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

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

Pemiscot County had the highest adult cigarette smoking rate, local model estimate of 115 counties in 2023, at 24.8%. Platte County had the lowest, at 12.1%. The median was 18.9%. Source: the Centers for Disease Control and Prevention.

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Highest24.8Pemiscot County
Lowest12.1Platte County
Median18.9115 counties

Map of counties, 2023

Adair County: 14.3 %Andrew County: 15.4 %Atchison County: 18 %Audrain County: 20.2 %Barry County: 20.2 %Barton County: 21.6 %Bates County: 20.5 %Benton County: 19.3 %Bollinger County: 20.6 %Boone County: 12.2 %Buchanan County: 18.6 %Butler County: 22.1 %Caldwell County: 18.5 %Callaway County: 16.7 %Camden County: 16.4 %Cape Girardeau County: 14.9 %Carroll County: 18.3 %Carter County: 22.6 %Cass County: 14.9 %Cedar County: 20.3 %Chariton County: 17.8 %Christian County: 14.8 %Clark County: 21 %Clay County: 14.2 %Clinton County: 17 %Cole County: 13.9 %Cooper County: 16.6 %Crawford County: 20.3 %Dade County: 20.9 %Dallas County: 21.4 %Daviess County: 19.6 %DeKalb County: 17.4 %Dent County: 19.9 %Douglas County: 20.1 %Dunklin County: 22.8 %Franklin County: 16.4 %Gasconade County: 17.6 %Gentry County: 19.3 %Greene County: 15.4 %Grundy County: 19.4 %Harrison County: 19.7 %Henry County: 19.7 %Hickory County: 23.2 %Holt County: 17.6 %Howard County: 15.7 %Howell County: 21.6 %Iron County: 20.5 %Jackson County: 15.8 %Jasper County: 18.5 %Jefferson County: 16.5 %Johnson County: 15.2 %Knox County: 21.2 %Laclede County: 21.1 %Lafayette County: 16.5 %Lawrence County: 20.4 %Lewis County: 18.8 %Lincoln County: 17.6 %Linn County: 18.8 %Livingston County: 18.7 %McDonald County: 23.3 %Macon County: 16.9 %Madison County: 19.3 %Maries County: 18.8 %Marion County: 17.3 %Mercer County: 20 %Miller County: 18.6 %Mississippi County: 23.6 %Moniteau County: 18 %Monroe County: 19.3 %Montgomery County: 19.5 %Morgan County: 21.1 %New Madrid County: 21.4 %Newton County: 17.9 %Nodaway County: 14.7 %Oregon County: 22.8 %Osage County: 16 %Ozark County: 23.1 %Pemiscot County: 24.8 %Perry County: 17.5 %Pettis County: 17.9 %Phelps County: 16.4 %Pike County: 20.3 %Platte County: 12.1 %Polk County: 18.9 %Pulaski County: 15 %Putnam County: 17.1 %Ralls County: 18.9 %Randolph County: 19.4 %Ray County: 18.7 %Reynolds County: 21.8 %Ripley County: 23 %St. Charles County: 12.2 %St. Clair County: 20.9 %Ste. Genevieve County: 17.1 %St. Francois County: 20.7 %St. Louis County: 13.2 %Saline County: 16.2 %Schuyler County: 17.3 %Scotland County: 19.1 %Scott County: 19.2 %Shannon County: 20.7 %Shelby County: 20.5 %Stoddard County: 21.6 %Stone County: 17.3 %Sullivan County: 18.7 %Taney County: 16.8 %Texas County: 21.7 %Vernon County: 20.5 %Warren County: 17.1 %Washington County: 22.9 %Wayne County: 23.9 %Webster County: 19.4 %Worth County: 19.2 %Wright County: 23 %St. Louis city: 16.5 %
  • Under 16
  • 16 to 18
  • 18 to 19
  • 19 to 20
  • 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

Pemiscot County: 24.8 %Pemiscot County24.8Wayne County: 23.9 %Wayne County23.9Mississippi County: 23.6 %Mississippi County23.6McDonald County: 23.3 %McDonald County23.3Hickory County: 23.2 %Hickory County23.2Ozark County: 23.1 %Ozark County23.1Ripley County: 23 %Ripley County23Wright County: 23 %Wright County23Washington County: 22.9 %Washington County22.9Dunklin County: 22.8 %Dunklin County22.8Oregon County: 22.8 %Oregon County22.8Carter County: 22.6 %Carter County22.6Butler County: 22.1 %Butler County22.1Reynolds County: 21.8 %Reynolds County21.8Texas County: 21.7 %Texas County21.7Barton County: 21.6 %Barton County21.6Howell County: 21.6 %Howell County21.6Stoddard County: 21.6 %Stoddard County21.6Dallas County: 21.4 %Dallas County21.4New Madrid County: 21.4 %New Madrid County21.4Knox County: 21.2 %Knox County21.2Laclede County: 21.1 %Laclede County21.1Morgan County: 21.1 %Morgan County21.1Clark County: 21 %Clark County21Dade County: 20.9 %Dade County20.9St. Clair County: 20.9 %St. Clair County20.9Shannon County: 20.7 %Shannon County20.7St. Francois County: 20.7 %St. Francois County20.7Bollinger County: 20.6 %Bollinger County20.6Bates County: 20.5 %Bates County20.5Iron County: 20.5 %Iron County20.5Shelby County: 20.5 %Shelby County20.5Vernon County: 20.5 %Vernon County20.5Lawrence County: 20.4 %Lawrence County20.4Cedar County: 20.3 %Cedar County20.3Crawford County: 20.3 %Crawford County20.3Pike County: 20.3 %Pike County20.3Audrain County: 20.2 %Audrain County20.2Barry County: 20.2 %Barry County20.2Douglas County: 20.1 %Douglas County20.1Pemiscot County: 24.8 %Pemiscot County24.8Wayne County: 23.9 %Wayne County23.9Mississippi County: 23.6 %Mississippi County23.6McDonald County: 23.3 %McDonald County23.3Hickory County: 23.2 %Hickory County23.2Ozark County: 23.1 %Ozark County23.1Ripley County: 23 %Ripley County23Wright County: 23 %Wright County23Washington County: 22.9 %Washington County22.9Dunklin County: 22.8 %Dunklin County22.8Oregon County: 22.8 %Oregon County22.8Carter County: 22.6 %Carter County22.6Butler County: 22.1 %Butler County22.1Reynolds County: 21.8 %Reynolds County21.8Texas County: 21.7 %Texas County21.7Barton County: 21.6 %Barton County21.6Howell County: 21.6 %Howell County21.6Stoddard County: 21.6 %Stoddard County21.6Dallas County: 21.4 %Dallas County21.4New Madrid County: 21.4 %New Madrid County21.4Knox County: 21.2 %Knox County21.2Laclede County: 21.1 %Laclede County21.1Morgan County: 21.1 %Morgan County21.1Clark County: 21 %Clark County21Dade County: 20.9 %Dade County20.9St. Clair County: 20.9 %St. Clair County20.9Shannon County: 20.7 %Shannon County20.7St. Francois County: 20.7 %St. Francois County20.7Bollinger County: 20.6 %Bollinger County20.6Bates County: 20.5 %Bates County20.5Iron County: 20.5 %Iron County20.5Shelby County: 20.5 %Shelby County20.5Vernon County: 20.5 %Vernon County20.5Lawrence County: 20.4 %Lawrence County20.4Cedar County: 20.3 %Cedar County20.3Crawford County: 20.3 %Crawford County20.3Pike County: 20.3 %Pike County20.3Audrain County: 20.2 %Audrain County20.2Barry County: 20.2 %Barry County20.2Douglas County: 20.1 %Douglas County20.1
%. 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
1Pemiscot County24.80 pts
2Wayne County23.9+2 pts
3Mississippi County23.6-4.6 pts
4McDonald County23.3-1.9 pts
5Hickory County23.2-0.2 pts
6Ozark County23.1-3.8 pts
7Ripley County23-1.8 pts
7Wright County230 pts
9Washington County22.9-0.4 pts
10Dunklin County22.8-0.7 pts
10Oregon County22.8-1.6 pts
12Carter County22.6-0.1 pts
13Butler County22.1-0.4 pts
14Reynolds County21.8-2.8 pts
15Texas County21.7+1.3 pts
16Barton County21.6-2.8 pts
16Howell County21.6-3.1 pts
16Stoddard County21.6-3.1 pts
19Dallas County21.4-1.3 pts
19New Madrid County21.4-2.8 pts
21Knox County21.2-3.2 pts
22Laclede County21.1-2.2 pts
22Morgan County21.1-1.2 pts
24Clark County21-3.9 pts
25Dade County20.9-2 pts
25St. Clair County20.9-0.8 pts
27Shannon County20.7-3.6 pts
27St. Francois County20.7-1.6 pts
29Bollinger County20.6-3.5 pts
30Bates County20.5+0.6 pts
30Iron County20.5-0.3 pts
30Shelby County20.5-1.3 pts
30Vernon County20.5-0.6 pts
34Lawrence County20.4+0.5 pts
35Cedar County20.3-2.9 pts
35Crawford County20.3-4.1 pts
35Pike County20.3-2.3 pts
38Audrain County20.2-5.4 pts
38Barry County20.20 pts
40Douglas County20.1-2 pts
41Mercer County20+0.8 pts
42Dent County19.9-3.3 pts
43Harrison County19.7-1 pts
43Henry County19.7-0.2 pts
45Daviess County19.6-3.5 pts
46Montgomery County19.5-2.1 pts
47Grundy County19.4-1.4 pts
47Randolph County19.4-1.2 pts
47Webster County19.4+0.2 pts
50Benton County19.3-1.7 pts
50Gentry County19.3-3.3 pts
50Madison County19.3-1.9 pts
50Monroe County19.3-1.6 pts
54Scott County19.2-2.2 pts
54Worth County19.2-0.8 pts
56Scotland County19.1-2.6 pts
57Polk County18.9-4.2 pts
57Ralls County18.9-2.4 pts
59Lewis County18.8-3 pts
59Linn County18.8-4.2 pts
59Maries County18.8-5.1 pts
62Livingston County18.7+0.4 pts
62Ray County18.7-0.3 pts
62Sullivan County18.7-3.2 pts
65Buchanan County18.6-1 pts
65Miller County18.6-4 pts
67Caldwell County18.5-2.5 pts
67Jasper County18.5-1.4 pts
69Carroll County18.3-1.9 pts
70Atchison County18-1.4 pts
70Moniteau County18-3.3 pts
72Newton County17.9+0.6 pts
72Pettis County17.9-1.1 pts
74Chariton County17.8+0.2 pts
75Gasconade County17.60 pts
75Holt County17.6-3.8 pts
75Lincoln County17.6-1.2 pts
78Perry County17.5-2.8 pts
79DeKalb County17.4-1.8 pts
80Marion County17.3-2.9 pts
80Schuyler County17.3-0.6 pts
80Stone County17.3-1.8 pts
83Putnam County17.1-1.1 pts
83Ste. Genevieve County17.1-3.7 pts
83Warren County17.1-2.8 pts
86Clinton County17-3.3 pts
87Macon County16.9-3.3 pts
88Taney County16.8-3.5 pts
89Callaway County16.7-4.2 pts
90Cooper County16.6-4 pts
91Jefferson County16.5-3.3 pts
91Lafayette County16.5-3.7 pts
91St. Louis city16.5-2.4 pts
94Camden County16.4-2.7 pts
94Franklin County16.4-1.1 pts
94Phelps County16.4-2.2 pts
97Saline County16.2-1 pts
98Osage County16-1.8 pts
99Jackson County15.8+0.4 pts
100Howard County15.7-3.2 pts
101Andrew County15.4-2.8 pts
101Greene County15.4+0.4 pts
103Johnson County15.2-1.5 pts
104Pulaski County15-1.8 pts
105Cape Girardeau County14.9-4.9 pts
105Cass County14.9-1.2 pts
107Christian County14.8-5.3 pts
108Nodaway County14.7-3.7 pts
109Adair County14.3-1.2 pts
110Clay County14.2-3.1 pts
111Cole County13.9-1.3 pts
112St. Louis County13.2-3 pts
113Boone County12.2-0.6 pts
113St. Charles County12.2-3.6 pts
115Platte County12.1-2.8 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 Missouri 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_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 Missouri 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/missouri-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 Missouri 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/missouri-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/missouri-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 Missouri by adult cigarette smoking rate, local model estimate using official data, and cite the source.
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Questions

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

Pemiscot County, with 24.8% in 2023, according to the Centers for Disease Control and Prevention.

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

Platte County, with 12.1% 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 Missouri: more rankings