State Cancer Profiles

Interpretation of Rate/Trend Comparison by Cancer Data

Death Rate/Trend Comparison by Cancer, 2018-2022

Alabama Counties versus United States

All Cancer Sites

All Races, Female

Sorted by priority index

Explanation of Column Headers

State/County - The site and sex combination for this comparison.

Priority Index ¹ - The priority index is based upon the direction of the trend and the rate comparison. An index of 1 is the highest priority - that trend is rising and the rate is already higher. An index of 9 is the lowest priority - the trend is falling and the rate is already lower.

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

United States

• Recent Trend(2) : The trend is fallingfalling because the trend is -1.3 with a 95% confidence interval from -1.4 to -1.1.
• Rate : The death rate is 126.4 with a 95% confidence interval from 126.2 to 126.6 and 285,526 average annual deaths.

Alabama

• Recent Trend(2) : The trend is fallingfalling because the trend is -1.3 with a 95% confidence interval from -1.5 to -1.2.
• Rate : The death rate is 133.2 with a 95% confidence interval from 131.5 to 135.0 and 4,775 average annual deaths.

Blount County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stablestable because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.6.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 146.7 with a 95% confidence interval from 130.6 to 164.4 and 63 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Cherokee County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stablestable because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.7.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 163.2 with a 95% confidence interval from 137.9 to 192.4 and 33 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.3

Clarke County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stablestable because the trend is 7.0 with a 95% confidence interval from -0.1 to 18.3.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 187.2 with a 95% confidence interval from 159.6 to 218.7 and 36 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.5

Covington County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stablestable because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.8.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 153.9 with a 95% confidence interval from 134.6 to 175.6 and 51 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Crenshaw County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stablestable because the trend is 0.3 with a 95% confidence interval from -0.6 to 1.3.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 174.4 with a 95% confidence interval from 138.3 to 218.1 and 18 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.4

Fayette County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stablestable because the trend is 0.5 with a 95% confidence interval from -0.4 to 1.4.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 179.0 with a 95% confidence interval from 145.3 to 219.0 and 22 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.4

Franklin County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stablestable because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.2.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 151.7 with a 95% confidence interval from 129.6 to 176.8 and 35 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Jackson County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stablestable because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.1.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 153.7 with a 95% confidence interval from 136.9 to 172.4 and 65 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Marion County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stablestable because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.8.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 151.5 with a 95% confidence interval from 130.3 to 175.8 and 38 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Russell County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stablestable because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.0.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 150.2 with a 95% confidence interval from 132.9 to 169.2 and 57 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Calhoun County

• Priority Index(1) : The priority index is 5.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.1 with a 95% confidence interval from -4.2 to -0.7.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 151.3 with a 95% confidence interval from 139.5 to 163.9 and 129 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Etowah County

• Priority Index(1) : The priority index is 5.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.8.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 148.9 with a 95% confidence interval from 136.9 to 161.8 and 120 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Mobile County

• Priority Index(1) : The priority index is 5.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.3 with a 95% confidence interval from -2.5 to -1.1.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 141.6 with a 95% confidence interval from 135.4 to 148.1 and 405 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Talladega County

• Priority Index(1) : The priority index is 5.
• Recent Trend(2) : The trend is fallingfalling because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.2.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 153.7 with a 95% confidence interval from 139.6 to 169.0 and 93 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Walker County

• Priority Index(1) : The priority index is 5.
• Recent Trend(2) : The trend is fallingfalling because the trend is -2.1 with a 95% confidence interval from -7.0 to -0.4.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 149.6 with a 95% confidence interval from 134.5 to 166.2 and 77 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Barbour County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 144.6 with a 95% confidence interval from 119.8 to 173.6 and 27 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Bullock County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is 0.2 with a 95% confidence interval from -1.2 to 1.6.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 137.3 with a 95% confidence interval from 99.9 to 185.9 and 10 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Butler County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.6 with a 95% confidence interval from -1.7 to 0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 134.8 with a 95% confidence interval from 108.8 to 165.9 and 21 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Chilton County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 132.0 with a 95% confidence interval from 114.3 to 152.1 and 41 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Choctaw County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -1.0 with a 95% confidence interval from -2.0 to 0.0.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 114.3 with a 95% confidence interval from 88.2 to 147.7 and 14 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Clay County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.2 with a 95% confidence interval from -1.2 to 0.8.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 137.9 with a 95% confidence interval from 108.3 to 174.3 and 16 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Cleburne County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.7.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 148.7 with a 95% confidence interval from 118.3 to 185.8 and 17 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Coffee County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 136.8 with a 95% confidence interval from 120.3 to 155.1 and 51 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Conecuh County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 141.0 with a 95% confidence interval from 106.8 to 184.1 and 13 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Coosa County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 120.5 with a 95% confidence interval from 88.9 to 162.5 and 11 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Geneva County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 143.7 with a 95% confidence interval from 120.8 to 170.4 and 30 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Greene County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.7 with a 95% confidence interval from -2.1 to 0.8.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 150.6 with a 95% confidence interval from 108.5 to 205.7 and 10 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Hale County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.7.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 152.7 with a 95% confidence interval from 121.0 to 191.1 and 18 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Henry County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.3 with a 95% confidence interval from -1.6 to 1.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 134.9 with a 95% confidence interval from 108.7 to 166.8 and 20 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Lamar County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 148.4 with a 95% confidence interval from 117.3 to 186.6 and 17 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Lawrence County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 135.9 with a 95% confidence interval from 115.6 to 159.1 and 34 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Lowndes County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.7 with a 95% confidence interval from -2.0 to 0.6.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 130.7 with a 95% confidence interval from 96.5 to 174.7 and 11 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Marengo County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -16.3 with a 95% confidence interval from -34.5 to 0.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 120.3 with a 95% confidence interval from 96.3 to 149.2 and 19 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Monroe County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.2.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 127.8 with a 95% confidence interval from 103.7 to 156.7 and 21 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Perry County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.6 with a 95% confidence interval from -2.2 to 0.9.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 131.4 with a 95% confidence interval from 94.9 to 179.5 and 10 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Pickens County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 144.3 with a 95% confidence interval from 118.1 to 175.6 and 22 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Pike County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 145.5 with a 95% confidence interval from 122.5 to 171.8 and 30 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Randolph County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.4.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 123.4 with a 95% confidence interval from 100.6 to 150.5 and 22 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Sumter County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 147.7 with a 95% confidence interval from 110.2 to 194.6 and 13 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Tallapoosa County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.4.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 141.9 with a 95% confidence interval from 123.2 to 163.1 and 47 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Washington County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 136.1 with a 95% confidence interval from 107.5 to 171.1 and 17 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Wilcox County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stablestable because the trend is -0.3 with a 95% confidence interval from -1.5 to 0.9.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 145.9 with a 95% confidence interval from 109.7 to 191.5 and 12 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Autauga County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.2.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 133.7 with a 95% confidence interval from 118.0 to 151.2 and 53 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Baldwin County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.3 with a 95% confidence interval from -1.6 to -0.9.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 119.9 with a 95% confidence interval from 112.7 to 127.6 and 222 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Bibb County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 137.8 with a 95% confidence interval from 111.6 to 168.8 and 20 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Chambers County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 125.2 with a 95% confidence interval from 106.5 to 146.6 and 35 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Colbert County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 138.1 with a 95% confidence interval from 122.7 to 155.1 and 63 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Cullman County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 119.3 with a 95% confidence interval from 107.4 to 132.3 and 79 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Dale County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.6.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 137.3 with a 95% confidence interval from 120.3 to 156.2 and 49 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Dallas County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -4.6 with a 95% confidence interval from -16.1 to -1.0.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 134.1 with a 95% confidence interval from 115.2 to 155.5 and 39 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

DeKalb County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.4 with a 95% confidence interval from -8.3 to -0.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 136.7 with a 95% confidence interval from 122.3 to 152.5 and 68 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Elmore County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.6.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 135.3 with a 95% confidence interval from 122.0 to 149.7 and 79 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Escambia County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.0.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 146.8 with a 95% confidence interval from 126.6 to 169.7 and 40 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Houston County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -2.5 with a 95% confidence interval from -7.1 to -1.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 123.3 with a 95% confidence interval from 112.3 to 135.2 and 97 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Jefferson County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.0 with a 95% confidence interval from -1.2 to -0.9.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 134.2 with a 95% confidence interval from 129.5 to 139.1 and 639 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Lauderdale County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.4.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 124.2 with a 95% confidence interval from 112.6 to 136.9 and 93 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Lee County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -2.1 with a 95% confidence interval from -6.6 to -0.9.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 133.3 with a 95% confidence interval from 122.8 to 144.5 and 123 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Limestone County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.7 with a 95% confidence interval from -3.1 to -0.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 119.4 with a 95% confidence interval from 107.9 to 131.8 and 81 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Macon County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.4.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 139.3 with a 95% confidence interval from 113.2 to 170.6 and 22 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Madison County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.5 with a 95% confidence interval from -2.4 to -1.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 126.9 with a 95% confidence interval from 120.7 to 133.4 and 326 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Marshall County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -0.6 with a 95% confidence interval from -1.2 to -0.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 131.1 with a 95% confidence interval from 118.9 to 144.3 and 89 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Montgomery County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.2 with a 95% confidence interval from -1.4 to -0.9.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 135.5 with a 95% confidence interval from 127.2 to 144.2 and 208 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Morgan County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.0 with a 95% confidence interval from -4.4 to -0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 138.7 with a 95% confidence interval from 127.7 to 150.6 and 123 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

St. Clair County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 123.6 with a 95% confidence interval from 111.6 to 136.6 and 81 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Winston County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is fallingfalling because the trend is -1.4 with a 95% confidence interval from -2.4 to -0.4.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 121.3 with a 95% confidence interval from 100.7 to 146.0 and 26 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Shelby County

• Priority Index(1) : The priority index is 9.
• Recent Trend(2) : The trend is fallingfalling because the trend is -2.7 with a 95% confidence interval from -7.6 to -1.6.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 100.3 with a 95% confidence interval from 93.2 to 107.9 and 151 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.8

Tuscaloosa County

• Priority Index(1) : The priority index is 9.
• Recent Trend(2) : The trend is fallingfalling because the trend is -2.2 with a 95% confidence interval from -5.7 to -1.6.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 112.9 with a 95% confidence interval from 104.9 to 121.4 and 152 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Notes:
Created by statecancerprofiles.cancer.gov on 04/17/2025 9:20 pm.


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 5.3.0. 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).


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.