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

Counties in Kentucky by adult cigarette smoking rate, local model estimate, 2022

Wolfe County had the highest adult cigarette smoking rate, local model estimate of 120 counties in 2022, at 30.4%. Oldham County had the lowest, at 12.1%. The median was 20.9%. Source: the Centers for Disease Control and Prevention.

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Highest30.4Wolfe County
Lowest12.1Oldham County
Median20.9120 counties

Map of counties, 2022

Adair County: 19.1 %Allen County: 20.8 %Anderson County: 20 %Ballard County: 21 %Barren County: 18.3 %Bath County: 19.2 %Bell County: 24.9 %Boone County: 16.7 %Bourbon County: 19.2 %Boyd County: 19.1 %Boyle County: 16.6 %Bracken County: 19.4 %Breathitt County: 24 %Breckinridge County: 26 %Bullitt County: 19.2 %Butler County: 22 %Caldwell County: 19.7 %Calloway County: 15.2 %Campbell County: 15.2 %Carlisle County: 20.9 %Carroll County: 22 %Carter County: 21.1 %Casey County: 26.1 %Christian County: 19.3 %Clark County: 19.2 %Clay County: 27 %Clinton County: 21.9 %Crittenden County: 19.6 %Cumberland County: 23.1 %Daviess County: 18.5 %Edmonson County: 22.6 %Elliott County: 22.9 %Estill County: 25.3 %Fayette County: 15.4 %Fleming County: 23.4 %Floyd County: 22.2 %Franklin County: 15.6 %Fulton County: 25.9 %Gallatin County: 20.1 %Garrard County: 20.8 %Grant County: 21 %Graves County: 19.7 %Grayson County: 21.3 %Green County: 25.1 %Greenup County: 19 %Hancock County: 17.9 %Hardin County: 17.5 %Harlan County: 27.2 %Harrison County: 19.4 %Hart County: 24.3 %Henderson County: 16.3 %Henry County: 20.7 %Hickman County: 17.8 %Hopkins County: 22.2 %Jackson County: 28.6 %Jefferson County: 16.4 %Jessamine County: 14.6 %Johnson County: 25.7 %Kenton County: 15.4 %Knott County: 25.3 %Knox County: 23.3 %Larue County: 23.6 %Laurel County: 21.5 %Lawrence County: 22.4 %Lee County: 29.7 %Leslie County: 23.5 %Letcher County: 20.1 %Lewis County: 25.8 %Lincoln County: 20.4 %Livingston County: 18.1 %Logan County: 17.9 %Lyon County: 18.5 %McCracken County: 19.5 %McCreary County: 25.9 %McLean County: 19.3 %Madison County: 16.4 %Magoffin County: 27.7 %Marion County: 21.5 %Marshall County: 17.7 %Martin County: 29.1 %Mason County: 21 %Meade County: 19 %Menifee County: 24.4 %Mercer County: 17.3 %Metcalfe County: 23.1 %Monroe County: 20.5 %Montgomery County: 21.6 %Morgan County: 23.9 %Muhlenberg County: 21.3 %Nelson County: 16.1 %Nicholas County: 21.8 %Ohio County: 21.5 %Oldham County: 12.1 %Owen County: 20.5 %Owsley County: 24.6 %Pendleton County: 20.9 %Perry County: 21.7 %Pike County: 23.6 %Powell County: 20.6 %Pulaski County: 22.6 %Robertson County: 23 %Rockcastle County: 25.2 %Rowan County: 18.5 %Russell County: 25.6 %Scott County: 15.8 %Shelby County: 15.5 %Simpson County: 18.6 %Spencer County: 18.8 %Taylor County: 19.5 %Todd County: 23.1 %Trigg County: 20.1 %Trimble County: 19.4 %Union County: 23.1 %Warren County: 14.7 %Washington County: 17.8 %Wayne County: 25.1 %Webster County: 22.1 %Whitley County: 21.3 %Wolfe County: 30.4 %Woodford County: 12.5 %
  • Under 18
  • 18 to 19
  • 19 to 21
  • 21 to 22
  • 22 to 25
  • 25 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

Wolfe County: 30.4 %Wolfe County30.4Lee County: 29.7 %Lee County29.7Martin County: 29.1 %Martin County29.1Jackson County: 28.6 %Jackson County28.6Magoffin County: 27.7 %Magoffin County27.7Harlan County: 27.2 %Harlan County27.2Clay County: 27 %Clay County27Casey County: 26.1 %Casey County26.1Breckinridge County: 26 %Breckinridge County26Fulton County: 25.9 %Fulton County25.9McCreary County: 25.9 %McCreary County25.9Lewis County: 25.8 %Lewis County25.8Johnson County: 25.7 %Johnson County25.7Russell County: 25.6 %Russell County25.6Estill County: 25.3 %Estill County25.3Knott County: 25.3 %Knott County25.3Rockcastle County: 25.2 %Rockcastle County25.2Green County: 25.1 %Green County25.1Wayne County: 25.1 %Wayne County25.1Bell County: 24.9 %Bell County24.9Owsley County: 24.6 %Owsley County24.6Menifee County: 24.4 %Menifee County24.4Hart County: 24.3 %Hart County24.3Breathitt County: 24 %Breathitt County24Morgan County: 23.9 %Morgan County23.9Larue County: 23.6 %Larue County23.6Pike County: 23.6 %Pike County23.6Leslie County: 23.5 %Leslie County23.5Fleming County: 23.4 %Fleming County23.4Knox County: 23.3 %Knox County23.3Cumberland County: 23.1 %Cumberland County23.1Metcalfe County: 23.1 %Metcalfe County23.1Todd County: 23.1 %Todd County23.1Union County: 23.1 %Union County23.1Robertson County: 23 %Robertson County23Elliott County: 22.9 %Elliott County22.9Edmonson County: 22.6 %Edmonson County22.6Pulaski County: 22.6 %Pulaski County22.6Lawrence County: 22.4 %Lawrence County22.4Floyd County: 22.2 %Floyd County22.2Wolfe County: 30.4 %Wolfe County30.4Lee County: 29.7 %Lee County29.7Martin County: 29.1 %Martin County29.1Jackson County: 28.6 %Jackson County28.6Magoffin County: 27.7 %Magoffin County27.7Harlan County: 27.2 %Harlan County27.2Clay County: 27 %Clay County27Casey County: 26.1 %Casey County26.1Breckinridge County: 26 %Breckinridge County26Fulton County: 25.9 %Fulton County25.9McCreary County: 25.9 %McCreary County25.9Lewis County: 25.8 %Lewis County25.8Johnson County: 25.7 %Johnson County25.7Russell County: 25.6 %Russell County25.6Estill County: 25.3 %Estill County25.3Knott County: 25.3 %Knott County25.3Rockcastle County: 25.2 %Rockcastle County25.2Green County: 25.1 %Green County25.1Wayne County: 25.1 %Wayne County25.1Bell County: 24.9 %Bell County24.9Owsley County: 24.6 %Owsley County24.6Menifee County: 24.4 %Menifee County24.4Hart County: 24.3 %Hart County24.3Breathitt County: 24 %Breathitt County24Morgan County: 23.9 %Morgan County23.9Larue County: 23.6 %Larue County23.6Pike County: 23.6 %Pike County23.6Leslie County: 23.5 %Leslie County23.5Fleming County: 23.4 %Fleming County23.4Knox County: 23.3 %Knox County23.3Cumberland County: 23.1 %Cumberland County23.1Metcalfe County: 23.1 %Metcalfe County23.1Todd County: 23.1 %Todd County23.1Union County: 23.1 %Union County23.1Robertson County: 23 %Robertson County23Elliott County: 22.9 %Elliott County22.9Edmonson County: 22.6 %Edmonson County22.6Pulaski County: 22.6 %Pulaski County22.6Lawrence County: 22.4 %Lawrence County22.4Floyd County: 22.2 %Floyd County22.2
%. 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
1Wolfe County30.4-3.5 pts
2Lee County29.7-2.1 pts
3Martin County29.1+2.3 pts
4Jackson County28.6-2.3 pts
5Magoffin County27.7-2.6 pts
6Harlan County27.2-4 pts
7Clay County27-4.8 pts
8Casey County26.1-2 pts
9Breckinridge County26+1.8 pts
10Fulton County25.9+0.6 pts
10McCreary County25.9-5.5 pts
12Lewis County25.8-5 pts
13Johnson County25.7-0.6 pts
14Russell County25.6+1.2 pts
15Estill County25.3-3.2 pts
15Knott County25.3-2.8 pts
17Rockcastle County25.2-1 pts
18Green County25.1-0.7 pts
18Wayne County25.1-0.5 pts
20Bell County24.9-5.1 pts
21Owsley County24.6-4 pts
22Menifee County24.4-2.6 pts
23Hart County24.3-2.1 pts
24Breathitt County24-3.7 pts
25Morgan County23.9-3.2 pts
26Larue County23.6+1 pts
26Pike County23.6-2.9 pts
28Leslie County23.5-5.1 pts
29Fleming County23.4-0.2 pts
30Knox County23.3-5.7 pts
31Cumberland County23.1-3 pts
31Metcalfe County23.1-1.3 pts
31Todd County23.1-1 pts
31Union County23.1+1.2 pts
35Robertson County23-0.5 pts
36Elliott County22.9-4.7 pts
37Edmonson County22.6-1.7 pts
37Pulaski County22.6-1 pts
39Lawrence County22.4-5.9 pts
40Floyd County22.2-4.8 pts
40Hopkins County22.2-0.7 pts
42Webster County22.1-2.2 pts
43Butler County22-2.2 pts
43Carroll County22-3.3 pts
45Clinton County21.9-5 pts
46Nicholas County21.8-4.1 pts
47Perry County21.7-4.7 pts
48Montgomery County21.6-2.2 pts
49Laurel County21.5-3 pts
49Marion County21.5-1.9 pts
49Ohio County21.5-1.8 pts
52Grayson County21.3-4.8 pts
52Muhlenberg County21.3-1.7 pts
52Whitley County21.3-3.2 pts
55Carter County21.1-4.8 pts
56Ballard County21-0.6 pts
56Grant County21-0.8 pts
56Mason County21-0.9 pts
59Carlisle County20.9-3.7 pts
59Pendleton County20.9-2.5 pts
61Allen County20.8-2.4 pts
61Garrard County20.8-0.7 pts
63Henry County20.7-2.8 pts
64Powell County20.6-3.7 pts
65Monroe County20.5-5.1 pts
65Owen County20.5-1.7 pts
67Lincoln County20.4-4.7 pts
68Gallatin County20.1-4.6 pts
68Letcher County20.1-7.9 pts
68Trigg County20.1-0.1 pts
71Anderson County20+0.5 pts
72Caldwell County19.7-2.1 pts
72Graves County19.7-2.7 pts
74Crittenden County19.6-3.4 pts
75McCracken County19.5-1 pts
75Taylor County19.5-0.8 pts
77Bracken County19.4-4.7 pts
77Harrison County19.4-2.5 pts
77Trimble County19.4-2.7 pts
80Christian County19.3-2.1 pts
80McLean County19.3-0.2 pts
82Bath County19.2-5.6 pts
82Bourbon County19.2-1.4 pts
82Bullitt County19.2-0.7 pts
82Clark County19.2-1.1 pts
86Adair County19.1-2.7 pts
86Boyd County19.1-2.7 pts
88Greenup County19-1.5 pts
88Meade County19-2.2 pts
90Spencer County18.8+0.6 pts
91Simpson County18.6-2 pts
92Daviess County18.5-1.9 pts
92Lyon County18.5-2.7 pts
92Rowan County18.5-2.7 pts
95Barren County18.3-5.8 pts
96Livingston County18.1-3.8 pts
97Hancock County17.9-4 pts
97Logan County17.9-4.2 pts
99Hickman County17.8-4 pts
99Washington County17.8-2.3 pts
101Marshall County17.7-1 pts
102Hardin County17.5-2.8 pts
103Mercer County17.3-2.6 pts
104Boone County16.7+0.7 pts
105Boyle County16.6-2.4 pts
106Jefferson County16.4-1.4 pts
106Madison County16.4-1.9 pts
108Henderson County16.3-5.1 pts
109Nelson County16.1-2.4 pts
110Scott County15.8-1.7 pts
111Franklin County15.6-2.5 pts
112Shelby County15.5-2.3 pts
113Fayette County15.4+0.4 pts
113Kenton County15.4-2.2 pts
115Calloway County15.2-3.4 pts
115Campbell County15.2-1.1 pts
117Warren County14.7-4.5 pts
118Jessamine County14.6-3.8 pts
119Woodford County12.5-2.7 pts
120Oldham County12.1-1.7 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 Kentucky 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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_kentucky_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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/kentucky-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 Kentucky by adult cigarette smoking rate, local model estimate using official data, and cite the source.
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Questions

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

Wolfe County, with 30.4% in 2022, according to the Centers for Disease Control and Prevention.

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

Oldham County, with 12.1% 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 Kentucky: more rankings