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

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

Thurston County had the highest adult cigarette smoking rate, local model estimate of 93 counties in 2021, at 24.1%. Dawes County had the lowest, at 12.2%. The median was 15.3%. Source: the Centers for Disease Control and Prevention.

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Highest24.1Thurston County
Lowest12.2Dawes County
Median15.393 counties

Map of counties, 2021

Adams County: 15.8 %Antelope County: 15.8 %Arthur County: 15.2 %Banner County: 13.3 %Blaine County: 16 %Boone County: 15.4 %Box Butte County: 17.4 %Boyd County: 15.9 %Brown County: 15.2 %Buffalo County: 14.1 %Burt County: 16.4 %Butler County: 15.3 %Cass County: 14.2 %Cedar County: 12.7 %Chase County: 15.3 %Cherry County: 16 %Cheyenne County: 16.7 %Clay County: 15.9 %Colfax County: 15.9 %Cuming County: 14.6 %Custer County: 14.7 %Dakota County: 16.1 %Dawes County: 12.2 %Dawson County: 17.1 %Deuel County: 15.5 %Dixon County: 16.6 %Dodge County: 16.3 %Douglas County: 13.8 %Dundy County: 15.2 %Fillmore County: 15 %Franklin County: 17.8 %Frontier County: 13.7 %Furnas County: 15.3 %Gage County: 17.1 %Garden County: 15.5 %Garfield County: 12.7 %Gosper County: 13.6 %Grant County: 15.6 %Greeley County: 15.2 %Hall County: 15.7 %Hamilton County: 12.7 %Harlan County: 13.8 %Hayes County: 15.4 %Hitchcock County: 15.3 %Holt County: 14.7 %Hooker County: 13.4 %Howard County: 15.6 %Jefferson County: 16.9 %Johnson County: 17.2 %Kearney County: 15.1 %Keith County: 15.9 %Keya Paha County: 16.2 %Kimball County: 17.9 %Knox County: 16.1 %Lancaster County: 13 %Lincoln County: 16.7 %Logan County: 14.4 %Loup County: 15.2 %McPherson County: 15 %Madison County: 15.3 %Merrick County: 16.3 %Morrill County: 15.3 %Nance County: 16.6 %Nemaha County: 15.6 %Nuckolls County: 15.2 %Otoe County: 14.5 %Pawnee County: 17.7 %Perkins County: 14.3 %Phelps County: 15.1 %Pierce County: 14.3 %Platte County: 14.6 %Polk County: 15.1 %Red Willow County: 14.7 %Richardson County: 16.7 %Rock County: 14.1 %Saline County: 17.4 %Sarpy County: 12.4 %Saunders County: 14.3 %Scotts Bluff County: 15.7 %Seward County: 13.4 %Sheridan County: 17.5 %Sherman County: 15 %Sioux County: 15.7 %Stanton County: 14.6 %Thayer County: 15.6 %Thomas County: 13.5 %Thurston County: 24.1 %Valley County: 14.4 %Washington County: 14.6 %Wayne County: 12.5 %Webster County: 15.8 %Wheeler County: 15.2 %York County: 13.7 %
  • Under 14
  • 14 to 15
  • 15 to 16
  • 16 to 17
  • 17 and over
%, 2021. 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, 2021

Thurston County: 24.1 %Thurston County24.1Kimball County: 17.9 %Kimball County17.9Franklin County: 17.8 %Franklin County17.8Pawnee County: 17.7 %Pawnee County17.7Sheridan County: 17.5 %Sheridan County17.5Box Butte County: 17.4 %Box Butte County17.4Saline County: 17.4 %Saline County17.4Johnson County: 17.2 %Johnson County17.2Dawson County: 17.1 %Dawson County17.1Gage County: 17.1 %Gage County17.1Jefferson County: 16.9 %Jefferson County16.9Cheyenne County: 16.7 %Cheyenne County16.7Lincoln County: 16.7 %Lincoln County16.7Richardson County: 16.7 %Richardson County16.7Dixon County: 16.6 %Dixon County16.6Nance County: 16.6 %Nance County16.6Burt County: 16.4 %Burt County16.4Dodge County: 16.3 %Dodge County16.3Merrick County: 16.3 %Merrick County16.3Keya Paha County: 16.2 %Keya Paha County16.2Dakota County: 16.1 %Dakota County16.1Knox County: 16.1 %Knox County16.1Blaine County: 16 %Blaine County16Cherry County: 16 %Cherry County16Boyd County: 15.9 %Boyd County15.9Clay County: 15.9 %Clay County15.9Colfax County: 15.9 %Colfax County15.9Keith County: 15.9 %Keith County15.9Adams County: 15.8 %Adams County15.8Antelope County: 15.8 %Antelope County15.8Webster County: 15.8 %Webster County15.8Hall County: 15.7 %Hall County15.7Scotts Bluff County: 15.7 %Scotts Bluff County15.7Sioux County: 15.7 %Sioux County15.7Grant County: 15.6 %Grant County15.6Howard County: 15.6 %Howard County15.6Nemaha County: 15.6 %Nemaha County15.6Thayer County: 15.6 %Thayer County15.6Deuel County: 15.5 %Deuel County15.5Garden County: 15.5 %Garden County15.5Thurston County: 24.1 %Thurston County24.1Kimball County: 17.9 %Kimball County17.9Franklin County: 17.8 %Franklin County17.8Pawnee County: 17.7 %Pawnee County17.7Sheridan County: 17.5 %Sheridan County17.5Box Butte County: 17.4 %Box Butte County17.4Saline County: 17.4 %Saline County17.4Johnson County: 17.2 %Johnson County17.2Dawson County: 17.1 %Dawson County17.1Gage County: 17.1 %Gage County17.1Jefferson County: 16.9 %Jefferson County16.9Cheyenne County: 16.7 %Cheyenne County16.7Lincoln County: 16.7 %Lincoln County16.7Richardson County: 16.7 %Richardson County16.7Dixon County: 16.6 %Dixon County16.6Nance County: 16.6 %Nance County16.6Burt County: 16.4 %Burt County16.4Dodge County: 16.3 %Dodge County16.3Merrick County: 16.3 %Merrick County16.3Keya Paha County: 16.2 %Keya Paha County16.2Dakota County: 16.1 %Dakota County16.1Knox County: 16.1 %Knox County16.1Blaine County: 16 %Blaine County16Cherry County: 16 %Cherry County16Boyd County: 15.9 %Boyd County15.9Clay County: 15.9 %Clay County15.9Colfax County: 15.9 %Colfax County15.9Keith County: 15.9 %Keith County15.9Adams County: 15.8 %Adams County15.8Antelope County: 15.8 %Antelope County15.8Webster County: 15.8 %Webster County15.8Hall County: 15.7 %Hall County15.7Scotts Bluff County: 15.7 %Scotts Bluff County15.7Sioux County: 15.7 %Sioux County15.7Grant County: 15.6 %Grant County15.6Howard County: 15.6 %Howard County15.6Nemaha County: 15.6 %Nemaha County15.6Thayer County: 15.6 %Thayer County15.6Deuel County: 15.5 %Deuel County15.5Garden County: 15.5 %Garden County15.5
%. 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

RankCounties2021 (%)
1Thurston County24.1
2Kimball County17.9
3Franklin County17.8
4Pawnee County17.7
5Sheridan County17.5
6Box Butte County17.4
6Saline County17.4
8Johnson County17.2
9Dawson County17.1
9Gage County17.1
11Jefferson County16.9
12Cheyenne County16.7
12Lincoln County16.7
12Richardson County16.7
15Dixon County16.6
15Nance County16.6
17Burt County16.4
18Dodge County16.3
18Merrick County16.3
20Keya Paha County16.2
21Dakota County16.1
21Knox County16.1
23Blaine County16
23Cherry County16
25Boyd County15.9
25Clay County15.9
25Colfax County15.9
25Keith County15.9
29Adams County15.8
29Antelope County15.8
29Webster County15.8
32Hall County15.7
32Scotts Bluff County15.7
32Sioux County15.7
35Grant County15.6
35Howard County15.6
35Nemaha County15.6
35Thayer County15.6
39Deuel County15.5
39Garden County15.5
41Boone County15.4
41Hayes County15.4
43Butler County15.3
43Chase County15.3
43Furnas County15.3
43Hitchcock County15.3
43Madison County15.3
43Morrill County15.3
49Arthur County15.2
49Brown County15.2
49Dundy County15.2
49Greeley County15.2
49Loup County15.2
49Nuckolls County15.2
49Wheeler County15.2
56Kearney County15.1
56Phelps County15.1
56Polk County15.1
59Fillmore County15
59McPherson County15
59Sherman County15
62Custer County14.7
62Holt County14.7
62Red Willow County14.7
65Cuming County14.6
65Platte County14.6
65Stanton County14.6
65Washington County14.6
69Otoe County14.5
70Logan County14.4
70Valley County14.4
72Perkins County14.3
72Pierce County14.3
72Saunders County14.3
75Cass County14.2
76Buffalo County14.1
76Rock County14.1
78Douglas County13.8
78Harlan County13.8
80Frontier County13.7
80York County13.7
82Gosper County13.6
83Thomas County13.5
84Hooker County13.4
84Seward County13.4
86Banner County13.3
87Lancaster County13
88Cedar County12.7
88Garfield County12.7
88Hamilton County12.7
91Wayne County12.5
92Sarpy County12.4
93Dawes County12.2

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/nebraska-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_nebraska_by_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/nebraska-counties?period=2021.
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 24.1% in 2021, according to the Centers for Disease Control and Prevention.

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

Dawes County, with 12.2% in 2021.

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