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

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

Bristol County had the highest adult cigarette smoking rate, local model estimate of 14 counties in 2023, at 15.8%. Nantucket County had the lowest, at 9.1%. The median was 11.3%. Source: the Centers for Disease Control and Prevention.

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Highest15.8Bristol County
Lowest9.1Nantucket County
Median11.314 counties

Map of counties, 2023

Barnstable County: 10.5 %Berkshire County: 12.7 %Bristol County: 15.8 %Dukes County: 10.8 %Essex County: 11.4 %Franklin County: 12.8 %Hampden County: 14.8 %Hampshire County: 9.7 %Middlesex County: 9.1 %Nantucket County: 9.1 %Norfolk County: 9.2 %Plymouth County: 11.9 %Suffolk County: 11.1 %Worcester County: 12.3 %
  • Under 9.5
  • 9.5 to 11
  • 11 to 12
  • 12 to 13
  • 13 and over
%, 2023. 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, 2023

Bristol County: 15.8 %Bristol County15.8Hampden County: 14.8 %Hampden County14.8Franklin County: 12.8 %Franklin County12.8Berkshire County: 12.7 %Berkshire County12.7Worcester County: 12.3 %Worcester County12.3Plymouth County: 11.9 %Plymouth County11.9Essex County: 11.4 %Essex County11.4Suffolk County: 11.1 %Suffolk County11.1Dukes County: 10.8 %Dukes County10.8Barnstable County: 10.5 %Barnstable County10.5Hampshire County: 9.7 %Hampshire County9.7Norfolk County: 9.2 %Norfolk County9.2Middlesex County: 9.1 %Middlesex County9.1Nantucket County: 9.1 %Nantucket County9.1Bristol County: 15.8 %Bristol County15.8Hampden County: 14.8 %Hampden County14.8Franklin County: 12.8 %Franklin County12.8Berkshire County: 12.7 %Berkshire County12.7Worcester County: 12.3 %Worcester County12.3Plymouth County: 11.9 %Plymouth County11.9Essex County: 11.4 %Essex County11.4Suffolk County: 11.1 %Suffolk County11.1Dukes County: 10.8 %Dukes County10.8Barnstable County: 10.5 %Barnstable County10.5Hampshire County: 9.7 %Hampshire County9.7Norfolk County: 9.2 %Norfolk County9.2Middlesex County: 9.1 %Middlesex County9.1Nantucket County: 9.1 %Nantucket County9.1
%. 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

RankCounties2023 (%)Change on 2022
1Bristol County15.8+1.3 pts
2Hampden County14.8-2 pts
3Franklin County12.8+2.5 pts
4Berkshire County12.7+0.1 pts
5Worcester County12.3-1.4 pts
6Plymouth County11.9-1.5 pts
7Essex County11.4+0.5 pts
8Suffolk County11.1-1 pts
9Dukes County10.8-0.5 pts
10Barnstable County10.5+1 pts
11Hampshire County9.7-1.1 pts
12Norfolk County9.2-1.1 pts
13Middlesex County9.1+1 pts
13Nantucket County9.1-0.1 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 Massachusetts by adult cigarette smoking rate, local model estimate, 2023) [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 Massachusetts by adult cigarette smoking rate, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/massachusetts-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 Massachusetts by adult cigarette smoking rate, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/massachusetts-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 Massachusetts by adult cigarette smoking rate, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/massachusetts-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_massachusetts_by_2023,
  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 Massachusetts by adult cigarette smoking rate, local model estimate, 2023}},
  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/massachusetts-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 Massachusetts by adult cigarette smoking rate, local model estimate, 2023
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/massachusetts-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/massachusetts-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 Massachusetts 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":"Massachusetts","limit":10}
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Questions

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

Bristol County, with 15.8% in 2023, according to the Centers for Disease Control and Prevention.

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

Nantucket County, with 9.1% in 2023.

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 Massachusetts: more rankings