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

All 53 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-dakota-counties

| Rank | Place | % |
|---:|---|---:|
| 1 | Sioux County | 32.9 |
| 2 | Rolette County | 25.9 |
| 3 | Benson County | 22 |
| 4 | Mountrail County | 19.2 |
| 5 | Towner County | 16.9 |
| 6 | Grant County | 16.4 |
| 7 | Eddy County | 16.2 |
| 8 | Golden Valley County | 15.6 |
| 8 | McIntosh County | 15.6 |
| 8 | Williams County | 15.6 |
| 11 | Ramsey County | 15.4 |
| 12 | Adams County | 15.3 |
| 12 | Stutsman County | 15.3 |
| 14 | McHenry County | 15.2 |
| 14 | McKenzie County | 15.2 |
| 14 | Slope County | 15.2 |
| 17 | Mercer County | 15.1 |
| 18 | Logan County | 14.9 |
| 19 | Dunn County | 14.8 |
| 19 | Ransom County | 14.8 |
| 19 | Walsh County | 14.8 |
| 22 | Emmons County | 14.7 |
| 22 | Pembina County | 14.7 |
| 22 | Wells County | 14.7 |
| 25 | Hettinger County | 14.5 |
| 25 | Kidder County | 14.5 |
| 27 | Pierce County | 14.2 |
| 27 | Steele County | 14.2 |
| 29 | Divide County | 14.1 |
| 29 | Renville County | 14.1 |
| 29 | Stark County | 14.1 |
| 32 | Dickey County | 13.8 |
| 32 | LaMoure County | 13.8 |
| 32 | Sargent County | 13.8 |
| 32 | Sheridan County | 13.8 |
| 36 | Bowman County | 13.6 |
| 36 | McLean County | 13.6 |
| 38 | Billings County | 13.5 |
| 38 | Morton County | 13.5 |
| 40 | Bottineau County | 13.4 |
| 41 | Barnes County | 13.3 |
| 41 | Foster County | 13.3 |
| 43 | Nelson County | 13.2 |
| 43 | Richland County | 13.2 |
| 45 | Burke County | 13.1 |
| 45 | Oliver County | 13.1 |
| 47 | Ward County | 12.6 |
| 48 | Cavalier County | 12.4 |
| 49 | Griggs County | 12.3 |
| 49 | Traill County | 12.3 |
| 51 | Burleigh County | 11.8 |
| 52 | Grand Forks County | 11.3 |
| 53 | Cass County | 11.2 |