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

Trinity County had the highest COPD in adults, local model estimate of 58 counties in 2023, at 11.3%. Santa Clara County had the lowest, at 3.5%. The median was 6.1%. Source: the Centers for Disease Control and Prevention.

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Highest11.3Trinity County
Median6.158 counties

Map of counties, 2023

Alameda County: 4.1 %Alpine County: 6.4 %Amador County: 7.1 %Butte County: 6.8 %Calaveras County: 8.4 %Colusa County: 6.4 %Contra Costa County: 4.7 %Del Norte County: 8.1 %El Dorado County: 6 %Fresno County: 6 %Glenn County: 7.1 %Humboldt County: 7.6 %Imperial County: 5.7 %Inyo County: 6.9 %Kern County: 6.4 %Kings County: 5.9 %Lake County: 9.1 %Lassen County: 7.6 %Los Angeles County: 4.9 %Madera County: 7.2 %Marin County: 5.3 %Mariposa County: 8.4 %Mendocino County: 8.5 %Merced County: 6.1 %Modoc County: 9.9 %Mono County: 6 %Monterey County: 5.7 %Napa County: 5.7 %Nevada County: 7.2 %Orange County: 4.7 %Placer County: 5.2 %Plumas County: 8.7 %Riverside County: 5.4 %Sacramento County: 5.6 %San Benito County: 4.7 %San Bernardino County: 5.2 %San Diego County: 4.7 %San Francisco County: 3.9 %San Joaquin County: 5.5 %San Luis Obispo County: 5.8 %San Mateo County: 4 %Santa Barbara County: 5.6 %Santa Clara County: 3.5 %Santa Cruz County: 5.4 %Shasta County: 7.6 %Sierra County: 10.2 %Siskiyou County: 9.1 %Solano County: 5.3 %Sonoma County: 5.8 %Stanislaus County: 6.1 %Sutter County: 6.8 %Tehama County: 8.4 %Trinity County: 11.3 %Tulare County: 6.1 %Tuolumne County: 7.6 %Ventura County: 5.2 %Yolo County: 4.7 %Yuba County: 6.5 %
  • Under 5.1
  • 5.1 to 5.6
  • 5.6 to 6
  • 6 to 6.9
  • 6.9 to 8.3
  • 8.3 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.

All counties, 2023

Trinity County: 11.3 %Trinity County11.3Sierra County: 10.2 %Sierra County10.2Modoc County: 9.9 %Modoc County9.9Lake County: 9.1 %Lake County9.1Siskiyou County: 9.1 %Siskiyou County9.1Plumas County: 8.7 %Plumas County8.7Mendocino County: 8.5 %Mendocino County8.5Calaveras County: 8.4 %Calaveras County8.4Mariposa County: 8.4 %Mariposa County8.4Tehama County: 8.4 %Tehama County8.4Del Norte County: 8.1 %Del Norte County8.1Humboldt County: 7.6 %Humboldt County7.6Lassen County: 7.6 %Lassen County7.6Shasta County: 7.6 %Shasta County7.6Tuolumne County: 7.6 %Tuolumne County7.6Madera County: 7.2 %Madera County7.2Nevada County: 7.2 %Nevada County7.2Amador County: 7.1 %Amador County7.1Glenn County: 7.1 %Glenn County7.1Inyo County: 6.9 %Inyo County6.9Butte County: 6.8 %Butte County6.8Sutter County: 6.8 %Sutter County6.8Yuba County: 6.5 %Yuba County6.5Alpine County: 6.4 %Alpine County6.4Colusa County: 6.4 %Colusa County6.4Kern County: 6.4 %Kern County6.4Merced County: 6.1 %Merced County6.1Stanislaus County: 6.1 %Stanislaus County6.1Tulare County: 6.1 %Tulare County6.1El Dorado County: 6 %El Dorado County6Fresno County: 6 %Fresno County6Mono County: 6 %Mono County6Kings County: 5.9 %Kings County5.9San Luis Obispo County: 5.8 %San Luis Obispo County5.8Sonoma County: 5.8 %Sonoma County5.8Imperial County: 5.7 %Imperial County5.7Monterey County: 5.7 %Monterey County5.7Napa County: 5.7 %Napa County5.7Sacramento County: 5.6 %Sacramento County5.6Santa Barbara County: 5.6 %Santa Barbara County5.6San Joaquin County: 5.5 %San Joaquin County5.5Riverside County: 5.4 %Riverside County5.4Santa Cruz County: 5.4 %Santa Cruz County5.4Marin County: 5.3 %Marin County5.3Solano County: 5.3 %Solano County5.3Placer County: 5.2 %Placer County5.2San Bernardino County: 5.2 %San Bernardino County5.2Ventura County: 5.2 %Ventura County5.2Los Angeles County: 4.9 %Los Angeles County4.9Contra Costa County: 4.7 %Contra Costa County4.7Orange County: 4.7 %Orange County4.7San Benito County: 4.7 %San Benito County4.7San Diego County: 4.7 %San Diego County4.7Yolo County: 4.7 %Yolo County4.7Alameda County: 4.1 %Alameda County4.1San Mateo County: 4 %San Mateo County4San Francisco County: 3.9 %San Francisco County3.9Santa Clara County: 3.5 %Santa Clara County3.5Trinity County: 11.3 %Trinity County11.3Sierra County: 10.2 %Sierra County10.2Modoc County: 9.9 %Modoc County9.9Lake County: 9.1 %Lake County9.1Siskiyou County: 9.1 %Siskiyou County9.1Plumas County: 8.7 %Plumas County8.7Mendocino County: 8.5 %Mendocino County8.5Calaveras County: 8.4 %Calaveras County8.4Mariposa County: 8.4 %Mariposa County8.4Tehama County: 8.4 %Tehama County8.4Del Norte County: 8.1 %Del Norte County8.1Humboldt County: 7.6 %Humboldt County7.6Lassen County: 7.6 %Lassen County7.6Shasta County: 7.6 %Shasta County7.6Tuolumne County: 7.6 %Tuolumne County7.6Madera County: 7.2 %Madera County7.2Nevada County: 7.2 %Nevada County7.2Amador County: 7.1 %Amador County7.1Glenn County: 7.1 %Glenn County7.1Inyo County: 6.9 %Inyo County6.9Butte County: 6.8 %Butte County6.8Sutter County: 6.8 %Sutter County6.8Yuba County: 6.5 %Yuba County6.5Alpine County: 6.4 %Alpine County6.4Colusa County: 6.4 %Colusa County6.4Kern County: 6.4 %Kern County6.4Merced County: 6.1 %Merced County6.1Stanislaus County: 6.1 %Stanislaus County6.1Tulare County: 6.1 %Tulare County6.1El Dorado County: 6 %El Dorado County6Fresno County: 6 %Fresno County6Mono County: 6 %Mono County6Kings County: 5.9 %Kings County5.9San Luis Obispo County: 5.8 %San Luis Obispo County5.8Sonoma County: 5.8 %Sonoma County5.8Imperial County: 5.7 %Imperial County5.7Monterey County: 5.7 %Monterey County5.7Napa County: 5.7 %Napa County5.7Sacramento County: 5.6 %Sacramento County5.6Santa Barbara County: 5.6 %Santa Barbara County5.6San Joaquin County: 5.5 %San Joaquin County5.5Riverside County: 5.4 %Riverside County5.4Santa Cruz County: 5.4 %Santa Cruz County5.4Marin County: 5.3 %Marin County5.3Solano County: 5.3 %Solano County5.3Placer County: 5.2 %Placer County5.2San Bernardino County: 5.2 %San Bernardino County5.2Ventura County: 5.2 %Ventura County5.2Los Angeles County: 4.9 %Los Angeles County4.9Contra Costa County: 4.7 %Contra Costa County4.7Orange County: 4.7 %Orange County4.7San Benito County: 4.7 %San Benito County4.7San Diego County: 4.7 %San Diego County4.7Yolo County: 4.7 %Yolo County4.7Alameda County: 4.1 %Alameda County4.1San Mateo County: 4 %San Mateo County4San Francisco County: 3.9 %San Francisco County3.9Santa Clara County: 3.5 %Santa Clara County3.5
%. 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
1Trinity County11.3+0.9 pts
2Sierra County10.2+0.9 pts
3Modoc County9.9-0.1 pts
4Lake County9.1+0.9 pts
4Siskiyou County9.10 pts
6Plumas County8.70 pts
7Mendocino County8.5+0.1 pts
8Calaveras County8.4-0.8 pts
8Mariposa County8.4-2.5 pts
8Tehama County8.4+0.2 pts
11Del Norte County8.1-2.7 pts
12Humboldt County7.6-0.2 pts
12Lassen County7.6-0.4 pts
12Shasta County7.6-0.5 pts
12Tuolumne County7.6-0.4 pts
16Madera County7.2-0.3 pts
16Nevada County7.2-2.4 pts
18Amador County7.1-1.2 pts
18Glenn County7.1-0.7 pts
20Inyo County6.9-0.2 pts
21Butte County6.8-0.4 pts
21Sutter County6.8-0.8 pts
23Yuba County6.5-1.1 pts
24Alpine County6.4-0.7 pts
24Colusa County6.4-0.9 pts
24Kern County6.4-0.7 pts
27Merced County6.1-1.3 pts
27Stanislaus County6.1+0.3 pts
27Tulare County6.1-0.6 pts
30El Dorado County60 pts
30Fresno County6-0.5 pts
30Mono County6-0.4 pts
33Kings County5.9-0.4 pts
34San Luis Obispo County5.8+0.1 pts
34Sonoma County5.8-0.1 pts
36Imperial County5.7-0.4 pts
36Monterey County5.7-0.8 pts
36Napa County5.7-1.3 pts
39Sacramento County5.6-0.7 pts
39Santa Barbara County5.6+0.4 pts
41San Joaquin County5.5-0.1 pts
42Riverside County5.4-0.5 pts
42Santa Cruz County5.4-0.3 pts
44Marin County5.3+0.4 pts
44Solano County5.3-0.5 pts
46Placer County5.2-0.9 pts
46San Bernardino County5.2-0.6 pts
46Ventura County5.2-0.6 pts
49Los Angeles County4.9+0.1 pts
50Contra Costa County4.7-0.8 pts
50Orange County4.7-0.4 pts
50San Benito County4.70 pts
50San Diego County4.7-0.4 pts
50Yolo County4.7-1 pts
55Alameda County4.1-0.2 pts
56San Mateo County4-0.4 pts
57San Francisco County3.9+0.5 pts
58Santa Clara County3.5-0.6 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 California 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 California 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/california-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 California 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/california-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 California 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/california-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_california_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 California 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/california-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 California 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/california-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/california-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 California by COPD in adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_copd_rate_modelled","level":"province","within":"California","limit":10}
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Questions

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

Trinity County, with 11.3% in 2023, according to the Centers for Disease Control and Prevention.

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

Santa Clara County, with 3.5% 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 California: more rankings