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

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

Kusilvak Census Area had the highest adult cigarette smoking rate, local model estimate of 30 counties in 2023, at 36.6%. Sitka City and Borough had the lowest, at 13.8%. The median was 17%. Source: the Centers for Disease Control and Prevention.

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Highest36.6Kusilvak Census Area
Lowest13.8Sitka City and Borough
Median1730 counties

Map of counties, 2023

Aleutians East Borough: 17 %Aleutians West Census Area: 16.2 %Anchorage Municipality: 14 %Bethel Census Area: 31 %Bristol Bay Borough: 16.5 %Chugach Census Area: 14.8 %Copper River Census Area: 17.8 %Denali Borough: 16.3 %Dillingham Census Area: 25.7 %Fairbanks North Star Borough: 13.8 %Haines Borough: 13.8 %Hoonah-Angoon Census Area: 19.5 %Juneau City and Borough: 13.9 %Kenai Peninsula Borough: 16.1 %Ketchikan Gateway Borough: 15.9 %Kodiak Island Borough: 15 %Kusilvak Census Area: 36.6 %Lake and Peninsula Borough: 24.7 %Matanuska-Susitna Borough: 17.3 %Nome Census Area: 28.7 %North Slope Borough: 20.8 %Northwest Arctic Borough: 28.3 %Petersburg Borough: 14.9 %Prince of Wales-Hyder Census Area: 22 %Sitka City and Borough: 13.8 %Skagway Municipality: 15.4 %Southeast Fairbanks Census Area: 18.3 %Wrangell City and Borough: 17 %Yakutat City and Borough: 20.5 %Yukon-Koyukuk Census Area: 27.4 %
  • Under 15
  • 15 to 16
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  • 17 to 20
  • 20 to 26
  • 26 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.

All counties, 2023

Kusilvak Census Area: 36.6 %Kusilvak Census Area36.6Bethel Census Area: 31 %Bethel Census Area31Nome Census Area: 28.7 %Nome Census Area28.7Northwest Arctic Borough: 28.3 %Northwest Arctic Borough28.3Yukon-Koyukuk Census Area: 27.4 %Yukon-Koyukuk Census Area27.4Dillingham Census Area: 25.7 %Dillingham Census Area25.7Lake and Peninsula Borough: 24.7 %Lake and Peninsula Borough24.7Prince of Wales-Hyder Census Area: 22 %Prince of Wales-Hyder Census Area22North Slope Borough: 20.8 %North Slope Borough20.8Yakutat City and Borough: 20.5 %Yakutat City and Borough20.5Hoonah-Angoon Census Area: 19.5 %Hoonah-Angoon Census Area19.5Southeast Fairbanks Census Area: 18.3 %Southeast Fairbanks Census Area18.3Copper River Census Area: 17.8 %Copper River Census Area17.8Matanuska-Susitna Borough: 17.3 %Matanuska-Susitna Borough17.3Aleutians East Borough: 17 %Aleutians East Borough17Wrangell City and Borough: 17 %Wrangell City and Borough17Bristol Bay Borough: 16.5 %Bristol Bay Borough16.5Denali Borough: 16.3 %Denali Borough16.3Aleutians West Census Area: 16.2 %Aleutians West Census Area16.2Kenai Peninsula Borough: 16.1 %Kenai Peninsula Borough16.1Ketchikan Gateway Borough: 15.9 %Ketchikan Gateway Borough15.9Skagway Municipality: 15.4 %Skagway Municipality15.4Kodiak Island Borough: 15 %Kodiak Island Borough15Petersburg Borough: 14.9 %Petersburg Borough14.9Chugach Census Area: 14.8 %Chugach Census Area14.8Anchorage Municipality: 14 %Anchorage Municipality14Juneau City and Borough: 13.9 %Juneau City and Borough13.9Fairbanks North Star Borough: 13.8 %Fairbanks North Star Borough13.8Haines Borough: 13.8 %Haines Borough13.8Sitka City and Borough: 13.8 %Sitka City and Borough13.8Kusilvak Census Area: 36.6 %Kusilvak Census Area36.6Bethel Census Area: 31 %Bethel Census Area31Nome Census Area: 28.7 %Nome Census Area28.7Northwest Arctic Borough: 28.3 %Northwest Arctic Borough28.3Yukon-Koyukuk Census Area: 27.4 %Yukon-Koyukuk Census Area27.4Dillingham Census Area: 25.7 %Dillingham Census Area25.7Lake and Peninsula Borough: 24.7 %Lake and Peninsula Borough24.7Prince of Wales-Hyder Census Area: 22 %Prince of Wales-Hyder Census Area22North Slope Borough: 20.8 %North Slope Borough20.8Yakutat City and Borough: 20.5 %Yakutat City and Borough20.5Hoonah-Angoon Census Area: 19.5 %Hoonah-Angoon Census Area19.5Southeast Fairbanks Census Area: 18.3 %Southeast Fairbanks Census Area18.3Copper River Census Area: 17.8 %Copper River Census Area17.8Matanuska-Susitna Borough: 17.3 %Matanuska-Susitna Borough17.3Aleutians East Borough: 17 %Aleutians East Borough17Wrangell City and Borough: 17 %Wrangell City and Borough17Bristol Bay Borough: 16.5 %Bristol Bay Borough16.5Denali Borough: 16.3 %Denali Borough16.3Aleutians West Census Area: 16.2 %Aleutians West Census Area16.2Kenai Peninsula Borough: 16.1 %Kenai Peninsula Borough16.1Ketchikan Gateway Borough: 15.9 %Ketchikan Gateway Borough15.9Skagway Municipality: 15.4 %Skagway Municipality15.4Kodiak Island Borough: 15 %Kodiak Island Borough15Petersburg Borough: 14.9 %Petersburg Borough14.9Chugach Census Area: 14.8 %Chugach Census Area14.8Anchorage Municipality: 14 %Anchorage Municipality14Juneau City and Borough: 13.9 %Juneau City and Borough13.9Fairbanks North Star Borough: 13.8 %Fairbanks North Star Borough13.8Haines Borough: 13.8 %Haines Borough13.8Sitka City and Borough: 13.8 %Sitka City and Borough13.8
%. 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
1Kusilvak Census Area36.6-1.6 pts
2Bethel Census Area31-2.3 pts
3Nome Census Area28.7-4.6 pts
4Northwest Arctic Borough28.3-0.9 pts
5Yukon-Koyukuk Census Area27.4-0.8 pts
6Dillingham Census Area25.7-2 pts
7Lake and Peninsula Borough24.7+0.8 pts
8Prince of Wales-Hyder Census Area22-0.3 pts
9North Slope Borough20.8-2.7 pts
10Yakutat City and Borough20.50 pts
11Hoonah-Angoon Census Area19.5-0.4 pts
12Southeast Fairbanks Census Area18.3-1.9 pts
13Copper River Census Area17.8+0.2 pts
14Matanuska-Susitna Borough17.3-2.4 pts
15Aleutians East Borough17-1.2 pts
15Wrangell City and Borough17-0.9 pts
17Bristol Bay Borough16.5-0.9 pts
18Denali Borough16.30 pts
19Aleutians West Census Area16.2-1.3 pts
20Kenai Peninsula Borough16.1+0.2 pts
21Ketchikan Gateway Borough15.9+0.9 pts
22Skagway Municipality15.4-3.1 pts
23Kodiak Island Borough15-1.7 pts
24Petersburg Borough14.9-1.2 pts
25Chugach Census Area14.8-0.5 pts
26Anchorage Municipality14+0.6 pts
27Juneau City and Borough13.9-1.1 pts
28Fairbanks North Star Borough13.8-0.2 pts
28Haines Borough13.8-0.9 pts
28Sitka City and Borough13.8-2 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 Alaska 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 Alaska 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/alaska-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 Alaska 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/alaska-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 Alaska 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/alaska-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alaska_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 Alaska 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/alaska-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 Alaska 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/alaska-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/alaska-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 Alaska 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":"Alaska","limit":10}
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Questions

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

Kusilvak Census Area, with 36.6% in 2023, according to the Centers for Disease Control and Prevention.

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

Sitka City and Borough, with 13.8% 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 Alaska: more rankings