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

Tunica County had the highest adult cigarette smoking rate, local model estimate of 82 counties in 2023, at 23.5%. Madison County had the lowest, at 12%. The median was 19.2%. Source: the Centers for Disease Control and Prevention.

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Highest23.5Tunica County
Median19.282 counties

Map of counties, 2023

Adams County: 20.2 %Alcorn County: 19.3 %Amite County: 20.4 %Attala County: 18.2 %Benton County: 19.4 %Bolivar County: 19.8 %Calhoun County: 20.1 %Carroll County: 19.4 %Chickasaw County: 19.9 %Choctaw County: 17.2 %Claiborne County: 18.7 %Clarke County: 19 %Clay County: 19.1 %Coahoma County: 21.1 %Copiah County: 17.8 %Covington County: 18 %DeSoto County: 13.9 %Forrest County: 15.2 %Franklin County: 20 %George County: 18.2 %Greene County: 19.2 %Grenada County: 18.5 %Hancock County: 15.7 %Harrison County: 16.3 %Hinds County: 15.9 %Holmes County: 22.4 %Humphreys County: 23.2 %Issaquena County: 21.6 %Itawamba County: 16.1 %Jackson County: 15.4 %Jasper County: 18.7 %Jefferson County: 21.5 %Jefferson Davis County: 20 %Jones County: 17.6 %Kemper County: 17.5 %Lafayette County: 12.9 %Lamar County: 14.8 %Lauderdale County: 18.5 %Lawrence County: 21.7 %Leake County: 19.3 %Lee County: 15.4 %Leflore County: 20.9 %Lincoln County: 18 %Lowndes County: 15.9 %Madison County: 12 %Marion County: 20.4 %Marshall County: 20.3 %Monroe County: 18.7 %Montgomery County: 19.4 %Neshoba County: 21 %Newton County: 18.4 %Noxubee County: 21.3 %Oktibbeha County: 12.4 %Panola County: 20.4 %Pearl River County: 17.6 %Perry County: 19.5 %Pike County: 20.3 %Pontotoc County: 17.7 %Prentiss County: 17.5 %Quitman County: 23.2 %Rankin County: 13.1 %Scott County: 20.6 %Sharkey County: 22.8 %Simpson County: 18.1 %Smith County: 19.8 %Stone County: 17.1 %Sunflower County: 21.4 %Tallahatchie County: 20.7 %Tate County: 16.4 %Tippah County: 18.7 %Tishomingo County: 19 %Tunica County: 23.5 %Union County: 18.5 %Walthall County: 19.3 %Warren County: 16.1 %Washington County: 20.7 %Wayne County: 20.2 %Webster County: 16.9 %Wilkinson County: 20.6 %Winston County: 19.8 %Yalobusha County: 20.7 %Yazoo County: 23.5 %
  • Under 16
  • 16 to 18
  • 18 to 19
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  • 20 to 21
  • 21 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

Tunica County: 23.5 %Tunica County23.5Yazoo County: 23.5 %Yazoo County23.5Humphreys County: 23.2 %Humphreys County23.2Quitman County: 23.2 %Quitman County23.2Sharkey County: 22.8 %Sharkey County22.8Holmes County: 22.4 %Holmes County22.4Lawrence County: 21.7 %Lawrence County21.7Issaquena County: 21.6 %Issaquena County21.6Jefferson County: 21.5 %Jefferson County21.5Sunflower County: 21.4 %Sunflower County21.4Noxubee County: 21.3 %Noxubee County21.3Coahoma County: 21.1 %Coahoma County21.1Neshoba County: 21 %Neshoba County21Leflore County: 20.9 %Leflore County20.9Tallahatchie County: 20.7 %Tallahatchie County20.7Washington County: 20.7 %Washington County20.7Yalobusha County: 20.7 %Yalobusha County20.7Scott County: 20.6 %Scott County20.6Wilkinson County: 20.6 %Wilkinson County20.6Amite County: 20.4 %Amite County20.4Marion County: 20.4 %Marion County20.4Panola County: 20.4 %Panola County20.4Marshall County: 20.3 %Marshall County20.3Pike County: 20.3 %Pike County20.3Adams County: 20.2 %Adams County20.2Wayne County: 20.2 %Wayne County20.2Calhoun County: 20.1 %Calhoun County20.1Franklin County: 20 %Franklin County20Jefferson Davis County: 20 %Jefferson Davis County20Chickasaw County: 19.9 %Chickasaw County19.9Bolivar County: 19.8 %Bolivar County19.8Smith County: 19.8 %Smith County19.8Winston County: 19.8 %Winston County19.8Perry County: 19.5 %Perry County19.5Benton County: 19.4 %Benton County19.4Carroll County: 19.4 %Carroll County19.4Montgomery County: 19.4 %Montgomery County19.4Alcorn County: 19.3 %Alcorn County19.3Leake County: 19.3 %Leake County19.3Walthall County: 19.3 %Walthall County19.3Tunica County: 23.5 %Tunica County23.5Yazoo County: 23.5 %Yazoo County23.5Humphreys County: 23.2 %Humphreys County23.2Quitman County: 23.2 %Quitman County23.2Sharkey County: 22.8 %Sharkey County22.8Holmes County: 22.4 %Holmes County22.4Lawrence County: 21.7 %Lawrence County21.7Issaquena County: 21.6 %Issaquena County21.6Jefferson County: 21.5 %Jefferson County21.5Sunflower County: 21.4 %Sunflower County21.4Noxubee County: 21.3 %Noxubee County21.3Coahoma County: 21.1 %Coahoma County21.1Neshoba County: 21 %Neshoba County21Leflore County: 20.9 %Leflore County20.9Tallahatchie County: 20.7 %Tallahatchie County20.7Washington County: 20.7 %Washington County20.7Yalobusha County: 20.7 %Yalobusha County20.7Scott County: 20.6 %Scott County20.6Wilkinson County: 20.6 %Wilkinson County20.6Amite County: 20.4 %Amite County20.4Marion County: 20.4 %Marion County20.4Panola County: 20.4 %Panola County20.4Marshall County: 20.3 %Marshall County20.3Pike County: 20.3 %Pike County20.3Adams County: 20.2 %Adams County20.2Wayne County: 20.2 %Wayne County20.2Calhoun County: 20.1 %Calhoun County20.1Franklin County: 20 %Franklin County20Jefferson Davis County: 20 %Jefferson Davis County20Chickasaw County: 19.9 %Chickasaw County19.9Bolivar County: 19.8 %Bolivar County19.8Smith County: 19.8 %Smith County19.8Winston County: 19.8 %Winston County19.8Perry County: 19.5 %Perry County19.5Benton County: 19.4 %Benton County19.4Carroll County: 19.4 %Carroll County19.4Montgomery County: 19.4 %Montgomery County19.4Alcorn County: 19.3 %Alcorn County19.3Leake County: 19.3 %Leake County19.3Walthall County: 19.3 %Walthall County19.3
%. 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
1Tunica County23.5-0.5 pts
1Yazoo County23.5-0.1 pts
3Humphreys County23.2-1.6 pts
3Quitman County23.2+0.3 pts
5Sharkey County22.8-1 pts
6Holmes County22.4-0.9 pts
7Lawrence County21.7-0.5 pts
8Issaquena County21.60 pts
9Jefferson County21.5+0.6 pts
10Sunflower County21.4-1.1 pts
11Noxubee County21.3+0.3 pts
12Coahoma County21.1-2.1 pts
13Neshoba County21-2.3 pts
14Leflore County20.9-3.7 pts
15Tallahatchie County20.7-1.6 pts
15Washington County20.7+2 pts
15Yalobusha County20.70 pts
18Scott County20.6-0.4 pts
18Wilkinson County20.6-1.9 pts
20Amite County20.4-1.8 pts
20Marion County20.4-1.2 pts
20Panola County20.4-0.3 pts
23Marshall County20.3+0.6 pts
23Pike County20.3-1.4 pts
25Adams County20.2+1.2 pts
25Wayne County20.2+0.8 pts
27Calhoun County20.1-2 pts
28Franklin County20+0.6 pts
28Jefferson Davis County20+0.7 pts
30Chickasaw County19.9-1.4 pts
31Bolivar County19.8+3.5 pts
31Smith County19.8-1.2 pts
31Winston County19.8-0.2 pts
34Perry County19.5-3.9 pts
35Benton County19.4+1 pts
35Carroll County19.4-3 pts
35Montgomery County19.4-2.3 pts
38Alcorn County19.3+1.1 pts
38Leake County19.3-2.3 pts
38Walthall County19.3-0.8 pts
41Greene County19.2-0.9 pts
42Clay County19.1-1.4 pts
43Clarke County19+0.7 pts
43Tishomingo County19+0.3 pts
45Claiborne County18.7+0.3 pts
45Jasper County18.7+0.3 pts
45Monroe County18.7-1 pts
45Tippah County18.7-1.4 pts
49Grenada County18.5-2.8 pts
49Lauderdale County18.5-0.7 pts
49Union County18.5+1.9 pts
52Newton County18.4-2.3 pts
53Attala County18.2-1.6 pts
53George County18.2-0.3 pts
55Simpson County18.1-1.8 pts
56Covington County18-1.5 pts
56Lincoln County18-2.4 pts
58Copiah County17.80 pts
59Pontotoc County17.7+0.5 pts
60Jones County17.6+1.5 pts
60Pearl River County17.6+0.2 pts
62Kemper County17.5+0.1 pts
62Prentiss County17.5-0.9 pts
64Choctaw County17.2-1.2 pts
65Stone County17.1-2.7 pts
66Webster County16.9-2.1 pts
67Tate County16.4-1.6 pts
68Harrison County16.3-1.5 pts
69Itawamba County16.1-2.4 pts
69Warren County16.1-1.1 pts
71Hinds County15.9-4 pts
71Lowndes County15.9-1.5 pts
73Hancock County15.7-3.2 pts
74Jackson County15.4-1.2 pts
74Lee County15.4-2.5 pts
76Forrest County15.2+0.1 pts
77Lamar County14.8-1.9 pts
78DeSoto County13.9-1 pts
79Rankin County13.1-2.9 pts
80Lafayette County12.9-1.1 pts
81Oktibbeha County12.4-1.8 pts
82Madison County12-1.3 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 Mississippi 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 Mississippi 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/mississippi-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 Mississippi 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/mississippi-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 Mississippi 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/mississippi-counties (Accessed: 12 October 2026).

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

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

Tunica County, with 23.5% in 2023, according to the Centers for Disease Control and Prevention.

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

Madison County, with 12% 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 Mississippi: more rankings