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

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

Thurston County had the highest adult cigarette smoking rate, local model estimate of 93 counties in 2023, at 21%. Sarpy County had the lowest, at 11.1%. The median was 14.3%. Source: the Centers for Disease Control and Prevention.

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Highest21Thurston County
Lowest11.1Sarpy County
Median14.393 counties

Map of counties, 2023

Adams County: 13.6 %Antelope County: 14.4 %Arthur County: 13.6 %Banner County: 12.8 %Blaine County: 15.1 %Boone County: 14.8 %Box Butte County: 14.8 %Boyd County: 14.7 %Brown County: 14.7 %Buffalo County: 12.2 %Burt County: 15.2 %Butler County: 14.1 %Cass County: 13 %Cedar County: 12.5 %Chase County: 14 %Cherry County: 15.4 %Cheyenne County: 15.1 %Clay County: 14.9 %Colfax County: 14.4 %Cuming County: 13.5 %Custer County: 14.1 %Dakota County: 14.7 %Dawes County: 12.3 %Dawson County: 15 %Deuel County: 14.6 %Dixon County: 15.3 %Dodge County: 15 %Douglas County: 13.4 %Dundy County: 14.3 %Fillmore County: 14 %Franklin County: 15.9 %Frontier County: 13 %Furnas County: 14.9 %Gage County: 15.8 %Garden County: 15.9 %Garfield County: 12.4 %Gosper County: 13.2 %Grant County: 13.3 %Greeley County: 14.3 %Hall County: 14.6 %Hamilton County: 12.5 %Harlan County: 14 %Hayes County: 14.4 %Hitchcock County: 14.8 %Holt County: 14.3 %Hooker County: 14.6 %Howard County: 13.7 %Jefferson County: 14.6 %Johnson County: 15.6 %Kearney County: 12.4 %Keith County: 14 %Keya Paha County: 13.9 %Kimball County: 17 %Knox County: 16 %Lancaster County: 11.7 %Lincoln County: 15.1 %Logan County: 12.5 %Loup County: 12.7 %McPherson County: 13.2 %Madison County: 14.4 %Merrick County: 15 %Morrill County: 15.9 %Nance County: 16.5 %Nemaha County: 14.8 %Nuckolls County: 13.5 %Otoe County: 13.4 %Pawnee County: 15.7 %Perkins County: 13.8 %Phelps County: 14.5 %Pierce County: 13.7 %Platte County: 13.5 %Polk County: 13.6 %Red Willow County: 14.3 %Richardson County: 15.7 %Rock County: 13.4 %Saline County: 14.1 %Sarpy County: 11.1 %Saunders County: 12.8 %Scotts Bluff County: 14 %Seward County: 12.6 %Sheridan County: 15 %Sherman County: 15.1 %Sioux County: 16.8 %Stanton County: 13.6 %Thayer County: 15 %Thomas County: 11.9 %Thurston County: 21 %Valley County: 14 %Washington County: 12.2 %Wayne County: 12 %Webster County: 14.6 %Wheeler County: 12.8 %York County: 14.1 %
  • Under 13
  • 13 to 14
  • 14 to 15
  • 15 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

Thurston County: 21 %Thurston County21Kimball County: 17 %Kimball County17Sioux County: 16.8 %Sioux County16.8Nance County: 16.5 %Nance County16.5Knox County: 16 %Knox County16Franklin County: 15.9 %Franklin County15.9Garden County: 15.9 %Garden County15.9Morrill County: 15.9 %Morrill County15.9Gage County: 15.8 %Gage County15.8Pawnee County: 15.7 %Pawnee County15.7Richardson County: 15.7 %Richardson County15.7Johnson County: 15.6 %Johnson County15.6Cherry County: 15.4 %Cherry County15.4Dixon County: 15.3 %Dixon County15.3Burt County: 15.2 %Burt County15.2Blaine County: 15.1 %Blaine County15.1Cheyenne County: 15.1 %Cheyenne County15.1Lincoln County: 15.1 %Lincoln County15.1Sherman County: 15.1 %Sherman County15.1Dawson County: 15 %Dawson County15Dodge County: 15 %Dodge County15Merrick County: 15 %Merrick County15Sheridan County: 15 %Sheridan County15Thayer County: 15 %Thayer County15Clay County: 14.9 %Clay County14.9Furnas County: 14.9 %Furnas County14.9Boone County: 14.8 %Boone County14.8Box Butte County: 14.8 %Box Butte County14.8Hitchcock County: 14.8 %Hitchcock County14.8Nemaha County: 14.8 %Nemaha County14.8Boyd County: 14.7 %Boyd County14.7Brown County: 14.7 %Brown County14.7Dakota County: 14.7 %Dakota County14.7Deuel County: 14.6 %Deuel County14.6Hall County: 14.6 %Hall County14.6Hooker County: 14.6 %Hooker County14.6Jefferson County: 14.6 %Jefferson County14.6Webster County: 14.6 %Webster County14.6Phelps County: 14.5 %Phelps County14.5Antelope County: 14.4 %Antelope County14.4Thurston County: 21 %Thurston County21Kimball County: 17 %Kimball County17Sioux County: 16.8 %Sioux County16.8Nance County: 16.5 %Nance County16.5Knox County: 16 %Knox County16Franklin County: 15.9 %Franklin County15.9Garden County: 15.9 %Garden County15.9Morrill County: 15.9 %Morrill County15.9Gage County: 15.8 %Gage County15.8Pawnee County: 15.7 %Pawnee County15.7Richardson County: 15.7 %Richardson County15.7Johnson County: 15.6 %Johnson County15.6Cherry County: 15.4 %Cherry County15.4Dixon County: 15.3 %Dixon County15.3Burt County: 15.2 %Burt County15.2Blaine County: 15.1 %Blaine County15.1Cheyenne County: 15.1 %Cheyenne County15.1Lincoln County: 15.1 %Lincoln County15.1Sherman County: 15.1 %Sherman County15.1Dawson County: 15 %Dawson County15Dodge County: 15 %Dodge County15Merrick County: 15 %Merrick County15Sheridan County: 15 %Sheridan County15Thayer County: 15 %Thayer County15Clay County: 14.9 %Clay County14.9Furnas County: 14.9 %Furnas County14.9Boone County: 14.8 %Boone County14.8Box Butte County: 14.8 %Box Butte County14.8Hitchcock County: 14.8 %Hitchcock County14.8Nemaha County: 14.8 %Nemaha County14.8Boyd County: 14.7 %Boyd County14.7Brown County: 14.7 %Brown County14.7Dakota County: 14.7 %Dakota County14.7Deuel County: 14.6 %Deuel County14.6Hall County: 14.6 %Hall County14.6Hooker County: 14.6 %Hooker County14.6Jefferson County: 14.6 %Jefferson County14.6Webster County: 14.6 %Webster County14.6Phelps County: 14.5 %Phelps County14.5Antelope County: 14.4 %Antelope County14.4
%. 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
1Thurston County21-1.9 pts
2Kimball County17-0.7 pts
3Sioux County16.8-1 pts
4Nance County16.5-0.3 pts
5Knox County16-0.4 pts
6Franklin County15.9-0.5 pts
6Garden County15.9-1.4 pts
6Morrill County15.9+2.1 pts
9Gage County15.8-1.5 pts
10Pawnee County15.7+0.1 pts
10Richardson County15.7-2.7 pts
12Johnson County15.6+1.1 pts
13Cherry County15.4-3.4 pts
14Dixon County15.3-0.1 pts
15Burt County15.2-0.1 pts
16Blaine County15.1-1.6 pts
16Cheyenne County15.1-0.2 pts
16Lincoln County15.1-4.2 pts
16Sherman County15.1-2.1 pts
20Dawson County15-1.5 pts
20Dodge County15-0.8 pts
20Merrick County15+0.5 pts
20Sheridan County15+0.1 pts
20Thayer County15-0.6 pts
25Clay County14.9-1.7 pts
25Furnas County14.9-2.1 pts
27Boone County14.8+0.8 pts
27Box Butte County14.8+0.3 pts
27Hitchcock County14.8-1.8 pts
27Nemaha County14.8-0.1 pts
31Boyd County14.7-0.2 pts
31Brown County14.7+0.4 pts
31Dakota County14.7-2.3 pts
34Deuel County14.60 pts
34Hall County14.6-0.4 pts
34Hooker County14.6+1 pts
34Jefferson County14.6-1.8 pts
34Webster County14.6-2.2 pts
39Phelps County14.5+0.7 pts
40Antelope County14.4+0.8 pts
40Colfax County14.4-1.3 pts
40Hayes County14.4-2.7 pts
40Madison County14.4-0.1 pts
44Dundy County14.3-0.3 pts
44Greeley County14.3-0.6 pts
44Holt County14.3-1.3 pts
44Red Willow County14.3+0.4 pts
48Butler County14.1+1 pts
48Custer County14.1-1.5 pts
48Saline County14.1-1.4 pts
48York County14.1+3.4 pts
52Chase County14-1.5 pts
52Fillmore County14-1.2 pts
52Harlan County14+0.4 pts
52Keith County14-0.9 pts
52Scotts Bluff County14-0.4 pts
52Valley County14+0.1 pts
58Keya Paha County13.9+1 pts
59Perkins County13.8-2.1 pts
60Howard County13.7+0.2 pts
60Pierce County13.7-0.5 pts
62Adams County13.6-0.4 pts
62Arthur County13.6+0.6 pts
62Polk County13.6-2.8 pts
62Stanton County13.6-2.1 pts
66Cuming County13.5-1.7 pts
66Nuckolls County13.5-0.4 pts
66Platte County13.5-1.8 pts
69Douglas County13.4-0.9 pts
69Otoe County13.4-1.5 pts
69Rock County13.4-1.9 pts
72Grant County13.3+1.4 pts
73Gosper County13.2-0.2 pts
73McPherson County13.2-3.6 pts
75Cass County130 pts
75Frontier County13-2.3 pts
77Banner County12.8+0.6 pts
77Saunders County12.8-0.5 pts
77Wheeler County12.8-2.5 pts
80Loup County12.7-1 pts
81Seward County12.6+1 pts
82Cedar County12.5-2.3 pts
82Hamilton County12.5-0.8 pts
82Logan County12.5+0.3 pts
85Garfield County12.4+0.4 pts
85Kearney County12.4-3.5 pts
87Dawes County12.3-0.6 pts
88Buffalo County12.2-4.1 pts
88Washington County12.2+0.2 pts
90Wayne County12+0.7 pts
91Thomas County11.9-1.3 pts
92Lancaster County11.7-1.2 pts
93Sarpy County11.1-1.7 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 Nebraska 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties (Accessed: 12 October 2026).

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

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

Thurston County, with 21% in 2023, according to the Centers for Disease Control and Prevention.

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

Sarpy County, with 11.1% 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 Nebraska: more rankings