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

Cattaraugus County had the highest adult cigarette smoking rate, local model estimate of 62 counties in 2023, at 16.5%. New York County had the lowest, at 8.2%. The median was 13.5%. Source: the Centers for Disease Control and Prevention.

Median13.562 counties

Top 40 counties, 2023

Cattaraugus County: 16.5 %Cattaraugus County16.5Franklin County: 16.3 %Franklin County16.3Fulton County: 16 %Fulton County16Orleans County: 15.7 %Orleans County15.7Oswego County: 15.7 %Oswego County15.7Chenango County: 15.3 %Chenango County15.3Seneca County: 15.3 %Seneca County15.3St. Lawrence County: 15.3 %St. Lawrence County15.3Montgomery County: 15.2 %Montgomery County15.2Cayuga County: 15.1 %Cayuga County15.1Lewis County: 15.1 %Lewis County15.1Schuyler County: 15.1 %Schuyler County15.1Wyoming County: 15.1 %Wyoming County15.1Chautauqua County: 14.9 %Chautauqua County14.9Chemung County: 14.9 %Chemung County14.9Yates County: 14.8 %Yates County14.8Washington County: 14.7 %Washington County14.7Herkimer County: 14.6 %Herkimer County14.6Steuben County: 14.6 %Steuben County14.6Delaware County: 14.5 %Delaware County14.5Clinton County: 14.4 %Clinton County14.4Oneida County: 14.2 %Oneida County14.2Jefferson County: 13.9 %Jefferson County13.9Tioga County: 13.9 %Tioga County13.9Wayne County: 13.9 %Wayne County13.9Allegany County: 13.8 %Allegany County13.8Niagara County: 13.7 %Niagara County13.7Sullivan County: 13.7 %Sullivan County13.7Essex County: 13.5 %Essex County13.5Genesee County: 13.5 %Genesee County13.5Greene County: 13.5 %Greene County13.5Hamilton County: 13.4 %Hamilton County13.4Schoharie County: 13.4 %Schoharie County13.4Bronx County: 13.2 %Bronx County13.2Broome County: 13.2 %Broome County13.2Cortland County: 12.8 %Cortland County12.8Madison County: 12.5 %Madison County12.5Columbia County: 12.4 %Columbia County12.4Erie County: 12.4 %Erie County12.4Livingston County: 12.3 %Livingston County12.3
%. 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

RankCounties2023 (%)Change on 2022
1Cattaraugus County16.5-1.2 pts
2Franklin County16.3-2.1 pts
3Fulton County16-3.9 pts
4Orleans County15.7+0.5 pts
4Oswego County15.7-0.8 pts
6Chenango County15.3-3 pts
6Seneca County15.3-0.5 pts
6St. Lawrence County15.3-2.5 pts
9Montgomery County15.2-3.9 pts
10Cayuga County15.1-2.5 pts
10Lewis County15.1-1.8 pts
10Schuyler County15.1-3.9 pts
10Wyoming County15.1-1.2 pts
14Chautauqua County14.9-1.2 pts
14Chemung County14.9-1 pts
16Yates County14.8-2.4 pts
17Washington County14.7-0.4 pts
18Herkimer County14.6-1.9 pts
18Steuben County14.6-0.3 pts
20Delaware County14.5-0.6 pts
21Clinton County14.4-3.1 pts
22Oneida County14.2-0.9 pts
23Jefferson County13.9-3.2 pts
23Tioga County13.9-0.1 pts
23Wayne County13.9-0.5 pts
26Allegany County13.8-1 pts
27Niagara County13.7-1 pts
27Sullivan County13.7-1.4 pts
29Essex County13.5-2.7 pts
29Genesee County13.5-3 pts
29Greene County13.5-0.6 pts
32Hamilton County13.4-4.4 pts
32Schoharie County13.4-4.4 pts
34Bronx County13.2-2.9 pts
34Broome County13.2-0.7 pts
36Cortland County12.8-1.9 pts
37Madison County12.5-1.9 pts
38Columbia County12.4-0.9 pts
38Erie County12.4-2.1 pts
40Livingston County12.3-2.5 pts
41Warren County12.2-4.8 pts
42Kings County12.1+0.3 pts
42Otsego County12.1-0.2 pts
42Richmond County12.1+1.6 pts
42Schenectady County12.1-0.8 pts
46Orange County12+0.4 pts
47Onondaga County11.9-3.4 pts
47Rensselaer County11.9-0.7 pts
49Ulster County11.8-1.5 pts
50Monroe County11.6+0.6 pts
51Ontario County11.5-1.9 pts
52Rockland County11.4-1.7 pts
53Dutchess County11-0.8 pts
54Queens County10.9+0.5 pts
55Saratoga County10.6+0.1 pts
56Albany County10.5-0.9 pts
57Putnam County9.6-1.6 pts
57Suffolk County9.6-1 pts
59Westchester County9.2-0.2 pts
60Tompkins County9-2 pts
61Nassau County8.5-1 pts
62New York County8.2-2.3 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 New York 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 New York 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/new-york-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 New York 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/new-york-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 New York 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/new-york-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_new_york_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 New York 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/new-york-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 New York 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/new-york-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/new-york-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 New York 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?

Cattaraugus County, with 16.5% in 2023, according to the Centers for Disease Control and Prevention.

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

New York County, with 8.2% 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 New York: more rankings