (23, 64)

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 151.0 with a 95% confidence interval from 125.0 to 181.6 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (6, 67)

Lowndes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 148.6 with a 95% confidence interval from 106.5 to 210.6 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (1, 67)

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 147.5 with a 95% confidence interval from 137.8 to 157.9 and 183 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (37, 64)

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 147.5 with a 95% confidence interval from 141.4 to 153.8 and 479 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (43, 63)

Limestone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 146.9 with a 95% confidence interval from 136.8 to 157.7 and 162 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (37, 64)

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 146.7 with a 95% confidence interval from 141.0 to 152.6 and 522 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (45, 63)

Wilcox County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 145.3 with a 95% confidence interval from 103.2 to 205.7 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (1, 67)

Marengo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 130.2 with a 95% confidence interval from 105.8 to 159.9 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (24, 67)

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 129.5 with a 95% confidence interval from 121.8 to 137.5 and 222 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (58, 67)

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 120.1 with a 95% confidence interval from 113.8 to 126.6 and 289 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (61, 67)

Perry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 119.6 with a 95% confidence interval from 81.2 to 181.0 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (7, 67)

Bullock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 100.4 with a 95% confidence interval from 63.5 to 164.4 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (23, 67)

Notes:
Created by statecancerprofiles.cancer.gov on 05/13/2026 8:53 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.