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Etowah County, AL, is experiencing a slight population decline, with a 13-year CAGR of -0.06% and a 1-year growth rate of -0.1%, contrasting with Alabama's overall population growth of 0.6%. The county's median age is 41.9, higher than the state average of 39.3, indicating an aging population, with 19.4% over 65 years old. The age dependency ratio of 68.9 suggests a significant proportion of dependents, particularly the elderly. Compared to nearby counties, Etowah's demographic trends reflect challenges similar to those in Talladega and Calhoun counties, which also show stagnant or declining populations.