Data / Rankings / COPD in adults, local model estimate / Counties in Alabama

Counties in Alabama by COPD in adults, local model estimate, 2023

Greene County had the highest COPD in adults, local model estimate of 67 counties in 2023, at 13.8%. Shelby County had the lowest, at 5.5%. The median was 9.8%. Source: the Centers for Disease Control and Prevention.

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Highest13.8Greene County
Lowest5.5Shelby County
Median9.867 counties

Map of counties, 2023

Autauga County: 7.4 %Baldwin County: 7.5 %Barbour County: 11.1 %Bibb County: 10.2 %Blount County: 9.1 %Bullock County: 13 %Butler County: 10.3 %Calhoun County: 8.9 %Chambers County: 9.9 %Cherokee County: 10.7 %Chilton County: 8.8 %Choctaw County: 11.1 %Clarke County: 9.7 %Clay County: 10.6 %Cleburne County: 9.8 %Coffee County: 8.6 %Colbert County: 8.9 %Conecuh County: 12.6 %Coosa County: 10.6 %Covington County: 10.4 %Crenshaw County: 9.9 %Cullman County: 9 %Dale County: 9.2 %Dallas County: 11.2 %DeKalb County: 10.8 %Elmore County: 7.5 %Escambia County: 11.4 %Etowah County: 9.8 %Fayette County: 10.9 %Franklin County: 10.7 %Geneva County: 11 %Greene County: 13.8 %Hale County: 10.3 %Henry County: 9.7 %Houston County: 8.9 %Jackson County: 10.9 %Jefferson County: 6.9 %Lamar County: 11.1 %Lauderdale County: 8.2 %Lawrence County: 9.8 %Lee County: 6.4 %Limestone County: 6.9 %Lowndes County: 12.3 %Macon County: 8.8 %Madison County: 5.8 %Marengo County: 9.9 %Marion County: 10.8 %Marshall County: 9 %Mobile County: 7.9 %Monroe County: 11.2 %Montgomery County: 7.5 %Morgan County: 8.5 %Perry County: 12.9 %Pickens County: 10 %Pike County: 7.8 %Randolph County: 9.7 %Russell County: 9 %St. Clair County: 7.9 %Shelby County: 5.5 %Sumter County: 9.3 %Talladega County: 9.4 %Tallapoosa County: 9.5 %Tuscaloosa County: 6.6 %Walker County: 10.2 %Washington County: 9.5 %Wilcox County: 12.8 %Winston County: 11.8 %
  • Under 7.9
  • 7.9 to 9
  • 9 to 9.8
  • 9.8 to 10
  • 10 to 11
  • 11 and over
%, 2023. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Greene County: 13.8 %Greene County13.8Bullock County: 13 %Bullock County13Perry County: 12.9 %Perry County12.9Wilcox County: 12.8 %Wilcox County12.8Conecuh County: 12.6 %Conecuh County12.6Lowndes County: 12.3 %Lowndes County12.3Winston County: 11.8 %Winston County11.8Escambia County: 11.4 %Escambia County11.4Dallas County: 11.2 %Dallas County11.2Monroe County: 11.2 %Monroe County11.2Barbour County: 11.1 %Barbour County11.1Choctaw County: 11.1 %Choctaw County11.1Lamar County: 11.1 %Lamar County11.1Geneva County: 11 %Geneva County11Fayette County: 10.9 %Fayette County10.9Jackson County: 10.9 %Jackson County10.9DeKalb County: 10.8 %DeKalb County10.8Marion County: 10.8 %Marion County10.8Cherokee County: 10.7 %Cherokee County10.7Franklin County: 10.7 %Franklin County10.7Clay County: 10.6 %Clay County10.6Coosa County: 10.6 %Coosa County10.6Covington County: 10.4 %Covington County10.4Butler County: 10.3 %Butler County10.3Hale County: 10.3 %Hale County10.3Bibb County: 10.2 %Bibb County10.2Walker County: 10.2 %Walker County10.2Pickens County: 10 %Pickens County10Chambers County: 9.9 %Chambers County9.9Crenshaw County: 9.9 %Crenshaw County9.9Marengo County: 9.9 %Marengo County9.9Cleburne County: 9.8 %Cleburne County9.8Etowah County: 9.8 %Etowah County9.8Lawrence County: 9.8 %Lawrence County9.8Clarke County: 9.7 %Clarke County9.7Henry County: 9.7 %Henry County9.7Randolph County: 9.7 %Randolph County9.7Tallapoosa County: 9.5 %Tallapoosa County9.5Washington County: 9.5 %Washington County9.5Talladega County: 9.4 %Talladega County9.4Greene County: 13.8 %Greene County13.8Bullock County: 13 %Bullock County13Perry County: 12.9 %Perry County12.9Wilcox County: 12.8 %Wilcox County12.8Conecuh County: 12.6 %Conecuh County12.6Lowndes County: 12.3 %Lowndes County12.3Winston County: 11.8 %Winston County11.8Escambia County: 11.4 %Escambia County11.4Dallas County: 11.2 %Dallas County11.2Monroe County: 11.2 %Monroe County11.2Barbour County: 11.1 %Barbour County11.1Choctaw County: 11.1 %Choctaw County11.1Lamar County: 11.1 %Lamar County11.1Geneva County: 11 %Geneva County11Fayette County: 10.9 %Fayette County10.9Jackson County: 10.9 %Jackson County10.9DeKalb County: 10.8 %DeKalb County10.8Marion County: 10.8 %Marion County10.8Cherokee County: 10.7 %Cherokee County10.7Franklin County: 10.7 %Franklin County10.7Clay County: 10.6 %Clay County10.6Coosa County: 10.6 %Coosa County10.6Covington County: 10.4 %Covington County10.4Butler County: 10.3 %Butler County10.3Hale County: 10.3 %Hale County10.3Bibb County: 10.2 %Bibb County10.2Walker County: 10.2 %Walker County10.2Pickens County: 10 %Pickens County10Chambers County: 9.9 %Chambers County9.9Crenshaw County: 9.9 %Crenshaw County9.9Marengo County: 9.9 %Marengo County9.9Cleburne County: 9.8 %Cleburne County9.8Etowah County: 9.8 %Etowah County9.8Lawrence County: 9.8 %Lawrence County9.8Clarke County: 9.7 %Clarke County9.7Henry County: 9.7 %Henry County9.7Randolph County: 9.7 %Randolph County9.7Tallapoosa County: 9.5 %Tallapoosa County9.5Washington County: 9.5 %Washington County9.5Talladega County: 9.4 %Talladega County9.4
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Greene County13.8+0.8 pts
2Bullock County13+0.7 pts
3Perry County12.9+0.9 pts
4Wilcox County12.8-0.5 pts
5Conecuh County12.6+0.9 pts
6Lowndes County12.3+0.3 pts
7Winston County11.8+0.2 pts
8Escambia County11.4+0.5 pts
9Dallas County11.2+0.2 pts
9Monroe County11.2+0.2 pts
11Barbour County11.1-0.6 pts
11Choctaw County11.1-1.4 pts
11Lamar County11.1-0.1 pts
14Geneva County110 pts
15Fayette County10.9-1.2 pts
15Jackson County10.9-1.1 pts
17DeKalb County10.8-2.2 pts
17Marion County10.8-1.6 pts
19Cherokee County10.7+0.7 pts
19Franklin County10.7-0.7 pts
21Clay County10.6-1.3 pts
21Coosa County10.6-0.3 pts
23Covington County10.4+1 pts
24Butler County10.3-0.6 pts
24Hale County10.3-0.4 pts
26Bibb County10.2-0.1 pts
26Walker County10.2-2.2 pts
28Pickens County10-0.5 pts
29Chambers County9.9-1.4 pts
29Crenshaw County9.9-0.1 pts
29Marengo County9.9-1.4 pts
32Cleburne County9.8-2.2 pts
32Etowah County9.8-0.6 pts
32Lawrence County9.8-1.6 pts
35Clarke County9.7-1.6 pts
35Henry County9.7-2.8 pts
35Randolph County9.7-0.9 pts
38Tallapoosa County9.5-1.1 pts
38Washington County9.5-1.8 pts
40Talladega County9.4-0.9 pts
41Sumter County9.3-0.2 pts
42Dale County9.2-0.8 pts
43Blount County9.1-1.4 pts
44Cullman County9-1.8 pts
44Marshall County9+0.2 pts
44Russell County9-1.1 pts
47Calhoun County8.9-0.2 pts
47Colbert County8.9-0.4 pts
47Houston County8.9-0.7 pts
50Chilton County8.8-0.4 pts
50Macon County8.8-1.5 pts
52Coffee County8.6+0.4 pts
53Morgan County8.5-1.3 pts
54Lauderdale County8.2-0.1 pts
55Mobile County7.9-1.8 pts
55St. Clair County7.90 pts
57Pike County7.8+0.6 pts
58Baldwin County7.5-0.4 pts
58Elmore County7.5-0.1 pts
58Montgomery County7.5-0.8 pts
61Autauga County7.4-0.4 pts
62Jefferson County6.9-0.5 pts
62Limestone County6.9-0.6 pts
64Tuscaloosa County6.6-0.8 pts
65Lee County6.4-0.5 pts
66Madison County5.8-0.6 pts
67Shelby County5.50 pts

Other periods

About this ranking

Percentage of adults who have ever been told by a doctor, nurse or other health professional that they had chronic obstructive pulmonary disease (COPD), emphysema or chronic bronchitis. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

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.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence (Counties in Alabama by COPD in adults, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence, Counties in Alabama by COPD in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/alabama-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. Counties in Alabama by COPD in adults, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/alabama-counties.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence, Counties in Alabama by COPD in adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-copd-rate-county-estimate/alabama-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence: Counties in Alabama by COPD in adults, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/alabama-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence: Counties in Alabama by COPD in adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-copd-rate-county-estimate/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/alabama-counties.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  -
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Rank Counties in Alabama by COPD in adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_copd_rate_modelled","level":"province","within":"Alabama","limit":10}
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Questions

Which county has the highest COPD in adults, local model estimate?

Greene County, with 13.8% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest COPD in adults, local model estimate?

Shelby County, with 5.5% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. Retrieved 2026-10-12.

COPD in adults, local model estimate: other rankings

Counties in Alabama: more rankings