Data / Rankings / COPD in adults, local model estimate / Counties in North Dakota

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

Sioux County had the highest COPD in adults, local model estimate of 53 counties in 2021, at 10.8%. Cass County had the lowest, at 4.4%. The median was 7.2%. Source: the Centers for Disease Control and Prevention.

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Highest10.8Sioux County
Lowest4.4Cass County
Median7.253 counties

Map of counties, 2021

Adams County: 8.4 %Barnes County: 6.6 %Benson County: 9.6 %Billings County: 6.4 %Bottineau County: 6.8 %Bowman County: 7.4 %Burke County: 6.6 %Burleigh County: 5.2 %Cass County: 4.4 %Cavalier County: 7.5 %Dickey County: 7 %Divide County: 7.6 %Dunn County: 6.4 %Eddy County: 8.5 %Emmons County: 8.3 %Foster County: 6.9 %Golden Valley County: 7.3 %Grand Forks County: 5.3 %Grant County: 8.3 %Griggs County: 6.9 %Hettinger County: 7.6 %Kidder County: 8.6 %LaMoure County: 8.2 %Logan County: 7.9 %McHenry County: 7.2 %McIntosh County: 9 %McKenzie County: 5.7 %McLean County: 7.2 %Mercer County: 7.5 %Morton County: 6 %Mountrail County: 6.5 %Nelson County: 7.3 %Oliver County: 7.5 %Pembina County: 7.4 %Pierce County: 7 %Ramsey County: 7.5 %Ransom County: 7 %Renville County: 6.7 %Richland County: 6.5 %Rolette County: 9.3 %Sargent County: 6.4 %Sheridan County: 8.2 %Sioux County: 10.8 %Slope County: 7.3 %Stark County: 5.9 %Steele County: 6.8 %Stutsman County: 6.9 %Towner County: 9.2 %Traill County: 6 %Walsh County: 7.8 %Ward County: 5.1 %Wells County: 7.9 %Williams County: 5.1 %
  • Under 6.3
  • 6.3 to 6.8
  • 6.8 to 7.2
  • 7.2 to 7.5
  • 7.5 to 8.3
  • 8.3 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.

All counties, 2021

Sioux County: 10.8 %Sioux County10.8Benson County: 9.6 %Benson County9.6Rolette County: 9.3 %Rolette County9.3Towner County: 9.2 %Towner County9.2McIntosh County: 9 %McIntosh County9Kidder County: 8.6 %Kidder County8.6Eddy County: 8.5 %Eddy County8.5Adams County: 8.4 %Adams County8.4Emmons County: 8.3 %Emmons County8.3Grant County: 8.3 %Grant County8.3LaMoure County: 8.2 %LaMoure County8.2Sheridan County: 8.2 %Sheridan County8.2Logan County: 7.9 %Logan County7.9Wells County: 7.9 %Wells County7.9Walsh County: 7.8 %Walsh County7.8Divide County: 7.6 %Divide County7.6Hettinger County: 7.6 %Hettinger County7.6Cavalier County: 7.5 %Cavalier County7.5Mercer County: 7.5 %Mercer County7.5Oliver County: 7.5 %Oliver County7.5Ramsey County: 7.5 %Ramsey County7.5Bowman County: 7.4 %Bowman County7.4Pembina County: 7.4 %Pembina County7.4Golden Valley County: 7.3 %Golden Valley County7.3Nelson County: 7.3 %Nelson County7.3Slope County: 7.3 %Slope County7.3McHenry County: 7.2 %McHenry County7.2McLean County: 7.2 %McLean County7.2Dickey County: 7 %Dickey County7Pierce County: 7 %Pierce County7Ransom County: 7 %Ransom County7Foster County: 6.9 %Foster County6.9Griggs County: 6.9 %Griggs County6.9Stutsman County: 6.9 %Stutsman County6.9Bottineau County: 6.8 %Bottineau County6.8Steele County: 6.8 %Steele County6.8Renville County: 6.7 %Renville County6.7Barnes County: 6.6 %Barnes County6.6Burke County: 6.6 %Burke County6.6Mountrail County: 6.5 %Mountrail County6.5Richland County: 6.5 %Richland County6.5Billings County: 6.4 %Billings County6.4Dunn County: 6.4 %Dunn County6.4Sargent County: 6.4 %Sargent County6.4Morton County: 6 %Morton County6Traill County: 6 %Traill County6Stark County: 5.9 %Stark County5.9McKenzie County: 5.7 %McKenzie County5.7Grand Forks County: 5.3 %Grand Forks County5.3Burleigh County: 5.2 %Burleigh County5.2Ward County: 5.1 %Ward County5.1Williams County: 5.1 %Williams County5.1Cass County: 4.4 %Cass County4.4Sioux County: 10.8 %Sioux County10.8Benson County: 9.6 %Benson County9.6Rolette County: 9.3 %Rolette County9.3Towner County: 9.2 %Towner County9.2McIntosh County: 9 %McIntosh County9Kidder County: 8.6 %Kidder County8.6Eddy County: 8.5 %Eddy County8.5Adams County: 8.4 %Adams County8.4Emmons County: 8.3 %Emmons County8.3Grant County: 8.3 %Grant County8.3LaMoure County: 8.2 %LaMoure County8.2Sheridan County: 8.2 %Sheridan County8.2Logan County: 7.9 %Logan County7.9Wells County: 7.9 %Wells County7.9Walsh County: 7.8 %Walsh County7.8Divide County: 7.6 %Divide County7.6Hettinger County: 7.6 %Hettinger County7.6Cavalier County: 7.5 %Cavalier County7.5Mercer County: 7.5 %Mercer County7.5Oliver County: 7.5 %Oliver County7.5Ramsey County: 7.5 %Ramsey County7.5Bowman County: 7.4 %Bowman County7.4Pembina County: 7.4 %Pembina County7.4Golden Valley County: 7.3 %Golden Valley County7.3Nelson County: 7.3 %Nelson County7.3Slope County: 7.3 %Slope County7.3McHenry County: 7.2 %McHenry County7.2McLean County: 7.2 %McLean County7.2Dickey County: 7 %Dickey County7Pierce County: 7 %Pierce County7Ransom County: 7 %Ransom County7Foster County: 6.9 %Foster County6.9Griggs County: 6.9 %Griggs County6.9Stutsman County: 6.9 %Stutsman County6.9Bottineau County: 6.8 %Bottineau County6.8Steele County: 6.8 %Steele County6.8Renville County: 6.7 %Renville County6.7Barnes County: 6.6 %Barnes County6.6Burke County: 6.6 %Burke County6.6Mountrail County: 6.5 %Mountrail County6.5Richland County: 6.5 %Richland County6.5Billings County: 6.4 %Billings County6.4Dunn County: 6.4 %Dunn County6.4Sargent County: 6.4 %Sargent County6.4Morton County: 6 %Morton County6Traill County: 6 %Traill County6Stark County: 5.9 %Stark County5.9McKenzie County: 5.7 %McKenzie County5.7Grand Forks County: 5.3 %Grand Forks County5.3Burleigh County: 5.2 %Burleigh County5.2Ward County: 5.1 %Ward County5.1Williams County: 5.1 %Williams County5.1Cass County: 4.4 %Cass County4.4
%. 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 (%)
1Sioux County10.8
2Benson County9.6
3Rolette County9.3
4Towner County9.2
5McIntosh County9
6Kidder County8.6
7Eddy County8.5
8Adams County8.4
9Emmons County8.3
9Grant County8.3
11LaMoure County8.2
11Sheridan County8.2
13Logan County7.9
13Wells County7.9
15Walsh County7.8
16Divide County7.6
16Hettinger County7.6
18Cavalier County7.5
18Mercer County7.5
18Oliver County7.5
18Ramsey County7.5
22Bowman County7.4
22Pembina County7.4
24Golden Valley County7.3
24Nelson County7.3
24Slope County7.3
27McHenry County7.2
27McLean County7.2
29Dickey County7
29Pierce County7
29Ransom County7
32Foster County6.9
32Griggs County6.9
32Stutsman County6.9
35Bottineau County6.8
35Steele County6.8
37Renville County6.7
38Barnes County6.6
38Burke County6.6
40Mountrail County6.5
40Richland County6.5
42Billings County6.4
42Dunn County6.4
42Sargent County6.4
45Morton County6
45Traill County6
47Stark County5.9
48McKenzie County5.7
49Grand Forks County5.3
50Burleigh County5.2
51Ward County5.1
51Williams County5.1
53Cass County4.4

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, 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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_dakota_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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/north-dakota-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 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 10.8% in 2021, according to the Centers for Disease Control and Prevention.

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

Cass County, with 4.4% 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 North Dakota: more rankings