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 2022, at 22.9%. York County had the lowest, at 10.7%. The median was 14.9%. Source: the Centers for Disease Control and Prevention.

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Highest22.9Thurston County
Lowest10.7York County
Median14.993 counties

Map of counties, 2022

Adams County: 14 %Antelope County: 13.6 %Arthur County: 13 %Banner County: 12.2 %Blaine County: 16.7 %Boone County: 14 %Box Butte County: 14.5 %Boyd County: 14.9 %Brown County: 14.3 %Buffalo County: 16.3 %Burt County: 15.3 %Butler County: 13.1 %Cass County: 13 %Cedar County: 14.8 %Chase County: 15.5 %Cherry County: 18.8 %Cheyenne County: 15.3 %Clay County: 16.6 %Colfax County: 15.7 %Cuming County: 15.2 %Custer County: 15.6 %Dakota County: 17 %Dawes County: 12.9 %Dawson County: 16.5 %Deuel County: 14.6 %Dixon County: 15.4 %Dodge County: 15.8 %Douglas County: 14.3 %Dundy County: 14.6 %Fillmore County: 15.2 %Franklin County: 16.4 %Frontier County: 15.3 %Furnas County: 17 %Gage County: 17.3 %Garden County: 17.3 %Garfield County: 12 %Gosper County: 13.4 %Grant County: 11.9 %Greeley County: 14.9 %Hall County: 15 %Hamilton County: 13.3 %Harlan County: 13.6 %Hayes County: 17.1 %Hitchcock County: 16.6 %Holt County: 15.6 %Hooker County: 13.6 %Howard County: 13.5 %Jefferson County: 16.4 %Johnson County: 14.5 %Kearney County: 15.9 %Keith County: 14.9 %Keya Paha County: 12.9 %Kimball County: 17.7 %Knox County: 16.4 %Lancaster County: 12.9 %Lincoln County: 19.3 %Logan County: 12.2 %Loup County: 13.7 %McPherson County: 16.8 %Madison County: 14.5 %Merrick County: 14.5 %Morrill County: 13.8 %Nance County: 16.8 %Nemaha County: 14.9 %Nuckolls County: 13.9 %Otoe County: 14.9 %Pawnee County: 15.6 %Perkins County: 15.9 %Phelps County: 13.8 %Pierce County: 14.2 %Platte County: 15.3 %Polk County: 16.4 %Red Willow County: 13.9 %Richardson County: 18.4 %Rock County: 15.3 %Saline County: 15.5 %Sarpy County: 12.8 %Saunders County: 13.3 %Scotts Bluff County: 14.4 %Seward County: 11.6 %Sheridan County: 14.9 %Sherman County: 17.2 %Sioux County: 17.8 %Stanton County: 15.7 %Thayer County: 15.6 %Thomas County: 13.2 %Thurston County: 22.9 %Valley County: 13.9 %Washington County: 12 %Wayne County: 11.3 %Webster County: 16.8 %Wheeler County: 15.3 %York County: 10.7 %
  • Under 13
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  • 17 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

Thurston County: 22.9 %Thurston County22.9Lincoln County: 19.3 %Lincoln County19.3Cherry County: 18.8 %Cherry County18.8Richardson County: 18.4 %Richardson County18.4Sioux County: 17.8 %Sioux County17.8Kimball County: 17.7 %Kimball County17.7Gage County: 17.3 %Gage County17.3Garden County: 17.3 %Garden County17.3Sherman County: 17.2 %Sherman County17.2Hayes County: 17.1 %Hayes County17.1Dakota County: 17 %Dakota County17Furnas County: 17 %Furnas County17McPherson County: 16.8 %McPherson County16.8Nance County: 16.8 %Nance County16.8Webster County: 16.8 %Webster County16.8Blaine County: 16.7 %Blaine County16.7Clay County: 16.6 %Clay County16.6Hitchcock County: 16.6 %Hitchcock County16.6Dawson County: 16.5 %Dawson County16.5Franklin County: 16.4 %Franklin County16.4Jefferson County: 16.4 %Jefferson County16.4Knox County: 16.4 %Knox County16.4Polk County: 16.4 %Polk County16.4Buffalo County: 16.3 %Buffalo County16.3Kearney County: 15.9 %Kearney County15.9Perkins County: 15.9 %Perkins County15.9Dodge County: 15.8 %Dodge County15.8Colfax County: 15.7 %Colfax County15.7Stanton County: 15.7 %Stanton County15.7Custer County: 15.6 %Custer County15.6Holt County: 15.6 %Holt County15.6Pawnee County: 15.6 %Pawnee County15.6Thayer County: 15.6 %Thayer County15.6Chase County: 15.5 %Chase County15.5Saline County: 15.5 %Saline County15.5Dixon County: 15.4 %Dixon County15.4Burt County: 15.3 %Burt County15.3Cheyenne County: 15.3 %Cheyenne County15.3Frontier County: 15.3 %Frontier County15.3Platte County: 15.3 %Platte County15.3Thurston County: 22.9 %Thurston County22.9Lincoln County: 19.3 %Lincoln County19.3Cherry County: 18.8 %Cherry County18.8Richardson County: 18.4 %Richardson County18.4Sioux County: 17.8 %Sioux County17.8Kimball County: 17.7 %Kimball County17.7Gage County: 17.3 %Gage County17.3Garden County: 17.3 %Garden County17.3Sherman County: 17.2 %Sherman County17.2Hayes County: 17.1 %Hayes County17.1Dakota County: 17 %Dakota County17Furnas County: 17 %Furnas County17McPherson County: 16.8 %McPherson County16.8Nance County: 16.8 %Nance County16.8Webster County: 16.8 %Webster County16.8Blaine County: 16.7 %Blaine County16.7Clay County: 16.6 %Clay County16.6Hitchcock County: 16.6 %Hitchcock County16.6Dawson County: 16.5 %Dawson County16.5Franklin County: 16.4 %Franklin County16.4Jefferson County: 16.4 %Jefferson County16.4Knox County: 16.4 %Knox County16.4Polk County: 16.4 %Polk County16.4Buffalo County: 16.3 %Buffalo County16.3Kearney County: 15.9 %Kearney County15.9Perkins County: 15.9 %Perkins County15.9Dodge County: 15.8 %Dodge County15.8Colfax County: 15.7 %Colfax County15.7Stanton County: 15.7 %Stanton County15.7Custer County: 15.6 %Custer County15.6Holt County: 15.6 %Holt County15.6Pawnee County: 15.6 %Pawnee County15.6Thayer County: 15.6 %Thayer County15.6Chase County: 15.5 %Chase County15.5Saline County: 15.5 %Saline County15.5Dixon County: 15.4 %Dixon County15.4Burt County: 15.3 %Burt County15.3Cheyenne County: 15.3 %Cheyenne County15.3Frontier County: 15.3 %Frontier County15.3Platte County: 15.3 %Platte County15.3
%. 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
1Thurston County22.9-1.2 pts
2Lincoln County19.3+2.6 pts
3Cherry County18.8+2.8 pts
4Richardson County18.4+1.7 pts
5Sioux County17.8+2.1 pts
6Kimball County17.7-0.2 pts
7Gage County17.3+0.2 pts
7Garden County17.3+1.8 pts
9Sherman County17.2+2.2 pts
10Hayes County17.1+1.7 pts
11Dakota County17+0.9 pts
11Furnas County17+1.7 pts
13McPherson County16.8+1.8 pts
13Nance County16.8+0.2 pts
13Webster County16.8+1 pts
16Blaine County16.7+0.7 pts
17Clay County16.6+0.7 pts
17Hitchcock County16.6+1.3 pts
19Dawson County16.5-0.6 pts
20Franklin County16.4-1.4 pts
20Jefferson County16.4-0.5 pts
20Knox County16.4+0.3 pts
20Polk County16.4+1.3 pts
24Buffalo County16.3+2.2 pts
25Kearney County15.9+0.8 pts
25Perkins County15.9+1.6 pts
27Dodge County15.8-0.5 pts
28Colfax County15.7-0.2 pts
28Stanton County15.7+1.1 pts
30Custer County15.6+0.9 pts
30Holt County15.6+0.9 pts
30Pawnee County15.6-2.1 pts
30Thayer County15.60 pts
34Chase County15.5+0.2 pts
34Saline County15.5-1.9 pts
36Dixon County15.4-1.2 pts
37Burt County15.3-1.1 pts
37Cheyenne County15.3-1.4 pts
37Frontier County15.3+1.6 pts
37Platte County15.3+0.7 pts
37Rock County15.3+1.2 pts
37Wheeler County15.3+0.1 pts
43Cuming County15.2+0.6 pts
43Fillmore County15.2+0.2 pts
45Hall County15-0.7 pts
46Boyd County14.9-1 pts
46Greeley County14.9-0.3 pts
46Keith County14.9-1 pts
46Nemaha County14.9-0.7 pts
46Otoe County14.9+0.4 pts
46Sheridan County14.9-2.6 pts
52Cedar County14.8+2.1 pts
53Deuel County14.6-0.9 pts
53Dundy County14.6-0.6 pts
55Box Butte County14.5-2.9 pts
55Johnson County14.5-2.7 pts
55Madison County14.5-0.8 pts
55Merrick County14.5-1.8 pts
59Scotts Bluff County14.4-1.3 pts
60Brown County14.3-0.9 pts
60Douglas County14.3+0.5 pts
62Pierce County14.2-0.1 pts
63Adams County14-1.8 pts
63Boone County14-1.4 pts
65Nuckolls County13.9-1.3 pts
65Red Willow County13.9-0.8 pts
65Valley County13.9-0.5 pts
68Morrill County13.8-1.5 pts
68Phelps County13.8-1.3 pts
70Loup County13.7-1.5 pts
71Antelope County13.6-2.2 pts
71Harlan County13.6-0.2 pts
71Hooker County13.6+0.2 pts
74Howard County13.5-2.1 pts
75Gosper County13.4-0.2 pts
76Hamilton County13.3+0.6 pts
76Saunders County13.3-1 pts
78Thomas County13.2-0.3 pts
79Butler County13.1-2.2 pts
80Arthur County13-2.2 pts
80Cass County13-1.2 pts
82Dawes County12.9+0.7 pts
82Keya Paha County12.9-3.3 pts
82Lancaster County12.9-0.1 pts
85Sarpy County12.8+0.4 pts
86Banner County12.2-1.1 pts
86Logan County12.2-2.2 pts
88Garfield County12-0.7 pts
88Washington County12-2.6 pts
90Grant County11.9-3.7 pts
91Seward County11.6-1.8 pts
92Wayne County11.3-1.2 pts
93York County10.7-3 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, 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_nebraska_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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/nebraska-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  -
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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 22.9% in 2022, according to the Centers for Disease Control and Prevention.

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

York County, with 10.7% 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 Nebraska: more rankings