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

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

Bullock County had the highest adult cigarette smoking rate, local model estimate of 67 counties in 2021, at 25.5%. Shelby County had the lowest, at 12.5%. The median was 20.1%. Source: the Centers for Disease Control and Prevention.

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Highest25.5Bullock County
Lowest12.5Shelby County
Median20.167 counties

Map of counties, 2021

Autauga County: 16.8 %Baldwin County: 14.5 %Barbour County: 24.2 %Bibb County: 21.9 %Blount County: 19 %Bullock County: 25.5 %Butler County: 20.1 %Calhoun County: 20 %Chambers County: 19.5 %Cherokee County: 20.9 %Chilton County: 21.3 %Choctaw County: 20.9 %Clarke County: 20.4 %Clay County: 20.2 %Cleburne County: 20 %Coffee County: 18.1 %Colbert County: 18.5 %Conecuh County: 21 %Coosa County: 18.9 %Covington County: 20.7 %Crenshaw County: 20.1 %Cullman County: 18.4 %Dale County: 19.7 %Dallas County: 21.1 %DeKalb County: 21.7 %Elmore County: 16.6 %Escambia County: 23.7 %Etowah County: 18.7 %Fayette County: 21.6 %Franklin County: 21.4 %Geneva County: 21.3 %Greene County: 24.8 %Hale County: 21.8 %Henry County: 18.6 %Houston County: 19 %Jackson County: 20.8 %Jefferson County: 16 %Lamar County: 20.5 %Lauderdale County: 17.1 %Lawrence County: 21.2 %Lee County: 14.8 %Limestone County: 16.8 %Lowndes County: 22.4 %Macon County: 17.6 %Madison County: 13.6 %Marengo County: 19.9 %Marion County: 21 %Marshall County: 19.2 %Mobile County: 18.3 %Monroe County: 22 %Montgomery County: 17.1 %Morgan County: 18.4 %Perry County: 23.8 %Pickens County: 21.3 %Pike County: 17.1 %Randolph County: 19.2 %Russell County: 20.1 %St. Clair County: 18.1 %Shelby County: 12.5 %Sumter County: 20.1 %Talladega County: 20.6 %Tallapoosa County: 19.4 %Tuscaloosa County: 16.2 %Walker County: 20.6 %Washington County: 21.8 %Wilcox County: 23.9 %Winston County: 21.5 %
  • Under 17
  • 17 to 19
  • 19 to 20
  • 20 to 21
  • 21 to 22
  • 22 and over
%, 2021. 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, 2021

Bullock County: 25.5 %Bullock County25.5Greene County: 24.8 %Greene County24.8Barbour County: 24.2 %Barbour County24.2Wilcox County: 23.9 %Wilcox County23.9Perry County: 23.8 %Perry County23.8Escambia County: 23.7 %Escambia County23.7Lowndes County: 22.4 %Lowndes County22.4Monroe County: 22 %Monroe County22Bibb County: 21.9 %Bibb County21.9Hale County: 21.8 %Hale County21.8Washington County: 21.8 %Washington County21.8DeKalb County: 21.7 %DeKalb County21.7Fayette County: 21.6 %Fayette County21.6Winston County: 21.5 %Winston County21.5Franklin County: 21.4 %Franklin County21.4Chilton County: 21.3 %Chilton County21.3Geneva County: 21.3 %Geneva County21.3Pickens County: 21.3 %Pickens County21.3Lawrence County: 21.2 %Lawrence County21.2Dallas County: 21.1 %Dallas County21.1Conecuh County: 21 %Conecuh County21Marion County: 21 %Marion County21Cherokee County: 20.9 %Cherokee County20.9Choctaw County: 20.9 %Choctaw County20.9Jackson County: 20.8 %Jackson County20.8Covington County: 20.7 %Covington County20.7Talladega County: 20.6 %Talladega County20.6Walker County: 20.6 %Walker County20.6Lamar County: 20.5 %Lamar County20.5Clarke County: 20.4 %Clarke County20.4Clay County: 20.2 %Clay County20.2Butler County: 20.1 %Butler County20.1Crenshaw County: 20.1 %Crenshaw County20.1Russell County: 20.1 %Russell County20.1Sumter County: 20.1 %Sumter County20.1Calhoun County: 20 %Calhoun County20Cleburne County: 20 %Cleburne County20Marengo County: 19.9 %Marengo County19.9Dale County: 19.7 %Dale County19.7Chambers County: 19.5 %Chambers County19.5Bullock County: 25.5 %Bullock County25.5Greene County: 24.8 %Greene County24.8Barbour County: 24.2 %Barbour County24.2Wilcox County: 23.9 %Wilcox County23.9Perry County: 23.8 %Perry County23.8Escambia County: 23.7 %Escambia County23.7Lowndes County: 22.4 %Lowndes County22.4Monroe County: 22 %Monroe County22Bibb County: 21.9 %Bibb County21.9Hale County: 21.8 %Hale County21.8Washington County: 21.8 %Washington County21.8DeKalb County: 21.7 %DeKalb County21.7Fayette County: 21.6 %Fayette County21.6Winston County: 21.5 %Winston County21.5Franklin County: 21.4 %Franklin County21.4Chilton County: 21.3 %Chilton County21.3Geneva County: 21.3 %Geneva County21.3Pickens County: 21.3 %Pickens County21.3Lawrence County: 21.2 %Lawrence County21.2Dallas County: 21.1 %Dallas County21.1Conecuh County: 21 %Conecuh County21Marion County: 21 %Marion County21Cherokee County: 20.9 %Cherokee County20.9Choctaw County: 20.9 %Choctaw County20.9Jackson County: 20.8 %Jackson County20.8Covington County: 20.7 %Covington County20.7Talladega County: 20.6 %Talladega County20.6Walker County: 20.6 %Walker County20.6Lamar County: 20.5 %Lamar County20.5Clarke County: 20.4 %Clarke County20.4Clay County: 20.2 %Clay County20.2Butler County: 20.1 %Butler County20.1Crenshaw County: 20.1 %Crenshaw County20.1Russell County: 20.1 %Russell County20.1Sumter County: 20.1 %Sumter County20.1Calhoun County: 20 %Calhoun County20Cleburne County: 20 %Cleburne County20Marengo County: 19.9 %Marengo County19.9Dale County: 19.7 %Dale County19.7Chambers County: 19.5 %Chambers County19.5
%. 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

RankCounties2021 (%)
1Bullock County25.5
2Greene County24.8
3Barbour County24.2
4Wilcox County23.9
5Perry County23.8
6Escambia County23.7
7Lowndes County22.4
8Monroe County22
9Bibb County21.9
10Hale County21.8
10Washington County21.8
12DeKalb County21.7
13Fayette County21.6
14Winston County21.5
15Franklin County21.4
16Chilton County21.3
16Geneva County21.3
16Pickens County21.3
19Lawrence County21.2
20Dallas County21.1
21Conecuh County21
21Marion County21
23Cherokee County20.9
23Choctaw County20.9
25Jackson County20.8
26Covington County20.7
27Talladega County20.6
27Walker County20.6
29Lamar County20.5
30Clarke County20.4
31Clay County20.2
32Butler County20.1
32Crenshaw County20.1
32Russell County20.1
32Sumter County20.1
36Calhoun County20
36Cleburne County20
38Marengo County19.9
39Dale County19.7
40Chambers County19.5
41Tallapoosa County19.4
42Marshall County19.2
42Randolph County19.2
44Blount County19
44Houston County19
46Coosa County18.9
47Etowah County18.7
48Henry County18.6
49Colbert County18.5
50Cullman County18.4
50Morgan County18.4
52Mobile County18.3
53Coffee County18.1
53St. Clair County18.1
55Macon County17.6
56Lauderdale County17.1
56Montgomery County17.1
56Pike County17.1
59Autauga County16.8
59Limestone County16.8
61Elmore County16.6
62Tuscaloosa County16.2
63Jefferson County16
64Lee County14.8
65Baldwin County14.5
66Madison County13.6
67Shelby County12.5

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, 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), adult cigarette smoking rate, crude prevalence, Counties in Alabama by adult cigarette smoking rate, local model estimate, 2021. 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?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), adult cigarette smoking rate, crude prevalence. Counties in Alabama by adult cigarette smoking rate, local model estimate, 2021. 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?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), adult cigarette smoking rate, crude prevalence, Counties in Alabama by adult cigarette smoking rate, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/alabama-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_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), adult cigarette smoking rate, crude prevalence: Counties in Alabama by adult cigarette smoking rate, 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-smoking-rate-county-estimate/alabama-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), 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, 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-smoking-rate-county-estimate/alabama-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/alabama-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), 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}
GET https://invokely.ai/api/v1/rank?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 25.5% in 2021, according to the Centers for Disease Control and Prevention.

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

Shelby County, with 12.5% 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), adult cigarette smoking rate, crude prevalence. Retrieved 2026-10-12.

Adult cigarette smoking rate, local model estimate: other rankings

Counties in Alabama: more rankings