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

Sioux County had the highest adult cigarette smoking rate, local model estimate of 53 counties in 2022, at 36.5%. Burke County had the lowest, at 13%. The median was 15.7%. Source: the Centers for Disease Control and Prevention.

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Highest36.5Sioux County
Lowest13Burke County
Median15.753 counties

Map of counties, 2022

Adams County: 17.7 %Barnes County: 13.3 %Benson County: 25.2 %Billings County: 13.6 %Bottineau County: 18.1 %Bowman County: 16.6 %Burke County: 13 %Burleigh County: 13.1 %Cass County: 14.3 %Cavalier County: 13.2 %Dickey County: 16.3 %Divide County: 15.4 %Dunn County: 16.1 %Eddy County: 16.3 %Emmons County: 14.5 %Foster County: 15.1 %Golden Valley County: 15.5 %Grand Forks County: 14.4 %Grant County: 18.6 %Griggs County: 14.7 %Hettinger County: 15.7 %Kidder County: 16.5 %LaMoure County: 14.2 %Logan County: 17.3 %McHenry County: 16.3 %McIntosh County: 16.5 %McKenzie County: 18.8 %McLean County: 14.4 %Mercer County: 16.1 %Morton County: 15.3 %Mountrail County: 18 %Nelson County: 15.3 %Oliver County: 15.9 %Pembina County: 16.9 %Pierce County: 14.9 %Ramsey County: 14.8 %Ransom County: 15.4 %Renville County: 16.1 %Richland County: 14.9 %Rolette County: 28.3 %Sargent County: 17.3 %Sheridan County: 15.4 %Sioux County: 36.5 %Slope County: 14.4 %Stark County: 15.8 %Steele County: 14 %Stutsman County: 15.7 %Towner County: 19 %Traill County: 14.4 %Walsh County: 18.4 %Ward County: 16.4 %Wells County: 13.8 %Williams County: 17.4 %
  • Under 14
  • 14 to 15
  • 15 to 16
  • 16 to 18
  • 18 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.

All counties, 2022

Sioux County: 36.5 %Sioux County36.5Rolette County: 28.3 %Rolette County28.3Benson County: 25.2 %Benson County25.2Towner County: 19 %Towner County19McKenzie County: 18.8 %McKenzie County18.8Grant County: 18.6 %Grant County18.6Walsh County: 18.4 %Walsh County18.4Bottineau County: 18.1 %Bottineau County18.1Mountrail County: 18 %Mountrail County18Adams County: 17.7 %Adams County17.7Williams County: 17.4 %Williams County17.4Logan County: 17.3 %Logan County17.3Sargent County: 17.3 %Sargent County17.3Pembina County: 16.9 %Pembina County16.9Bowman County: 16.6 %Bowman County16.6Kidder County: 16.5 %Kidder County16.5McIntosh County: 16.5 %McIntosh County16.5Ward County: 16.4 %Ward County16.4Dickey County: 16.3 %Dickey County16.3Eddy County: 16.3 %Eddy County16.3McHenry County: 16.3 %McHenry County16.3Dunn County: 16.1 %Dunn County16.1Mercer County: 16.1 %Mercer County16.1Renville County: 16.1 %Renville County16.1Oliver County: 15.9 %Oliver County15.9Stark County: 15.8 %Stark County15.8Hettinger County: 15.7 %Hettinger County15.7Stutsman County: 15.7 %Stutsman County15.7Golden Valley County: 15.5 %Golden Valley County15.5Divide County: 15.4 %Divide County15.4Ransom County: 15.4 %Ransom County15.4Sheridan County: 15.4 %Sheridan County15.4Morton County: 15.3 %Morton County15.3Nelson County: 15.3 %Nelson County15.3Foster County: 15.1 %Foster County15.1Pierce County: 14.9 %Pierce County14.9Richland County: 14.9 %Richland County14.9Ramsey County: 14.8 %Ramsey County14.8Griggs County: 14.7 %Griggs County14.7Emmons County: 14.5 %Emmons County14.5Grand Forks County: 14.4 %Grand Forks County14.4McLean County: 14.4 %McLean County14.4Slope County: 14.4 %Slope County14.4Traill County: 14.4 %Traill County14.4Cass County: 14.3 %Cass County14.3LaMoure County: 14.2 %LaMoure County14.2Steele County: 14 %Steele County14Wells County: 13.8 %Wells County13.8Billings County: 13.6 %Billings County13.6Barnes County: 13.3 %Barnes County13.3Cavalier County: 13.2 %Cavalier County13.2Burleigh County: 13.1 %Burleigh County13.1Burke County: 13 %Burke County13Sioux County: 36.5 %Sioux County36.5Rolette County: 28.3 %Rolette County28.3Benson County: 25.2 %Benson County25.2Towner County: 19 %Towner County19McKenzie County: 18.8 %McKenzie County18.8Grant County: 18.6 %Grant County18.6Walsh County: 18.4 %Walsh County18.4Bottineau County: 18.1 %Bottineau County18.1Mountrail County: 18 %Mountrail County18Adams County: 17.7 %Adams County17.7Williams County: 17.4 %Williams County17.4Logan County: 17.3 %Logan County17.3Sargent County: 17.3 %Sargent County17.3Pembina County: 16.9 %Pembina County16.9Bowman County: 16.6 %Bowman County16.6Kidder County: 16.5 %Kidder County16.5McIntosh County: 16.5 %McIntosh County16.5Ward County: 16.4 %Ward County16.4Dickey County: 16.3 %Dickey County16.3Eddy County: 16.3 %Eddy County16.3McHenry County: 16.3 %McHenry County16.3Dunn County: 16.1 %Dunn County16.1Mercer County: 16.1 %Mercer County16.1Renville County: 16.1 %Renville County16.1Oliver County: 15.9 %Oliver County15.9Stark County: 15.8 %Stark County15.8Hettinger County: 15.7 %Hettinger County15.7Stutsman County: 15.7 %Stutsman County15.7Golden Valley County: 15.5 %Golden Valley County15.5Divide County: 15.4 %Divide County15.4Ransom County: 15.4 %Ransom County15.4Sheridan County: 15.4 %Sheridan County15.4Morton County: 15.3 %Morton County15.3Nelson County: 15.3 %Nelson County15.3Foster County: 15.1 %Foster County15.1Pierce County: 14.9 %Pierce County14.9Richland County: 14.9 %Richland County14.9Ramsey County: 14.8 %Ramsey County14.8Griggs County: 14.7 %Griggs County14.7Emmons County: 14.5 %Emmons County14.5Grand Forks County: 14.4 %Grand Forks County14.4McLean County: 14.4 %McLean County14.4Slope County: 14.4 %Slope County14.4Traill County: 14.4 %Traill County14.4Cass County: 14.3 %Cass County14.3LaMoure County: 14.2 %LaMoure County14.2Steele County: 14 %Steele County14Wells County: 13.8 %Wells County13.8Billings County: 13.6 %Billings County13.6Barnes County: 13.3 %Barnes County13.3Cavalier County: 13.2 %Cavalier County13.2Burleigh County: 13.1 %Burleigh County13.1Burke County: 13 %Burke County13
%. 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
1Sioux County36.5+1.7 pts
2Rolette County28.3-1.7 pts
3Benson County25.2-0.3 pts
4Towner County19+0.8 pts
5McKenzie County18.8+0.9 pts
6Grant County18.6+3 pts
7Walsh County18.4+1.6 pts
8Bottineau County18.1+3.6 pts
9Mountrail County18-3 pts
10Adams County17.7+1.6 pts
11Williams County17.4+0.9 pts
12Logan County17.3+2 pts
12Sargent County17.3+2.6 pts
14Pembina County16.9+1.4 pts
15Bowman County16.6+0.8 pts
16Kidder County16.5-0.8 pts
16McIntosh County16.50 pts
18Ward County16.4+1.6 pts
19Dickey County16.3+1.3 pts
19Eddy County16.3-2 pts
19McHenry County16.3-0.2 pts
22Dunn County16.1-0.7 pts
22Mercer County16.1-0.7 pts
22Renville County16.1+1.5 pts
25Oliver County15.9+0.3 pts
26Stark County15.8-0.6 pts
27Hettinger County15.7-0.4 pts
27Stutsman County15.7-1.2 pts
29Golden Valley County15.5+0.8 pts
30Divide County15.4+0.3 pts
30Ransom County15.4-0.7 pts
30Sheridan County15.4+0.3 pts
33Morton County15.3+0.1 pts
33Nelson County15.3+0.7 pts
35Foster County15.1+0.3 pts
36Pierce County14.9+0.1 pts
36Richland County14.9+0.4 pts
38Ramsey County14.8-2.1 pts
39Griggs County14.7+1.7 pts
40Emmons County14.5-1.7 pts
41Grand Forks County14.4+1.5 pts
41McLean County14.4-1.9 pts
41Slope County14.4-0.1 pts
41Traill County14.4+0.8 pts
45Cass County14.3+1.7 pts
46LaMoure County14.2-1.4 pts
47Steele County14+0.3 pts
48Wells County13.8-1.1 pts
49Billings County13.6-0.9 pts
50Barnes County13.3-0.9 pts
51Cavalier County13.2-1.2 pts
52Burleigh County13.1-1.1 pts
53Burke County13-1.7 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, 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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_dakota_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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/north-dakota-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 North Dakota 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?

Sioux County, with 36.5% in 2022, according to the Centers for Disease Control and Prevention.

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

Burke County, with 13% 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 North Dakota: more rankings