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

All 58 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/california-counties

| Rank | Place | % |
|---:|---|---:|
| 1 | Trinity County | 16.9 |
| 2 | Lassen County | 15.9 |
| 3 | Lake County | 15.2 |
| 4 | Sierra County | 15.1 |
| 4 | Tehama County | 15.1 |
| 6 | Del Norte County | 15 |
| 7 | Kings County | 14.8 |
| 7 | Madera County | 14.8 |
| 7 | Modoc County | 14.8 |
| 10 | Kern County | 14.6 |
| 11 | Yuba County | 14.5 |
| 12 | Siskiyou County | 14.4 |
| 13 | Mendocino County | 14.3 |
| 14 | Humboldt County | 14.2 |
| 15 | Merced County | 14.1 |
| 16 | Tulare County | 14 |
| 17 | Glenn County | 13.9 |
| 17 | Sutter County | 13.9 |
| 19 | Shasta County | 13.8 |
| 20 | Calaveras County | 13.4 |
| 20 | Colusa County | 13.4 |
| 20 | Stanislaus County | 13.4 |
| 23 | Fresno County | 13.2 |
| 24 | Plumas County | 13 |
| 25 | Imperial County | 12.9 |
| 26 | Butte County | 12.8 |
| 27 | Mariposa County | 12.6 |
| 27 | San Joaquin County | 12.6 |
| 29 | San Bernardino County | 12.3 |
| 29 | Tuolumne County | 12.3 |
| 31 | Amador County | 12.2 |
| 32 | Inyo County | 12 |
| 33 | Monterey County | 11.9 |
| 34 | Sacramento County | 11.8 |
| 35 | Mono County | 11.7 |
| 36 | Riverside County | 11.5 |
| 37 | Solano County | 11.3 |
| 38 | Los Angeles County | 11.2 |
| 39 | Alpine County | 11 |
| 39 | Nevada County | 11 |
| 41 | San Benito County | 10.9 |
| 42 | Santa Barbara County | 10.7 |
| 43 | Sonoma County | 10.6 |
| 44 | El Dorado County | 10.4 |
| 44 | Napa County | 10.4 |
| 44 | Ventura County | 10.4 |
| 47 | San Luis Obispo County | 10.2 |
| 48 | San Diego County | 10 |
| 48 | Santa Cruz County | 10 |
| 50 | Yolo County | 9.8 |
| 51 | Placer County | 9.4 |
| 52 | Alameda County | 9.3 |
| 52 | Contra Costa County | 9.3 |
| 54 | Orange County | 9.2 |
| 55 | San Francisco County | 8.8 |
| 56 | Marin County | 8.2 |
| 57 | Santa Clara County | 8.1 |
| 58 | San Mateo County | 8 |