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

Caroline County had the highest adult cigarette smoking rate, local model estimate of 24 counties in 2022, at 18.6%. Howard County had the lowest, at 8.1%. The median was 13.1%. Source: the Centers for Disease Control and Prevention.

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Highest18.6Caroline County
Lowest8.1Howard County
Median13.124 counties

Map of counties, 2022

Allegany County: 15 %Anne Arundel County: 10.8 %Baltimore County: 12.2 %Calvert County: 11 %Caroline County: 18.6 %Carroll County: 12.1 %Cecil County: 15.6 %Charles County: 13.8 %Dorchester County: 16.8 %Frederick County: 11.1 %Garrett County: 15.9 %Harford County: 10.8 %Howard County: 8.1 %Kent County: 11.3 %Montgomery County: 8.2 %Prince George's County: 10.7 %Queen Anne's County: 12.9 %St. Mary's County: 13.3 %Somerset County: 18.5 %Talbot County: 11.6 %Washington County: 15.5 %Wicomico County: 15.4 %Worcester County: 13.3 %Baltimore city: 15.9 %
  • Under 11
  • 11 to 12
  • 12 to 14
  • 14 to 16
  • 16 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.

All counties, 2022

Caroline County: 18.6 %Caroline County18.6Somerset County: 18.5 %Somerset County18.5Dorchester County: 16.8 %Dorchester County16.8Baltimore city: 15.9 %Baltimore city15.9Garrett County: 15.9 %Garrett County15.9Cecil County: 15.6 %Cecil County15.6Washington County: 15.5 %Washington County15.5Wicomico County: 15.4 %Wicomico County15.4Allegany County: 15 %Allegany County15Charles County: 13.8 %Charles County13.8St. Mary's County: 13.3 %St. Mary's County13.3Worcester County: 13.3 %Worcester County13.3Queen Anne's County: 12.9 %Queen Anne's County12.9Baltimore County: 12.2 %Baltimore County12.2Carroll County: 12.1 %Carroll County12.1Talbot County: 11.6 %Talbot County11.6Kent County: 11.3 %Kent County11.3Frederick County: 11.1 %Frederick County11.1Calvert County: 11 %Calvert County11Anne Arundel County: 10.8 %Anne Arundel County10.8Harford County: 10.8 %Harford County10.8Prince George's County: 10.7 %Prince George's County10.7Montgomery County: 8.2 %Montgomery County8.2Howard County: 8.1 %Howard County8.1Caroline County: 18.6 %Caroline County18.6Somerset County: 18.5 %Somerset County18.5Dorchester County: 16.8 %Dorchester County16.8Baltimore city: 15.9 %Baltimore city15.9Garrett County: 15.9 %Garrett County15.9Cecil County: 15.6 %Cecil County15.6Washington County: 15.5 %Washington County15.5Wicomico County: 15.4 %Wicomico County15.4Allegany County: 15 %Allegany County15Charles County: 13.8 %Charles County13.8St. Mary's County: 13.3 %St. Mary's County13.3Worcester County: 13.3 %Worcester County13.3Queen Anne's County: 12.9 %Queen Anne's County12.9Baltimore County: 12.2 %Baltimore County12.2Carroll County: 12.1 %Carroll County12.1Talbot County: 11.6 %Talbot County11.6Kent County: 11.3 %Kent County11.3Frederick County: 11.1 %Frederick County11.1Calvert County: 11 %Calvert County11Anne Arundel County: 10.8 %Anne Arundel County10.8Harford County: 10.8 %Harford County10.8Prince George's County: 10.7 %Prince George's County10.7Montgomery County: 8.2 %Montgomery County8.2Howard County: 8.1 %Howard County8.1
%. 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
1Caroline County18.6+0.5 pts
2Somerset County18.5-0.2 pts
3Dorchester County16.8-1.1 pts
4Baltimore city15.9-2.2 pts
4Garrett County15.90 pts
6Cecil County15.6-2.3 pts
7Washington County15.5-1.5 pts
8Wicomico County15.4-1 pts
9Allegany County15-3.4 pts
10Charles County13.8+1 pts
11St. Mary's County13.3-1 pts
11Worcester County13.3-2 pts
13Queen Anne's County12.9-0.2 pts
14Baltimore County12.2-0.1 pts
15Carroll County12.1-0.2 pts
16Talbot County11.6-0.6 pts
17Kent County11.3-2 pts
18Frederick County11.1-1.1 pts
19Calvert County11-1.9 pts
20Anne Arundel County10.8-0.5 pts
20Harford County10.8-2.5 pts
22Prince George's County10.7-0.2 pts
23Montgomery County8.2-0.2 pts
24Howard County8.10 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 Maryland 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 Maryland 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/maryland-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 Maryland 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/maryland-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 Maryland 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/maryland-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_maryland_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 Maryland 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/maryland-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 Maryland 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/maryland-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/maryland-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 Maryland 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?

Caroline County, with 18.6% in 2022, 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 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 Maryland: more rankings