Counties in Missouri by COPD in adults, local model estimate

Ozark County had the highest COPD in adults, local model estimate of 115 counties in 2021, at 15.1%. St. Charles County had the lowest, at 6.1%. The median was 10.5%. Source: the Centers for Disease Control and Prevention.

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Highest15.1Ozark County
Median10.5115 counties

Map of counties, 2021

Adair County: 8 %Andrew County: 8.4 %Atchison County: 10.8 %Audrain County: 10.8 %Barry County: 11.3 %Barton County: 12 %Bates County: 10.9 %Benton County: 12.8 %Bollinger County: 11.8 %Boone County: 6.2 %Buchanan County: 9.6 %Butler County: 12.1 %Caldwell County: 11.5 %Callaway County: 8.3 %Camden County: 10.6 %Cape Girardeau County: 8 %Carroll County: 10.3 %Carter County: 11.5 %Cass County: 7.8 %Cedar County: 12.7 %Chariton County: 10.2 %Christian County: 7.7 %Clark County: 12.1 %Clay County: 6.7 %Clinton County: 8.9 %Cole County: 7.4 %Cooper County: 9.1 %Crawford County: 11.8 %Dade County: 12.4 %Dallas County: 12 %Daviess County: 10.6 %DeKalb County: 9.1 %Dent County: 12.5 %Douglas County: 12.6 %Dunklin County: 12.4 %Franklin County: 8.7 %Gasconade County: 9.9 %Gentry County: 11 %Greene County: 8 %Grundy County: 10.7 %Harrison County: 11.3 %Henry County: 10.7 %Hickory County: 14.2 %Holt County: 10.2 %Howard County: 8.7 %Howell County: 12 %Iron County: 12 %Jackson County: 7.5 %Jasper County: 9.5 %Jefferson County: 8.1 %Johnson County: 6.8 %Knox County: 12.7 %Laclede County: 10.8 %Lafayette County: 9.1 %Lawrence County: 11.1 %Lewis County: 10.9 %Lincoln County: 8.2 %Linn County: 10.3 %Livingston County: 9.6 %McDonald County: 12.2 %Macon County: 10 %Madison County: 10.2 %Maries County: 10.7 %Marion County: 9.8 %Mercer County: 11.4 %Miller County: 10.2 %Mississippi County: 12.6 %Moniteau County: 9 %Monroe County: 10.8 %Montgomery County: 10.6 %Morgan County: 13.1 %New Madrid County: 12.2 %Newton County: 9.6 %Nodaway County: 7.4 %Oregon County: 14.4 %Osage County: 8.1 %Ozark County: 15.1 %Pemiscot County: 12.8 %Perry County: 9.4 %Pettis County: 9.6 %Phelps County: 8.7 %Pike County: 10.4 %Platte County: 6.1 %Polk County: 9.6 %Pulaski County: 6.2 %Putnam County: 9.6 %Ralls County: 10.5 %Randolph County: 9.3 %Ray County: 9.8 %Reynolds County: 12.5 %Ripley County: 13.4 %St. Charles County: 6.1 %St. Clair County: 12.6 %Ste. Genevieve County: 9.5 %St. Francois County: 10.4 %St. Louis County: 6.7 %Saline County: 8.8 %Schuyler County: 10.1 %Scotland County: 11.1 %Scott County: 10.3 %Shannon County: 12.8 %Shelby County: 11.5 %Stoddard County: 11.9 %Stone County: 11.8 %Sullivan County: 10.9 %Taney County: 10.1 %Texas County: 12.3 %Vernon County: 11.1 %Warren County: 9.2 %Washington County: 11.8 %Wayne County: 13.7 %Webster County: 9.9 %Worth County: 11 %Wright County: 13 %St. Louis city: 7.6 %
  • Under 8.3
  • 8.3 to 9.6
  • 9.6 to 11
  • 11 to 12
  • 12 and over
%, 2021. 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, 2021

Ozark County: 15.1 %Ozark County15.1Oregon County: 14.4 %Oregon County14.4Hickory County: 14.2 %Hickory County14.2Wayne County: 13.7 %Wayne County13.7Ripley County: 13.4 %Ripley County13.4Morgan County: 13.1 %Morgan County13.1Wright County: 13 %Wright County13Benton County: 12.8 %Benton County12.8Pemiscot County: 12.8 %Pemiscot County12.8Shannon County: 12.8 %Shannon County12.8Cedar County: 12.7 %Cedar County12.7Knox County: 12.7 %Knox County12.7Douglas County: 12.6 %Douglas County12.6Mississippi County: 12.6 %Mississippi County12.6St. Clair County: 12.6 %St. Clair County12.6Dent County: 12.5 %Dent County12.5Reynolds County: 12.5 %Reynolds County12.5Dade County: 12.4 %Dade County12.4Dunklin County: 12.4 %Dunklin County12.4Texas County: 12.3 %Texas County12.3McDonald County: 12.2 %McDonald County12.2New Madrid County: 12.2 %New Madrid County12.2Butler County: 12.1 %Butler County12.1Clark County: 12.1 %Clark County12.1Barton County: 12 %Barton County12Dallas County: 12 %Dallas County12Howell County: 12 %Howell County12Iron County: 12 %Iron County12Stoddard County: 11.9 %Stoddard County11.9Bollinger County: 11.8 %Bollinger County11.8Crawford County: 11.8 %Crawford County11.8Stone County: 11.8 %Stone County11.8Washington County: 11.8 %Washington County11.8Caldwell County: 11.5 %Caldwell County11.5Carter County: 11.5 %Carter County11.5Shelby County: 11.5 %Shelby County11.5Mercer County: 11.4 %Mercer County11.4Barry County: 11.3 %Barry County11.3Harrison County: 11.3 %Harrison County11.3Lawrence County: 11.1 %Lawrence County11.1Ozark County: 15.1 %Ozark County15.1Oregon County: 14.4 %Oregon County14.4Hickory County: 14.2 %Hickory County14.2Wayne County: 13.7 %Wayne County13.7Ripley County: 13.4 %Ripley County13.4Morgan County: 13.1 %Morgan County13.1Wright County: 13 %Wright County13Benton County: 12.8 %Benton County12.8Pemiscot County: 12.8 %Pemiscot County12.8Shannon County: 12.8 %Shannon County12.8Cedar County: 12.7 %Cedar County12.7Knox County: 12.7 %Knox County12.7Douglas County: 12.6 %Douglas County12.6Mississippi County: 12.6 %Mississippi County12.6St. Clair County: 12.6 %St. Clair County12.6Dent County: 12.5 %Dent County12.5Reynolds County: 12.5 %Reynolds County12.5Dade County: 12.4 %Dade County12.4Dunklin County: 12.4 %Dunklin County12.4Texas County: 12.3 %Texas County12.3McDonald County: 12.2 %McDonald County12.2New Madrid County: 12.2 %New Madrid County12.2Butler County: 12.1 %Butler County12.1Clark County: 12.1 %Clark County12.1Barton County: 12 %Barton County12Dallas County: 12 %Dallas County12Howell County: 12 %Howell County12Iron County: 12 %Iron County12Stoddard County: 11.9 %Stoddard County11.9Bollinger County: 11.8 %Bollinger County11.8Crawford County: 11.8 %Crawford County11.8Stone County: 11.8 %Stone County11.8Washington County: 11.8 %Washington County11.8Caldwell County: 11.5 %Caldwell County11.5Carter County: 11.5 %Carter County11.5Shelby County: 11.5 %Shelby County11.5Mercer County: 11.4 %Mercer County11.4Barry County: 11.3 %Barry County11.3Harrison County: 11.3 %Harrison County11.3Lawrence County: 11.1 %Lawrence County11.1
%. 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

RankCounties2021 (%)
1Ozark County15.1
2Oregon County14.4
3Hickory County14.2
4Wayne County13.7
5Ripley County13.4
6Morgan County13.1
7Wright County13
8Benton County12.8
8Pemiscot County12.8
8Shannon County12.8
11Cedar County12.7
11Knox County12.7
13Douglas County12.6
13Mississippi County12.6
13St. Clair County12.6
16Dent County12.5
16Reynolds County12.5
18Dade County12.4
18Dunklin County12.4
20Texas County12.3
21McDonald County12.2
21New Madrid County12.2
23Butler County12.1
23Clark County12.1
25Barton County12
25Dallas County12
25Howell County12
25Iron County12
29Stoddard County11.9
30Bollinger County11.8
30Crawford County11.8
30Stone County11.8
30Washington County11.8
34Caldwell County11.5
34Carter County11.5
34Shelby County11.5
37Mercer County11.4
38Barry County11.3
38Harrison County11.3
40Lawrence County11.1
40Scotland County11.1
40Vernon County11.1
43Gentry County11
43Worth County11
45Bates County10.9
45Lewis County10.9
45Sullivan County10.9
48Atchison County10.8
48Audrain County10.8
48Laclede County10.8
48Monroe County10.8
52Grundy County10.7
52Henry County10.7
52Maries County10.7
55Camden County10.6
55Daviess County10.6
55Montgomery County10.6
58Ralls County10.5
59Pike County10.4
59St. Francois County10.4
61Carroll County10.3
61Linn County10.3
61Scott County10.3
64Chariton County10.2
64Holt County10.2
64Madison County10.2
64Miller County10.2
68Schuyler County10.1
68Taney County10.1
70Macon County10
71Gasconade County9.9
71Webster County9.9
73Marion County9.8
73Ray County9.8
75Buchanan County9.6
75Livingston County9.6
75Newton County9.6
75Pettis County9.6
75Polk County9.6
75Putnam County9.6
81Jasper County9.5
81Ste. Genevieve County9.5
83Perry County9.4
84Randolph County9.3
85Warren County9.2
86Cooper County9.1
86DeKalb County9.1
86Lafayette County9.1
89Moniteau County9
90Clinton County8.9
91Saline County8.8
92Franklin County8.7
92Howard County8.7
92Phelps County8.7
95Andrew County8.4
96Callaway County8.3
97Lincoln County8.2
98Jefferson County8.1
98Osage County8.1
100Adair County8
100Cape Girardeau County8
100Greene County8
103Cass County7.8
104Christian County7.7
105St. Louis city7.6
106Jackson County7.5
107Cole County7.4
107Nodaway County7.4
109Johnson County6.8
110Clay County6.7
110St. Louis County6.7
112Boone County6.2
112Pulaski County6.2
114Platte County6.1
114St. Charles County6.1

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-copd-rate-county-estimate/missouri-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_by_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/missouri-counties?period=2021.
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 Missouri 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?

Ozark County, with 15.1% in 2021, according to the Centers for Disease Control and Prevention.

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

St. Charles County, with 6.1% in 2021.

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