State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Alabama by County

All Cancer Sites, 2018-2022

Black Non-Hispanic, Both Sexes, All Ages

Sorted by Rate

Explanation of Column Headers

Objective - The objective of 122.7 is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

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

Alabama

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 171.8 with a 95% confidence interval from 168.6 to 175.1 and 2,379 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.6 to -2.1.

United States (6)

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.6 with a 95% confidence interval from 168.1 to 169.2 and 70,631 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.1 to -2.0.

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 299.5 with a 95% confidence interval from 182.9 to 454.9 and 5 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 1 (1, 59)
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 260.4 with a 95% confidence interval from 220.8 to 305.2 and 32 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 2 (1, 14)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.3.

Geneva County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 249.5 with a 95% confidence interval from 173.3 to 348.3 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 3 (1, 56)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.2.

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 243.6 with a 95% confidence interval from 140.2 to 396.1 and 3 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 4 (1, 61)
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 228.9 with a 95% confidence interval from 191.8 to 270.5 and 32 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 5 (1, 36)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.1.

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 210.3 with a 95% confidence interval from 150.2 to 286.2 and 9 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 6 (1, 58)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.3.

Wilcox County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 207.6 with a 95% confidence interval from 165.2 to 257.7 and 18 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 7 (1, 53)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.3 to 0.9.

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 206.0 with a 95% confidence interval from 129.8 to 312.3 and 5 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 8 (1, 61)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.5 to 0.7.

Hale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 203.3 with a 95% confidence interval from 166.5 to 246.4 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 9 (2, 50)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.3.

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 198.0 with a 95% confidence interval from 150.2 to 257.7 and 13 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 10 (1, 57)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.2.

Escambia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 197.7 with a 95% confidence interval from 164.1 to 236.3 and 25 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 11 (2, 53)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.5 to -0.8.

Crenshaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 193.8 with a 95% confidence interval from 134.9 to 270.8 and 8 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 12 (1, 61)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.7 to 1.1.

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 193.6 with a 95% confidence interval from 160.3 to 232.0 and 25 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 13 (3, 54)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.3.

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 193.3 with a 95% confidence interval from 158.4 to 233.9 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 14 (3, 54)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.4 to -0.3.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 189.8 with a 95% confidence interval from 168.3 to 213.2 and 65 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 15 (6, 46)
• Recent Trend : The trend is stable because the trend is 3.3 with a 95% confidence interval from -2.1 to 11.2.

Barbour County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 189.2 with a 95% confidence interval from 157.3 to 225.9 and 26 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 16 (3, 54)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.3.

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 187.0 with a 95% confidence interval from 163.4 to 213.1 and 49 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 17 (5, 50)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.4.

Sumter County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 186.9 with a 95% confidence interval from 150.4 to 230.1 and 20 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 18 (3, 57)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.3.

Conecuh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 186.7 with a 95% confidence interval from 142.5 to 241.2 and 13 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 19 (2, 58)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.6 to -0.1.

Pickens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 186.3 with a 95% confidence interval from 148.6 to 231.2 and 18 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 20 (3, 58)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -11.0 to -1.1.

Chilton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 185.5 with a 95% confidence interval from 132.6 to 252.3 and 9 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 21 (1, 61)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.7 to 0.9.

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 185.5 with a 95% confidence interval from 162.4 to 210.8 and 50 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 22 (6, 50)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.8.

Covington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 184.9 with a 95% confidence interval from 136.6 to 245.2 and 10 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 23 (2, 60)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.4.

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 182.9 with a 95% confidence interval from 160.0 to 208.2 and 51 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 24 (6, 51)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.8.

Pike County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 182.5 with a 95% confidence interval from 147.2 to 223.4 and 20 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 25 (4, 57)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.4.

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 182.4 with a 95% confidence interval from 156.3 to 212.2 and 39 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 26 (6, 54)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.6.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 181.9 with a 95% confidence interval from 101.8 to 304.3 and 3 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 27 (1, 61)
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.8 with a 95% confidence interval from 151.4 to 212.1 and 31 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 28 (5, 55)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 to -0.8.

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 178.0 with a 95% confidence interval from 168.4 to 188.0 and 277 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 29 (14, 44)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -6.2 to -2.0.

Lowndes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 177.5 with a 95% confidence interval from 140.6 to 221.7 and 17 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 30 (3, 59)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.1.

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 176.5 with a 95% confidence interval from 138.7 to 221.1 and 17 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 31 (4, 59)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -12.6 to -1.3.

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.9 with a 95% confidence interval from 139.7 to 216.5 and 18 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 32 (4, 59)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.4.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.2 with a 95% confidence interval from 163.7 to 185.1 and 223 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 33 (16, 47)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.0 to -1.4.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.0 with a 95% confidence interval from 167.2 to 181.0 and 542 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 34 (19, 44)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.9 to -1.1.

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 172.4 with a 95% confidence interval from 137.5 to 214.0 and 18 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 35 (5, 59)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.1.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 170.4 with a 95% confidence interval from 132.7 to 216.5 and 16 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 36 (4, 60)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.4.

Bullock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 170.1 with a 95% confidence interval from 132.3 to 215.8 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 37 (4, 60)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.3.

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.9 with a 95% confidence interval from 145.7 to 194.8 and 41 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 38 (9, 57)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.9 to -1.5.

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.8 with a 95% confidence interval from 137.8 to 202.2 and 25 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 39 (7, 59)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.9 to -1.0.

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.2 with a 95% confidence interval from 130.5 to 208.7 and 16 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 40 (6, 60)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.5 to -0.6.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.4 with a 95% confidence interval from 113.2 to 232.0 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 41 (3, 61)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.6.

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.3 with a 95% confidence interval from 144.1 to 186.6 and 51 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 42 (13, 56)
• Recent Trend : The trend is falling because the trend is -15.3 with a 95% confidence interval from -23.0 to -3.3.

Perry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.4 with a 95% confidence interval from 123.4 to 212.9 and 12 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 43 (5, 61)
• Recent Trend : The trend is falling because the trend is -5.5 with a 95% confidence interval from -18.7 to -2.2.

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.3 with a 95% confidence interval from 130.3 to 201.9 and 19 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 44 (7, 60)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.1 to -0.9.

Marengo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.0 with a 95% confidence interval from 131.9 to 199.7 and 21 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 45 (8, 60)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.4 to -0.4.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.8 with a 95% confidence interval from 97.4 to 257.0 and 4 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 46 (1, 61)
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.4 with a 95% confidence interval from 135.4 to 188.7 and 32 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 47 (11, 59)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.2 to -0.7.

Chambers County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.9 with a 95% confidence interval from 132.3 to 189.6 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 48 (11, 60)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.4.

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 157.2 with a 95% confidence interval from 142.9 to 172.5 and 98 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 49 (24, 56)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.2 to -1.3.

Bibb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.6 with a 95% confidence interval from 106.1 to 220.0 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 50 (4, 61)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.5.

Coosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 153.0 with a 95% confidence interval from 102.3 to 222.5 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 51 (3, 61)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.1 to -1.7.

Choctaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.5 with a 95% confidence interval from 114.1 to 198.9 and 12 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 52 (7, 61)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.1 to -1.0.

Lamar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.4 with a 95% confidence interval from 83.8 to 254.6 and 3 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 53 (2, 61)
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.8 with a 95% confidence interval from 112.5 to 183.5 and 15 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 54 (12, 61)
• Recent Trend : The trend is falling because the trend is -4.7 with a 95% confidence interval from -6.5 to -3.5.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.4 with a 95% confidence interval from 100.2 to 202.1 and 7 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 55 (6, 61)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.0 to -0.4.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 142.9 with a 95% confidence interval from 131.1 to 155.5 and 121 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 56 (39, 59)
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -8.7 to -2.2.

Lawrence County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.8 with a 95% confidence interval from 95.8 to 189.9 and 8 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 57 (9, 61)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.5 to 0.7.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 132.8 with a 95% confidence interval from 75.7 to 219.3 and 3 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 58 (3, 61)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.7 to -0.1.

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 128.9 with a 95% confidence interval from 93.5 to 173.0 and 11 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 59 (19, 61)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -20.3 to -1.9.

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 123.8 with a 95% confidence interval from 101.1 to 149.6 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 60 (41, 61)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.4 to -0.6.

Limestone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 110.7 with a 95% confidence interval from 86.3 to 139.8 and 16 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 61 (45, 61)
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : ***
• Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
• CI*Rank ⋔ : *
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
• CI*Rank ⋔ : *
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Cleburne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
• CI*Rank ⋔ : *
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
• CI*Rank ⋔ : *
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
• CI*Rank ⋔ : *
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Winston County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : ***
• Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
• CI*Rank ⋔ : *
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Notes:
Created by statecancerprofiles.cancer.gov on 04/22/2025 3:55 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2030 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.
‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

⋔ 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.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.
⁶ Hispanic mortality recent trend data for the United States has been excluded for the following states: Louisiana, New Hampshire, and Oklahoma. The data on Hispanic and non-Hispanic mortality for these states may be unreliable for the time period used in the generation of the recent trend (1990 - 2022) and has been excluded from the calculation of the United States recent trend. This was based on the NCHS Policy.

Φ Rural-Urban Continuum Codes provided by the USDA.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Please note that the data comes from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Data for United States does not include Puerto Rico.