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 2022, at 24.6%. Shelby County had the lowest, at 10.7%. The median was 18.8%. Source: the Centers for Disease Control and Prevention.

Keep it in a collection in your library.
Highest24.6Bullock County
Lowest10.7Shelby County
Median18.867 counties

Map of counties, 2022

Autauga County: 15.5 %Baldwin County: 14 %Barbour County: 20.9 %Bibb County: 21.1 %Blount County: 19.1 %Bullock County: 24.6 %Butler County: 19.5 %Calhoun County: 17 %Chambers County: 20.6 %Cherokee County: 16.3 %Chilton County: 15.8 %Choctaw County: 20.2 %Clarke County: 19.9 %Clay County: 20.6 %Cleburne County: 20.9 %Coffee County: 14.4 %Colbert County: 17.6 %Conecuh County: 18.8 %Coosa County: 18.9 %Covington County: 16.9 %Crenshaw County: 19 %Cullman County: 18.4 %Dale County: 18.1 %Dallas County: 18.9 %DeKalb County: 22.5 %Elmore County: 15.6 %Escambia County: 21.1 %Etowah County: 18.4 %Fayette County: 20.7 %Franklin County: 19.9 %Geneva County: 17.6 %Greene County: 22 %Hale County: 18.3 %Henry County: 20.8 %Houston County: 17.8 %Jackson County: 20.2 %Jefferson County: 14.6 %Lamar County: 18.2 %Lauderdale County: 14.7 %Lawrence County: 20.1 %Lee County: 15.2 %Limestone County: 15.6 %Lowndes County: 21.6 %Macon County: 17.6 %Madison County: 13.2 %Marengo County: 19.9 %Marion County: 19.1 %Marshall County: 16.2 %Mobile County: 18.8 %Monroe County: 19.5 %Montgomery County: 17.4 %Morgan County: 17.3 %Perry County: 21.1 %Pickens County: 19.4 %Pike County: 14.3 %Randolph County: 18.9 %Russell County: 20.3 %St. Clair County: 15.3 %Shelby County: 10.7 %Sumter County: 17.9 %Talladega County: 18.2 %Tallapoosa County: 17.3 %Tuscaloosa County: 16.2 %Walker County: 21.2 %Washington County: 20.3 %Wilcox County: 23.6 %Winston County: 17.6 %
  • Under 16
  • 16 to 18
  • 18 to 19
  • 19 to 20
  • 20 to 21
  • 21 and over
%, 2022. 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, 2022

Bullock County: 24.6 %Bullock County24.6Wilcox County: 23.6 %Wilcox County23.6DeKalb County: 22.5 %DeKalb County22.5Greene County: 22 %Greene County22Lowndes County: 21.6 %Lowndes County21.6Walker County: 21.2 %Walker County21.2Bibb County: 21.1 %Bibb County21.1Escambia County: 21.1 %Escambia County21.1Perry County: 21.1 %Perry County21.1Barbour County: 20.9 %Barbour County20.9Cleburne County: 20.9 %Cleburne County20.9Henry County: 20.8 %Henry County20.8Fayette County: 20.7 %Fayette County20.7Chambers County: 20.6 %Chambers County20.6Clay County: 20.6 %Clay County20.6Russell County: 20.3 %Russell County20.3Washington County: 20.3 %Washington County20.3Choctaw County: 20.2 %Choctaw County20.2Jackson County: 20.2 %Jackson County20.2Lawrence County: 20.1 %Lawrence County20.1Clarke County: 19.9 %Clarke County19.9Franklin County: 19.9 %Franklin County19.9Marengo County: 19.9 %Marengo County19.9Butler County: 19.5 %Butler County19.5Monroe County: 19.5 %Monroe County19.5Pickens County: 19.4 %Pickens County19.4Blount County: 19.1 %Blount County19.1Marion County: 19.1 %Marion County19.1Crenshaw County: 19 %Crenshaw County19Coosa County: 18.9 %Coosa County18.9Dallas County: 18.9 %Dallas County18.9Randolph County: 18.9 %Randolph County18.9Conecuh County: 18.8 %Conecuh County18.8Mobile County: 18.8 %Mobile County18.8Cullman County: 18.4 %Cullman County18.4Etowah County: 18.4 %Etowah County18.4Hale County: 18.3 %Hale County18.3Lamar County: 18.2 %Lamar County18.2Talladega County: 18.2 %Talladega County18.2Dale County: 18.1 %Dale County18.1Bullock County: 24.6 %Bullock County24.6Wilcox County: 23.6 %Wilcox County23.6DeKalb County: 22.5 %DeKalb County22.5Greene County: 22 %Greene County22Lowndes County: 21.6 %Lowndes County21.6Walker County: 21.2 %Walker County21.2Bibb County: 21.1 %Bibb County21.1Escambia County: 21.1 %Escambia County21.1Perry County: 21.1 %Perry County21.1Barbour County: 20.9 %Barbour County20.9Cleburne County: 20.9 %Cleburne County20.9Henry County: 20.8 %Henry County20.8Fayette County: 20.7 %Fayette County20.7Chambers County: 20.6 %Chambers County20.6Clay County: 20.6 %Clay County20.6Russell County: 20.3 %Russell County20.3Washington County: 20.3 %Washington County20.3Choctaw County: 20.2 %Choctaw County20.2Jackson County: 20.2 %Jackson County20.2Lawrence County: 20.1 %Lawrence County20.1Clarke County: 19.9 %Clarke County19.9Franklin County: 19.9 %Franklin County19.9Marengo County: 19.9 %Marengo County19.9Butler County: 19.5 %Butler County19.5Monroe County: 19.5 %Monroe County19.5Pickens County: 19.4 %Pickens County19.4Blount County: 19.1 %Blount County19.1Marion County: 19.1 %Marion County19.1Crenshaw County: 19 %Crenshaw County19Coosa County: 18.9 %Coosa County18.9Dallas County: 18.9 %Dallas County18.9Randolph County: 18.9 %Randolph County18.9Conecuh County: 18.8 %Conecuh County18.8Mobile County: 18.8 %Mobile County18.8Cullman County: 18.4 %Cullman County18.4Etowah County: 18.4 %Etowah County18.4Hale County: 18.3 %Hale County18.3Lamar County: 18.2 %Lamar County18.2Talladega County: 18.2 %Talladega County18.2Dale County: 18.1 %Dale County18.1
%. 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

RankCounties2022 (%)Change on 2021
1Bullock County24.6-0.9 pts
2Wilcox County23.6-0.3 pts
3DeKalb County22.5+0.8 pts
4Greene County22-2.8 pts
5Lowndes County21.6-0.8 pts
6Walker County21.2+0.6 pts
7Bibb County21.1-0.8 pts
7Escambia County21.1-2.6 pts
7Perry County21.1-2.7 pts
10Barbour County20.9-3.3 pts
10Cleburne County20.9+0.9 pts
12Henry County20.8+2.2 pts
13Fayette County20.7-0.9 pts
14Chambers County20.6+1.1 pts
14Clay County20.6+0.4 pts
16Russell County20.3+0.2 pts
16Washington County20.3-1.5 pts
18Choctaw County20.2-0.7 pts
18Jackson County20.2-0.6 pts
20Lawrence County20.1-1.1 pts
21Clarke County19.9-0.5 pts
21Franklin County19.9-1.5 pts
21Marengo County19.90 pts
24Butler County19.5-0.6 pts
24Monroe County19.5-2.5 pts
26Pickens County19.4-1.9 pts
27Blount County19.1+0.1 pts
27Marion County19.1-1.9 pts
29Crenshaw County19-1.1 pts
30Coosa County18.90 pts
30Dallas County18.9-2.2 pts
30Randolph County18.9-0.3 pts
33Conecuh County18.8-2.2 pts
33Mobile County18.8+0.5 pts
35Cullman County18.40 pts
35Etowah County18.4-0.3 pts
37Hale County18.3-3.5 pts
38Lamar County18.2-2.3 pts
38Talladega County18.2-2.4 pts
40Dale County18.1-1.6 pts
41Sumter County17.9-2.2 pts
42Houston County17.8-1.2 pts
43Colbert County17.6-0.9 pts
43Geneva County17.6-3.7 pts
43Macon County17.60 pts
43Winston County17.6-3.9 pts
47Montgomery County17.4+0.3 pts
48Morgan County17.3-1.1 pts
48Tallapoosa County17.3-2.1 pts
50Calhoun County17-3 pts
51Covington County16.9-3.8 pts
52Cherokee County16.3-4.6 pts
53Marshall County16.2-3 pts
53Tuscaloosa County16.20 pts
55Chilton County15.8-5.5 pts
56Elmore County15.6-1 pts
56Limestone County15.6-1.2 pts
58Autauga County15.5-1.3 pts
59St. Clair County15.3-2.8 pts
60Lee County15.2+0.4 pts
61Lauderdale County14.7-2.4 pts
62Jefferson County14.6-1.4 pts
63Coffee County14.4-3.7 pts
64Pike County14.3-2.8 pts
65Baldwin County14-0.5 pts
66Madison County13.2-0.4 pts
67Shelby County10.7-1.8 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, 2022) [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, 2022. 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=2022. 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, 2022. 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=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/alabama-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2022,
  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, 2022}},
  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=2022. 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, 2022
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=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/alabama-counties?period=2022.
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  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

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

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Bullock County, with 24.6% in 2022, according to the Centers for Disease Control and Prevention.

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

Shelby County, with 10.7% in 2022.

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