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

All 99 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/iowa-counties

| Rank | Place | % |
|---:|---|---:|
| 1 | Appanoose County | 19.6 |
| 2 | Clarke County | 18.8 |
| 3 | Van Buren County | 18.5 |
| 4 | Lucas County | 18.4 |
| 5 | Page County | 18 |
| 5 | Wapello County | 18 |
| 7 | Clayton County | 17.8 |
| 8 | Keokuk County | 17.6 |
| 9 | Cass County | 17.5 |
| 9 | Davis County | 17.5 |
| 9 | Lee County | 17.5 |
| 12 | Tama County | 17.4 |
| 13 | Wayne County | 17.2 |
| 14 | Osceola County | 17.1 |
| 15 | Franklin County | 17 |
| 15 | Pottawattamie County | 17 |
| 17 | Clinton County | 16.9 |
| 17 | Fayette County | 16.9 |
| 19 | Humboldt County | 16.8 |
| 20 | Adair County | 16.7 |
| 20 | Crawford County | 16.7 |
| 22 | Howard County | 16.6 |
| 23 | Greene County | 16.5 |
| 23 | Jasper County | 16.5 |
| 23 | Montgomery County | 16.5 |
| 26 | Cherokee County | 16.4 |
| 26 | O'Brien County | 16.4 |
| 28 | Audubon County | 16.3 |
| 28 | Delaware County | 16.3 |
| 28 | Jackson County | 16.3 |
| 28 | Mahaska County | 16.3 |
| 28 | Monona County | 16.3 |
| 28 | Taylor County | 16.3 |
| 34 | Allamakee County | 16.2 |
| 34 | Emmet County | 16.2 |
| 34 | Floyd County | 16.2 |
| 34 | Hardin County | 16.2 |
| 38 | Henry County | 16.1 |
| 38 | Woodbury County | 16.1 |
| 40 | Ida County | 16 |
| 40 | Jones County | 16 |
| 40 | Lyon County | 16 |
| 40 | Webster County | 16 |
| 40 | Wright County | 16 |
| 45 | Decatur County | 15.9 |
| 45 | Des Moines County | 15.9 |
| 45 | Muscatine County | 15.9 |
| 45 | Pocahontas County | 15.9 |
| 49 | Harrison County | 15.8 |
| 49 | Union County | 15.8 |
| 51 | Butler County | 15.7 |
| 51 | Louisa County | 15.7 |
| 53 | Adams County | 15.6 |
| 53 | Black Hawk County | 15.6 |
| 53 | Buena Vista County | 15.6 |
| 53 | Calhoun County | 15.6 |
| 57 | Cerro Gordo County | 15.5 |
| 57 | Chickasaw County | 15.5 |
| 57 | Hancock County | 15.5 |
| 57 | Monroe County | 15.5 |
| 57 | Worth County | 15.5 |
| 62 | Buchanan County | 15.3 |
| 62 | Clay County | 15.3 |
| 62 | Mitchell County | 15.3 |
| 65 | Carroll County | 15.2 |
| 65 | Cedar County | 15.2 |
| 65 | Fremont County | 15.2 |
| 65 | Marshall County | 15.2 |
| 65 | Shelby County | 15.2 |
| 70 | Palo Alto County | 15.1 |
| 70 | Sac County | 15.1 |
| 70 | Washington County | 15.1 |
| 73 | Benton County | 14.9 |
| 73 | Kossuth County | 14.9 |
| 75 | Iowa County | 14.8 |
| 75 | Ringgold County | 14.8 |
| 77 | Hamilton County | 14.7 |
| 77 | Poweshiek County | 14.7 |
| 79 | Guthrie County | 14.6 |
| 80 | Plymouth County | 14.5 |
| 81 | Boone County | 14.3 |
| 81 | Winnebago County | 14.3 |
| 83 | Madison County | 14.2 |
| 84 | Jefferson County | 14 |
| 84 | Scott County | 14 |
| 86 | Grundy County | 13.9 |
| 87 | Mills County | 13.8 |
| 88 | Dubuque County | 13.6 |
| 89 | Linn County | 13.5 |
| 90 | Marion County | 13.3 |
| 90 | Polk County | 13.3 |
| 92 | Bremer County | 13.2 |
| 93 | Dickinson County | 13.1 |
| 94 | Sioux County | 12.9 |
| 95 | Warren County | 12.6 |
| 96 | Winneshiek County | 12.4 |
| 97 | Story County | 11.1 |
| 98 | Dallas County | 10.9 |
| 98 | Johnson County | 10.9 |