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

All 67 values come from Centers for Disease Control and Prevention for 2023, so the places are comparable.

- Indicator id: `adult_smoking_rate_modelled`
- Unit: %
- Definition: 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.
- Source: 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 (https://www.cdc.gov/places/)
- Publisher page: https://invokely.ai/en/publishers/cdc
- Retrieved: 2026-10-12
- Citation: 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.
- Web page: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/alabama-counties

| Rank | Place | % |
|---:|---|---:|
| 1 | Bullock County | 24.7 |
| 2 | Greene County | 22.3 |
| 3 | Perry County | 21.9 |
| 4 | Lowndes County | 21.6 |
| 4 | Wilcox County | 21.6 |
| 6 | Escambia County | 21.2 |
| 7 | Conecuh County | 20.5 |
| 8 | Barbour County | 20.2 |
| 9 | Bibb County | 19.7 |
| 9 | Monroe County | 19.7 |
| 11 | DeKalb County | 19.6 |
| 11 | Winston County | 19.6 |
| 13 | Dallas County | 19.5 |
| 14 | Geneva County | 19.4 |
| 15 | Franklin County | 19.2 |
| 16 | Jackson County | 19 |
| 17 | Hale County | 18.9 |
| 18 | Lamar County | 18.8 |
| 19 | Fayette County | 18.7 |
| 19 | Pickens County | 18.7 |
| 21 | Lawrence County | 18.5 |
| 21 | Marion County | 18.5 |
| 23 | Walker County | 18.4 |
| 24 | Butler County | 18.3 |
| 25 | Choctaw County | 18.2 |
| 25 | Clay County | 18.2 |
| 27 | Crenshaw County | 18.1 |
| 27 | Russell County | 18.1 |
| 29 | Cleburne County | 17.8 |
| 29 | Coosa County | 17.8 |
| 29 | Etowah County | 17.8 |
| 32 | Chambers County | 17.7 |
| 32 | Clarke County | 17.7 |
| 32 | Talladega County | 17.7 |
| 35 | Covington County | 17.6 |
| 36 | Cherokee County | 17.5 |
| 36 | Dale County | 17.5 |
| 36 | Marengo County | 17.5 |
| 39 | Washington County | 17.3 |
| 40 | Chilton County | 16.9 |
| 40 | Randolph County | 16.9 |
| 42 | Blount County | 16.6 |
| 42 | Coffee County | 16.6 |
| 42 | Cullman County | 16.6 |
| 42 | Henry County | 16.6 |
| 42 | Marshall County | 16.6 |
| 47 | Calhoun County | 16.3 |
| 47 | Sumter County | 16.3 |
| 47 | Tallapoosa County | 16.3 |
| 50 | Colbert County | 16.2 |
| 51 | Morgan County | 16.1 |
| 52 | Houston County | 16 |
| 53 | Macon County | 15.6 |
| 54 | Mobile County | 15.4 |
| 55 | St. Clair County | 15.2 |
| 56 | Elmore County | 15.1 |
| 57 | Pike County | 14.9 |
| 58 | Autauga County | 14.5 |
| 59 | Montgomery County | 14.4 |
| 60 | Lauderdale County | 14.2 |
| 60 | Limestone County | 14.2 |
| 62 | Jefferson County | 13.7 |
| 63 | Tuscaloosa County | 13.6 |
| 64 | Baldwin County | 13 |
| 65 | Lee County | 12.9 |
| 66 | Madison County | 11.8 |
| 67 | Shelby County | 10.5 |