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

Lake County had the highest adult cigarette smoking rate, local model estimate of 83 counties in 2021, at 23.6%. Washtenaw County had the lowest, at 10.6%. The median was 18.6%. Source: the Centers for Disease Control and Prevention.

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Highest23.6Lake County
Median18.683 counties

Map of counties, 2021

Alcona County: 18.2 %Alger County: 19.5 %Allegan County: 17.3 %Alpena County: 19.6 %Antrim County: 15.9 %Arenac County: 20.3 %Baraga County: 21.3 %Barry County: 16.7 %Bay County: 18.1 %Benzie County: 15.6 %Berrien County: 17.1 %Branch County: 20.6 %Calhoun County: 19 %Cass County: 18.6 %Charlevoix County: 15.3 %Cheboygan County: 18.9 %Chippewa County: 20 %Clare County: 23.1 %Clinton County: 15.2 %Crawford County: 18.3 %Delta County: 18.7 %Dickinson County: 16 %Eaton County: 15.2 %Emmet County: 15.1 %Genesee County: 20.2 %Gladwin County: 21 %Gogebic County: 18.8 %Grand Traverse County: 14.9 %Gratiot County: 20 %Hillsdale County: 19.7 %Houghton County: 15.9 %Huron County: 18.7 %Ingham County: 14.2 %Ionia County: 19.2 %Iosco County: 19.8 %Iron County: 19 %Isabella County: 17.8 %Jackson County: 19.1 %Kalamazoo County: 15.2 %Kalkaska County: 21.4 %Kent County: 14.5 %Keweenaw County: 13.1 %Lake County: 23.6 %Lapeer County: 18 %Leelanau County: 12.1 %Lenawee County: 17.4 %Livingston County: 13.6 %Luce County: 20.5 %Mackinac County: 19.6 %Macomb County: 18.6 %Manistee County: 17.9 %Marquette County: 16.1 %Mason County: 18.1 %Mecosta County: 18.1 %Menominee County: 18.3 %Midland County: 15.3 %Missaukee County: 20.4 %Monroe County: 17.2 %Montcalm County: 19.7 %Montmorency County: 20 %Muskegon County: 18.6 %Newaygo County: 20.2 %Oakland County: 12 %Oceana County: 18.8 %Ogemaw County: 21.3 %Ontonagon County: 18.4 %Osceola County: 20.6 %Oscoda County: 20.9 %Otsego County: 17.4 %Ottawa County: 13.3 %Presque Isle County: 18.2 %Roscommon County: 18.9 %Saginaw County: 17.7 %St. Clair County: 18.9 %St. Joseph County: 19.9 %Sanilac County: 20.4 %Schoolcraft County: 20.3 %Shiawassee County: 18.6 %Tuscola County: 20.3 %Van Buren County: 19 %Washtenaw County: 10.6 %Wayne County: 21.7 %Wexford County: 19.5 %
  • Under 15
  • 15 to 18
  • 18 to 19
  • 19 to 20
  • 20 and over
%, 2021. 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, 2021

Lake County: 23.6 %Lake County23.6Clare County: 23.1 %Clare County23.1Wayne County: 21.7 %Wayne County21.7Kalkaska County: 21.4 %Kalkaska County21.4Baraga County: 21.3 %Baraga County21.3Ogemaw County: 21.3 %Ogemaw County21.3Gladwin County: 21 %Gladwin County21Oscoda County: 20.9 %Oscoda County20.9Branch County: 20.6 %Branch County20.6Osceola County: 20.6 %Osceola County20.6Luce County: 20.5 %Luce County20.5Missaukee County: 20.4 %Missaukee County20.4Sanilac County: 20.4 %Sanilac County20.4Arenac County: 20.3 %Arenac County20.3Schoolcraft County: 20.3 %Schoolcraft County20.3Tuscola County: 20.3 %Tuscola County20.3Genesee County: 20.2 %Genesee County20.2Newaygo County: 20.2 %Newaygo County20.2Chippewa County: 20 %Chippewa County20Gratiot County: 20 %Gratiot County20Montmorency County: 20 %Montmorency County20St. Joseph County: 19.9 %St. Joseph County19.9Iosco County: 19.8 %Iosco County19.8Hillsdale County: 19.7 %Hillsdale County19.7Montcalm County: 19.7 %Montcalm County19.7Alpena County: 19.6 %Alpena County19.6Mackinac County: 19.6 %Mackinac County19.6Alger County: 19.5 %Alger County19.5Wexford County: 19.5 %Wexford County19.5Ionia County: 19.2 %Ionia County19.2Jackson County: 19.1 %Jackson County19.1Calhoun County: 19 %Calhoun County19Iron County: 19 %Iron County19Van Buren County: 19 %Van Buren County19Cheboygan County: 18.9 %Cheboygan County18.9Roscommon County: 18.9 %Roscommon County18.9St. Clair County: 18.9 %St. Clair County18.9Gogebic County: 18.8 %Gogebic County18.8Oceana County: 18.8 %Oceana County18.8Delta County: 18.7 %Delta County18.7Lake County: 23.6 %Lake County23.6Clare County: 23.1 %Clare County23.1Wayne County: 21.7 %Wayne County21.7Kalkaska County: 21.4 %Kalkaska County21.4Baraga County: 21.3 %Baraga County21.3Ogemaw County: 21.3 %Ogemaw County21.3Gladwin County: 21 %Gladwin County21Oscoda County: 20.9 %Oscoda County20.9Branch County: 20.6 %Branch County20.6Osceola County: 20.6 %Osceola County20.6Luce County: 20.5 %Luce County20.5Missaukee County: 20.4 %Missaukee County20.4Sanilac County: 20.4 %Sanilac County20.4Arenac County: 20.3 %Arenac County20.3Schoolcraft County: 20.3 %Schoolcraft County20.3Tuscola County: 20.3 %Tuscola County20.3Genesee County: 20.2 %Genesee County20.2Newaygo County: 20.2 %Newaygo County20.2Chippewa County: 20 %Chippewa County20Gratiot County: 20 %Gratiot County20Montmorency County: 20 %Montmorency County20St. Joseph County: 19.9 %St. Joseph County19.9Iosco County: 19.8 %Iosco County19.8Hillsdale County: 19.7 %Hillsdale County19.7Montcalm County: 19.7 %Montcalm County19.7Alpena County: 19.6 %Alpena County19.6Mackinac County: 19.6 %Mackinac County19.6Alger County: 19.5 %Alger County19.5Wexford County: 19.5 %Wexford County19.5Ionia County: 19.2 %Ionia County19.2Jackson County: 19.1 %Jackson County19.1Calhoun County: 19 %Calhoun County19Iron County: 19 %Iron County19Van Buren County: 19 %Van Buren County19Cheboygan County: 18.9 %Cheboygan County18.9Roscommon County: 18.9 %Roscommon County18.9St. Clair County: 18.9 %St. Clair County18.9Gogebic County: 18.8 %Gogebic County18.8Oceana County: 18.8 %Oceana County18.8Delta County: 18.7 %Delta County18.7
%. 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

RankCounties2021 (%)
1Lake County23.6
2Clare County23.1
3Wayne County21.7
4Kalkaska County21.4
5Baraga County21.3
5Ogemaw County21.3
7Gladwin County21
8Oscoda County20.9
9Branch County20.6
9Osceola County20.6
11Luce County20.5
12Missaukee County20.4
12Sanilac County20.4
14Arenac County20.3
14Schoolcraft County20.3
14Tuscola County20.3
17Genesee County20.2
17Newaygo County20.2
19Chippewa County20
19Gratiot County20
19Montmorency County20
22St. Joseph County19.9
23Iosco County19.8
24Hillsdale County19.7
24Montcalm County19.7
26Alpena County19.6
26Mackinac County19.6
28Alger County19.5
28Wexford County19.5
30Ionia County19.2
31Jackson County19.1
32Calhoun County19
32Iron County19
32Van Buren County19
35Cheboygan County18.9
35Roscommon County18.9
35St. Clair County18.9
38Gogebic County18.8
38Oceana County18.8
40Delta County18.7
40Huron County18.7
42Cass County18.6
42Macomb County18.6
42Muskegon County18.6
42Shiawassee County18.6
46Ontonagon County18.4
47Crawford County18.3
47Menominee County18.3
49Alcona County18.2
49Presque Isle County18.2
51Bay County18.1
51Mason County18.1
51Mecosta County18.1
54Lapeer County18
55Manistee County17.9
56Isabella County17.8
57Saginaw County17.7
58Lenawee County17.4
58Otsego County17.4
60Allegan County17.3
61Monroe County17.2
62Berrien County17.1
63Barry County16.7
64Marquette County16.1
65Dickinson County16
66Antrim County15.9
66Houghton County15.9
68Benzie County15.6
69Charlevoix County15.3
69Midland County15.3
71Clinton County15.2
71Eaton County15.2
71Kalamazoo County15.2
74Emmet County15.1
75Grand Traverse County14.9
76Kent County14.5
77Ingham County14.2
78Livingston County13.6
79Ottawa County13.3
80Keweenaw County13.1
81Leelanau County12.1
82Oakland County12
83Washtenaw County10.6

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, 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 Michigan 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/michigan-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 Michigan 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/michigan-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 Michigan 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/michigan-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_michigan_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 Michigan 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/michigan-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 Michigan 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/michigan-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/michigan-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  - 
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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 23.6% in 2021, according to the Centers for Disease Control and Prevention.

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

Washtenaw County, with 10.6% 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.

Adult cigarette smoking rate, local model estimate: other rankings

Counties in Michigan: more rankings