Data / Rankings / Adult cigarette smoking rate, local model estimate / Counties in Alabama

Counties in Alabama by adult cigarette smoking rate, local model estimate, 2023

Bullock County had the highest adult cigarette smoking rate, local model estimate of 67 counties in 2023, at 24.7%. Shelby County had the lowest, at 10.5%. The median was 17.7%. Source: the Centers for Disease Control and Prevention.

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Highest24.7Bullock County
Lowest10.5Shelby County
Median17.767 counties

Map of counties, 2023

Autauga County: 14.5 %Baldwin County: 13 %Barbour County: 20.2 %Bibb County: 19.7 %Blount County: 16.6 %Bullock County: 24.7 %Butler County: 18.3 %Calhoun County: 16.3 %Chambers County: 17.7 %Cherokee County: 17.5 %Chilton County: 16.9 %Choctaw County: 18.2 %Clarke County: 17.7 %Clay County: 18.2 %Cleburne County: 17.8 %Coffee County: 16.6 %Colbert County: 16.2 %Conecuh County: 20.5 %Coosa County: 17.8 %Covington County: 17.6 %Crenshaw County: 18.1 %Cullman County: 16.6 %Dale County: 17.5 %Dallas County: 19.5 %DeKalb County: 19.6 %Elmore County: 15.1 %Escambia County: 21.2 %Etowah County: 17.8 %Fayette County: 18.7 %Franklin County: 19.2 %Geneva County: 19.4 %Greene County: 22.3 %Hale County: 18.9 %Henry County: 16.6 %Houston County: 16 %Jackson County: 19 %Jefferson County: 13.7 %Lamar County: 18.8 %Lauderdale County: 14.2 %Lawrence County: 18.5 %Lee County: 12.9 %Limestone County: 14.2 %Lowndes County: 21.6 %Macon County: 15.6 %Madison County: 11.8 %Marengo County: 17.5 %Marion County: 18.5 %Marshall County: 16.6 %Mobile County: 15.4 %Monroe County: 19.7 %Montgomery County: 14.4 %Morgan County: 16.1 %Perry County: 21.9 %Pickens County: 18.7 %Pike County: 14.9 %Randolph County: 16.9 %Russell County: 18.1 %St. Clair County: 15.2 %Shelby County: 10.5 %Sumter County: 16.3 %Talladega County: 17.7 %Tallapoosa County: 16.3 %Tuscaloosa County: 13.6 %Walker County: 18.4 %Washington County: 17.3 %Wilcox County: 21.6 %Winston County: 19.6 %
  • Under 15
  • 15 to 17
  • 17 to 18
  • 18 to 20
  • 20 and over
%, 2023. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Bullock County: 24.7 %Bullock County24.7Greene County: 22.3 %Greene County22.3Perry County: 21.9 %Perry County21.9Lowndes County: 21.6 %Lowndes County21.6Wilcox County: 21.6 %Wilcox County21.6Escambia County: 21.2 %Escambia County21.2Conecuh County: 20.5 %Conecuh County20.5Barbour County: 20.2 %Barbour County20.2Bibb County: 19.7 %Bibb County19.7Monroe County: 19.7 %Monroe County19.7DeKalb County: 19.6 %DeKalb County19.6Winston County: 19.6 %Winston County19.6Dallas County: 19.5 %Dallas County19.5Geneva County: 19.4 %Geneva County19.4Franklin County: 19.2 %Franklin County19.2Jackson County: 19 %Jackson County19Hale County: 18.9 %Hale County18.9Lamar County: 18.8 %Lamar County18.8Fayette County: 18.7 %Fayette County18.7Pickens County: 18.7 %Pickens County18.7Lawrence County: 18.5 %Lawrence County18.5Marion County: 18.5 %Marion County18.5Walker County: 18.4 %Walker County18.4Butler County: 18.3 %Butler County18.3Choctaw County: 18.2 %Choctaw County18.2Clay County: 18.2 %Clay County18.2Crenshaw County: 18.1 %Crenshaw County18.1Russell County: 18.1 %Russell County18.1Cleburne County: 17.8 %Cleburne County17.8Coosa County: 17.8 %Coosa County17.8Etowah County: 17.8 %Etowah County17.8Chambers County: 17.7 %Chambers County17.7Clarke County: 17.7 %Clarke County17.7Talladega County: 17.7 %Talladega County17.7Covington County: 17.6 %Covington County17.6Cherokee County: 17.5 %Cherokee County17.5Dale County: 17.5 %Dale County17.5Marengo County: 17.5 %Marengo County17.5Washington County: 17.3 %Washington County17.3Chilton County: 16.9 %Chilton County16.9Bullock County: 24.7 %Bullock County24.7Greene County: 22.3 %Greene County22.3Perry County: 21.9 %Perry County21.9Lowndes County: 21.6 %Lowndes County21.6Wilcox County: 21.6 %Wilcox County21.6Escambia County: 21.2 %Escambia County21.2Conecuh County: 20.5 %Conecuh County20.5Barbour County: 20.2 %Barbour County20.2Bibb County: 19.7 %Bibb County19.7Monroe County: 19.7 %Monroe County19.7DeKalb County: 19.6 %DeKalb County19.6Winston County: 19.6 %Winston County19.6Dallas County: 19.5 %Dallas County19.5Geneva County: 19.4 %Geneva County19.4Franklin County: 19.2 %Franklin County19.2Jackson County: 19 %Jackson County19Hale County: 18.9 %Hale County18.9Lamar County: 18.8 %Lamar County18.8Fayette County: 18.7 %Fayette County18.7Pickens County: 18.7 %Pickens County18.7Lawrence County: 18.5 %Lawrence County18.5Marion County: 18.5 %Marion County18.5Walker County: 18.4 %Walker County18.4Butler County: 18.3 %Butler County18.3Choctaw County: 18.2 %Choctaw County18.2Clay County: 18.2 %Clay County18.2Crenshaw County: 18.1 %Crenshaw County18.1Russell County: 18.1 %Russell County18.1Cleburne County: 17.8 %Cleburne County17.8Coosa County: 17.8 %Coosa County17.8Etowah County: 17.8 %Etowah County17.8Chambers County: 17.7 %Chambers County17.7Clarke County: 17.7 %Clarke County17.7Talladega County: 17.7 %Talladega County17.7Covington County: 17.6 %Covington County17.6Cherokee County: 17.5 %Cherokee County17.5Dale County: 17.5 %Dale County17.5Marengo County: 17.5 %Marengo County17.5Washington County: 17.3 %Washington County17.3Chilton County: 16.9 %Chilton County16.9
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Bullock County24.7+0.1 pts
2Greene County22.3+0.3 pts
3Perry County21.9+0.8 pts
4Lowndes County21.60 pts
4Wilcox County21.6-2 pts
6Escambia County21.2+0.1 pts
7Conecuh County20.5+1.7 pts
8Barbour County20.2-0.7 pts
9Bibb County19.7-1.4 pts
9Monroe County19.7+0.2 pts
11DeKalb County19.6-2.9 pts
11Winston County19.6+2 pts
13Dallas County19.5+0.6 pts
14Geneva County19.4+1.8 pts
15Franklin County19.2-0.7 pts
16Jackson County19-1.2 pts
17Hale County18.9+0.6 pts
18Lamar County18.8+0.6 pts
19Fayette County18.7-2 pts
19Pickens County18.7-0.7 pts
21Lawrence County18.5-1.6 pts
21Marion County18.5-0.6 pts
23Walker County18.4-2.8 pts
24Butler County18.3-1.2 pts
25Choctaw County18.2-2 pts
25Clay County18.2-2.4 pts
27Crenshaw County18.1-0.9 pts
27Russell County18.1-2.2 pts
29Cleburne County17.8-3.1 pts
29Coosa County17.8-1.1 pts
29Etowah County17.8-0.6 pts
32Chambers County17.7-2.9 pts
32Clarke County17.7-2.2 pts
32Talladega County17.7-0.5 pts
35Covington County17.6+0.7 pts
36Cherokee County17.5+1.2 pts
36Dale County17.5-0.6 pts
36Marengo County17.5-2.4 pts
39Washington County17.3-3 pts
40Chilton County16.9+1.1 pts
40Randolph County16.9-2 pts
42Blount County16.6-2.5 pts
42Coffee County16.6+2.2 pts
42Cullman County16.6-1.8 pts
42Henry County16.6-4.2 pts
42Marshall County16.6+0.4 pts
47Calhoun County16.3-0.7 pts
47Sumter County16.3-1.6 pts
47Tallapoosa County16.3-1 pts
50Colbert County16.2-1.4 pts
51Morgan County16.1-1.2 pts
52Houston County16-1.8 pts
53Macon County15.6-2 pts
54Mobile County15.4-3.4 pts
55St. Clair County15.2-0.1 pts
56Elmore County15.1-0.5 pts
57Pike County14.9+0.6 pts
58Autauga County14.5-1 pts
59Montgomery County14.4-3 pts
60Lauderdale County14.2-0.5 pts
60Limestone County14.2-1.4 pts
62Jefferson County13.7-0.9 pts
63Tuscaloosa County13.6-2.6 pts
64Baldwin County13-1 pts
65Lee County12.9-2.3 pts
66Madison County11.8-1.4 pts
67Shelby County10.5-0.2 pts

Other periods

About this ranking

Percentage of adults who have smoked at least 100 cigarettes in their lifetime and now smoke every day or on some days. 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. State and national values come from direct BRFSS estimates under adult_smoking_rate.

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), adult cigarette smoking rate, 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), adult cigarette smoking rate, crude prevalence (Counties in Alabama by adult cigarette smoking rate, 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), adult cigarette smoking rate, crude prevalence, Counties in Alabama by adult cigarette smoking rate, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/alabama-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), adult cigarette smoking rate, crude prevalence. Counties in Alabama by adult cigarette smoking rate, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/alabama-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), adult cigarette smoking rate, crude prevalence, Counties in Alabama by adult cigarette smoking rate, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/alabama-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_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), adult cigarette smoking rate, crude prevalence: Counties in Alabama by adult cigarette smoking rate, 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-smoking-rate-county-estimate/alabama-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), adult cigarette smoking rate, 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), adult cigarette smoking rate, crude prevalence: Counties in Alabama by adult cigarette smoking rate, 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-smoking-rate-county-estimate/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/alabama-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), adult cigarette smoking rate, 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 Alabama by adult cigarette smoking rate, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_smoking_rate_modelled","level":"province","within":"Alabama","limit":10}
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Questions

Which county has the highest adult cigarette smoking rate, local model estimate?

Bullock County, with 24.7% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest adult cigarette smoking rate, local model estimate?

Shelby County, with 10.5% 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), adult cigarette smoking rate, crude prevalence. Retrieved 2026-10-12.

Adult cigarette smoking rate, local model estimate: other rankings

Counties in Alabama: more rankings