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

Del Norte County had the highest adult cigarette smoking rate, local model estimate of 58 counties in 2022, at 19.3%. Marin County had the lowest, at 7.3%. The median was 12.9%. Source: the Centers for Disease Control and Prevention.

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Highest19.3Del Norte County
Lowest7.3Marin County
Median12.958 counties

Map of counties, 2022

Alameda County: 10.1 %Alpine County: 12.3 %Amador County: 13.2 %Butte County: 13.1 %Calaveras County: 14 %Colusa County: 14.7 %Contra Costa County: 10.4 %Del Norte County: 19.3 %El Dorado County: 9.8 %Fresno County: 14.1 %Glenn County: 14.9 %Humboldt County: 15.8 %Imperial County: 13.6 %Inyo County: 12.9 %Kern County: 16.5 %Kings County: 16 %Lake County: 13.2 %Lassen County: 16.7 %Los Angeles County: 10.7 %Madera County: 15.1 %Marin County: 7.3 %Mariposa County: 15.9 %Mendocino County: 13.6 %Merced County: 17.4 %Modoc County: 13.7 %Mono County: 12.6 %Monterey County: 13.6 %Napa County: 12.6 %Nevada County: 15.5 %Orange County: 10.7 %Placer County: 11.2 %Plumas County: 12.9 %Riverside County: 11.3 %Sacramento County: 12.9 %San Benito County: 11.1 %San Bernardino County: 12.7 %San Diego County: 10 %San Francisco County: 8.6 %San Joaquin County: 12.5 %San Luis Obispo County: 9.8 %San Mateo County: 8.8 %Santa Barbara County: 9 %Santa Clara County: 8.9 %Santa Cruz County: 10.4 %Shasta County: 13.5 %Sierra County: 14.3 %Siskiyou County: 14.8 %Solano County: 12.7 %Sonoma County: 10 %Stanislaus County: 12.6 %Sutter County: 15.9 %Tehama County: 15.5 %Trinity County: 15.6 %Tulare County: 15 %Tuolumne County: 12.3 %Ventura County: 10.5 %Yolo County: 11.3 %Yuba County: 15.7 %
  • Under 10
  • 10 to 12
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  • 16 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.

All counties, 2022

Del Norte County: 19.3 %Del Norte County19.3Merced County: 17.4 %Merced County17.4Lassen County: 16.7 %Lassen County16.7Kern County: 16.5 %Kern County16.5Kings County: 16 %Kings County16Mariposa County: 15.9 %Mariposa County15.9Sutter County: 15.9 %Sutter County15.9Humboldt County: 15.8 %Humboldt County15.8Yuba County: 15.7 %Yuba County15.7Trinity County: 15.6 %Trinity County15.6Nevada County: 15.5 %Nevada County15.5Tehama County: 15.5 %Tehama County15.5Madera County: 15.1 %Madera County15.1Tulare County: 15 %Tulare County15Glenn County: 14.9 %Glenn County14.9Siskiyou County: 14.8 %Siskiyou County14.8Colusa County: 14.7 %Colusa County14.7Sierra County: 14.3 %Sierra County14.3Fresno County: 14.1 %Fresno County14.1Calaveras County: 14 %Calaveras County14Modoc County: 13.7 %Modoc County13.7Imperial County: 13.6 %Imperial County13.6Mendocino County: 13.6 %Mendocino County13.6Monterey County: 13.6 %Monterey County13.6Shasta County: 13.5 %Shasta County13.5Amador County: 13.2 %Amador County13.2Lake County: 13.2 %Lake County13.2Butte County: 13.1 %Butte County13.1Inyo County: 12.9 %Inyo County12.9Plumas County: 12.9 %Plumas County12.9Sacramento County: 12.9 %Sacramento County12.9San Bernardino County: 12.7 %San Bernardino County12.7Solano County: 12.7 %Solano County12.7Mono County: 12.6 %Mono County12.6Napa County: 12.6 %Napa County12.6Stanislaus County: 12.6 %Stanislaus County12.6San Joaquin County: 12.5 %San Joaquin County12.5Alpine County: 12.3 %Alpine County12.3Tuolumne County: 12.3 %Tuolumne County12.3Riverside County: 11.3 %Riverside County11.3Yolo County: 11.3 %Yolo County11.3Placer County: 11.2 %Placer County11.2San Benito County: 11.1 %San Benito County11.1Los Angeles County: 10.7 %Los Angeles County10.7Orange County: 10.7 %Orange County10.7Ventura County: 10.5 %Ventura County10.5Contra Costa County: 10.4 %Contra Costa County10.4Santa Cruz County: 10.4 %Santa Cruz County10.4Alameda County: 10.1 %Alameda County10.1San Diego County: 10 %San Diego County10Sonoma County: 10 %Sonoma County10El Dorado County: 9.8 %El Dorado County9.8San Luis Obispo County: 9.8 %San Luis Obispo County9.8Santa Barbara County: 9 %Santa Barbara County9Santa Clara County: 8.9 %Santa Clara County8.9San Mateo County: 8.8 %San Mateo County8.8San Francisco County: 8.6 %San Francisco County8.6Marin County: 7.3 %Marin County7.3Del Norte County: 19.3 %Del Norte County19.3Merced County: 17.4 %Merced County17.4Lassen County: 16.7 %Lassen County16.7Kern County: 16.5 %Kern County16.5Kings County: 16 %Kings County16Mariposa County: 15.9 %Mariposa County15.9Sutter County: 15.9 %Sutter County15.9Humboldt County: 15.8 %Humboldt County15.8Yuba County: 15.7 %Yuba County15.7Trinity County: 15.6 %Trinity County15.6Nevada County: 15.5 %Nevada County15.5Tehama County: 15.5 %Tehama County15.5Madera County: 15.1 %Madera County15.1Tulare County: 15 %Tulare County15Glenn County: 14.9 %Glenn County14.9Siskiyou County: 14.8 %Siskiyou County14.8Colusa County: 14.7 %Colusa County14.7Sierra County: 14.3 %Sierra County14.3Fresno County: 14.1 %Fresno County14.1Calaveras County: 14 %Calaveras County14Modoc County: 13.7 %Modoc County13.7Imperial County: 13.6 %Imperial County13.6Mendocino County: 13.6 %Mendocino County13.6Monterey County: 13.6 %Monterey County13.6Shasta County: 13.5 %Shasta County13.5Amador County: 13.2 %Amador County13.2Lake County: 13.2 %Lake County13.2Butte County: 13.1 %Butte County13.1Inyo County: 12.9 %Inyo County12.9Plumas County: 12.9 %Plumas County12.9Sacramento County: 12.9 %Sacramento County12.9San Bernardino County: 12.7 %San Bernardino County12.7Solano County: 12.7 %Solano County12.7Mono County: 12.6 %Mono County12.6Napa County: 12.6 %Napa County12.6Stanislaus County: 12.6 %Stanislaus County12.6San Joaquin County: 12.5 %San Joaquin County12.5Alpine County: 12.3 %Alpine County12.3Tuolumne County: 12.3 %Tuolumne County12.3Riverside County: 11.3 %Riverside County11.3Yolo County: 11.3 %Yolo County11.3Placer County: 11.2 %Placer County11.2San Benito County: 11.1 %San Benito County11.1Los Angeles County: 10.7 %Los Angeles County10.7Orange County: 10.7 %Orange County10.7Ventura County: 10.5 %Ventura County10.5Contra Costa County: 10.4 %Contra Costa County10.4Santa Cruz County: 10.4 %Santa Cruz County10.4Alameda County: 10.1 %Alameda County10.1San Diego County: 10 %San Diego County10Sonoma County: 10 %Sonoma County10El Dorado County: 9.8 %El Dorado County9.8San Luis Obispo County: 9.8 %San Luis Obispo County9.8Santa Barbara County: 9 %Santa Barbara County9Santa Clara County: 8.9 %Santa Clara County8.9San Mateo County: 8.8 %San Mateo County8.8San Francisco County: 8.6 %San Francisco County8.6Marin County: 7.3 %Marin County7.3
%. 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
1Del Norte County19.3+2.1 pts
2Merced County17.4+2.6 pts
3Lassen County16.7-0.2 pts
4Kern County16.5+0.5 pts
5Kings County16+0.9 pts
6Mariposa County15.9+3.2 pts
6Sutter County15.9+1.8 pts
8Humboldt County15.8+1.1 pts
9Yuba County15.7+0.4 pts
10Trinity County15.6-1.2 pts
11Nevada County15.5+4.3 pts
11Tehama County15.5+0.1 pts
13Madera County15.1-0.4 pts
14Tulare County15+0.5 pts
15Glenn County14.9-0.3 pts
16Siskiyou County14.8-0.1 pts
17Colusa County14.7+0.6 pts
18Sierra County14.3+2 pts
19Fresno County14.1+0.4 pts
20Calaveras County14+0.3 pts
21Modoc County13.7-1.9 pts
22Imperial County13.6-0.2 pts
22Mendocino County13.6-0.8 pts
22Monterey County13.6+1.4 pts
25Shasta County13.5-0.6 pts
26Amador County13.2+0.5 pts
26Lake County13.2-2.4 pts
28Butte County13.1-0.2 pts
29Inyo County12.9+0.4 pts
29Plumas County12.9+0.1 pts
29Sacramento County12.9+0.2 pts
32San Bernardino County12.7+0.3 pts
32Solano County12.7+1.4 pts
34Mono County12.6+0.3 pts
34Napa County12.6+2.3 pts
34Stanislaus County12.6-1.6 pts
37San Joaquin County12.5-0.6 pts
38Alpine County12.30 pts
38Tuolumne County12.3-0.1 pts
40Riverside County11.3-0.9 pts
40Yolo County11.3+1 pts
42Placer County11.2+1.4 pts
43San Benito County11.10 pts
44Los Angeles County10.7-0.2 pts
44Orange County10.7+1.1 pts
46Ventura County10.5-0.1 pts
47Contra Costa County10.4+0.9 pts
47Santa Cruz County10.40 pts
49Alameda County10.1+0.7 pts
50San Diego County10-0.5 pts
50Sonoma County10-0.6 pts
52El Dorado County9.8-1 pts
52San Luis Obispo County9.8-0.8 pts
54Santa Barbara County9-2.1 pts
55Santa Clara County8.9+1.5 pts
56San Mateo County8.8+0.7 pts
57San Francisco County8.6-0.4 pts
58Marin County7.3-1.2 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 California 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 California 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/california-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 California 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/california-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 California 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/california-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_california_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 California 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/california-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 California 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/california-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/california-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  - 
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Rank Counties in California 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":"California","limit":10}
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Questions

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

Del Norte County, with 19.3% in 2022, according to the Centers for Disease Control and Prevention.

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

Marin County, with 7.3% 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 California: more rankings