Counties in North Dakota by COPD in adults, local model estimate, 2023

Sioux County had the highest COPD in adults, local model estimate of 53 counties in 2023, at 12.2%. Cass County had the lowest, at 4.5%. The median was 7.5%. Source: the Centers for Disease Control and Prevention.

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Highest12.2Sioux County
Lowest4.5Cass County
Median7.553 counties

Map of counties, 2023

Adams County: 9.2 %Barnes County: 7 %Benson County: 9.8 %Billings County: 7.2 %Bottineau County: 7.3 %Bowman County: 7.4 %Burke County: 6.7 %Burleigh County: 5.6 %Cass County: 4.5 %Cavalier County: 7.2 %Dickey County: 7 %Divide County: 7.8 %Dunn County: 6.8 %Eddy County: 8.7 %Emmons County: 8.8 %Foster County: 7.2 %Golden Valley County: 8.8 %Grand Forks County: 5.3 %Grant County: 10.3 %Griggs County: 7.7 %Hettinger County: 7.5 %Kidder County: 8.1 %LaMoure County: 8 %Logan County: 8.9 %McHenry County: 7.6 %McIntosh County: 9.7 %McKenzie County: 5.6 %McLean County: 7.2 %Mercer County: 7.9 %Morton County: 5.9 %Mountrail County: 7.3 %Nelson County: 7.5 %Oliver County: 7 %Pembina County: 7.8 %Pierce County: 7.5 %Ramsey County: 7.9 %Ransom County: 7.4 %Renville County: 6.9 %Richland County: 6.6 %Rolette County: 9.7 %Sargent County: 7 %Sheridan County: 9 %Sioux County: 12.2 %Slope County: 9.4 %Stark County: 6 %Steele County: 7.9 %Stutsman County: 7.3 %Towner County: 9.9 %Traill County: 6.2 %Walsh County: 7.8 %Ward County: 5.2 %Wells County: 9 %Williams County: 5.4 %
  • Under 6.5
  • 6.5 to 7.2
  • 7.2 to 7.5
  • 7.5 to 7.9
  • 7.9 to 9
  • 9 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

Sioux County: 12.2 %Sioux County12.2Grant County: 10.3 %Grant County10.3Towner County: 9.9 %Towner County9.9Benson County: 9.8 %Benson County9.8McIntosh County: 9.7 %McIntosh County9.7Rolette County: 9.7 %Rolette County9.7Slope County: 9.4 %Slope County9.4Adams County: 9.2 %Adams County9.2Sheridan County: 9 %Sheridan County9Wells County: 9 %Wells County9Logan County: 8.9 %Logan County8.9Emmons County: 8.8 %Emmons County8.8Golden Valley County: 8.8 %Golden Valley County8.8Eddy County: 8.7 %Eddy County8.7Kidder County: 8.1 %Kidder County8.1LaMoure County: 8 %LaMoure County8Mercer County: 7.9 %Mercer County7.9Ramsey County: 7.9 %Ramsey County7.9Steele County: 7.9 %Steele County7.9Divide County: 7.8 %Divide County7.8Pembina County: 7.8 %Pembina County7.8Walsh County: 7.8 %Walsh County7.8Griggs County: 7.7 %Griggs County7.7McHenry County: 7.6 %McHenry County7.6Hettinger County: 7.5 %Hettinger County7.5Nelson County: 7.5 %Nelson County7.5Pierce County: 7.5 %Pierce County7.5Bowman County: 7.4 %Bowman County7.4Ransom County: 7.4 %Ransom County7.4Bottineau County: 7.3 %Bottineau County7.3Mountrail County: 7.3 %Mountrail County7.3Stutsman County: 7.3 %Stutsman County7.3Billings County: 7.2 %Billings County7.2Cavalier County: 7.2 %Cavalier County7.2Foster County: 7.2 %Foster County7.2McLean County: 7.2 %McLean County7.2Barnes County: 7 %Barnes County7Dickey County: 7 %Dickey County7Oliver County: 7 %Oliver County7Sargent County: 7 %Sargent County7Renville County: 6.9 %Renville County6.9Dunn County: 6.8 %Dunn County6.8Burke County: 6.7 %Burke County6.7Richland County: 6.6 %Richland County6.6Traill County: 6.2 %Traill County6.2Stark County: 6 %Stark County6Morton County: 5.9 %Morton County5.9Burleigh County: 5.6 %Burleigh County5.6McKenzie County: 5.6 %McKenzie County5.6Williams County: 5.4 %Williams County5.4Grand Forks County: 5.3 %Grand Forks County5.3Ward County: 5.2 %Ward County5.2Cass County: 4.5 %Cass County4.5Sioux County: 12.2 %Sioux County12.2Grant County: 10.3 %Grant County10.3Towner County: 9.9 %Towner County9.9Benson County: 9.8 %Benson County9.8McIntosh County: 9.7 %McIntosh County9.7Rolette County: 9.7 %Rolette County9.7Slope County: 9.4 %Slope County9.4Adams County: 9.2 %Adams County9.2Sheridan County: 9 %Sheridan County9Wells County: 9 %Wells County9Logan County: 8.9 %Logan County8.9Emmons County: 8.8 %Emmons County8.8Golden Valley County: 8.8 %Golden Valley County8.8Eddy County: 8.7 %Eddy County8.7Kidder County: 8.1 %Kidder County8.1LaMoure County: 8 %LaMoure County8Mercer County: 7.9 %Mercer County7.9Ramsey County: 7.9 %Ramsey County7.9Steele County: 7.9 %Steele County7.9Divide County: 7.8 %Divide County7.8Pembina County: 7.8 %Pembina County7.8Walsh County: 7.8 %Walsh County7.8Griggs County: 7.7 %Griggs County7.7McHenry County: 7.6 %McHenry County7.6Hettinger County: 7.5 %Hettinger County7.5Nelson County: 7.5 %Nelson County7.5Pierce County: 7.5 %Pierce County7.5Bowman County: 7.4 %Bowman County7.4Ransom County: 7.4 %Ransom County7.4Bottineau County: 7.3 %Bottineau County7.3Mountrail County: 7.3 %Mountrail County7.3Stutsman County: 7.3 %Stutsman County7.3Billings County: 7.2 %Billings County7.2Cavalier County: 7.2 %Cavalier County7.2Foster County: 7.2 %Foster County7.2McLean County: 7.2 %McLean County7.2Barnes County: 7 %Barnes County7Dickey County: 7 %Dickey County7Oliver County: 7 %Oliver County7Sargent County: 7 %Sargent County7Renville County: 6.9 %Renville County6.9Dunn County: 6.8 %Dunn County6.8Burke County: 6.7 %Burke County6.7Richland County: 6.6 %Richland County6.6Traill County: 6.2 %Traill County6.2Stark County: 6 %Stark County6Morton County: 5.9 %Morton County5.9Burleigh County: 5.6 %Burleigh County5.6McKenzie County: 5.6 %McKenzie County5.6Williams County: 5.4 %Williams County5.4Grand Forks County: 5.3 %Grand Forks County5.3Ward County: 5.2 %Ward County5.2Cass County: 4.5 %Cass County4.5
%. 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
1Sioux County12.2-1.8 pts
2Grant County10.3-1 pts
3Towner County9.9-1.2 pts
4Benson County9.8-0.8 pts
5McIntosh County9.7-1.6 pts
5Rolette County9.7-0.7 pts
7Slope County9.4+1.6 pts
8Adams County9.2-0.4 pts
9Sheridan County9-0.1 pts
9Wells County9+0.8 pts
11Logan County8.9-1.6 pts
12Emmons County8.8+0.4 pts
12Golden Valley County8.8+0.1 pts
14Eddy County8.7-0.5 pts
15Kidder County8.1+0.1 pts
16LaMoure County8+0.3 pts
17Mercer County7.90 pts
17Ramsey County7.9+0.4 pts
17Steele County7.9+0.9 pts
20Divide County7.8-0.6 pts
20Pembina County7.8-0.7 pts
20Walsh County7.8-1.8 pts
23Griggs County7.7-1.2 pts
24McHenry County7.6-0.3 pts
25Hettinger County7.5-0.5 pts
25Nelson County7.5-0.9 pts
25Pierce County7.5+0.2 pts
28Bowman County7.4-1.5 pts
28Ransom County7.4+0.1 pts
30Bottineau County7.3-1.3 pts
30Mountrail County7.30 pts
30Stutsman County7.3-0.1 pts
33Billings County7.2+0.1 pts
33Cavalier County7.20 pts
33Foster County7.2-0.3 pts
33McLean County7.2+0.1 pts
37Barnes County7+0.3 pts
37Dickey County7-1 pts
37Oliver County7-1.3 pts
37Sargent County7-0.8 pts
41Renville County6.9-0.4 pts
42Dunn County6.80 pts
43Burke County6.7-0.2 pts
44Richland County6.6-0.6 pts
45Traill County6.2-0.5 pts
46Stark County6-0.6 pts
47Morton County5.9-1.5 pts
48Burleigh County5.6-0.1 pts
48McKenzie County5.6-0.8 pts
50Williams County5.4-0.5 pts
51Grand Forks County5.3-0.6 pts
52Ward County5.2-1 pts
53Cass County4.5-0.6 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 North Dakota 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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_dakota_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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/north-dakota-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 North Dakota 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?

Sioux County, with 12.2% in 2023, according to the Centers for Disease Control and Prevention.

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

Cass County, with 4.5% 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 North Dakota: more rankings