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

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

Mississippi County had the highest adult cigarette smoking rate, local model estimate of 115 counties in 2022, at 28.2%. Boone County had the lowest, at 12.8%. The median was 20.8%. Source: the Centers for Disease Control and Prevention.

Keep it in a collection in your library.
Highest28.2Mississippi County
Lowest12.8Boone County
Median20.8115 counties

Map of counties, 2022

Adair County: 15.5 %Andrew County: 18.2 %Atchison County: 19.4 %Audrain County: 25.6 %Barry County: 20.2 %Barton County: 24.4 %Bates County: 19.9 %Benton County: 21 %Bollinger County: 24.1 %Boone County: 12.8 %Buchanan County: 19.6 %Butler County: 22.5 %Caldwell County: 21 %Callaway County: 20.9 %Camden County: 19.1 %Cape Girardeau County: 19.8 %Carroll County: 20.2 %Carter County: 22.7 %Cass County: 16.1 %Cedar County: 23.2 %Chariton County: 17.6 %Christian County: 20.1 %Clark County: 24.9 %Clay County: 17.3 %Clinton County: 20.3 %Cole County: 15.2 %Cooper County: 20.6 %Crawford County: 24.4 %Dade County: 22.9 %Dallas County: 22.7 %Daviess County: 23.1 %DeKalb County: 19.2 %Dent County: 23.2 %Douglas County: 22.1 %Dunklin County: 23.5 %Franklin County: 17.5 %Gasconade County: 17.6 %Gentry County: 22.6 %Greene County: 15 %Grundy County: 20.8 %Harrison County: 20.7 %Henry County: 19.9 %Hickory County: 23.4 %Holt County: 21.4 %Howard County: 18.9 %Howell County: 24.7 %Iron County: 20.8 %Jackson County: 15.4 %Jasper County: 19.9 %Jefferson County: 19.8 %Johnson County: 16.7 %Knox County: 24.4 %Laclede County: 23.3 %Lafayette County: 20.2 %Lawrence County: 19.9 %Lewis County: 21.8 %Lincoln County: 18.8 %Linn County: 23 %Livingston County: 18.3 %McDonald County: 25.2 %Macon County: 20.2 %Madison County: 21.2 %Maries County: 23.9 %Marion County: 20.2 %Mercer County: 19.2 %Miller County: 22.6 %Mississippi County: 28.2 %Moniteau County: 21.3 %Monroe County: 20.9 %Montgomery County: 21.6 %Morgan County: 22.3 %New Madrid County: 24.2 %Newton County: 17.3 %Nodaway County: 18.4 %Oregon County: 24.4 %Osage County: 17.8 %Ozark County: 26.9 %Pemiscot County: 24.8 %Perry County: 20.3 %Pettis County: 19 %Phelps County: 18.6 %Pike County: 22.6 %Platte County: 14.9 %Polk County: 23.1 %Pulaski County: 16.8 %Putnam County: 18.2 %Ralls County: 21.3 %Randolph County: 20.6 %Ray County: 19 %Reynolds County: 24.6 %Ripley County: 24.8 %St. Charles County: 15.8 %St. Clair County: 21.7 %Ste. Genevieve County: 20.8 %St. Francois County: 22.3 %St. Louis County: 16.2 %Saline County: 17.2 %Schuyler County: 17.9 %Scotland County: 21.7 %Scott County: 21.4 %Shannon County: 24.3 %Shelby County: 21.8 %Stoddard County: 24.7 %Stone County: 19.1 %Sullivan County: 21.9 %Taney County: 20.3 %Texas County: 20.4 %Vernon County: 21.1 %Warren County: 19.9 %Washington County: 23.3 %Wayne County: 21.9 %Webster County: 19.2 %Worth County: 20 %Wright County: 23 %St. Louis city: 18.9 %
  • Under 18
  • 18 to 20
  • 20 to 21
  • 21 to 22
  • 22 to 23
  • 23 and over
%, 2022. 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, 2022

Mississippi County: 28.2 %Mississippi County28.2Ozark County: 26.9 %Ozark County26.9Audrain County: 25.6 %Audrain County25.6McDonald County: 25.2 %McDonald County25.2Clark County: 24.9 %Clark County24.9Pemiscot County: 24.8 %Pemiscot County24.8Ripley County: 24.8 %Ripley County24.8Howell County: 24.7 %Howell County24.7Stoddard County: 24.7 %Stoddard County24.7Reynolds County: 24.6 %Reynolds County24.6Barton County: 24.4 %Barton County24.4Crawford County: 24.4 %Crawford County24.4Knox County: 24.4 %Knox County24.4Oregon County: 24.4 %Oregon County24.4Shannon County: 24.3 %Shannon County24.3New Madrid County: 24.2 %New Madrid County24.2Bollinger County: 24.1 %Bollinger County24.1Maries County: 23.9 %Maries County23.9Dunklin County: 23.5 %Dunklin County23.5Hickory County: 23.4 %Hickory County23.4Laclede County: 23.3 %Laclede County23.3Washington County: 23.3 %Washington County23.3Cedar County: 23.2 %Cedar County23.2Dent County: 23.2 %Dent County23.2Daviess County: 23.1 %Daviess County23.1Polk County: 23.1 %Polk County23.1Linn County: 23 %Linn County23Wright County: 23 %Wright County23Dade County: 22.9 %Dade County22.9Carter County: 22.7 %Carter County22.7Dallas County: 22.7 %Dallas County22.7Gentry County: 22.6 %Gentry County22.6Miller County: 22.6 %Miller County22.6Pike County: 22.6 %Pike County22.6Butler County: 22.5 %Butler County22.5Morgan County: 22.3 %Morgan County22.3St. Francois County: 22.3 %St. Francois County22.3Douglas County: 22.1 %Douglas County22.1Sullivan County: 21.9 %Sullivan County21.9Wayne County: 21.9 %Wayne County21.9Mississippi County: 28.2 %Mississippi County28.2Ozark County: 26.9 %Ozark County26.9Audrain County: 25.6 %Audrain County25.6McDonald County: 25.2 %McDonald County25.2Clark County: 24.9 %Clark County24.9Pemiscot County: 24.8 %Pemiscot County24.8Ripley County: 24.8 %Ripley County24.8Howell County: 24.7 %Howell County24.7Stoddard County: 24.7 %Stoddard County24.7Reynolds County: 24.6 %Reynolds County24.6Barton County: 24.4 %Barton County24.4Crawford County: 24.4 %Crawford County24.4Knox County: 24.4 %Knox County24.4Oregon County: 24.4 %Oregon County24.4Shannon County: 24.3 %Shannon County24.3New Madrid County: 24.2 %New Madrid County24.2Bollinger County: 24.1 %Bollinger County24.1Maries County: 23.9 %Maries County23.9Dunklin County: 23.5 %Dunklin County23.5Hickory County: 23.4 %Hickory County23.4Laclede County: 23.3 %Laclede County23.3Washington County: 23.3 %Washington County23.3Cedar County: 23.2 %Cedar County23.2Dent County: 23.2 %Dent County23.2Daviess County: 23.1 %Daviess County23.1Polk County: 23.1 %Polk County23.1Linn County: 23 %Linn County23Wright County: 23 %Wright County23Dade County: 22.9 %Dade County22.9Carter County: 22.7 %Carter County22.7Dallas County: 22.7 %Dallas County22.7Gentry County: 22.6 %Gentry County22.6Miller County: 22.6 %Miller County22.6Pike County: 22.6 %Pike County22.6Butler County: 22.5 %Butler County22.5Morgan County: 22.3 %Morgan County22.3St. Francois County: 22.3 %St. Francois County22.3Douglas County: 22.1 %Douglas County22.1Sullivan County: 21.9 %Sullivan County21.9Wayne County: 21.9 %Wayne County21.9
%. 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

RankCounties2022 (%)Change on 2021
1Mississippi County28.2+0.2 pts
2Ozark County26.9+1.1 pts
3Audrain County25.6+2 pts
4McDonald County25.2-1.9 pts
5Clark County24.9+1.3 pts
6Pemiscot County24.8-2.3 pts
6Ripley County24.8-2.8 pts
8Howell County24.7-0.6 pts
8Stoddard County24.7-0.4 pts
10Reynolds County24.6+0.4 pts
11Barton County24.4+0.4 pts
11Crawford County24.4-0.1 pts
11Knox County24.4+0.7 pts
11Oregon County24.4-3.3 pts
15Shannon County24.3-0.2 pts
16New Madrid County24.2-1.3 pts
17Bollinger County24.1-0.3 pts
18Maries County23.9+2.2 pts
19Dunklin County23.5-2.3 pts
20Hickory County23.4+0.3 pts
21Laclede County23.3+0.6 pts
21Washington County23.3-2.3 pts
23Cedar County23.2-0.3 pts
23Dent County23.2-0.9 pts
25Daviess County23.1+2.1 pts
25Polk County23.1+2 pts
27Linn County23+2 pts
27Wright County23-2.9 pts
29Dade County22.9-1 pts
30Carter County22.7-0.9 pts
30Dallas County22.7-2.3 pts
32Gentry County22.60 pts
32Miller County22.6+0.8 pts
32Pike County22.6-0.7 pts
35Butler County22.5-4.4 pts
36Morgan County22.3-1.7 pts
36St. Francois County22.3-2.5 pts
38Douglas County22.1-1.6 pts
39Sullivan County21.9+0.4 pts
39Wayne County21.9-4.5 pts
41Lewis County21.8-0.9 pts
41Shelby County21.8-0.6 pts
43Scotland County21.7-0.3 pts
43St. Clair County21.7-1.3 pts
45Montgomery County21.6-0.6 pts
46Holt County21.4+2.3 pts
46Scott County21.4-0.2 pts
48Moniteau County21.3+0.7 pts
48Ralls County21.3-0.3 pts
50Madison County21.2-0.3 pts
51Vernon County21.1-2.3 pts
52Benton County21-0.1 pts
52Caldwell County21-2.1 pts
54Callaway County20.9+1.3 pts
54Monroe County20.90 pts
56Grundy County20.8-0.3 pts
56Iron County20.8-3.7 pts
56Ste. Genevieve County20.8+0.6 pts
59Harrison County20.7-1.1 pts
60Cooper County20.6+0.9 pts
60Randolph County20.6-1 pts
62Texas County20.4-4.2 pts
63Clinton County20.3+0.4 pts
63Perry County20.3+0.3 pts
63Taney County20.3+0.4 pts
66Barry County20.2-2.1 pts
66Carroll County20.2-0.3 pts
66Lafayette County20.2-0.1 pts
66Macon County20.2-0.1 pts
66Marion County20.2-0.7 pts
71Christian County20.1+2.3 pts
72Worth County20-0.3 pts
73Bates County19.9-3.7 pts
73Henry County19.9-1.9 pts
73Jasper County19.9-1.3 pts
73Lawrence County19.9-3.1 pts
73Warren County19.9-0.2 pts
78Cape Girardeau County19.8+2.1 pts
78Jefferson County19.8+0.3 pts
80Buchanan County19.6-2.1 pts
81Atchison County19.4-1.5 pts
82DeKalb County19.2-1.8 pts
82Mercer County19.2-2.4 pts
82Webster County19.2-3.4 pts
85Camden County19.10 pts
85Stone County19.1-0.8 pts
87Pettis County19-2.4 pts
87Ray County19-2.6 pts
89Howard County18.9+0.5 pts
89St. Louis city18.9-1.4 pts
91Lincoln County18.8-1.1 pts
92Phelps County18.60 pts
93Nodaway County18.4+2.5 pts
94Livingston County18.3-2.7 pts
95Andrew County18.2+0.4 pts
95Putnam County18.2-0.7 pts
97Schuyler County17.9-3.1 pts
98Osage County17.8+0.1 pts
99Chariton County17.6-1.9 pts
99Gasconade County17.6-1.6 pts
101Franklin County17.5-1.9 pts
102Clay County17.3+1.2 pts
102Newton County17.3-3.6 pts
104Saline County17.2-1.7 pts
105Pulaski County16.8-1.7 pts
106Johnson County16.7-0.9 pts
107St. Louis County16.2+0.5 pts
108Cass County16.1-1.7 pts
109St. Charles County15.8+2.5 pts
110Adair County15.5-1.2 pts
111Jackson County15.4-2.3 pts
112Cole County15.2-2.2 pts
113Greene County15-2.2 pts
114Platte County14.9+0.1 pts
115Boone County12.8-1.8 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, 2022) [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, 2022. 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?period=2022. 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, 2022. 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?period=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/missouri-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_by_2022,
  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, 2022}},
  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?period=2022. 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, 2022
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?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/missouri-counties?period=2022.
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  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in Missouri 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":"Missouri","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=province&within=Missouri&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Mississippi County, with 28.2% in 2022, according to the Centers for Disease Control and Prevention.

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

Boone County, with 12.8% in 2022.

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