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, Ages <65

Sorted by Rate

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

Alabama

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The death rate is 53.4 with a 95% confidence interval from 52.5 to 54.3 and 2,977 average annual counts over 2019-2023.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The death rate is 44.0 with a 95% confidence interval from 43.9 to 44.1 and 158,491 average annual counts over 2019-2023.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 83.7 with a 95% confidence interval from 55.6 to 121.9 and 7 average annual counts over 2019-2023.

Escambia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 82.3 with a 95% confidence interval from 69.6 to 96.7 and 33 average annual counts over 2019-2023.

Wilcox County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 82.0 with a 95% confidence interval from 58.3 to 112.7 and 9 average annual counts over 2019-2023.

Crenshaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 80.0 with a 95% confidence interval from 60.1 to 105.0 and 12 average annual counts over 2019-2023.

Sumter County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 79.2 with a 95% confidence interval from 55.5 to 110.0 and 9 average annual counts over 2019-2023.

Hale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 77.7 with a 95% confidence interval from 58.7 to 101.4 and 13 average annual counts over 2019-2023.

Cherokee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 73.7 with a 95% confidence interval from 60.1 to 90.0 and 24 average annual counts over 2019-2023.

Covington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 73.3 with a 95% confidence interval from 61.9 to 86.3 and 33 average annual counts over 2019-2023.

Butler County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 72.7 with a 95% confidence interval from 56.4 to 92.6 and 15 average annual counts over 2019-2023.

Pike County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 72.1 with a 95% confidence interval from 58.5 to 87.9 and 22 average annual counts over 2019-2023.

Barbour County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 70.1 with a 95% confidence interval from 56.3 to 86.6 and 19 average annual counts over 2019-2023.

Cleburne County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 69.0 with a 95% confidence interval from 52.2 to 90.1 and 12 average annual counts over 2019-2023.

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 68.9 with a 95% confidence interval from 54.3 to 86.6 and 17 average annual counts over 2019-2023.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 67.8 with a 95% confidence interval from 58.5 to 78.4 and 42 average annual counts over 2019-2023.

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 66.9 with a 95% confidence interval from 51.8 to 85.7 and 16 average annual counts over 2019-2023.

Etowah County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 66.7 with a 95% confidence interval from 60.0 to 74.1 and 78 average annual counts over 2019-2023.

Talladega County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 66.5 with a 95% confidence interval from 59.0 to 74.9 and 62 average annual counts over 2019-2023.

Conecuh County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 66.4 with a 95% confidence interval from 46.2 to 93.2 and 8 average annual counts over 2019-2023.

Chilton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 66.0 with a 95% confidence interval from 56.1 to 77.4 and 34 average annual counts over 2019-2023.

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 64.5 with a 95% confidence interval from 55.6 to 74.4 and 41 average annual counts over 2019-2023.

Walker County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 64.4 with a 95% confidence interval from 56.1 to 73.7 and 48 average annual counts over 2019-2023.

Lamar County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 64.3 with a 95% confidence interval from 47.1 to 86.3 and 10 average annual counts over 2019-2023.

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 62.0 with a 95% confidence interval from 55.7 to 68.9 and 78 average annual counts over 2019-2023.

Bibb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 60.9 with a 95% confidence interval from 47.5 to 77.2 and 15 average annual counts over 2019-2023.

Marion County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 60.4 with a 95% confidence interval from 49.1 to 73.9 and 22 average annual counts over 2019-2023.

Colbert County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 59.8 with a 95% confidence interval from 51.4 to 69.4 and 39 average annual counts over 2019-2023.

Dallas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 59.5 with a 95% confidence interval from 48.5 to 72.4 and 24 average annual counts over 2019-2023.

Tallapoosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 59.3 with a 95% confidence interval from 49.0 to 71.3 and 28 average annual counts over 2019-2023.

Macon County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 59.3 with a 95% confidence interval from 43.8 to 78.8 and 12 average annual counts over 2019-2023.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 59.2 with a 95% confidence interval from 47.9 to 72.5 and 20 average annual counts over 2019-2023.

Randolph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 59.0 with a 95% confidence interval from 45.8 to 75.1 and 16 average annual counts over 2019-2023.

Coosa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 58.8 with a 95% confidence interval from 40.2 to 84.6 and 8 average annual counts over 2019-2023.

Fayette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 58.6 with a 95% confidence interval from 42.7 to 78.9 and 10 average annual counts over 2019-2023.

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 58.1 with a 95% confidence interval from 43.5 to 76.7 and 12 average annual counts over 2019-2023.

Lawrence County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 57.8 with a 95% confidence interval from 47.4 to 70.2 and 23 average annual counts over 2019-2023.

Mobile County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 57.8 with a 95% confidence interval from 54.6 to 61.2 and 261 average annual counts over 2019-2023.

Blount County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 57.0 with a 95% confidence interval from 48.9 to 66.2 and 38 average annual counts over 2019-2023.

Marshall County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 56.8 with a 95% confidence interval from 50.3 to 64.0 and 60 average annual counts over 2019-2023.

Chambers County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 56.8 with a 95% confidence interval from 46.3 to 69.2 and 23 average annual counts over 2019-2023.

Elmore County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 56.4 with a 95% confidence interval from 49.8 to 63.6 and 58 average annual counts over 2019-2023.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 56.3 with a 95% confidence interval from 51.9 to 60.9 and 133 average annual counts over 2019-2023.

Geneva County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 56.0 with a 95% confidence interval from 44.0 to 70.6 and 17 average annual counts over 2019-2023.

Marengo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 55.6 with a 95% confidence interval from 42.0 to 72.7 and 13 average annual counts over 2019-2023.

Lauderdale County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 55.3 with a 95% confidence interval from 48.6 to 62.7 and 56 average annual counts over 2019-2023.

Houston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 54.2 with a 95% confidence interval from 48.1 to 60.9 and 63 average annual counts over 2019-2023.

Lowndes County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 53.6 with a 95% confidence interval from 35.3 to 78.8 and 6 average annual counts over 2019-2023.

Winston County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 53.5 with a 95% confidence interval from 41.2 to 68.7 and 15 average annual counts over 2019-2023.

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 53.1 with a 95% confidence interval from 46.9 to 60.0 and 57 average annual counts over 2019-2023.

Cullman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 53.0 with a 95% confidence interval from 46.5 to 60.2 and 53 average annual counts over 2019-2023.

Autauga County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 52.8 with a 95% confidence interval from 45.1 to 61.6 and 36 average annual counts over 2019-2023.

Perry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 52.7 with a 95% confidence interval from 32.1 to 82.6 and 5 average annual counts over 2019-2023.

Pickens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 52.2 with a 95% confidence interval from 39.1 to 68.8 and 12 average annual counts over 2019-2023.

Clay County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 51.5 with a 95% confidence interval from 36.9 to 71.0 and 9 average annual counts over 2019-2023.

Morgan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 51.1 with a 95% confidence interval from 45.8 to 57.0 and 72 average annual counts over 2019-2023.

Coffee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 50.9 with a 95% confidence interval from 42.8 to 60.2 and 30 average annual counts over 2019-2023.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 50.8 with a 95% confidence interval from 48.4 to 53.3 and 361 average annual counts over 2019-2023.

DeKalb County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 49.7 with a 95% confidence interval from 42.8 to 57.5 and 40 average annual counts over 2019-2023.

Dale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 49.5 with a 95% confidence interval from 41.1 to 59.2 and 27 average annual counts over 2019-2023.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 49.0 with a 95% confidence interval from 35.0 to 67.4 and 9 average annual counts over 2019-2023.

Choctaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 47.5 with a 95% confidence interval from 33.3 to 67.0 and 8 average annual counts over 2019-2023.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 46.5 with a 95% confidence interval from 41.9 to 51.4 and 81 average annual counts over 2019-2023.

Tuscaloosa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 45.0 with a 95% confidence interval from 41.1 to 49.3 and 100 average annual counts over 2019-2023.

Bullock County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The death rate is 44.9 with a 95% confidence interval from 29.3 to 67.0 and 6 average annual counts over 2019-2023.

Limestone County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 44.6 with a 95% confidence interval from 39.4 to 50.3 and 57 average annual counts over 2019-2023.

Baldwin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 44.5 with a 95% confidence interval from 40.9 to 48.4 and 125 average annual counts over 2019-2023.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 42.2 with a 95% confidence interval from 39.4 to 45.1 and 190 average annual counts over 2019-2023.

Shelby County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The death rate is 33.5 with a 95% confidence interval from 30.3 to 37.0 and 84 average annual counts over 2019-2023.

Notes:
Created by statecancerprofiles.cancer.gov on 06/18/2026 6:59 am.

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.

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.