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

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

Glacier County had the highest adult cigarette smoking rate, local model estimate of 56 counties in 2023, at 26.5%. Gallatin County had the lowest, at 9.7%. The median was 14.4%. Source: the Centers for Disease Control and Prevention.

Highest26.5Glacier County
Lowest9.7Gallatin County
Median14.456 counties

All counties, 2023

Glacier County: 26.5 %Glacier County26.5Big Horn County: 24.7 %Big Horn County24.7Roosevelt County: 23.4 %Roosevelt County23.4Blaine County: 20.8 %Blaine County20.8Rosebud County: 20.2 %Rosebud County20.2Toole County: 19.3 %Toole County19.3Pondera County: 19.1 %Pondera County19.1Hill County: 18.2 %Hill County18.2Liberty County: 17.7 %Liberty County17.7Prairie County: 17.5 %Prairie County17.5Deer Lodge County: 17 %Deer Lodge County17Wheatland County: 17 %Wheatland County17Powell County: 16.9 %Powell County16.9Lincoln County: 16.7 %Lincoln County16.7Chouteau County: 16.6 %Chouteau County16.6Sanders County: 16.6 %Sanders County16.6Golden Valley County: 16.1 %Golden Valley County16.1Lake County: 15.5 %Lake County15.5Musselshell County: 15.4 %Musselshell County15.4Phillips County: 15.1 %Phillips County15.1Carter County: 15 %Carter County15Mineral County: 15 %Mineral County15Judith Basin County: 14.9 %Judith Basin County14.9Garfield County: 14.8 %Garfield County14.8Sheridan County: 14.7 %Sheridan County14.7Fergus County: 14.6 %Fergus County14.6Custer County: 14.5 %Custer County14.5Cascade County: 14.4 %Cascade County14.4Wibaux County: 14.4 %Wibaux County14.4Fallon County: 14.3 %Fallon County14.3Granite County: 14.3 %Granite County14.3Silver Bow County: 14.1 %Silver Bow County14.1Teton County: 14.1 %Teton County14.1Valley County: 14.1 %Valley County14.1Broadwater County: 13.9 %Broadwater County13.9Petroleum County: 13.9 %Petroleum County13.9Yellowstone County: 13.9 %Yellowstone County13.9Richland County: 13.8 %Richland County13.8Dawson County: 13.5 %Dawson County13.5Park County: 13.5 %Park County13.5Carbon County: 13.4 %Carbon County13.4Daniels County: 13.3 %Daniels County13.3Meagher County: 13.3 %Meagher County13.3Powder River County: 13.3 %Powder River County13.3Beaverhead County: 13.1 %Beaverhead County13.1Treasure County: 13.1 %Treasure County13.1Sweet Grass County: 13 %Sweet Grass County13Stillwater County: 12.9 %Stillwater County12.9Flathead County: 12.8 %Flathead County12.8Jefferson County: 12.7 %Jefferson County12.7McCone County: 12.7 %McCone County12.7Ravalli County: 12.7 %Ravalli County12.7Madison County: 12.2 %Madison County12.2Lewis and Clark County: 12 %Lewis and Clark County12Missoula County: 11.5 %Missoula County11.5Gallatin County: 9.7 %Gallatin County9.7
%. 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

RankCounties2023 (%)Change on 2022
1Glacier County26.5-3.4 pts
2Big Horn County24.7+1.3 pts
3Roosevelt County23.4-4.7 pts
4Blaine County20.8-1.3 pts
5Rosebud County20.2-2.1 pts
6Toole County19.3-0.6 pts
7Pondera County19.1+1.9 pts
8Hill County18.2-1.2 pts
9Liberty County17.7-6.6 pts
10Prairie County17.5-3.5 pts
11Deer Lodge County17+1.7 pts
11Wheatland County17-1.2 pts
13Powell County16.9-2.3 pts
14Lincoln County16.7-2.4 pts
15Chouteau County16.6-0.3 pts
15Sanders County16.6-0.2 pts
17Golden Valley County16.1-4.1 pts
18Lake County15.5-2.5 pts
19Musselshell County15.4-1.4 pts
20Phillips County15.1-0.4 pts
21Carter County15-1 pts
21Mineral County15-1.5 pts
23Judith Basin County14.90 pts
24Garfield County14.8-1.8 pts
25Sheridan County14.7+1.9 pts
26Fergus County14.6-0.2 pts
27Custer County14.5-1 pts
28Cascade County14.4-1.8 pts
28Wibaux County14.4-2.8 pts
30Fallon County14.3-1 pts
30Granite County14.3-1.7 pts
32Silver Bow County14.1-0.8 pts
32Teton County14.1-1.5 pts
32Valley County14.1-0.5 pts
35Broadwater County13.9-3.5 pts
35Petroleum County13.9-1 pts
35Yellowstone County13.9-2.8 pts
38Richland County13.8-2 pts
39Dawson County13.5-2.9 pts
39Park County13.5-1.3 pts
41Carbon County13.4-0.8 pts
42Daniels County13.3-1.8 pts
42Meagher County13.3+0.4 pts
42Powder River County13.3-4.9 pts
45Beaverhead County13.1-0.5 pts
45Treasure County13.1-0.4 pts
47Sweet Grass County13+0.3 pts
48Stillwater County12.9+1.1 pts
49Flathead County12.8-3.3 pts
50Jefferson County12.7-1 pts
50McCone County12.7-0.6 pts
50Ravalli County12.70 pts
53Madison County12.2-2.2 pts
54Lewis and Clark County12+0.2 pts
55Missoula County11.5-1.5 pts
56Gallatin County9.7-2.1 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 Montana 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 Montana 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/montana-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 Montana 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/montana-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 Montana 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/montana-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_montana_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 Montana 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/montana-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 Montana 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/montana-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/montana-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 Montana 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?

Glacier County, with 26.5% in 2023, according to the Centers for Disease Control and Prevention.

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

Gallatin County, with 9.7% 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 Montana: more rankings