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

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

Pike County had the highest adult cigarette smoking rate, local model estimate of 88 counties in 2023, at 22.9%. Delaware County had the lowest, at 10.1%. The median was 17.1%. Source: the Centers for Disease Control and Prevention.

Keep it in a collection in your library.
Highest22.9Pike County
Lowest10.1Delaware County
Median17.188 counties

Map of counties, 2023

Adams County: 21.9 %Allen County: 17 %Ashland County: 17.7 %Ashtabula County: 20.1 %Athens County: 15.2 %Auglaize County: 15.3 %Belmont County: 18.1 %Brown County: 19.7 %Butler County: 14.6 %Carroll County: 19 %Champaign County: 16.4 %Clark County: 17.9 %Clermont County: 15.6 %Clinton County: 17.7 %Columbiana County: 18.5 %Coshocton County: 20.1 %Crawford County: 18.3 %Cuyahoga County: 14.8 %Darke County: 17.7 %Defiance County: 15.9 %Delaware County: 10.1 %Erie County: 14.9 %Fairfield County: 14.4 %Fayette County: 19.9 %Franklin County: 13.9 %Fulton County: 15.1 %Gallia County: 20.8 %Geauga County: 12.8 %Greene County: 12.3 %Guernsey County: 19 %Hamilton County: 13.9 %Hancock County: 14.5 %Hardin County: 17.7 %Harrison County: 19 %Henry County: 15.8 %Highland County: 19.5 %Hocking County: 20.5 %Holmes County: 21.5 %Huron County: 17.2 %Jackson County: 20.1 %Jefferson County: 17.6 %Knox County: 15.5 %Lake County: 14.5 %Lawrence County: 19.6 %Licking County: 15.4 %Logan County: 17.5 %Lorain County: 15 %Lucas County: 16.4 %Madison County: 16.5 %Mahoning County: 16.9 %Marion County: 19.6 %Medina County: 13.1 %Meigs County: 22.5 %Mercer County: 15 %Miami County: 15.3 %Monroe County: 20 %Montgomery County: 15.2 %Morgan County: 19.5 %Morrow County: 17.8 %Muskingum County: 18.1 %Noble County: 18.5 %Ottawa County: 14 %Paulding County: 17.2 %Perry County: 19.3 %Pickaway County: 17.9 %Pike County: 22.9 %Portage County: 14.5 %Preble County: 17 %Putnam County: 14 %Richland County: 18 %Ross County: 19.8 %Sandusky County: 16.6 %Scioto County: 20.8 %Seneca County: 16.4 %Shelby County: 17 %Stark County: 17.1 %Summit County: 14.6 %Trumbull County: 18.4 %Tuscarawas County: 17.5 %Union County: 12.6 %Van Wert County: 16.5 %Vinton County: 21.2 %Warren County: 12.2 %Washington County: 17 %Wayne County: 16.3 %Williams County: 17.8 %Wood County: 12.7 %Wyandot County: 15.5 %
  • Under 15
  • 15 to 16
  • 16 to 17
  • 17 to 18
  • 18 to 20
  • 20 and over
%, 2023. 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, 2023

Pike County: 22.9 %Pike County22.9Meigs County: 22.5 %Meigs County22.5Adams County: 21.9 %Adams County21.9Holmes County: 21.5 %Holmes County21.5Vinton County: 21.2 %Vinton County21.2Gallia County: 20.8 %Gallia County20.8Scioto County: 20.8 %Scioto County20.8Hocking County: 20.5 %Hocking County20.5Ashtabula County: 20.1 %Ashtabula County20.1Coshocton County: 20.1 %Coshocton County20.1Jackson County: 20.1 %Jackson County20.1Monroe County: 20 %Monroe County20Fayette County: 19.9 %Fayette County19.9Ross County: 19.8 %Ross County19.8Brown County: 19.7 %Brown County19.7Lawrence County: 19.6 %Lawrence County19.6Marion County: 19.6 %Marion County19.6Highland County: 19.5 %Highland County19.5Morgan County: 19.5 %Morgan County19.5Perry County: 19.3 %Perry County19.3Carroll County: 19 %Carroll County19Guernsey County: 19 %Guernsey County19Harrison County: 19 %Harrison County19Columbiana County: 18.5 %Columbiana County18.5Noble County: 18.5 %Noble County18.5Trumbull County: 18.4 %Trumbull County18.4Crawford County: 18.3 %Crawford County18.3Belmont County: 18.1 %Belmont County18.1Muskingum County: 18.1 %Muskingum County18.1Richland County: 18 %Richland County18Clark County: 17.9 %Clark County17.9Pickaway County: 17.9 %Pickaway County17.9Morrow County: 17.8 %Morrow County17.8Williams County: 17.8 %Williams County17.8Ashland County: 17.7 %Ashland County17.7Clinton County: 17.7 %Clinton County17.7Darke County: 17.7 %Darke County17.7Hardin County: 17.7 %Hardin County17.7Jefferson County: 17.6 %Jefferson County17.6Logan County: 17.5 %Logan County17.5Pike County: 22.9 %Pike County22.9Meigs County: 22.5 %Meigs County22.5Adams County: 21.9 %Adams County21.9Holmes County: 21.5 %Holmes County21.5Vinton County: 21.2 %Vinton County21.2Gallia County: 20.8 %Gallia County20.8Scioto County: 20.8 %Scioto County20.8Hocking County: 20.5 %Hocking County20.5Ashtabula County: 20.1 %Ashtabula County20.1Coshocton County: 20.1 %Coshocton County20.1Jackson County: 20.1 %Jackson County20.1Monroe County: 20 %Monroe County20Fayette County: 19.9 %Fayette County19.9Ross County: 19.8 %Ross County19.8Brown County: 19.7 %Brown County19.7Lawrence County: 19.6 %Lawrence County19.6Marion County: 19.6 %Marion County19.6Highland County: 19.5 %Highland County19.5Morgan County: 19.5 %Morgan County19.5Perry County: 19.3 %Perry County19.3Carroll County: 19 %Carroll County19Guernsey County: 19 %Guernsey County19Harrison County: 19 %Harrison County19Columbiana County: 18.5 %Columbiana County18.5Noble County: 18.5 %Noble County18.5Trumbull County: 18.4 %Trumbull County18.4Crawford County: 18.3 %Crawford County18.3Belmont County: 18.1 %Belmont County18.1Muskingum County: 18.1 %Muskingum County18.1Richland County: 18 %Richland County18Clark County: 17.9 %Clark County17.9Pickaway County: 17.9 %Pickaway County17.9Morrow County: 17.8 %Morrow County17.8Williams County: 17.8 %Williams County17.8Ashland County: 17.7 %Ashland County17.7Clinton County: 17.7 %Clinton County17.7Darke County: 17.7 %Darke County17.7Hardin County: 17.7 %Hardin County17.7Jefferson County: 17.6 %Jefferson County17.6Logan County: 17.5 %Logan County17.5
%. 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
1Pike County22.9-1.2 pts
2Meigs County22.5-2.2 pts
3Adams County21.9-2.2 pts
4Holmes County21.5-4.2 pts
5Vinton County21.2-4.8 pts
6Gallia County20.8-0.8 pts
6Scioto County20.8-1.7 pts
8Hocking County20.5-4.8 pts
9Ashtabula County20.1-0.6 pts
9Coshocton County20.1-0.6 pts
9Jackson County20.1-2.4 pts
12Monroe County20-2.7 pts
13Fayette County19.9-3.5 pts
14Ross County19.8-3.7 pts
15Brown County19.7-2.8 pts
16Lawrence County19.6-3.2 pts
16Marion County19.6-2 pts
18Highland County19.5-3.7 pts
18Morgan County19.5+1.3 pts
20Perry County19.3-3.6 pts
21Carroll County19-4.4 pts
21Guernsey County19-5.1 pts
21Harrison County19-1.8 pts
24Columbiana County18.5-3.1 pts
24Noble County18.5-4.6 pts
26Trumbull County18.4-4.6 pts
27Crawford County18.3-4.5 pts
28Belmont County18.1-3.7 pts
28Muskingum County18.1-1.1 pts
30Richland County18-0.2 pts
31Clark County17.9-2.9 pts
31Pickaway County17.9-1 pts
33Morrow County17.8-5.9 pts
33Williams County17.8-2 pts
35Ashland County17.7-2.7 pts
35Clinton County17.7-3.8 pts
35Darke County17.7-2.4 pts
35Hardin County17.7-6.3 pts
39Jefferson County17.6-1.7 pts
40Logan County17.5-3.4 pts
40Tuscarawas County17.5-5.2 pts
42Huron County17.2-0.6 pts
42Paulding County17.2-4.5 pts
44Stark County17.1+0.6 pts
45Allen County17-4.5 pts
45Preble County17-3.8 pts
45Shelby County17-2.6 pts
45Washington County17-2.5 pts
49Mahoning County16.9-2.9 pts
50Sandusky County16.6-3.5 pts
51Madison County16.5-5.7 pts
51Van Wert County16.5-1.4 pts
53Champaign County16.4-2.8 pts
53Lucas County16.4-2.6 pts
53Seneca County16.4-4.4 pts
56Wayne County16.3-1 pts
57Defiance County15.9-2.3 pts
58Henry County15.8-3.6 pts
59Clermont County15.6-3.1 pts
60Knox County15.5-0.5 pts
60Wyandot County15.5-1.4 pts
62Licking County15.4-4 pts
63Auglaize County15.3-2.6 pts
63Miami County15.3-0.8 pts
65Athens County15.2+0.1 pts
65Montgomery County15.2-3.8 pts
67Fulton County15.1-6.1 pts
68Lorain County15-3.7 pts
68Mercer County15-3.9 pts
70Erie County14.9-0.2 pts
71Cuyahoga County14.8-1.8 pts
72Butler County14.6-4 pts
72Summit County14.6-1.4 pts
74Hancock County14.5-1.8 pts
74Lake County14.5-2.1 pts
74Portage County14.5-1.3 pts
77Fairfield County14.4-5.8 pts
78Ottawa County14-2.4 pts
78Putnam County14-1.6 pts
80Franklin County13.9-1 pts
80Hamilton County13.9-4 pts
82Medina County13.1-3.9 pts
83Geauga County12.8-3.7 pts
84Wood County12.7-2 pts
85Union County12.6-1.5 pts
86Greene County12.3-2.2 pts
87Warren County12.2-1.7 pts
88Delaware County10.1-2.1 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 Ohio 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 Ohio 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/ohio-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 Ohio 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/ohio-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 Ohio 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/ohio-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_ohio_by_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 Ohio 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/ohio-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 Ohio 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/ohio-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/ohio-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  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in Ohio by adult cigarette smoking rate, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_smoking_rate_modelled","level":"province","within":"Ohio","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=province&within=Ohio&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Pike County, with 22.9% in 2023, according to the Centers for Disease Control and Prevention.

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

Delaware County, with 10.1% 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 Ohio: more rankings