Data / Rankings / COPD in adults, local model estimate / US counties

US counties by COPD in adults, local model estimate, 2023

Hancock County had the highest COPD in adults, local model estimate of 2956 counties in 2023, at 17.6%. Arlington County had the lowest, at 3.2%. The median was 8.4%. Source: the Centers for Disease Control and Prevention.

Highest17.6Hancock County
Lowest3.2Arlington County
Median8.42956 counties

Top 40 counties, 2023

Hancock County: 17.6 %Hancock County17.6McDowell County: 16.5 %McDowell County16.5Calhoun County: 16.2 %Calhoun County16.2Mingo County: 16.1 %Mingo County16.1Hickory County: 16 %Hickory County16Pickett County: 15.2 %Pickett County15.2Ozark County: 14.9 %Ozark County14.9Webster County: 14.8 %Webster County14.8Tensas Parish: 14.6 %Tensas Parish14.6Roane County: 14.4 %Roane County14.4Braxton County: 14.3 %Braxton County14.3Lake County: 14.3 %Lake County14.3Wayne County: 14.3 %Wayne County14.3Claiborne Parish: 14.2 %Claiborne Parish14.2San Augustine County: 14.1 %San Augustine County14.1Clay County: 14 %Clay County14Wyoming County: 14 %Wyoming County14Pocahontas County: 13.9 %Pocahontas County13.9Summers County: 13.9 %Summers County13.9Clay County: 13.8 %Clay County13.8Crawford County: 13.8 %Crawford County13.8Greene County: 13.8 %Greene County13.8Lincoln County: 13.8 %Lincoln County13.8Scott County: 13.8 %Scott County13.8Mellette County: 13.7 %Mellette County13.7Randolph County: 13.7 %Randolph County13.7Searcy County: 13.7 %Searcy County13.7Decatur County: 13.6 %Decatur County13.6Lafayette County: 13.6 %Lafayette County13.6Oglala Lakota County: 13.6 %Oglala Lakota County13.6Bledsoe County: 13.5 %Bledsoe County13.5Logan County: 13.5 %Logan County13.5Madison Parish: 13.5 %Madison Parish13.5Oscoda County: 13.5 %Oscoda County13.5Bienville Parish: 13.4 %Bienville Parish13.4Cocke County: 13.4 %Cocke County13.4Humphreys County: 13.4 %Humphreys County13.4Lake County: 13.4 %Lake County13.4Ritchie County: 13.4 %Ritchie County13.4East Carroll Parish: 13.3 %East Carroll Parish13.3
%. 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
1Hancock County17.6-0.2 pts
2McDowell County16.5-1.8 pts
3Calhoun County16.2-0.3 pts
4Mingo County16.1-0.3 pts
5Hickory County16+1.2 pts
6Pickett County15.2-1.3 pts
7Ozark County14.9-0.2 pts
8Webster County14.8-1.1 pts
9Tensas Parish14.6-0.9 pts
10Roane County14.4-0.1 pts
11Braxton County14.3+0.4 pts
11Lake County14.3+1.3 pts
11Wayne County14.3+1.3 pts
14Claiborne Parish14.2-0.2 pts
15San Augustine County14.1+0.6 pts
16Clay County14-1.1 pts
16Wyoming County14-2.2 pts
18Pocahontas County13.9-1.5 pts
18Summers County13.9-0.7 pts
20Clay County13.8-0.9 pts
20Crawford County13.8+2.2 pts
20Greene County13.8+0.8 pts
20Lincoln County13.8-2.3 pts
20Scott County13.8+0.7 pts
25Mellette County13.7+2.7 pts
25Randolph County13.7-1.6 pts
25Searcy County13.7-0.9 pts
28Decatur County13.6-1.1 pts
28Lafayette County13.6-0.6 pts
28Oglala Lakota County13.6+1.7 pts
31Bledsoe County13.5-0.3 pts
31Logan County13.5-2 pts
31Madison Parish13.5+0.2 pts
31Oscoda County13.5-0.1 pts
35Bienville Parish13.4+0.4 pts
35Cocke County13.4-0.7 pts
35Humphreys County13.4-0.2 pts
35Lake County13.4+0.2 pts
35Ritchie County13.4-3 pts
40East Carroll Parish13.3+0.3 pts
40Fentress County13.3-0.8 pts
40Johnson County13.3-0.2 pts
40Oregon County13.3+0.9 pts
40Pemiscot County13.3+1.3 pts
40Sharkey County13.3-0.9 pts
46Fulton County13.2-2.6 pts
46Stone County13.2-0.4 pts
46Todd County13.2+1.7 pts
49Desha County13.10 pts
49Grundy County13.1+0.2 pts
49Jackson County13.1-1.6 pts
49Quitman County13.1+0.3 pts
53Buchanan County13-1.2 pts
53Bullock County13+0.7 pts
53Hardin County13+1.5 pts
53Newton County13-0.5 pts
53Putnam County130 pts
58Bath County12.9+0.7 pts
58Meigs County12.9-0.9 pts
58Mineral County12.9+1.3 pts
58Montmorency County12.9+1.2 pts
58Perry County12.9+0.9 pts
63Perry County12.8+0.1 pts
63Prairie County12.8-1.7 pts
63Pushmataha County12.8-1 pts
63Ripley County12.8+0.7 pts
63Sequatchie County12.8-1.5 pts
63Wilcox County12.8-0.5 pts
69Benton County12.7+0.1 pts
69Carter County12.7+0.7 pts
69Clare County12.7+0.8 pts
69Cumberland County12.7-0.9 pts
69Iosco County12.7+0.6 pts
69Reynolds County12.70 pts
69Wirt County12.7-3.3 pts
76Conecuh County12.6+0.9 pts
76Dickenson County12.6+0.2 pts
76Hardy County12.6-0.5 pts
76Lee County12.6+0.5 pts
76Taylor County12.6-0.1 pts
76Van Buren County12.6-1.4 pts
76Webster Parish12.6+0.3 pts
76Wright County12.6+0.5 pts
84Corson County12.5+1.4 pts
84Esmeralda County12.5+1.6 pts
84Franklin Parish12.5+0.1 pts
84La Paz County12.5-2 pts
84Mason County12.50 pts
84Morgan County12.5+0.1 pts
84Pike County12.5-0.3 pts
84St. Clair County12.5+0.4 pts
92Baker County12.4-0.3 pts
92Benton County12.4-0.7 pts
92Boone County12.4-1.7 pts
92Campbell County12.4+0.1 pts
92Coal County12.4-0.3 pts
92Concordia Parish12.4+0.5 pts
92Greenbrier County12.4-0.7 pts
92Knox County12.4+0.1 pts
92McIntosh County12.4-0.5 pts
92Ontonagon County12.4-0.1 pts
92Phillips County12.4-0.4 pts
92Quitman County12.4+0.3 pts
92Washington County12.4+1 pts
105Dunklin County12.3+0.1 pts
105Jackson County12.3+1.7 pts
105Lowndes County12.3+0.3 pts
105McIntosh County12.3-0.6 pts
105Mississippi County12.3-0.9 pts
105Monroe County12.3-0.6 pts
105Morehouse Parish12.30 pts
105Overton County12.3+0.7 pts
105Red River Parish12.3+0.3 pts
105Sharp County12.3+0.5 pts
105Woodruff County12.3+0.1 pts
116Amite County12.2-1.4 pts
116Barton County12.2-0.7 pts
116Cedar County12.2-1.2 pts
116Dade County12.2-0.2 pts
116Dixie County12.2-1.2 pts
116Fayette County12.2-2.3 pts
116Izard County12.2+1.9 pts
116Pendleton County12.2-0.9 pts
116Sioux County12.2-1.8 pts
116Texas County12.2+1.2 pts
116Unicoi County12.2-0.8 pts
127Alexander County12.1+0.6 pts
127Blackford County12.1+0.2 pts
127DeSoto County12.1-1.1 pts
127Eureka County12.1+2.7 pts
127Grayson County12.1-1.1 pts
127Hamilton County12.1-0.8 pts
127Henry County12.1-1.7 pts
127Latimer County12.1-0.6 pts
127Marion County12.1-0.9 pts
127Mercer County12.1+0.7 pts
127Okfuskee County12.10 pts
127Raleigh County12.1-1.6 pts
139Avoyelles Parish12-0.5 pts
139Haywood County12-1.3 pts
139Howell County12-1 pts
139Montgomery County12-0.7 pts
139Ogemaw County12+0.6 pts
139Roscommon County12+0.2 pts
139Telfair County12+0.9 pts
139Wayne County12-1.1 pts
147Alcona County11.9-1.4 pts
147Apache County11.9-1.6 pts
147Ashley County11.9+0.6 pts
147Barbour County11.9-0.6 pts
147Gladwin County11.9+0.8 pts
147Hancock County11.9-0.5 pts
147Marion County11.9+1.1 pts
147McDonald County11.9-0.2 pts
147Meigs County11.9+1.1 pts
147New Madrid County11.9+0.1 pts
147Nicholas County11.9-2 pts
147Presque Isle County11.9+0.2 pts
147Schoolcraft County11.9-2.1 pts
147Sierra County11.9+0.8 pts
147Treutlen County11.9-0.3 pts
147Tyler County11.9-0.8 pts
147Union County11.9+0.1 pts
147Union Parish11.9+0.7 pts
147Washington County11.9+1 pts
147White County11.9-0.8 pts
167Adams County11.8-1.5 pts
167Butler County11.8+0.5 pts
167Butte County11.8+1.1 pts
167DeKalb County11.8-2 pts
167Dillon County11.8-1.9 pts
167Foard County11.8-0.7 pts
167Hawkins County11.8+0.6 pts
167Lawrence County11.8-0.3 pts
167Marion County11.8+0.6 pts
167McNairy County11.8-1 pts
167Mercer County11.8+0.5 pts
167Monroe County11.8-1.3 pts
167Nevada County11.8+0.3 pts
167Noble County11.8-1.6 pts
167Parke County11.8+1.5 pts
167Shelby County11.80 pts
167Van Buren County11.8-1.8 pts
167Wayne County11.8-0.8 pts
167Winston County11.8+0.2 pts
186Adair County11.7-0.4 pts
186Caldwell Parish11.7+0.3 pts
186Clark County11.7-1.5 pts
186Dallas County11.7-0.1 pts
186Douglas County11.7-0.4 pts
186Glades County11.7-1.8 pts
186Lee County11.7+0.1 pts
186Mackinac County11.7+0.6 pts
186Shannon County11.7-1.6 pts
186Wetzel County11.7-1.5 pts
186Worth County11.7+0.2 pts
197Alleghany County11.6-0.4 pts
197Barnwell County11.6+1.7 pts
197Brooks County11.6-0.7 pts
197Carter County11.6-1.6 pts
197Catahoula Parish11.6+0.8 pts
197Crawford County11.6-0.3 pts
197Grainger County11.6-3.8 pts
197Holmes County11.6-0.5 pts
197Jeff Davis County11.6+0.3 pts
197Jefferson County11.6-0.3 pts
197Jefferson Davis County11.6+0.3 pts
197Kusilvak Census Area11.6-0.3 pts
197Lewis County11.6-1.3 pts
197Monroe County11.6-1.2 pts
197Pulaski County11.6+1.4 pts
197Scott County11.6-1 pts
197Terrell County11.6-0.7 pts
214Baxter County11.5-0.8 pts
214Bennett County11.5+2.2 pts
214Charlotte County11.5-0.6 pts
214Chicot County11.5-0.8 pts
214Choctaw County11.5-0.4 pts
214Delaware County11.5-0.6 pts
214Doddridge County11.5-0.7 pts
214Halifax County11.5-0.1 pts
214Harrison County11.5+0.3 pts
214Iron County11.5-1 pts
214Iron County11.5-0.6 pts
214Jefferson County11.5+0.4 pts
214McKinley County11.5+0.1 pts
214Monroe County11.5-1.5 pts
214Sabine Parish11.5-0.1 pts
214Sequoyah County11.5-1.1 pts
214St. Helena Parish11.5+0.6 pts
214Taylor County11.5-0.9 pts
214Upshur County11.5-2.3 pts
214Warren County11.5+0.8 pts
234Alpena County11.4+0.7 pts
234Arenac County11.4-0.3 pts
234Calhoun County11.4-1.2 pts
234Escambia County11.4+0.5 pts
234Fayette County11.4-2 pts
234Kiowa County11.4-1.1 pts
234Marlboro County11.4+0.5 pts
234Monroe County11.4-0.2 pts
234Montgomery County11.4-2.2 pts
234Obion County11.4-0.1 pts
234Polk County11.4+0.1 pts
234Rhea County11.4-2.9 pts
234Robeson County11.4-0.1 pts
234Russell County11.4-1.7 pts
234Scioto County11.4-0.7 pts
234Seminole County11.4+0.2 pts
234Stoddard County11.4-0.3 pts

Showing the top 250 of 2956. The Excel download has every row.

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. 188 counties with data in other periods have no value for 2023 and are left out rather than filled from another source. 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 (US counties 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_us_counties_by_copd_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: US counties 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/us-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: US counties 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/us-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/us-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?

Hancock County, with 17.6% in 2023, according to the Centers for Disease Control and Prevention.

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

Arlington County, with 3.2% 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. 188 counties have no value for 2023 and are not ranked.

COPD in adults, local model estimate: other rankings

US counties: more rankings