Counties in Iowa by COPD in adults, local model estimate

Lucas County had the highest COPD in adults, local model estimate of 99 counties in 2022, at 10.5%. Story County had the lowest, at 4.3%. The median was 7.8%. Source: the Centers for Disease Control and Prevention.

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Highest10.5Lucas County
Lowest4.3Story County
Median7.899 counties

Map of counties, 2022

Adair County: 8 %Adams County: 8.1 %Allamakee County: 8.5 %Appanoose County: 9.8 %Audubon County: 8.7 %Benton County: 8.2 %Black Hawk County: 7.4 %Boone County: 6.3 %Bremer County: 6.8 %Buchanan County: 7.5 %Buena Vista County: 6.9 %Butler County: 8.2 %Calhoun County: 8.3 %Carroll County: 7.6 %Cass County: 9.1 %Cedar County: 7 %Cerro Gordo County: 8.2 %Cherokee County: 8.7 %Chickasaw County: 8.3 %Clarke County: 8.7 %Clay County: 7.2 %Clayton County: 8.7 %Clinton County: 7.8 %Crawford County: 8.6 %Dallas County: 4.8 %Davis County: 9 %Decatur County: 7.4 %Delaware County: 7 %Des Moines County: 7.9 %Dickinson County: 8.7 %Dubuque County: 7.5 %Emmet County: 8.4 %Fayette County: 9.1 %Floyd County: 8.1 %Franklin County: 8.5 %Fremont County: 6.7 %Greene County: 8.2 %Grundy County: 6.9 %Guthrie County: 7.1 %Hamilton County: 7.5 %Hancock County: 7.1 %Hardin County: 8.3 %Harrison County: 8.5 %Henry County: 7.8 %Howard County: 8.8 %Humboldt County: 8.1 %Ida County: 7.7 %Iowa County: 7.4 %Jackson County: 8.7 %Jasper County: 6.8 %Jefferson County: 8.8 %Johnson County: 4.6 %Jones County: 7.5 %Keokuk County: 8.6 %Kossuth County: 8.2 %Lee County: 9.2 %Linn County: 5.8 %Louisa County: 9 %Lucas County: 10.5 %Lyon County: 6.9 %Madison County: 6 %Mahaska County: 7.2 %Marion County: 6.1 %Marshall County: 7.5 %Mills County: 7.7 %Mitchell County: 7.7 %Monona County: 8.6 %Monroe County: 6.9 %Montgomery County: 8.9 %Muscatine County: 7.1 %O'Brien County: 9.2 %Osceola County: 8.2 %Page County: 8.4 %Palo Alto County: 7.5 %Plymouth County: 6.8 %Pocahontas County: 7.7 %Polk County: 6.5 %Pottawattamie County: 8.1 %Poweshiek County: 7.6 %Ringgold County: 9 %Sac County: 7.3 %Scott County: 6.5 %Shelby County: 8.6 %Sioux County: 6.7 %Story County: 4.3 %Tama County: 8.6 %Taylor County: 9 %Union County: 8.3 %Van Buren County: 9 %Wapello County: 8.5 %Warren County: 7.3 %Washington County: 7.7 %Wayne County: 10.2 %Webster County: 6.7 %Winnebago County: 6.1 %Winneshiek County: 5.9 %Woodbury County: 7.3 %Worth County: 7.8 %Wright County: 9.4 %
  • Under 6.8
  • 6.8 to 7.4
  • 7.4 to 7.8
  • 7.8 to 8.3
  • 8.3 to 8.7
  • 8.7 and over
%, 2022. 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, 2022

Lucas County: 10.5 %Lucas County10.5Wayne County: 10.2 %Wayne County10.2Appanoose County: 9.8 %Appanoose County9.8Wright County: 9.4 %Wright County9.4Lee County: 9.2 %Lee County9.2O'Brien County: 9.2 %O'Brien County9.2Cass County: 9.1 %Cass County9.1Fayette County: 9.1 %Fayette County9.1Davis County: 9 %Davis County9Louisa County: 9 %Louisa County9Ringgold County: 9 %Ringgold County9Taylor County: 9 %Taylor County9Van Buren County: 9 %Van Buren County9Montgomery County: 8.9 %Montgomery County8.9Howard County: 8.8 %Howard County8.8Jefferson County: 8.8 %Jefferson County8.8Audubon County: 8.7 %Audubon County8.7Cherokee County: 8.7 %Cherokee County8.7Clarke County: 8.7 %Clarke County8.7Clayton County: 8.7 %Clayton County8.7Dickinson County: 8.7 %Dickinson County8.7Jackson County: 8.7 %Jackson County8.7Crawford County: 8.6 %Crawford County8.6Keokuk County: 8.6 %Keokuk County8.6Monona County: 8.6 %Monona County8.6Shelby County: 8.6 %Shelby County8.6Tama County: 8.6 %Tama County8.6Allamakee County: 8.5 %Allamakee County8.5Franklin County: 8.5 %Franklin County8.5Harrison County: 8.5 %Harrison County8.5Wapello County: 8.5 %Wapello County8.5Emmet County: 8.4 %Emmet County8.4Page County: 8.4 %Page County8.4Calhoun County: 8.3 %Calhoun County8.3Chickasaw County: 8.3 %Chickasaw County8.3Hardin County: 8.3 %Hardin County8.3Union County: 8.3 %Union County8.3Benton County: 8.2 %Benton County8.2Butler County: 8.2 %Butler County8.2Cerro Gordo County: 8.2 %Cerro Gordo County8.2Lucas County: 10.5 %Lucas County10.5Wayne County: 10.2 %Wayne County10.2Appanoose County: 9.8 %Appanoose County9.8Wright County: 9.4 %Wright County9.4Lee County: 9.2 %Lee County9.2O'Brien County: 9.2 %O'Brien County9.2Cass County: 9.1 %Cass County9.1Fayette County: 9.1 %Fayette County9.1Davis County: 9 %Davis County9Louisa County: 9 %Louisa County9Ringgold County: 9 %Ringgold County9Taylor County: 9 %Taylor County9Van Buren County: 9 %Van Buren County9Montgomery County: 8.9 %Montgomery County8.9Howard County: 8.8 %Howard County8.8Jefferson County: 8.8 %Jefferson County8.8Audubon County: 8.7 %Audubon County8.7Cherokee County: 8.7 %Cherokee County8.7Clarke County: 8.7 %Clarke County8.7Clayton County: 8.7 %Clayton County8.7Dickinson County: 8.7 %Dickinson County8.7Jackson County: 8.7 %Jackson County8.7Crawford County: 8.6 %Crawford County8.6Keokuk County: 8.6 %Keokuk County8.6Monona County: 8.6 %Monona County8.6Shelby County: 8.6 %Shelby County8.6Tama County: 8.6 %Tama County8.6Allamakee County: 8.5 %Allamakee County8.5Franklin County: 8.5 %Franklin County8.5Harrison County: 8.5 %Harrison County8.5Wapello County: 8.5 %Wapello County8.5Emmet County: 8.4 %Emmet County8.4Page County: 8.4 %Page County8.4Calhoun County: 8.3 %Calhoun County8.3Chickasaw County: 8.3 %Chickasaw County8.3Hardin County: 8.3 %Hardin County8.3Union County: 8.3 %Union County8.3Benton County: 8.2 %Benton County8.2Butler County: 8.2 %Butler County8.2Cerro Gordo County: 8.2 %Cerro Gordo County8.2
%. 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

RankCounties2022 (%)Change on 2021
1Lucas County10.5+1.2 pts
2Wayne County10.2+1.1 pts
3Appanoose County9.8-0.2 pts
4Wright County9.4+0.8 pts
5Lee County9.2+0.9 pts
5O'Brien County9.2+1 pts
7Cass County9.1+0.1 pts
7Fayette County9.1+0.4 pts
9Davis County9+0.3 pts
9Louisa County9+1.1 pts
9Ringgold County9+0.2 pts
9Taylor County9+1 pts
9Van Buren County9-1 pts
14Montgomery County8.90 pts
15Howard County8.8+0.8 pts
15Jefferson County8.8+1.2 pts
17Audubon County8.7+0.3 pts
17Cherokee County8.7+0.1 pts
17Clarke County8.7-0.5 pts
17Clayton County8.7-0.4 pts
17Dickinson County8.7+1.3 pts
17Jackson County8.7+0.3 pts
23Crawford County8.6+0.3 pts
23Keokuk County8.6-0.2 pts
23Monona County8.6-0.4 pts
23Shelby County8.6+0.8 pts
23Tama County8.60 pts
28Allamakee County8.5-0.2 pts
28Franklin County8.5-0.1 pts
28Harrison County8.5+0.7 pts
28Wapello County8.50 pts
32Emmet County8.4+0.1 pts
32Page County8.4-0.2 pts
34Calhoun County8.3+0.2 pts
34Chickasaw County8.3+0.3 pts
34Hardin County8.3+0.3 pts
34Union County8.3+0.5 pts
38Benton County8.2+0.9 pts
38Butler County8.2+0.1 pts
38Cerro Gordo County8.2+0.5 pts
38Greene County8.2-0.3 pts
38Kossuth County8.2-0.2 pts
38Osceola County8.20 pts
44Adams County8.1-0.2 pts
44Floyd County8.1+0.2 pts
44Humboldt County8.1-0.4 pts
44Pottawattamie County8.1+0.4 pts
48Adair County8-0.4 pts
49Des Moines County7.9-0.3 pts
50Clinton County7.8-0.6 pts
50Henry County7.8+0.3 pts
50Worth County7.8+0.2 pts
53Ida County7.7-0.4 pts
53Mills County7.7+0.8 pts
53Mitchell County7.70 pts
53Pocahontas County7.7-1.2 pts
53Washington County7.7+0.3 pts
58Carroll County7.6-0.1 pts
58Poweshiek County7.6+0.4 pts
60Buchanan County7.5+0.3 pts
60Dubuque County7.5+0.9 pts
60Hamilton County7.5+0.2 pts
60Jones County7.5-0.2 pts
60Marshall County7.5-0.1 pts
60Palo Alto County7.50 pts
66Black Hawk County7.4+0.5 pts
66Decatur County7.4-0.7 pts
66Iowa County7.4+0.2 pts
69Sac County7.3-1 pts
69Warren County7.3+1.4 pts
69Woodbury County7.3-0.2 pts
72Clay County7.2-0.5 pts
72Mahaska County7.2-0.6 pts
74Guthrie County7.1-0.8 pts
74Hancock County7.1-0.9 pts
74Muscatine County7.1-0.1 pts
77Cedar County7-0.2 pts
77Delaware County7-0.8 pts
79Buena Vista County6.9-0.2 pts
79Grundy County6.9+0.2 pts
79Lyon County6.9-0.1 pts
79Monroe County6.9-0.8 pts
83Bremer County6.8+0.7 pts
83Jasper County6.8-0.6 pts
83Plymouth County6.8-0.1 pts
86Fremont County6.7-1.6 pts
86Sioux County6.7+1 pts
86Webster County6.7-1.2 pts
89Polk County6.5+0.7 pts
89Scott County6.5-0.1 pts
91Boone County6.3-0.7 pts
92Marion County6.1-0.4 pts
92Winnebago County6.1-1.1 pts
94Madison County6-0.5 pts
95Winneshiek County5.9-0.6 pts
96Linn County5.8-0.4 pts
97Dallas County4.8+0.3 pts
98Johnson County4.6-0.2 pts
99Story County4.3-0.5 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 Iowa by COPD in adults, local model estimate, 2022) [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 Iowa by COPD in adults, local model estimate, 2022. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/iowa-counties?period=2022. 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 Iowa by COPD in adults, local model estimate, 2022. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/iowa-counties?period=2022.

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 Iowa by COPD in adults, local model estimate, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-copd-rate-county-estimate/iowa-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_iowa_by_2022,
  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 Iowa by COPD in adults, local model estimate, 2022}},
  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/iowa-counties?period=2022. 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 Iowa by COPD in adults, local model estimate, 2022
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/iowa-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/iowa-counties?period=2022.
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 Iowa by COPD in adults, local model estimate using official data, and cite the source.
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Questions

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

Lucas County, with 10.5% in 2022, according to the Centers for Disease Control and Prevention.

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

Story County, with 4.3% in 2022.

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 Iowa: more rankings