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

Lake County had the highest adult cigarette smoking rate, local model estimate of 83 counties in 2023, at 20.9%. Washtenaw County had the lowest, at 9.8%. The median was 16.3%. Source: the Centers for Disease Control and Prevention.

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Highest20.9Lake County
Median16.383 counties

Map of counties, 2023

Alcona County: 15.9 %Alger County: 16 %Allegan County: 14.8 %Alpena County: 17.8 %Antrim County: 13.4 %Arenac County: 17.8 %Baraga County: 18.6 %Barry County: 14.9 %Bay County: 15.7 %Benzie County: 13.5 %Berrien County: 15 %Branch County: 18 %Calhoun County: 16.7 %Cass County: 16.3 %Charlevoix County: 13.1 %Cheboygan County: 16.7 %Chippewa County: 17.6 %Clare County: 19.5 %Clinton County: 12.9 %Crawford County: 17.6 %Delta County: 16.4 %Dickinson County: 15.1 %Eaton County: 13.3 %Emmet County: 12.8 %Genesee County: 17 %Gladwin County: 18.2 %Gogebic County: 16.6 %Grand Traverse County: 12.8 %Gratiot County: 16.6 %Hillsdale County: 17.8 %Houghton County: 13.1 %Huron County: 16.6 %Ingham County: 13 %Ionia County: 16.3 %Iosco County: 18.2 %Iron County: 16.6 %Isabella County: 15.8 %Jackson County: 15.4 %Kalamazoo County: 12.9 %Kalkaska County: 17.8 %Kent County: 13 %Keweenaw County: 11.5 %Lake County: 20.9 %Lapeer County: 16.1 %Leelanau County: 10.6 %Lenawee County: 15.5 %Livingston County: 11.9 %Luce County: 18.1 %Mackinac County: 17.7 %Macomb County: 15.2 %Manistee County: 15.6 %Marquette County: 13.5 %Mason County: 15.7 %Mecosta County: 16.7 %Menominee County: 16.7 %Midland County: 13.2 %Missaukee County: 17.3 %Monroe County: 15.2 %Montcalm County: 18.3 %Montmorency County: 18.3 %Muskegon County: 17.1 %Newaygo County: 18 %Oakland County: 10.8 %Oceana County: 16.7 %Ogemaw County: 18.3 %Ontonagon County: 16.3 %Osceola County: 18.1 %Oscoda County: 19.4 %Otsego County: 15.1 %Ottawa County: 11.4 %Presque Isle County: 16.3 %Roscommon County: 16.5 %Saginaw County: 16.2 %St. Clair County: 16.3 %St. Joseph County: 17.4 %Sanilac County: 17.9 %Schoolcraft County: 18.1 %Shiawassee County: 16.3 %Tuscola County: 17.3 %Van Buren County: 16.4 %Washtenaw County: 9.8 %Wayne County: 16.9 %Wexford County: 17.4 %
  • Under 13
  • 13 to 16
  • 16 to 17
  • 17 to 18
  • 18 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.

Top 40 counties, 2023

Lake County: 20.9 %Lake County20.9Clare County: 19.5 %Clare County19.5Oscoda County: 19.4 %Oscoda County19.4Baraga County: 18.6 %Baraga County18.6Montcalm County: 18.3 %Montcalm County18.3Montmorency County: 18.3 %Montmorency County18.3Ogemaw County: 18.3 %Ogemaw County18.3Gladwin County: 18.2 %Gladwin County18.2Iosco County: 18.2 %Iosco County18.2Luce County: 18.1 %Luce County18.1Osceola County: 18.1 %Osceola County18.1Schoolcraft County: 18.1 %Schoolcraft County18.1Branch County: 18 %Branch County18Newaygo County: 18 %Newaygo County18Sanilac County: 17.9 %Sanilac County17.9Alpena County: 17.8 %Alpena County17.8Arenac County: 17.8 %Arenac County17.8Hillsdale County: 17.8 %Hillsdale County17.8Kalkaska County: 17.8 %Kalkaska County17.8Mackinac County: 17.7 %Mackinac County17.7Chippewa County: 17.6 %Chippewa County17.6Crawford County: 17.6 %Crawford County17.6St. Joseph County: 17.4 %St. Joseph County17.4Wexford County: 17.4 %Wexford County17.4Missaukee County: 17.3 %Missaukee County17.3Tuscola County: 17.3 %Tuscola County17.3Muskegon County: 17.1 %Muskegon County17.1Genesee County: 17 %Genesee County17Wayne County: 16.9 %Wayne County16.9Calhoun County: 16.7 %Calhoun County16.7Cheboygan County: 16.7 %Cheboygan County16.7Mecosta County: 16.7 %Mecosta County16.7Menominee County: 16.7 %Menominee County16.7Oceana County: 16.7 %Oceana County16.7Gogebic County: 16.6 %Gogebic County16.6Gratiot County: 16.6 %Gratiot County16.6Huron County: 16.6 %Huron County16.6Iron County: 16.6 %Iron County16.6Roscommon County: 16.5 %Roscommon County16.5Delta County: 16.4 %Delta County16.4Lake County: 20.9 %Lake County20.9Clare County: 19.5 %Clare County19.5Oscoda County: 19.4 %Oscoda County19.4Baraga County: 18.6 %Baraga County18.6Montcalm County: 18.3 %Montcalm County18.3Montmorency County: 18.3 %Montmorency County18.3Ogemaw County: 18.3 %Ogemaw County18.3Gladwin County: 18.2 %Gladwin County18.2Iosco County: 18.2 %Iosco County18.2Luce County: 18.1 %Luce County18.1Osceola County: 18.1 %Osceola County18.1Schoolcraft County: 18.1 %Schoolcraft County18.1Branch County: 18 %Branch County18Newaygo County: 18 %Newaygo County18Sanilac County: 17.9 %Sanilac County17.9Alpena County: 17.8 %Alpena County17.8Arenac County: 17.8 %Arenac County17.8Hillsdale County: 17.8 %Hillsdale County17.8Kalkaska County: 17.8 %Kalkaska County17.8Mackinac County: 17.7 %Mackinac County17.7Chippewa County: 17.6 %Chippewa County17.6Crawford County: 17.6 %Crawford County17.6St. Joseph County: 17.4 %St. Joseph County17.4Wexford County: 17.4 %Wexford County17.4Missaukee County: 17.3 %Missaukee County17.3Tuscola County: 17.3 %Tuscola County17.3Muskegon County: 17.1 %Muskegon County17.1Genesee County: 17 %Genesee County17Wayne County: 16.9 %Wayne County16.9Calhoun County: 16.7 %Calhoun County16.7Cheboygan County: 16.7 %Cheboygan County16.7Mecosta County: 16.7 %Mecosta County16.7Menominee County: 16.7 %Menominee County16.7Oceana County: 16.7 %Oceana County16.7Gogebic County: 16.6 %Gogebic County16.6Gratiot County: 16.6 %Gratiot County16.6Huron County: 16.6 %Huron County16.6Iron County: 16.6 %Iron County16.6Roscommon County: 16.5 %Roscommon County16.5Delta County: 16.4 %Delta County16.4
%. 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
1Lake County20.9-1.5 pts
2Clare County19.5+0.2 pts
3Oscoda County19.4-0.5 pts
4Baraga County18.60 pts
5Montcalm County18.3-1.4 pts
5Montmorency County18.3+0.8 pts
5Ogemaw County18.3-0.3 pts
8Gladwin County18.2+0.4 pts
8Iosco County18.2-0.3 pts
10Luce County18.1-1.7 pts
10Osceola County18.1-1 pts
10Schoolcraft County18.1-3.1 pts
13Branch County18-1.5 pts
13Newaygo County18+0.4 pts
15Sanilac County17.9-2.9 pts
16Alpena County17.8-1 pts
16Arenac County17.8-1.3 pts
16Hillsdale County17.8-1.5 pts
16Kalkaska County17.8-2.4 pts
20Mackinac County17.7+0.8 pts
21Chippewa County17.6-0.9 pts
21Crawford County17.6-0.4 pts
23St. Joseph County17.4-2.7 pts
23Wexford County17.4-1.2 pts
25Missaukee County17.3-2.3 pts
25Tuscola County17.3-3 pts
27Muskegon County17.1-3 pts
28Genesee County17+1.6 pts
29Wayne County16.9-1.5 pts
30Calhoun County16.7-1 pts
30Cheboygan County16.7-0.5 pts
30Mecosta County16.7-1.8 pts
30Menominee County16.7-1.4 pts
30Oceana County16.7+0.1 pts
35Gogebic County16.6-1.4 pts
35Gratiot County16.6+1.6 pts
35Huron County16.6-2.4 pts
35Iron County16.6-1.9 pts
39Roscommon County16.5-0.3 pts
40Delta County16.4+0.5 pts
40Van Buren County16.4-3.9 pts
42Cass County16.3-1.9 pts
42Ionia County16.3-1.1 pts
42Ontonagon County16.3-2 pts
42Presque Isle County16.3-1.3 pts
42Shiawassee County16.3-0.5 pts
42St. Clair County16.3-0.5 pts
48Saginaw County16.2-3.2 pts
49Lapeer County16.1-1.9 pts
50Alger County16-1.2 pts
51Alcona County15.9-2.3 pts
52Isabella County15.8+0.6 pts
53Bay County15.7+1.4 pts
53Mason County15.7-0.8 pts
55Manistee County15.6+0.7 pts
56Lenawee County15.5-0.8 pts
57Jackson County15.4-3.1 pts
58Macomb County15.2-3.7 pts
58Monroe County15.2-2.8 pts
60Dickinson County15.1+0.6 pts
60Otsego County15.1-5.6 pts
62Berrien County15-1.4 pts
63Barry County14.9+1.3 pts
64Allegan County14.8-1.9 pts
65Benzie County13.5-2.2 pts
65Marquette County13.5-0.9 pts
67Antrim County13.4+0.9 pts
68Eaton County13.3-0.1 pts
69Midland County13.2-1.6 pts
70Charlevoix County13.1-3.8 pts
70Houghton County13.1+0.1 pts
72Ingham County13+0.1 pts
72Kent County13-2.1 pts
74Clinton County12.9+0.2 pts
74Kalamazoo County12.9-1.7 pts
76Emmet County12.8-0.2 pts
76Grand Traverse County12.8-0.3 pts
78Livingston County11.9-0.8 pts
79Keweenaw County11.5-0.2 pts
80Ottawa County11.4-2.1 pts
81Oakland County10.8-1.1 pts
82Leelanau County10.60 pts
83Washtenaw County9.8-1 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 Michigan 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 Michigan 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/michigan-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 Michigan 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/michigan-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 Michigan 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/michigan-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_michigan_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 Michigan 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/michigan-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 Michigan 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/michigan-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/michigan-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 Michigan 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":"Michigan","limit":10}
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Questions

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

Lake County, with 20.9% in 2023, according to the Centers for Disease Control and Prevention.

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

Washtenaw County, with 9.8% 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 Michigan: more rankings