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

Putnam County had the highest adult cigarette smoking rate, local model estimate of 67 counties in 2023, at 21%. Sumter County had the lowest, at 9.9%. The median was 14.3%. Source: the Centers for Disease Control and Prevention.

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Highest21Putnam County
Lowest9.9Sumter County
Median14.367 counties

Map of counties, 2023

Alachua County: 11.2 %Baker County: 16.6 %Bay County: 14.6 %Bradford County: 19.3 %Brevard County: 12.5 %Broward County: 11.8 %Calhoun County: 20.2 %Charlotte County: 12.8 %Citrus County: 15.2 %Clay County: 13.5 %Collier County: 10.3 %Columbia County: 18.2 %DeSoto County: 19.6 %Dixie County: 20 %Duval County: 13.9 %Escambia County: 14.2 %Flagler County: 12.2 %Franklin County: 16.6 %Gadsden County: 18.6 %Gilchrist County: 17 %Glades County: 19.7 %Gulf County: 15.5 %Hamilton County: 20.6 %Hardee County: 17.6 %Hendry County: 17.4 %Hernando County: 14.3 %Highlands County: 14.3 %Hillsborough County: 12.1 %Holmes County: 19.2 %Indian River County: 11.5 %Jackson County: 19 %Jefferson County: 17.1 %Lafayette County: 19.3 %Lake County: 12.3 %Lee County: 11.9 %Leon County: 11.3 %Levy County: 17.8 %Liberty County: 19.3 %Madison County: 18.8 %Manatee County: 12.4 %Marion County: 14.8 %Martin County: 11.4 %Miami-Dade County: 11.3 %Monroe County: 12 %Nassau County: 12.4 %Okaloosa County: 12.8 %Okeechobee County: 18.2 %Orange County: 11.9 %Osceola County: 11.8 %Palm Beach County: 11.2 %Pasco County: 13.5 %Pinellas County: 12.2 %Polk County: 14.4 %Putnam County: 21 %St. Johns County: 10.1 %St. Lucie County: 13.5 %Santa Rosa County: 13.4 %Sarasota County: 10.5 %Seminole County: 10.8 %Sumter County: 9.9 %Suwannee County: 17.9 %Taylor County: 19.2 %Union County: 20.1 %Volusia County: 13.7 %Wakulla County: 15.3 %Walton County: 13.8 %Washington County: 19.5 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 to 17
  • 17 to 19
  • 19 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.

Top 40 counties, 2023

Putnam County: 21 %Putnam County21Hamilton County: 20.6 %Hamilton County20.6Calhoun County: 20.2 %Calhoun County20.2Union County: 20.1 %Union County20.1Dixie County: 20 %Dixie County20Glades County: 19.7 %Glades County19.7DeSoto County: 19.6 %DeSoto County19.6Washington County: 19.5 %Washington County19.5Bradford County: 19.3 %Bradford County19.3Lafayette County: 19.3 %Lafayette County19.3Liberty County: 19.3 %Liberty County19.3Holmes County: 19.2 %Holmes County19.2Taylor County: 19.2 %Taylor County19.2Jackson County: 19 %Jackson County19Madison County: 18.8 %Madison County18.8Gadsden County: 18.6 %Gadsden County18.6Columbia County: 18.2 %Columbia County18.2Okeechobee County: 18.2 %Okeechobee County18.2Suwannee County: 17.9 %Suwannee County17.9Levy County: 17.8 %Levy County17.8Hardee County: 17.6 %Hardee County17.6Hendry County: 17.4 %Hendry County17.4Jefferson County: 17.1 %Jefferson County17.1Gilchrist County: 17 %Gilchrist County17Baker County: 16.6 %Baker County16.6Franklin County: 16.6 %Franklin County16.6Gulf County: 15.5 %Gulf County15.5Wakulla County: 15.3 %Wakulla County15.3Citrus County: 15.2 %Citrus County15.2Marion County: 14.8 %Marion County14.8Bay County: 14.6 %Bay County14.6Polk County: 14.4 %Polk County14.4Hernando County: 14.3 %Hernando County14.3Highlands County: 14.3 %Highlands County14.3Escambia County: 14.2 %Escambia County14.2Duval County: 13.9 %Duval County13.9Walton County: 13.8 %Walton County13.8Volusia County: 13.7 %Volusia County13.7Clay County: 13.5 %Clay County13.5Pasco County: 13.5 %Pasco County13.5Putnam County: 21 %Putnam County21Hamilton County: 20.6 %Hamilton County20.6Calhoun County: 20.2 %Calhoun County20.2Union County: 20.1 %Union County20.1Dixie County: 20 %Dixie County20Glades County: 19.7 %Glades County19.7DeSoto County: 19.6 %DeSoto County19.6Washington County: 19.5 %Washington County19.5Bradford County: 19.3 %Bradford County19.3Lafayette County: 19.3 %Lafayette County19.3Liberty County: 19.3 %Liberty County19.3Holmes County: 19.2 %Holmes County19.2Taylor County: 19.2 %Taylor County19.2Jackson County: 19 %Jackson County19Madison County: 18.8 %Madison County18.8Gadsden County: 18.6 %Gadsden County18.6Columbia County: 18.2 %Columbia County18.2Okeechobee County: 18.2 %Okeechobee County18.2Suwannee County: 17.9 %Suwannee County17.9Levy County: 17.8 %Levy County17.8Hardee County: 17.6 %Hardee County17.6Hendry County: 17.4 %Hendry County17.4Jefferson County: 17.1 %Jefferson County17.1Gilchrist County: 17 %Gilchrist County17Baker County: 16.6 %Baker County16.6Franklin County: 16.6 %Franklin County16.6Gulf County: 15.5 %Gulf County15.5Wakulla County: 15.3 %Wakulla County15.3Citrus County: 15.2 %Citrus County15.2Marion County: 14.8 %Marion County14.8Bay County: 14.6 %Bay County14.6Polk County: 14.4 %Polk County14.4Hernando County: 14.3 %Hernando County14.3Highlands County: 14.3 %Highlands County14.3Escambia County: 14.2 %Escambia County14.2Duval County: 13.9 %Duval County13.9Walton County: 13.8 %Walton County13.8Volusia County: 13.7 %Volusia County13.7Clay County: 13.5 %Clay County13.5Pasco County: 13.5 %Pasco County13.5
%. 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

RankCounties2023 (%)Change on 2022
1Putnam County21+0.2 pts
2Hamilton County20.6-1.3 pts
3Calhoun County20.2+0.4 pts
4Union County20.1-0.5 pts
5Dixie County20-2.1 pts
6Glades County19.7-0.6 pts
7DeSoto County19.6-0.2 pts
8Washington County19.5-1.2 pts
9Bradford County19.3-1.6 pts
9Lafayette County19.3-2.6 pts
9Liberty County19.3-1.9 pts
12Holmes County19.2-2.4 pts
12Taylor County19.2-0.7 pts
14Jackson County19-3 pts
15Madison County18.8-3.2 pts
16Gadsden County18.6+0.9 pts
17Columbia County18.2-1.2 pts
17Okeechobee County18.2-2.2 pts
19Suwannee County17.9-1.7 pts
20Levy County17.8-0.4 pts
21Hardee County17.6-2.3 pts
22Hendry County17.4-1 pts
23Jefferson County17.1-0.8 pts
24Gilchrist County17-1.8 pts
25Baker County16.6-2.5 pts
25Franklin County16.6-1.1 pts
27Gulf County15.5-1.3 pts
28Wakulla County15.3-2 pts
29Citrus County15.2+1.7 pts
30Marion County14.8-1.9 pts
31Bay County14.6-1.2 pts
32Polk County14.4-1.9 pts
33Hernando County14.3-1.6 pts
33Highlands County14.3-1.3 pts
35Escambia County14.2-1.7 pts
36Duval County13.9-1 pts
37Walton County13.8-1.9 pts
38Volusia County13.7+0.2 pts
39Clay County13.50 pts
39Pasco County13.50 pts
39St. Lucie County13.5-1.1 pts
42Santa Rosa County13.4-1.4 pts
43Charlotte County12.8-1.1 pts
43Okaloosa County12.8-1.9 pts
45Brevard County12.5-0.6 pts
46Manatee County12.4-2.7 pts
46Nassau County12.4-0.2 pts
48Lake County12.3-2.5 pts
49Flagler County12.2-1.2 pts
49Pinellas County12.2-2.8 pts
51Hillsborough County12.1-0.7 pts
52Monroe County12-1.5 pts
53Lee County11.9-0.3 pts
53Orange County11.9-0.5 pts
55Broward County11.8-1.6 pts
55Osceola County11.8-1.5 pts
57Indian River County11.5-2 pts
58Martin County11.4-2 pts
59Leon County11.3-1 pts
59Miami-Dade County11.3-1.7 pts
61Alachua County11.2-1.9 pts
61Palm Beach County11.2-0.9 pts
63Seminole County10.8-1.5 pts
64Sarasota County10.5-1.1 pts
65Collier County10.3-1.2 pts
66St. Johns County10.1+1.2 pts
67Sumter County9.9-0.7 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 Florida 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 Florida 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/florida-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 Florida 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/florida-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 Florida 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/florida-counties (Accessed: 12 October 2026).

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

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

Putnam County, with 21% in 2023, according to the Centers for Disease Control and Prevention.

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

Sumter County, with 9.9% 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 Florida: more rankings