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

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

Vinton County had the highest adult cigarette smoking rate, local model estimate of 88 counties in 2021, at 27.1%. Delaware County had the lowest, at 11.2%. The median was 20.6%. Source: the Centers for Disease Control and Prevention.

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Highest27.1Vinton County
Lowest11.2Delaware County
Median20.688 counties

Map of counties, 2021

Adams County: 24.1 %Allen County: 20.9 %Ashland County: 19.8 %Ashtabula County: 25.9 %Athens County: 17.8 %Auglaize County: 18 %Belmont County: 21.3 %Brown County: 23.7 %Butler County: 17.2 %Carroll County: 21.5 %Champaign County: 20.5 %Clark County: 20.8 %Clermont County: 19.3 %Clinton County: 21 %Columbiana County: 21.7 %Coshocton County: 24 %Crawford County: 21.9 %Cuyahoga County: 18 %Darke County: 20.6 %Defiance County: 18.5 %Delaware County: 11.2 %Erie County: 18.9 %Fairfield County: 17.9 %Fayette County: 23.8 %Franklin County: 17 %Fulton County: 18.7 %Gallia County: 22.1 %Geauga County: 15.4 %Greene County: 15 %Guernsey County: 23 %Hamilton County: 16.8 %Hancock County: 18.5 %Hardin County: 21.2 %Harrison County: 22.1 %Henry County: 19.1 %Highland County: 23.9 %Hocking County: 23.6 %Holmes County: 25.7 %Huron County: 20.9 %Jackson County: 24.1 %Jefferson County: 22.5 %Knox County: 19.2 %Lake County: 16.4 %Lawrence County: 23.5 %Licking County: 17.4 %Logan County: 20.4 %Lorain County: 18.7 %Lucas County: 19.2 %Madison County: 20.8 %Mahoning County: 20.3 %Marion County: 23.5 %Medina County: 15.7 %Meigs County: 26.6 %Mercer County: 18 %Miami County: 17.8 %Monroe County: 22.2 %Montgomery County: 17.9 %Morgan County: 25.1 %Morrow County: 21.1 %Muskingum County: 20.7 %Noble County: 22.4 %Ottawa County: 17.6 %Paulding County: 21.1 %Perry County: 24.1 %Pickaway County: 21 %Pike County: 26.4 %Portage County: 17.4 %Preble County: 19.9 %Putnam County: 16.7 %Richland County: 22.4 %Ross County: 22.8 %Sandusky County: 20.1 %Scioto County: 26.5 %Seneca County: 20.5 %Shelby County: 20.7 %Stark County: 20.3 %Summit County: 18.7 %Trumbull County: 21.4 %Tuscarawas County: 21.6 %Union County: 15.3 %Van Wert County: 20.1 %Vinton County: 27.1 %Warren County: 14.4 %Washington County: 21.9 %Wayne County: 19.8 %Williams County: 20.4 %Wood County: 15.2 %Wyandot County: 19 %
  • Under 18
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  • 24 and over
%, 2021. 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, 2021

Vinton County: 27.1 %Vinton County27.1Meigs County: 26.6 %Meigs County26.6Scioto County: 26.5 %Scioto County26.5Pike County: 26.4 %Pike County26.4Ashtabula County: 25.9 %Ashtabula County25.9Holmes County: 25.7 %Holmes County25.7Morgan County: 25.1 %Morgan County25.1Adams County: 24.1 %Adams County24.1Jackson County: 24.1 %Jackson County24.1Perry County: 24.1 %Perry County24.1Coshocton County: 24 %Coshocton County24Highland County: 23.9 %Highland County23.9Fayette County: 23.8 %Fayette County23.8Brown County: 23.7 %Brown County23.7Hocking County: 23.6 %Hocking County23.6Lawrence County: 23.5 %Lawrence County23.5Marion County: 23.5 %Marion County23.5Guernsey County: 23 %Guernsey County23Ross County: 22.8 %Ross County22.8Jefferson County: 22.5 %Jefferson County22.5Noble County: 22.4 %Noble County22.4Richland County: 22.4 %Richland County22.4Monroe County: 22.2 %Monroe County22.2Gallia County: 22.1 %Gallia County22.1Harrison County: 22.1 %Harrison County22.1Crawford County: 21.9 %Crawford County21.9Washington County: 21.9 %Washington County21.9Columbiana County: 21.7 %Columbiana County21.7Tuscarawas County: 21.6 %Tuscarawas County21.6Carroll County: 21.5 %Carroll County21.5Trumbull County: 21.4 %Trumbull County21.4Belmont County: 21.3 %Belmont County21.3Hardin County: 21.2 %Hardin County21.2Morrow County: 21.1 %Morrow County21.1Paulding County: 21.1 %Paulding County21.1Clinton County: 21 %Clinton County21Pickaway County: 21 %Pickaway County21Allen County: 20.9 %Allen County20.9Huron County: 20.9 %Huron County20.9Clark County: 20.8 %Clark County20.8Vinton County: 27.1 %Vinton County27.1Meigs County: 26.6 %Meigs County26.6Scioto County: 26.5 %Scioto County26.5Pike County: 26.4 %Pike County26.4Ashtabula County: 25.9 %Ashtabula County25.9Holmes County: 25.7 %Holmes County25.7Morgan County: 25.1 %Morgan County25.1Adams County: 24.1 %Adams County24.1Jackson County: 24.1 %Jackson County24.1Perry County: 24.1 %Perry County24.1Coshocton County: 24 %Coshocton County24Highland County: 23.9 %Highland County23.9Fayette County: 23.8 %Fayette County23.8Brown County: 23.7 %Brown County23.7Hocking County: 23.6 %Hocking County23.6Lawrence County: 23.5 %Lawrence County23.5Marion County: 23.5 %Marion County23.5Guernsey County: 23 %Guernsey County23Ross County: 22.8 %Ross County22.8Jefferson County: 22.5 %Jefferson County22.5Noble County: 22.4 %Noble County22.4Richland County: 22.4 %Richland County22.4Monroe County: 22.2 %Monroe County22.2Gallia County: 22.1 %Gallia County22.1Harrison County: 22.1 %Harrison County22.1Crawford County: 21.9 %Crawford County21.9Washington County: 21.9 %Washington County21.9Columbiana County: 21.7 %Columbiana County21.7Tuscarawas County: 21.6 %Tuscarawas County21.6Carroll County: 21.5 %Carroll County21.5Trumbull County: 21.4 %Trumbull County21.4Belmont County: 21.3 %Belmont County21.3Hardin County: 21.2 %Hardin County21.2Morrow County: 21.1 %Morrow County21.1Paulding County: 21.1 %Paulding County21.1Clinton County: 21 %Clinton County21Pickaway County: 21 %Pickaway County21Allen County: 20.9 %Allen County20.9Huron County: 20.9 %Huron County20.9Clark County: 20.8 %Clark County20.8
%. 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

RankCounties2021 (%)
1Vinton County27.1
2Meigs County26.6
3Scioto County26.5
4Pike County26.4
5Ashtabula County25.9
6Holmes County25.7
7Morgan County25.1
8Adams County24.1
8Jackson County24.1
8Perry County24.1
11Coshocton County24
12Highland County23.9
13Fayette County23.8
14Brown County23.7
15Hocking County23.6
16Lawrence County23.5
16Marion County23.5
18Guernsey County23
19Ross County22.8
20Jefferson County22.5
21Noble County22.4
21Richland County22.4
23Monroe County22.2
24Gallia County22.1
24Harrison County22.1
26Crawford County21.9
26Washington County21.9
28Columbiana County21.7
29Tuscarawas County21.6
30Carroll County21.5
31Trumbull County21.4
32Belmont County21.3
33Hardin County21.2
34Morrow County21.1
34Paulding County21.1
36Clinton County21
36Pickaway County21
38Allen County20.9
38Huron County20.9
40Clark County20.8
40Madison County20.8
42Muskingum County20.7
42Shelby County20.7
44Darke County20.6
45Champaign County20.5
45Seneca County20.5
47Logan County20.4
47Williams County20.4
49Mahoning County20.3
49Stark County20.3
51Sandusky County20.1
51Van Wert County20.1
53Preble County19.9
54Ashland County19.8
54Wayne County19.8
56Clermont County19.3
57Knox County19.2
57Lucas County19.2
59Henry County19.1
60Wyandot County19
61Erie County18.9
62Fulton County18.7
62Lorain County18.7
62Summit County18.7
65Defiance County18.5
65Hancock County18.5
67Auglaize County18
67Cuyahoga County18
67Mercer County18
70Fairfield County17.9
70Montgomery County17.9
72Athens County17.8
72Miami County17.8
74Ottawa County17.6
75Licking County17.4
75Portage County17.4
77Butler County17.2
78Franklin County17
79Hamilton County16.8
80Putnam County16.7
81Lake County16.4
82Medina County15.7
83Geauga County15.4
84Union County15.3
85Wood County15.2
86Greene County15
87Warren County14.4
88Delaware County11.2

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/ohio-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_ohio_by_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/ohio-counties?period=2021.
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 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}
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Questions

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

Vinton County, with 27.1% in 2021, according to the Centers for Disease Control and Prevention.

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

Delaware County, with 11.2% in 2021.

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