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 2022, at 19.9%. Westchester County had the lowest, at 9.4%. The median was 14.9%. Source: the Centers for Disease Control and Prevention.

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Highest19.9Fulton County
Median14.962 counties

Map of counties, 2022

Albany County: 11.4 %Allegany County: 14.8 %Bronx County: 16.1 %Broome County: 13.9 %Cattaraugus County: 17.7 %Cayuga County: 17.6 %Chautauqua County: 16.1 %Chemung County: 15.9 %Chenango County: 18.3 %Clinton County: 17.5 %Columbia County: 13.3 %Cortland County: 14.7 %Delaware County: 15.1 %Dutchess County: 11.8 %Erie County: 14.5 %Essex County: 16.2 %Franklin County: 18.4 %Fulton County: 19.9 %Genesee County: 16.5 %Greene County: 14.1 %Hamilton County: 17.8 %Herkimer County: 16.5 %Jefferson County: 17.1 %Kings County: 11.8 %Lewis County: 16.9 %Livingston County: 14.8 %Madison County: 14.4 %Monroe County: 11 %Montgomery County: 19.1 %Nassau County: 9.5 %New York County: 10.5 %Niagara County: 14.7 %Oneida County: 15.1 %Onondaga County: 15.3 %Ontario County: 13.4 %Orange County: 11.6 %Orleans County: 15.2 %Oswego County: 16.5 %Otsego County: 12.3 %Putnam County: 11.2 %Queens County: 10.4 %Rensselaer County: 12.6 %Richmond County: 10.5 %Rockland County: 13.1 %St. Lawrence County: 17.8 %Saratoga County: 10.5 %Schenectady County: 12.9 %Schoharie County: 17.8 %Schuyler County: 19 %Seneca County: 15.8 %Steuben County: 14.9 %Suffolk County: 10.6 %Sullivan County: 15.1 %Tioga County: 14 %Tompkins County: 11 %Ulster County: 13.3 %Warren County: 17 %Washington County: 15.1 %Wayne County: 14.4 %Westchester County: 9.4 %Wyoming County: 16.3 %Yates County: 17.2 %
  • Under 11
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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

Fulton County: 19.9 %Fulton County19.9Montgomery County: 19.1 %Montgomery County19.1Schuyler County: 19 %Schuyler County19Franklin County: 18.4 %Franklin County18.4Chenango County: 18.3 %Chenango County18.3Hamilton County: 17.8 %Hamilton County17.8Schoharie County: 17.8 %Schoharie County17.8St. Lawrence County: 17.8 %St. Lawrence County17.8Cattaraugus County: 17.7 %Cattaraugus County17.7Cayuga County: 17.6 %Cayuga County17.6Clinton County: 17.5 %Clinton County17.5Yates County: 17.2 %Yates County17.2Jefferson County: 17.1 %Jefferson County17.1Warren County: 17 %Warren County17Lewis County: 16.9 %Lewis County16.9Genesee County: 16.5 %Genesee County16.5Herkimer County: 16.5 %Herkimer County16.5Oswego County: 16.5 %Oswego County16.5Wyoming County: 16.3 %Wyoming County16.3Essex County: 16.2 %Essex County16.2Bronx County: 16.1 %Bronx County16.1Chautauqua County: 16.1 %Chautauqua County16.1Chemung County: 15.9 %Chemung County15.9Seneca County: 15.8 %Seneca County15.8Onondaga County: 15.3 %Onondaga County15.3Orleans County: 15.2 %Orleans County15.2Delaware County: 15.1 %Delaware County15.1Oneida County: 15.1 %Oneida County15.1Sullivan County: 15.1 %Sullivan County15.1Washington County: 15.1 %Washington County15.1Steuben County: 14.9 %Steuben County14.9Allegany County: 14.8 %Allegany County14.8Livingston County: 14.8 %Livingston County14.8Cortland County: 14.7 %Cortland County14.7Niagara County: 14.7 %Niagara County14.7Erie County: 14.5 %Erie County14.5Madison County: 14.4 %Madison County14.4Wayne County: 14.4 %Wayne County14.4Greene County: 14.1 %Greene County14.1Tioga County: 14 %Tioga County14Fulton County: 19.9 %Fulton County19.9Montgomery County: 19.1 %Montgomery County19.1Schuyler County: 19 %Schuyler County19Franklin County: 18.4 %Franklin County18.4Chenango County: 18.3 %Chenango County18.3Hamilton County: 17.8 %Hamilton County17.8Schoharie County: 17.8 %Schoharie County17.8St. Lawrence County: 17.8 %St. Lawrence County17.8Cattaraugus County: 17.7 %Cattaraugus County17.7Cayuga County: 17.6 %Cayuga County17.6Clinton County: 17.5 %Clinton County17.5Yates County: 17.2 %Yates County17.2Jefferson County: 17.1 %Jefferson County17.1Warren County: 17 %Warren County17Lewis County: 16.9 %Lewis County16.9Genesee County: 16.5 %Genesee County16.5Herkimer County: 16.5 %Herkimer County16.5Oswego County: 16.5 %Oswego County16.5Wyoming County: 16.3 %Wyoming County16.3Essex County: 16.2 %Essex County16.2Bronx County: 16.1 %Bronx County16.1Chautauqua County: 16.1 %Chautauqua County16.1Chemung County: 15.9 %Chemung County15.9Seneca County: 15.8 %Seneca County15.8Onondaga County: 15.3 %Onondaga County15.3Orleans County: 15.2 %Orleans County15.2Delaware County: 15.1 %Delaware County15.1Oneida County: 15.1 %Oneida County15.1Sullivan County: 15.1 %Sullivan County15.1Washington County: 15.1 %Washington County15.1Steuben County: 14.9 %Steuben County14.9Allegany County: 14.8 %Allegany County14.8Livingston County: 14.8 %Livingston County14.8Cortland County: 14.7 %Cortland County14.7Niagara County: 14.7 %Niagara County14.7Erie County: 14.5 %Erie County14.5Madison County: 14.4 %Madison County14.4Wayne County: 14.4 %Wayne County14.4Greene County: 14.1 %Greene County14.1Tioga County: 14 %Tioga County14
%. 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
1Fulton County19.9-2.6 pts
2Montgomery County19.1-0.6 pts
3Schuyler County19-0.3 pts
4Franklin County18.4-3.9 pts
5Chenango County18.3-3.6 pts
6Hamilton County17.8-1.4 pts
6Schoharie County17.8+0.3 pts
6St. Lawrence County17.8-2.6 pts
9Cattaraugus County17.7-2.3 pts
10Cayuga County17.6-3.1 pts
11Clinton County17.5-1.1 pts
12Yates County17.2-0.2 pts
13Jefferson County17.1-1.8 pts
14Warren County17-0.3 pts
15Lewis County16.9-1.5 pts
16Genesee County16.5-3.1 pts
16Herkimer County16.5-2.7 pts
16Oswego County16.5-3.4 pts
19Wyoming County16.3-3.6 pts
20Essex County16.2-1.3 pts
21Bronx County16.1-0.2 pts
21Chautauqua County16.1-4.6 pts
23Chemung County15.9-5.7 pts
24Seneca County15.8-4.7 pts
25Onondaga County15.3-3.2 pts
26Orleans County15.2-6.2 pts
27Delaware County15.1-3.7 pts
27Oneida County15.1-5.1 pts
27Sullivan County15.1-2.8 pts
27Washington County15.1-4.7 pts
31Steuben County14.9-4.2 pts
32Allegany County14.8-5.3 pts
32Livingston County14.8-2.2 pts
34Cortland County14.7-2.2 pts
34Niagara County14.7-4.9 pts
36Erie County14.5-2.5 pts
37Madison County14.4-2.6 pts
37Wayne County14.4-4.7 pts
39Greene County14.1-3 pts
40Tioga County14-3.5 pts
41Broome County13.9-3.7 pts
42Ontario County13.4-2.2 pts
43Columbia County13.3-2.9 pts
43Ulster County13.3-2.5 pts
45Rockland County13.1-1.2 pts
46Schenectady County12.9-3.9 pts
47Rensselaer County12.6-4.2 pts
48Otsego County12.3-3.8 pts
49Dutchess County11.8-3.5 pts
49Kings County11.8-2.1 pts
51Orange County11.6-3.7 pts
52Albany County11.4-2.7 pts
53Putnam County11.2-2 pts
54Monroe County11-5 pts
54Tompkins County11-1.1 pts
56Suffolk County10.6-1.6 pts
57New York County10.5-0.5 pts
57Richmond County10.5-5.3 pts
57Saratoga County10.5-4.4 pts
60Queens County10.4-2 pts
61Nassau County9.5-1.3 pts
62Westchester County9.4-1.2 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, 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 New York 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/new-york-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 New York 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/new-york-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 New York 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/new-york-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_new_york_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 New York 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/new-york-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 New York 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/new-york-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/new-york-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 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?

Fulton County, with 19.9% in 2022, according to the Centers for Disease Control and Prevention.

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

Westchester County, with 9.4% 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 New York: more rankings