Counties in Maryland by adult cigarette smoking rate, local model estimate
Somerset County had the highest adult cigarette smoking rate, local model estimate of 24 counties in 2021, at 18.7%. Howard County had the lowest, at 8.1%. The median was 13.3%. Source: the Centers for Disease Control and Prevention.
Map of counties, 2021
- Under 12
- 12 to 13
- 13 to 15
- 15 to 18
- 18 and over
All counties, 2021
Full ranking
| Rank | Counties | 2021 (%) |
|---|---|---|
| 1 | Somerset County | 18.7 |
| 2 | Allegany County | 18.4 |
| 3 | Baltimore city | 18.1 |
| 3 | Caroline County | 18.1 |
| 5 | Cecil County | 17.9 |
| 5 | Dorchester County | 17.9 |
| 7 | Washington County | 17 |
| 8 | Wicomico County | 16.4 |
| 9 | Garrett County | 15.9 |
| 10 | Worcester County | 15.3 |
| 11 | St. Mary's County | 14.3 |
| 12 | Harford County | 13.3 |
| 12 | Kent County | 13.3 |
| 14 | Queen Anne's County | 13.1 |
| 15 | Calvert County | 12.9 |
| 16 | Charles County | 12.8 |
| 17 | Baltimore County | 12.3 |
| 17 | Carroll County | 12.3 |
| 19 | Frederick County | 12.2 |
| 19 | Talbot County | 12.2 |
| 21 | Anne Arundel County | 11.3 |
| 22 | Prince George's County | 10.9 |
| 23 | Montgomery County | 8.4 |
| 24 | Howard County | 8.1 |
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
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 Maryland by adult cigarette smoking rate, local model estimate, 2021) [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 Maryland by adult cigarette smoking rate, local model estimate, 2021. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/maryland-counties?period=2021. 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 Maryland by adult cigarette smoking rate, local model estimate, 2021. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/maryland-counties?period=2021.
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 Maryland by adult cigarette smoking rate, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/maryland-counties?period=2021 (Accessed: 12 October 2026).
BibTeX
@misc{centers_counties_in_maryland_by_2021,
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 Maryland by adult cigarette smoking rate, local model estimate, 2021}},
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/maryland-counties?period=2021. 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 Maryland by adult cigarette smoking rate, local model estimate, 2021
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/maryland-counties?period=2021
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/maryland-counties?period=2021.
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 -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank Counties in Maryland 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":"Maryland","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=province&within=Maryland&limit=10
Questions
Which county has the highest adult cigarette smoking rate, local model estimate?
Somerset County, with 18.7% in 2021, according to the Centers for Disease Control and Prevention.
Which county has the lowest adult cigarette smoking rate, local model estimate?
Howard County, with 8.1% in 2021.
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.
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