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

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

Hickory County had the highest COPD in adults, local model estimate of 115 counties in 2023, at 16%. St. Charles County had the lowest, at 5.8%. The median was 10.3%. Source: the Centers for Disease Control and Prevention.

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Highest16Hickory County
Lowest5.8St. Charles County
Median10.3115 counties

Map of counties, 2023

Adair County: 7.5 %Andrew County: 8.1 %Atchison County: 10.9 %Audrain County: 10.7 %Barry County: 11.3 %Barton County: 12.2 %Bates County: 10.7 %Benton County: 12.4 %Bollinger County: 11.2 %Boone County: 6 %Buchanan County: 9.3 %Butler County: 11.8 %Caldwell County: 9.8 %Callaway County: 8.4 %Camden County: 10.2 %Cape Girardeau County: 7.7 %Carroll County: 10.3 %Carter County: 12.7 %Cass County: 7.3 %Cedar County: 12.2 %Chariton County: 10.4 %Christian County: 7.2 %Clark County: 11.7 %Clay County: 6.4 %Clinton County: 8.6 %Cole County: 7.1 %Cooper County: 8.6 %Crawford County: 11 %Dade County: 12.2 %Dallas County: 11.7 %Daviess County: 11.2 %DeKalb County: 9 %Dent County: 11.2 %Douglas County: 11.7 %Dunklin County: 12.3 %Franklin County: 8.5 %Gasconade County: 10 %Gentry County: 10.1 %Greene County: 7.8 %Grundy County: 11.2 %Harrison County: 11.5 %Henry County: 11.1 %Hickory County: 16 %Holt County: 10.3 %Howard County: 8.5 %Howell County: 12 %Iron County: 11.5 %Jackson County: 7.4 %Jasper County: 9.2 %Jefferson County: 7.9 %Johnson County: 6.9 %Knox County: 12.4 %Laclede County: 11.1 %Lafayette County: 8.5 %Lawrence County: 10.7 %Lewis County: 9.9 %Lincoln County: 7.9 %Linn County: 10.4 %Livingston County: 9.7 %McDonald County: 11.9 %Macon County: 9.3 %Madison County: 9.8 %Maries County: 10.3 %Marion County: 9.1 %Mercer County: 11.8 %Miller County: 9.9 %Mississippi County: 12.3 %Moniteau County: 8.7 %Monroe County: 11.4 %Montgomery County: 10.6 %Morgan County: 12.5 %New Madrid County: 11.9 %Newton County: 9.5 %Nodaway County: 7.7 %Oregon County: 13.3 %Osage County: 8 %Ozark County: 14.9 %Pemiscot County: 13.3 %Perry County: 9.2 %Pettis County: 9 %Phelps County: 8.4 %Pike County: 10.3 %Platte County: 5.9 %Polk County: 10.1 %Pulaski County: 5.8 %Putnam County: 9.9 %Ralls County: 10.5 %Randolph County: 9.6 %Ray County: 9.6 %Reynolds County: 12.7 %Ripley County: 12.8 %St. Charles County: 5.8 %St. Clair County: 12.5 %Ste. Genevieve County: 9.1 %St. Francois County: 10.1 %St. Louis County: 6.5 %Saline County: 8.2 %Schuyler County: 8.9 %Scotland County: 10.4 %Scott County: 9.9 %Shannon County: 11.7 %Shelby County: 11.8 %Stoddard County: 11.4 %Stone County: 11.3 %Sullivan County: 10.3 %Taney County: 9.5 %Texas County: 12.2 %Vernon County: 11.3 %Warren County: 8.7 %Washington County: 11.9 %Wayne County: 14.3 %Webster County: 9.4 %Worth County: 11.7 %Wright County: 12.6 %St. Louis city: 7.4 %
  • Under 8.1
  • 8.1 to 9.3
  • 9.3 to 10
  • 10 to 11
  • 11 to 12
  • 12 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

Hickory County: 16 %Hickory County16Ozark County: 14.9 %Ozark County14.9Wayne County: 14.3 %Wayne County14.3Oregon County: 13.3 %Oregon County13.3Pemiscot County: 13.3 %Pemiscot County13.3Ripley County: 12.8 %Ripley County12.8Carter County: 12.7 %Carter County12.7Reynolds County: 12.7 %Reynolds County12.7Wright County: 12.6 %Wright County12.6Morgan County: 12.5 %Morgan County12.5St. Clair County: 12.5 %St. Clair County12.5Benton County: 12.4 %Benton County12.4Knox County: 12.4 %Knox County12.4Dunklin County: 12.3 %Dunklin County12.3Mississippi County: 12.3 %Mississippi County12.3Barton County: 12.2 %Barton County12.2Cedar County: 12.2 %Cedar County12.2Dade County: 12.2 %Dade County12.2Texas County: 12.2 %Texas County12.2Howell County: 12 %Howell County12McDonald County: 11.9 %McDonald County11.9New Madrid County: 11.9 %New Madrid County11.9Washington County: 11.9 %Washington County11.9Butler County: 11.8 %Butler County11.8Mercer County: 11.8 %Mercer County11.8Shelby County: 11.8 %Shelby County11.8Clark County: 11.7 %Clark County11.7Dallas County: 11.7 %Dallas County11.7Douglas County: 11.7 %Douglas County11.7Shannon County: 11.7 %Shannon County11.7Worth County: 11.7 %Worth County11.7Harrison County: 11.5 %Harrison County11.5Iron County: 11.5 %Iron County11.5Monroe County: 11.4 %Monroe County11.4Stoddard County: 11.4 %Stoddard County11.4Barry County: 11.3 %Barry County11.3Stone County: 11.3 %Stone County11.3Vernon County: 11.3 %Vernon County11.3Bollinger County: 11.2 %Bollinger County11.2Daviess County: 11.2 %Daviess County11.2Hickory County: 16 %Hickory County16Ozark County: 14.9 %Ozark County14.9Wayne County: 14.3 %Wayne County14.3Oregon County: 13.3 %Oregon County13.3Pemiscot County: 13.3 %Pemiscot County13.3Ripley County: 12.8 %Ripley County12.8Carter County: 12.7 %Carter County12.7Reynolds County: 12.7 %Reynolds County12.7Wright County: 12.6 %Wright County12.6Morgan County: 12.5 %Morgan County12.5St. Clair County: 12.5 %St. Clair County12.5Benton County: 12.4 %Benton County12.4Knox County: 12.4 %Knox County12.4Dunklin County: 12.3 %Dunklin County12.3Mississippi County: 12.3 %Mississippi County12.3Barton County: 12.2 %Barton County12.2Cedar County: 12.2 %Cedar County12.2Dade County: 12.2 %Dade County12.2Texas County: 12.2 %Texas County12.2Howell County: 12 %Howell County12McDonald County: 11.9 %McDonald County11.9New Madrid County: 11.9 %New Madrid County11.9Washington County: 11.9 %Washington County11.9Butler County: 11.8 %Butler County11.8Mercer County: 11.8 %Mercer County11.8Shelby County: 11.8 %Shelby County11.8Clark County: 11.7 %Clark County11.7Dallas County: 11.7 %Dallas County11.7Douglas County: 11.7 %Douglas County11.7Shannon County: 11.7 %Shannon County11.7Worth County: 11.7 %Worth County11.7Harrison County: 11.5 %Harrison County11.5Iron County: 11.5 %Iron County11.5Monroe County: 11.4 %Monroe County11.4Stoddard County: 11.4 %Stoddard County11.4Barry County: 11.3 %Barry County11.3Stone County: 11.3 %Stone County11.3Vernon County: 11.3 %Vernon County11.3Bollinger County: 11.2 %Bollinger County11.2Daviess County: 11.2 %Daviess County11.2
%. 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

RankCounties2023 (%)Change on 2022
1Hickory County16+1.2 pts
2Ozark County14.9-0.2 pts
3Wayne County14.3+1.3 pts
4Oregon County13.3+0.9 pts
4Pemiscot County13.3+1.3 pts
6Ripley County12.8+0.7 pts
7Carter County12.7+0.7 pts
7Reynolds County12.70 pts
9Wright County12.6+0.5 pts
10Morgan County12.5+0.1 pts
10St. Clair County12.5+0.4 pts
12Benton County12.4-0.7 pts
12Knox County12.4+0.1 pts
14Dunklin County12.3+0.1 pts
14Mississippi County12.3-0.9 pts
16Barton County12.2-0.7 pts
16Cedar County12.2-1.2 pts
16Dade County12.2-0.2 pts
16Texas County12.2+1.2 pts
20Howell County12-1 pts
21McDonald County11.9-0.2 pts
21New Madrid County11.9+0.1 pts
21Washington County11.9+1 pts
24Butler County11.8+0.5 pts
24Mercer County11.8+0.5 pts
24Shelby County11.80 pts
27Clark County11.7-1.5 pts
27Dallas County11.7-0.1 pts
27Douglas County11.7-0.4 pts
27Shannon County11.7-1.6 pts
27Worth County11.7+0.2 pts
32Harrison County11.5+0.3 pts
32Iron County11.5-0.6 pts
34Monroe County11.4-0.2 pts
34Stoddard County11.4-0.3 pts
36Barry County11.3+0.6 pts
36Stone County11.3-0.6 pts
36Vernon County11.3+1 pts
39Bollinger County11.2-0.5 pts
39Daviess County11.2-0.8 pts
39Dent County11.2-1.9 pts
39Grundy County11.2-0.7 pts
43Henry County11.1-0.1 pts
43Laclede County11.10 pts
45Crawford County11-1.1 pts
46Atchison County10.9+0.5 pts
47Audrain County10.7-1.2 pts
47Bates County10.7+0.9 pts
47Lawrence County10.7+1.4 pts
50Montgomery County10.6+0.2 pts
51Ralls County10.5-0.4 pts
52Chariton County10.4+0.5 pts
52Linn County10.4-1.7 pts
52Scotland County10.4-1.1 pts
55Carroll County10.3-0.1 pts
55Holt County10.3-1.7 pts
55Maries County10.3-1.7 pts
55Pike County10.3-1 pts
55Sullivan County10.3-0.7 pts
60Camden County10.2-0.8 pts
61Gentry County10.1-0.7 pts
61Polk County10.1-1.3 pts
61St. Francois County10.1+0.6 pts
64Gasconade County10+0.5 pts
65Lewis County9.9-1.1 pts
65Miller County9.90 pts
65Putnam County9.9+0.8 pts
65Scott County9.9-1 pts
69Caldwell County9.8-1.2 pts
69Madison County9.80 pts
71Livingston County9.7+0.5 pts
72Randolph County9.6+0.2 pts
72Ray County9.6+0.1 pts
74Newton County9.5+1.2 pts
74Taney County9.5-1.3 pts
76Webster County9.4-0.2 pts
77Buchanan County9.3+0.2 pts
77Macon County9.3-0.9 pts
79Jasper County9.2+0.6 pts
79Perry County9.2-1.4 pts
81Marion County9.1-0.1 pts
81Ste. Genevieve County9.1-1.5 pts
83DeKalb County9+0.1 pts
83Pettis County9-0.4 pts
85Schuyler County8.90 pts
86Moniteau County8.7-1.5 pts
86Warren County8.7-0.8 pts
88Clinton County8.6+0.1 pts
88Cooper County8.6-1.1 pts
90Franklin County8.5-0.3 pts
90Howard County8.5-0.5 pts
90Lafayette County8.5-1.1 pts
93Callaway County8.4-0.5 pts
93Phelps County8.4-0.5 pts
95Saline County8.2-0.3 pts
96Andrew County8.1-0.6 pts
97Osage County8+0.3 pts
98Jefferson County7.9-0.8 pts
98Lincoln County7.9-0.2 pts
100Greene County7.8+0.9 pts
101Cape Girardeau County7.7-0.8 pts
101Nodaway County7.7-1.5 pts
103Adair County7.5-0.7 pts
104Jackson County7.4+0.4 pts
104St. Louis city7.4-0.5 pts
106Cass County7.3-0.3 pts
107Christian County7.2-0.9 pts
108Cole County7.10 pts
109Johnson County6.9-0.5 pts
110St. Louis County6.5-1.5 pts
111Clay County6.4-0.4 pts
112Boone County6+0.5 pts
113Platte County5.9-0.8 pts
114Pulaski County5.8+0.5 pts
114St. Charles County5.8-0.9 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 Missouri 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_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 Missouri 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/missouri-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 Missouri 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/missouri-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/missouri-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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Questions

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

Hickory County, with 16% in 2023, according to the Centers for Disease Control and Prevention.

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

St. Charles County, with 5.8% 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 Missouri: more rankings