Data / Rankings / Adult cigarette smoking rate, local model estimate / Counties in North Dakota

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

Sioux County had the highest adult cigarette smoking rate, local model estimate of 53 counties in 2023, at 32.9%. Cass County had the lowest, at 11.2%. The median was 14.2%. Source: the Centers for Disease Control and Prevention.

Highest32.9Sioux County
Lowest11.2Cass County
Median14.253 counties

All counties, 2023

Sioux County: 32.9 %Sioux County32.9Rolette County: 25.9 %Rolette County25.9Benson County: 22 %Benson County22Mountrail County: 19.2 %Mountrail County19.2Towner County: 16.9 %Towner County16.9Grant County: 16.4 %Grant County16.4Eddy County: 16.2 %Eddy County16.2Golden Valley County: 15.6 %Golden Valley County15.6McIntosh County: 15.6 %McIntosh County15.6Williams County: 15.6 %Williams County15.6Ramsey County: 15.4 %Ramsey County15.4Adams County: 15.3 %Adams County15.3Stutsman County: 15.3 %Stutsman County15.3McHenry County: 15.2 %McHenry County15.2McKenzie County: 15.2 %McKenzie County15.2Slope County: 15.2 %Slope County15.2Mercer County: 15.1 %Mercer County15.1Logan County: 14.9 %Logan County14.9Dunn County: 14.8 %Dunn County14.8Ransom County: 14.8 %Ransom County14.8Walsh County: 14.8 %Walsh County14.8Emmons County: 14.7 %Emmons County14.7Pembina County: 14.7 %Pembina County14.7Wells County: 14.7 %Wells County14.7Hettinger County: 14.5 %Hettinger County14.5Kidder County: 14.5 %Kidder County14.5Pierce County: 14.2 %Pierce County14.2Steele County: 14.2 %Steele County14.2Divide County: 14.1 %Divide County14.1Renville County: 14.1 %Renville County14.1Stark County: 14.1 %Stark County14.1Dickey County: 13.8 %Dickey County13.8LaMoure County: 13.8 %LaMoure County13.8Sargent County: 13.8 %Sargent County13.8Sheridan County: 13.8 %Sheridan County13.8Bowman County: 13.6 %Bowman County13.6McLean County: 13.6 %McLean County13.6Billings County: 13.5 %Billings County13.5Morton County: 13.5 %Morton County13.5Bottineau County: 13.4 %Bottineau County13.4Barnes County: 13.3 %Barnes County13.3Foster County: 13.3 %Foster County13.3Nelson County: 13.2 %Nelson County13.2Richland County: 13.2 %Richland County13.2Burke County: 13.1 %Burke County13.1Oliver County: 13.1 %Oliver County13.1Ward County: 12.6 %Ward County12.6Cavalier County: 12.4 %Cavalier County12.4Griggs County: 12.3 %Griggs County12.3Traill County: 12.3 %Traill County12.3Burleigh County: 11.8 %Burleigh County11.8Grand Forks County: 11.3 %Grand Forks County11.3Cass County: 11.2 %Cass County11.2
%. 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
1Sioux County32.9-3.6 pts
2Rolette County25.9-2.4 pts
3Benson County22-3.2 pts
4Mountrail County19.2+1.2 pts
5Towner County16.9-2.1 pts
6Grant County16.4-2.2 pts
7Eddy County16.2-0.1 pts
8Golden Valley County15.6+0.1 pts
8McIntosh County15.6-0.9 pts
8Williams County15.6-1.8 pts
11Ramsey County15.4+0.6 pts
12Adams County15.3-2.4 pts
12Stutsman County15.3-0.4 pts
14McHenry County15.2-1.1 pts
14McKenzie County15.2-3.6 pts
14Slope County15.2+0.8 pts
17Mercer County15.1-1 pts
18Logan County14.9-2.4 pts
19Dunn County14.8-1.3 pts
19Ransom County14.8-0.6 pts
19Walsh County14.8-3.6 pts
22Emmons County14.7+0.2 pts
22Pembina County14.7-2.2 pts
22Wells County14.7+0.9 pts
25Hettinger County14.5-1.2 pts
25Kidder County14.5-2 pts
27Pierce County14.2-0.7 pts
27Steele County14.2+0.2 pts
29Divide County14.1-1.3 pts
29Renville County14.1-2 pts
29Stark County14.1-1.7 pts
32Dickey County13.8-2.5 pts
32LaMoure County13.8-0.4 pts
32Sargent County13.8-3.5 pts
32Sheridan County13.8-1.6 pts
36Bowman County13.6-3 pts
36McLean County13.6-0.8 pts
38Billings County13.5-0.1 pts
38Morton County13.5-1.8 pts
40Bottineau County13.4-4.7 pts
41Barnes County13.30 pts
41Foster County13.3-1.8 pts
43Nelson County13.2-2.1 pts
43Richland County13.2-1.7 pts
45Burke County13.1+0.1 pts
45Oliver County13.1-2.8 pts
47Ward County12.6-3.8 pts
48Cavalier County12.4-0.8 pts
49Griggs County12.3-2.4 pts
49Traill County12.3-2.1 pts
51Burleigh County11.8-1.3 pts
52Grand Forks County11.3-3.1 pts
53Cass County11.2-3.1 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 North Dakota 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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_dakota_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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/north-dakota-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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Questions

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

Sioux County, with 32.9% in 2023, according to the Centers for Disease Control and Prevention.

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

Cass County, with 11.2% 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 North Dakota: more rankings