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

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

Hampden County had the highest adult cigarette smoking rate, local model estimate of 14 counties in 2022, at 16.8%. Middlesex County had the lowest, at 8.1%. The median was 11.1%. Source: the Centers for Disease Control and Prevention.

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Highest16.8Hampden County
Lowest8.1Middlesex County
Median11.114 counties

Map of counties, 2022

Barnstable County: 9.5 %Berkshire County: 12.6 %Bristol County: 14.5 %Dukes County: 11.3 %Essex County: 10.9 %Franklin County: 10.3 %Hampden County: 16.8 %Hampshire County: 10.8 %Middlesex County: 8.1 %Nantucket County: 9.2 %Norfolk County: 10.3 %Plymouth County: 13.4 %Suffolk County: 12.1 %Worcester County: 13.7 %
  • Under 10
  • 10 to 11
  • 11 to 12
  • 12 to 14
  • 14 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

Hampden County: 16.8 %Hampden County16.8Bristol County: 14.5 %Bristol County14.5Worcester County: 13.7 %Worcester County13.7Plymouth County: 13.4 %Plymouth County13.4Berkshire County: 12.6 %Berkshire County12.6Suffolk County: 12.1 %Suffolk County12.1Dukes County: 11.3 %Dukes County11.3Essex County: 10.9 %Essex County10.9Hampshire County: 10.8 %Hampshire County10.8Franklin County: 10.3 %Franklin County10.3Norfolk County: 10.3 %Norfolk County10.3Barnstable County: 9.5 %Barnstable County9.5Nantucket County: 9.2 %Nantucket County9.2Middlesex County: 8.1 %Middlesex County8.1Hampden County: 16.8 %Hampden County16.8Bristol County: 14.5 %Bristol County14.5Worcester County: 13.7 %Worcester County13.7Plymouth County: 13.4 %Plymouth County13.4Berkshire County: 12.6 %Berkshire County12.6Suffolk County: 12.1 %Suffolk County12.1Dukes County: 11.3 %Dukes County11.3Essex County: 10.9 %Essex County10.9Hampshire County: 10.8 %Hampshire County10.8Franklin County: 10.3 %Franklin County10.3Norfolk County: 10.3 %Norfolk County10.3Barnstable County: 9.5 %Barnstable County9.5Nantucket County: 9.2 %Nantucket County9.2Middlesex County: 8.1 %Middlesex 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
1Hampden County16.8+1.5 pts
2Bristol County14.5-2 pts
3Worcester County13.7+0.5 pts
4Plymouth County13.4+0.1 pts
5Berkshire County12.6-1.4 pts
6Suffolk County12.1-0.3 pts
7Dukes County11.3-0.8 pts
8Essex County10.9-1.2 pts
9Hampshire County10.8-0.1 pts
10Franklin County10.3-3.5 pts
10Norfolk County10.3-0.3 pts
12Barnstable County9.5-2.2 pts
13Nantucket County9.2-1.9 pts
14Middlesex County8.1-1.1 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, 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 Massachusetts 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/massachusetts-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 Massachusetts 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/massachusetts-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 Massachusetts 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/massachusetts-counties?period=2022 (Accessed: 12 October 2026).

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

Hampden County, with 16.8% in 2022, according to the Centers for Disease Control and Prevention.

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

Middlesex 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 Massachusetts: more rankings