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

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

Fulton County had the highest adult cigarette smoking rate, local model estimate of 62 counties in 2021, at 22.5%. Westchester County had the lowest, at 10.6%. The median was 17.5%. Source: the Centers for Disease Control and Prevention.

Keep it in a collection in your library.
Highest22.5Fulton County
Lowest10.6Westchester County
Median17.562 counties

Map of counties, 2021

Albany County: 14.1 %Allegany County: 20.1 %Bronx County: 16.3 %Broome County: 17.6 %Cattaraugus County: 20 %Cayuga County: 20.7 %Chautauqua County: 20.7 %Chemung County: 21.6 %Chenango County: 21.9 %Clinton County: 18.6 %Columbia County: 16.2 %Cortland County: 16.9 %Delaware County: 18.8 %Dutchess County: 15.3 %Erie County: 17 %Essex County: 17.5 %Franklin County: 22.3 %Fulton County: 22.5 %Genesee County: 19.6 %Greene County: 17.1 %Hamilton County: 19.2 %Herkimer County: 19.2 %Jefferson County: 18.9 %Kings County: 13.9 %Lewis County: 18.4 %Livingston County: 17 %Madison County: 17 %Monroe County: 16 %Montgomery County: 19.7 %Nassau County: 10.8 %New York County: 11 %Niagara County: 19.6 %Oneida County: 20.2 %Onondaga County: 18.5 %Ontario County: 15.6 %Orange County: 15.3 %Orleans County: 21.4 %Oswego County: 19.9 %Otsego County: 16.1 %Putnam County: 13.2 %Queens County: 12.4 %Rensselaer County: 16.8 %Richmond County: 15.8 %Rockland County: 14.3 %St. Lawrence County: 20.4 %Saratoga County: 14.9 %Schenectady County: 16.8 %Schoharie County: 17.5 %Schuyler County: 19.3 %Seneca County: 20.5 %Steuben County: 19.1 %Suffolk County: 12.2 %Sullivan County: 17.9 %Tioga County: 17.5 %Tompkins County: 12.1 %Ulster County: 15.8 %Warren County: 17.3 %Washington County: 19.8 %Wayne County: 19.1 %Westchester County: 10.6 %Wyoming County: 19.9 %Yates County: 17.4 %
  • Under 15
  • 15 to 17
  • 17 to 18
  • 18 to 19
  • 19 to 20
  • 20 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

Fulton County: 22.5 %Fulton County22.5Franklin County: 22.3 %Franklin County22.3Chenango County: 21.9 %Chenango County21.9Chemung County: 21.6 %Chemung County21.6Orleans County: 21.4 %Orleans County21.4Cayuga County: 20.7 %Cayuga County20.7Chautauqua County: 20.7 %Chautauqua County20.7Seneca County: 20.5 %Seneca County20.5St. Lawrence County: 20.4 %St. Lawrence County20.4Oneida County: 20.2 %Oneida County20.2Allegany County: 20.1 %Allegany County20.1Cattaraugus County: 20 %Cattaraugus County20Oswego County: 19.9 %Oswego County19.9Wyoming County: 19.9 %Wyoming County19.9Washington County: 19.8 %Washington County19.8Montgomery County: 19.7 %Montgomery County19.7Genesee County: 19.6 %Genesee County19.6Niagara County: 19.6 %Niagara County19.6Schuyler County: 19.3 %Schuyler County19.3Hamilton County: 19.2 %Hamilton County19.2Herkimer County: 19.2 %Herkimer County19.2Steuben County: 19.1 %Steuben County19.1Wayne County: 19.1 %Wayne County19.1Jefferson County: 18.9 %Jefferson County18.9Delaware County: 18.8 %Delaware County18.8Clinton County: 18.6 %Clinton County18.6Onondaga County: 18.5 %Onondaga County18.5Lewis County: 18.4 %Lewis County18.4Sullivan County: 17.9 %Sullivan County17.9Broome County: 17.6 %Broome County17.6Essex County: 17.5 %Essex County17.5Schoharie County: 17.5 %Schoharie County17.5Tioga County: 17.5 %Tioga County17.5Yates County: 17.4 %Yates County17.4Warren County: 17.3 %Warren County17.3Greene County: 17.1 %Greene County17.1Erie County: 17 %Erie County17Livingston County: 17 %Livingston County17Madison County: 17 %Madison County17Cortland County: 16.9 %Cortland County16.9Fulton County: 22.5 %Fulton County22.5Franklin County: 22.3 %Franklin County22.3Chenango County: 21.9 %Chenango County21.9Chemung County: 21.6 %Chemung County21.6Orleans County: 21.4 %Orleans County21.4Cayuga County: 20.7 %Cayuga County20.7Chautauqua County: 20.7 %Chautauqua County20.7Seneca County: 20.5 %Seneca County20.5St. Lawrence County: 20.4 %St. Lawrence County20.4Oneida County: 20.2 %Oneida County20.2Allegany County: 20.1 %Allegany County20.1Cattaraugus County: 20 %Cattaraugus County20Oswego County: 19.9 %Oswego County19.9Wyoming County: 19.9 %Wyoming County19.9Washington County: 19.8 %Washington County19.8Montgomery County: 19.7 %Montgomery County19.7Genesee County: 19.6 %Genesee County19.6Niagara County: 19.6 %Niagara County19.6Schuyler County: 19.3 %Schuyler County19.3Hamilton County: 19.2 %Hamilton County19.2Herkimer County: 19.2 %Herkimer County19.2Steuben County: 19.1 %Steuben County19.1Wayne County: 19.1 %Wayne County19.1Jefferson County: 18.9 %Jefferson County18.9Delaware County: 18.8 %Delaware County18.8Clinton County: 18.6 %Clinton County18.6Onondaga County: 18.5 %Onondaga County18.5Lewis County: 18.4 %Lewis County18.4Sullivan County: 17.9 %Sullivan County17.9Broome County: 17.6 %Broome County17.6Essex County: 17.5 %Essex County17.5Schoharie County: 17.5 %Schoharie County17.5Tioga County: 17.5 %Tioga County17.5Yates County: 17.4 %Yates County17.4Warren County: 17.3 %Warren County17.3Greene County: 17.1 %Greene County17.1Erie County: 17 %Erie County17Livingston County: 17 %Livingston County17Madison County: 17 %Madison County17Cortland County: 16.9 %Cortland County16.9
%. 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 (%)
1Fulton County22.5
2Franklin County22.3
3Chenango County21.9
4Chemung County21.6
5Orleans County21.4
6Cayuga County20.7
6Chautauqua County20.7
8Seneca County20.5
9St. Lawrence County20.4
10Oneida County20.2
11Allegany County20.1
12Cattaraugus County20
13Oswego County19.9
13Wyoming County19.9
15Washington County19.8
16Montgomery County19.7
17Genesee County19.6
17Niagara County19.6
19Schuyler County19.3
20Hamilton County19.2
20Herkimer County19.2
22Steuben County19.1
22Wayne County19.1
24Jefferson County18.9
25Delaware County18.8
26Clinton County18.6
27Onondaga County18.5
28Lewis County18.4
29Sullivan County17.9
30Broome County17.6
31Essex County17.5
31Schoharie County17.5
31Tioga County17.5
34Yates County17.4
35Warren County17.3
36Greene County17.1
37Erie County17
37Livingston County17
37Madison County17
40Cortland County16.9
41Rensselaer County16.8
41Schenectady County16.8
43Bronx County16.3
44Columbia County16.2
45Otsego County16.1
46Monroe County16
47Richmond County15.8
47Ulster County15.8
49Ontario County15.6
50Dutchess County15.3
50Orange County15.3
52Saratoga County14.9
53Rockland County14.3
54Albany County14.1
55Kings County13.9
56Putnam County13.2
57Queens County12.4
58Suffolk County12.2
59Tompkins County12.1
60New York County11
61Nassau County10.8
62Westchester County10.6

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, 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 New York 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/new-york-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 New York 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/new-york-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 New York 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/new-york-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_new_york_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 New York 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/new-york-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 New York 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/new-york-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/new-york-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  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in New York 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":"New York","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=province&within=New%20York&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Fulton County, with 22.5% in 2021, according to the Centers for Disease Control and Prevention.

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

Westchester County, with 10.6% 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 New York: more rankings