# Counties in North Carolina by adult cigarette smoking rate, local model estimate, 2023

All 100 values come from Centers for Disease Control and Prevention for 2023, so the places are comparable.

- Indicator id: `adult_smoking_rate_modelled`
- Unit: %
- Definition: 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.
- Source: 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 (https://www.cdc.gov/places/)
- Publisher page: https://invokely.ai/en/publishers/cdc
- Retrieved: 2026-10-12
- Citation: 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.
- Web page: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/north-carolina-counties

| Rank | Place | % |
|---:|---|---:|
| 1 | Robeson County | 22.5 |
| 2 | Scotland County | 21.3 |
| 3 | Halifax County | 19.8 |
| 3 | Swain County | 19.8 |
| 5 | Anson County | 19.7 |
| 6 | Greene County | 19.6 |
| 7 | Richmond County | 19.5 |
| 8 | Lenoir County | 19.3 |
| 9 | Hyde County | 19 |
| 9 | Washington County | 19 |
| 11 | Warren County | 18.6 |
| 12 | Bertie County | 18.3 |
| 12 | Columbus County | 18.3 |
| 14 | Jones County | 18.1 |
| 14 | Tyrrell County | 18.1 |
| 16 | Wilson County | 18 |
| 17 | Edgecombe County | 17.7 |
| 18 | Hertford County | 17.6 |
| 19 | Martin County | 17.3 |
| 19 | Rockingham County | 17.3 |
| 19 | Rutherford County | 17.3 |
| 19 | Vance County | 17.3 |
| 23 | Alleghany County | 17.2 |
| 23 | Northampton County | 17.2 |
| 23 | Sampson County | 17.2 |
| 26 | Surry County | 17.1 |
| 26 | Wilkes County | 17.1 |
| 28 | Burke County | 17 |
| 28 | Caldwell County | 17 |
| 28 | McDowell County | 17 |
| 31 | Caswell County | 16.9 |
| 32 | Alexander County | 16.8 |
| 32 | Bladen County | 16.8 |
| 32 | Chowan County | 16.8 |
| 35 | Randolph County | 16.7 |
| 36 | Gates County | 16.6 |
| 37 | Hoke County | 16.5 |
| 38 | Cleveland County | 16.4 |
| 38 | Montgomery County | 16.4 |
| 40 | Duplin County | 16.3 |
| 40 | Yadkin County | 16.3 |
| 42 | Person County | 16.2 |
| 42 | Stokes County | 16.2 |
| 42 | Wayne County | 16.2 |
| 45 | Beaufort County | 16.1 |
| 46 | Stanly County | 16 |
| 47 | Rowan County | 15.9 |
| 47 | Yancey County | 15.9 |
| 49 | Avery County | 15.8 |
| 49 | Davidson County | 15.8 |
| 51 | Graham County | 15.7 |
| 52 | Cherokee County | 15.6 |
| 52 | Nash County | 15.6 |
| 54 | Ashe County | 15.5 |
| 54 | Lee County | 15.5 |
| 56 | Granville County | 15.4 |
| 57 | Harnett County | 15.3 |
| 58 | Perquimans County | 15.2 |
| 59 | Gaston County | 15 |
| 60 | Macon County | 14.9 |
| 61 | Cumberland County | 14.8 |
| 61 | Franklin County | 14.8 |
| 63 | Catawba County | 14.7 |
| 64 | Mitchell County | 14.6 |
| 65 | Pamlico County | 14.3 |
| 65 | Pender County | 14.3 |
| 67 | Jackson County | 14.2 |
| 67 | Johnston County | 14.2 |
| 69 | Craven County | 14 |
| 69 | Lincoln County | 14 |
| 71 | Alamance County | 13.9 |
| 71 | Haywood County | 13.9 |
| 71 | Madison County | 13.9 |
| 71 | Pasquotank County | 13.9 |
| 75 | Clay County | 13.8 |
| 75 | Pitt County | 13.8 |
| 77 | Davie County | 13.5 |
| 78 | Forsyth County | 13.4 |
| 79 | Onslow County | 13.3 |
| 80 | Currituck County | 13.2 |
| 81 | Camden County | 13.1 |
| 82 | Guilford County | 13 |
| 82 | Polk County | 13 |
| 84 | Iredell County | 12.9 |
| 85 | Carteret County | 12.7 |
| 85 | Henderson County | 12.7 |
| 87 | Brunswick County | 12.4 |
| 87 | Cabarrus County | 12.4 |
| 89 | Buncombe County | 12.3 |
| 89 | Watauga County | 12.3 |
| 91 | Transylvania County | 12 |
| 92 | Union County | 11.9 |
| 93 | New Hanover County | 11.6 |
| 94 | Chatham County | 11.5 |
| 95 | Dare County | 11.4 |
| 95 | Moore County | 11.4 |
| 97 | Mecklenburg County | 10.8 |
| 98 | Durham County | 10.7 |
| 99 | Wake County | 9.6 |
| 100 | Orange County | 9.3 |