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

All 115 values come from Centers for Disease Control and Prevention for 2023, so the places are comparable.

- Indicator id: `adult_smoking_rate_modelled`
- Unit: %
- Definition: 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.
- Source: 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 (https://www.cdc.gov/places/)
- Publisher page: https://invokely.ai/en/publishers/cdc
- Retrieved: 2026-10-12
- Citation: 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.
- Web page: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/missouri-counties

| Rank | Place | % |
|---:|---|---:|
| 1 | Pemiscot County | 24.8 |
| 2 | Wayne County | 23.9 |
| 3 | Mississippi County | 23.6 |
| 4 | McDonald County | 23.3 |
| 5 | Hickory County | 23.2 |
| 6 | Ozark County | 23.1 |
| 7 | Ripley County | 23 |
| 7 | Wright County | 23 |
| 9 | Washington County | 22.9 |
| 10 | Dunklin County | 22.8 |
| 10 | Oregon County | 22.8 |
| 12 | Carter County | 22.6 |
| 13 | Butler County | 22.1 |
| 14 | Reynolds County | 21.8 |
| 15 | Texas County | 21.7 |
| 16 | Barton County | 21.6 |
| 16 | Howell County | 21.6 |
| 16 | Stoddard County | 21.6 |
| 19 | Dallas County | 21.4 |
| 19 | New Madrid County | 21.4 |
| 21 | Knox County | 21.2 |
| 22 | Laclede County | 21.1 |
| 22 | Morgan County | 21.1 |
| 24 | Clark County | 21 |
| 25 | Dade County | 20.9 |
| 25 | St. Clair County | 20.9 |
| 27 | Shannon County | 20.7 |
| 27 | St. Francois County | 20.7 |
| 29 | Bollinger County | 20.6 |
| 30 | Bates County | 20.5 |
| 30 | Iron County | 20.5 |
| 30 | Shelby County | 20.5 |
| 30 | Vernon County | 20.5 |
| 34 | Lawrence County | 20.4 |
| 35 | Cedar County | 20.3 |
| 35 | Crawford County | 20.3 |
| 35 | Pike County | 20.3 |
| 38 | Audrain County | 20.2 |
| 38 | Barry County | 20.2 |
| 40 | Douglas County | 20.1 |
| 41 | Mercer County | 20 |
| 42 | Dent County | 19.9 |
| 43 | Harrison County | 19.7 |
| 43 | Henry County | 19.7 |
| 45 | Daviess County | 19.6 |
| 46 | Montgomery County | 19.5 |
| 47 | Grundy County | 19.4 |
| 47 | Randolph County | 19.4 |
| 47 | Webster County | 19.4 |
| 50 | Benton County | 19.3 |
| 50 | Gentry County | 19.3 |
| 50 | Madison County | 19.3 |
| 50 | Monroe County | 19.3 |
| 54 | Scott County | 19.2 |
| 54 | Worth County | 19.2 |
| 56 | Scotland County | 19.1 |
| 57 | Polk County | 18.9 |
| 57 | Ralls County | 18.9 |
| 59 | Lewis County | 18.8 |
| 59 | Linn County | 18.8 |
| 59 | Maries County | 18.8 |
| 62 | Livingston County | 18.7 |
| 62 | Ray County | 18.7 |
| 62 | Sullivan County | 18.7 |
| 65 | Buchanan County | 18.6 |
| 65 | Miller County | 18.6 |
| 67 | Caldwell County | 18.5 |
| 67 | Jasper County | 18.5 |
| 69 | Carroll County | 18.3 |
| 70 | Atchison County | 18 |
| 70 | Moniteau County | 18 |
| 72 | Newton County | 17.9 |
| 72 | Pettis County | 17.9 |
| 74 | Chariton County | 17.8 |
| 75 | Gasconade County | 17.6 |
| 75 | Holt County | 17.6 |
| 75 | Lincoln County | 17.6 |
| 78 | Perry County | 17.5 |
| 79 | DeKalb County | 17.4 |
| 80 | Marion County | 17.3 |
| 80 | Schuyler County | 17.3 |
| 80 | Stone County | 17.3 |
| 83 | Putnam County | 17.1 |
| 83 | Ste. Genevieve County | 17.1 |
| 83 | Warren County | 17.1 |
| 86 | Clinton County | 17 |
| 87 | Macon County | 16.9 |
| 88 | Taney County | 16.8 |
| 89 | Callaway County | 16.7 |
| 90 | Cooper County | 16.6 |
| 91 | Jefferson County | 16.5 |
| 91 | Lafayette County | 16.5 |
| 91 | St. Louis city | 16.5 |
| 94 | Camden County | 16.4 |
| 94 | Franklin County | 16.4 |
| 94 | Phelps County | 16.4 |
| 97 | Saline County | 16.2 |
| 98 | Osage County | 16 |
| 99 | Jackson County | 15.8 |
| 100 | Howard County | 15.7 |
| 101 | Andrew County | 15.4 |
| 101 | Greene County | 15.4 |
| 103 | Johnson County | 15.2 |
| 104 | Pulaski County | 15 |
| 105 | Cape Girardeau County | 14.9 |
| 105 | Cass County | 14.9 |
| 107 | Christian County | 14.8 |
| 108 | Nodaway County | 14.7 |
| 109 | Adair County | 14.3 |
| 110 | Clay County | 14.2 |
| 111 | Cole County | 13.9 |
| 112 | St. Louis County | 13.2 |
| 113 | Boone County | 12.2 |
| 113 | St. Charles County | 12.2 |
| 115 | Platte County | 12.1 |