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

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

Dixie County had the highest adult cigarette smoking rate, local model estimate of 67 counties in 2022, at 22.1%. St. Johns County had the lowest, at 8.9%. The median was 15.7%. Source: the Centers for Disease Control and Prevention.

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Highest22.1Dixie County
Lowest8.9St. Johns County
Median15.767 counties

Map of counties, 2022

Alachua County: 13.1 %Baker County: 19.1 %Bay County: 15.8 %Bradford County: 20.9 %Brevard County: 13.1 %Broward County: 13.4 %Calhoun County: 19.8 %Charlotte County: 13.9 %Citrus County: 13.5 %Clay County: 13.5 %Collier County: 11.5 %Columbia County: 19.4 %DeSoto County: 19.8 %Dixie County: 22.1 %Duval County: 14.9 %Escambia County: 15.9 %Flagler County: 13.4 %Franklin County: 17.7 %Gadsden County: 17.7 %Gilchrist County: 18.8 %Glades County: 20.3 %Gulf County: 16.8 %Hamilton County: 21.9 %Hardee County: 19.9 %Hendry County: 18.4 %Hernando County: 15.9 %Highlands County: 15.6 %Hillsborough County: 12.8 %Holmes County: 21.6 %Indian River County: 13.5 %Jackson County: 22 %Jefferson County: 17.9 %Lafayette County: 21.9 %Lake County: 14.8 %Lee County: 12.2 %Leon County: 12.3 %Levy County: 18.2 %Liberty County: 21.2 %Madison County: 22 %Manatee County: 15.1 %Marion County: 16.7 %Martin County: 13.4 %Miami-Dade County: 13 %Monroe County: 13.5 %Nassau County: 12.6 %Okaloosa County: 14.7 %Okeechobee County: 20.4 %Orange County: 12.4 %Osceola County: 13.3 %Palm Beach County: 12.1 %Pasco County: 13.5 %Pinellas County: 15 %Polk County: 16.3 %Putnam County: 20.8 %St. Johns County: 8.9 %St. Lucie County: 14.6 %Santa Rosa County: 14.8 %Sarasota County: 11.6 %Seminole County: 12.3 %Sumter County: 10.6 %Suwannee County: 19.6 %Taylor County: 19.9 %Union County: 20.6 %Volusia County: 13.5 %Wakulla County: 17.3 %Walton County: 15.7 %Washington County: 20.7 %
  • Under 13
  • 13 to 14
  • 14 to 16
  • 16 to 18
  • 18 to 20
  • 20 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

Dixie County: 22.1 %Dixie County22.1Jackson County: 22 %Jackson County22Madison County: 22 %Madison County22Hamilton County: 21.9 %Hamilton County21.9Lafayette County: 21.9 %Lafayette County21.9Holmes County: 21.6 %Holmes County21.6Liberty County: 21.2 %Liberty County21.2Bradford County: 20.9 %Bradford County20.9Putnam County: 20.8 %Putnam County20.8Washington County: 20.7 %Washington County20.7Union County: 20.6 %Union County20.6Okeechobee County: 20.4 %Okeechobee County20.4Glades County: 20.3 %Glades County20.3Hardee County: 19.9 %Hardee County19.9Taylor County: 19.9 %Taylor County19.9Calhoun County: 19.8 %Calhoun County19.8DeSoto County: 19.8 %DeSoto County19.8Suwannee County: 19.6 %Suwannee County19.6Columbia County: 19.4 %Columbia County19.4Baker County: 19.1 %Baker County19.1Gilchrist County: 18.8 %Gilchrist County18.8Hendry County: 18.4 %Hendry County18.4Levy County: 18.2 %Levy County18.2Jefferson County: 17.9 %Jefferson County17.9Franklin County: 17.7 %Franklin County17.7Gadsden County: 17.7 %Gadsden County17.7Wakulla County: 17.3 %Wakulla County17.3Gulf County: 16.8 %Gulf County16.8Marion County: 16.7 %Marion County16.7Polk County: 16.3 %Polk County16.3Escambia County: 15.9 %Escambia County15.9Hernando County: 15.9 %Hernando County15.9Bay County: 15.8 %Bay County15.8Walton County: 15.7 %Walton County15.7Highlands County: 15.6 %Highlands County15.6Manatee County: 15.1 %Manatee County15.1Pinellas County: 15 %Pinellas County15Duval County: 14.9 %Duval County14.9Lake County: 14.8 %Lake County14.8Santa Rosa County: 14.8 %Santa Rosa County14.8Dixie County: 22.1 %Dixie County22.1Jackson County: 22 %Jackson County22Madison County: 22 %Madison County22Hamilton County: 21.9 %Hamilton County21.9Lafayette County: 21.9 %Lafayette County21.9Holmes County: 21.6 %Holmes County21.6Liberty County: 21.2 %Liberty County21.2Bradford County: 20.9 %Bradford County20.9Putnam County: 20.8 %Putnam County20.8Washington County: 20.7 %Washington County20.7Union County: 20.6 %Union County20.6Okeechobee County: 20.4 %Okeechobee County20.4Glades County: 20.3 %Glades County20.3Hardee County: 19.9 %Hardee County19.9Taylor County: 19.9 %Taylor County19.9Calhoun County: 19.8 %Calhoun County19.8DeSoto County: 19.8 %DeSoto County19.8Suwannee County: 19.6 %Suwannee County19.6Columbia County: 19.4 %Columbia County19.4Baker County: 19.1 %Baker County19.1Gilchrist County: 18.8 %Gilchrist County18.8Hendry County: 18.4 %Hendry County18.4Levy County: 18.2 %Levy County18.2Jefferson County: 17.9 %Jefferson County17.9Franklin County: 17.7 %Franklin County17.7Gadsden County: 17.7 %Gadsden County17.7Wakulla County: 17.3 %Wakulla County17.3Gulf County: 16.8 %Gulf County16.8Marion County: 16.7 %Marion County16.7Polk County: 16.3 %Polk County16.3Escambia County: 15.9 %Escambia County15.9Hernando County: 15.9 %Hernando County15.9Bay County: 15.8 %Bay County15.8Walton County: 15.7 %Walton County15.7Highlands County: 15.6 %Highlands County15.6Manatee County: 15.1 %Manatee County15.1Pinellas County: 15 %Pinellas County15Duval County: 14.9 %Duval County14.9Lake County: 14.8 %Lake County14.8Santa Rosa County: 14.8 %Santa Rosa County14.8
%. 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

RankCounties2022 (%)
1Dixie County22.1
2Jackson County22
2Madison County22
4Hamilton County21.9
4Lafayette County21.9
6Holmes County21.6
7Liberty County21.2
8Bradford County20.9
9Putnam County20.8
10Washington County20.7
11Union County20.6
12Okeechobee County20.4
13Glades County20.3
14Hardee County19.9
14Taylor County19.9
16Calhoun County19.8
16DeSoto County19.8
18Suwannee County19.6
19Columbia County19.4
20Baker County19.1
21Gilchrist County18.8
22Hendry County18.4
23Levy County18.2
24Jefferson County17.9
25Franklin County17.7
25Gadsden County17.7
27Wakulla County17.3
28Gulf County16.8
29Marion County16.7
30Polk County16.3
31Escambia County15.9
31Hernando County15.9
33Bay County15.8
34Walton County15.7
35Highlands County15.6
36Manatee County15.1
37Pinellas County15
38Duval County14.9
39Lake County14.8
39Santa Rosa County14.8
41Okaloosa County14.7
42St. Lucie County14.6
43Charlotte County13.9
44Citrus County13.5
44Clay County13.5
44Indian River County13.5
44Monroe County13.5
44Pasco County13.5
44Volusia County13.5
50Broward County13.4
50Flagler County13.4
50Martin County13.4
53Osceola County13.3
54Alachua County13.1
54Brevard County13.1
56Miami-Dade County13
57Hillsborough County12.8
58Nassau County12.6
59Orange County12.4
60Leon County12.3
60Seminole County12.3
62Lee County12.2
63Palm Beach County12.1
64Sarasota County11.6
65Collier County11.5
66Sumter County10.6
67St. Johns County8.9

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, 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 Florida 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/florida-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 Florida 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/florida-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 Florida 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/florida-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_florida_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 Florida 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/florida-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 Florida 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/florida-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/florida-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 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}
GET https://invokely.ai/api/v1/rank?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?

Dixie County, with 22.1% in 2022, according to the Centers for Disease Control and Prevention.

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

St. Johns County, with 8.9% 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 Florida: more rankings