Adult cigarette smoking rate, local model estimate

Percentage of adults who have smoked at least 100 cigarettes in their lifetime and now smoke every day or on some days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

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US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries. State and national values come from direct BRFSS estimates under adult_smoking_rate.

Key facts

Figures last updated on 2026-10-12.

Rankings

US counties by adult cigarette smoking rate, local model estimate, 2023

Top 15. Source: Centers for Disease Control and Prevention.

Oglala Lakota County: 39.8 %Oglala Lakota County39.8Todd County: 37.2 %Todd County37.2Kusilvak Census Area: 36.6 %Kusilvak Census Area36.6Sioux County: 32.9 %Sioux County32.9Buffalo County: 31.7 %Buffalo County31.7Bethel Census Area: 31 %Bethel Census Area31Ziebach County: 30.4 %Ziebach County30.4Mellette County: 30.2 %Mellette County30.2Corson County: 29.6 %Corson County29.6Dewey County: 29.5 %Dewey County29.5Hancock County: 29.4 %Hancock County29.4Lake County: 29.4 %Lake County29.4McDowell County: 28.7 %McDowell County28.7Nome Census Area: 28.7 %Nome Census Area28.7Jackson County: 28.5 %Jackson County28.5Oglala Lakota County: 39.8 %Oglala Lakota County39.8Todd County: 37.2 %Todd County37.2Kusilvak Census Area: 36.6 %Kusilvak Census Area36.6Sioux County: 32.9 %Sioux County32.9Buffalo County: 31.7 %Buffalo County31.7Bethel Census Area: 31 %Bethel Census Area31Ziebach County: 30.4 %Ziebach County30.4Mellette County: 30.2 %Mellette County30.2Corson County: 29.6 %Corson County29.6Dewey County: 29.5 %Dewey County29.5Hancock County: 29.4 %Hancock County29.4Lake County: 29.4 %Lake County29.4McDowell County: 28.7 %McDowell County28.7Nome Census Area: 28.7 %Nome Census Area28.7Jackson County: 28.5 %Jackson County28.5
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Retrieved 2026-10-12.

Full ranking of counties

Places with data

Published for provinces and counties, municipalities and cities.

Provinces and counties

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Which places have the highest adult cigarette smoking rate, local model estimate? Use official data and cite it.
rank_places {"indicator":"adult_smoking_rate_modelled","level":"province","within":"United States"}
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