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

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

Adair County had the highest adult cigarette smoking rate, local model estimate of 77 counties in 2023, at 25.8%. Cimarron County had the lowest, at 13%. The median was 18.1%. Source: the Centers for Disease Control and Prevention.

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Highest25.8Adair County
Lowest13Cimarron County
Median18.177 counties

Map of counties, 2023

Adair County: 25.8 %Alfalfa County: 17.9 %Atoka County: 21.3 %Beaver County: 15.3 %Beckham County: 20 %Blaine County: 17.6 %Bryan County: 19 %Caddo County: 21.5 %Canadian County: 13.4 %Carter County: 18 %Cherokee County: 18.9 %Choctaw County: 21.5 %Cimarron County: 13 %Cleveland County: 13.2 %Coal County: 23.1 %Comanche County: 17.6 %Cotton County: 19.3 %Craig County: 22.2 %Creek County: 18.4 %Custer County: 15.4 %Delaware County: 20.5 %Dewey County: 17.5 %Ellis County: 16.4 %Garfield County: 16.9 %Garvin County: 19.2 %Grady County: 16.3 %Grant County: 16.9 %Greer County: 17.9 %Harmon County: 17.8 %Harper County: 16.2 %Haskell County: 20.7 %Hughes County: 21.8 %Jackson County: 16.1 %Jefferson County: 20.9 %Johnston County: 21 %Kay County: 18.7 %Kingfisher County: 15.6 %Kiowa County: 19.9 %Latimer County: 22.4 %Le Flore County: 21.9 %Lincoln County: 18.9 %Logan County: 15.3 %Love County: 18.5 %McClain County: 15.4 %McCurtain County: 21.2 %McIntosh County: 21.8 %Major County: 16.9 %Marshall County: 18.7 %Mayes County: 20.3 %Murray County: 17.9 %Muskogee County: 20.7 %Noble County: 16.8 %Nowata County: 20.3 %Okfuskee County: 24.4 %Oklahoma County: 14.3 %Okmulgee County: 20 %Osage County: 17.9 %Ottawa County: 21.3 %Pawnee County: 19.3 %Payne County: 14 %Pittsburg County: 19.2 %Pontotoc County: 16.5 %Pottawatomie County: 18.1 %Pushmataha County: 23.6 %Roger Mills County: 17.4 %Rogers County: 15.7 %Seminole County: 22.5 %Sequoyah County: 22.8 %Stephens County: 18.6 %Texas County: 16 %Tillman County: 18.1 %Tulsa County: 14.7 %Wagoner County: 15.5 %Washington County: 16.9 %Washita County: 17.5 %Woods County: 14.7 %Woodward County: 16.9 %
  • Under 16
  • 16 to 17
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  • 21 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

Adair County: 25.8 %Adair County25.8Okfuskee County: 24.4 %Okfuskee County24.4Pushmataha County: 23.6 %Pushmataha County23.6Coal County: 23.1 %Coal County23.1Sequoyah County: 22.8 %Sequoyah County22.8Seminole County: 22.5 %Seminole County22.5Latimer County: 22.4 %Latimer County22.4Craig County: 22.2 %Craig County22.2Le Flore County: 21.9 %Le Flore County21.9Hughes County: 21.8 %Hughes County21.8McIntosh County: 21.8 %McIntosh County21.8Caddo County: 21.5 %Caddo County21.5Choctaw County: 21.5 %Choctaw County21.5Atoka County: 21.3 %Atoka County21.3Ottawa County: 21.3 %Ottawa County21.3McCurtain County: 21.2 %McCurtain County21.2Johnston County: 21 %Johnston County21Jefferson County: 20.9 %Jefferson County20.9Haskell County: 20.7 %Haskell County20.7Muskogee County: 20.7 %Muskogee County20.7Delaware County: 20.5 %Delaware County20.5Mayes County: 20.3 %Mayes County20.3Nowata County: 20.3 %Nowata County20.3Beckham County: 20 %Beckham County20Okmulgee County: 20 %Okmulgee County20Kiowa County: 19.9 %Kiowa County19.9Cotton County: 19.3 %Cotton County19.3Pawnee County: 19.3 %Pawnee County19.3Garvin County: 19.2 %Garvin County19.2Pittsburg County: 19.2 %Pittsburg County19.2Bryan County: 19 %Bryan County19Cherokee County: 18.9 %Cherokee County18.9Lincoln County: 18.9 %Lincoln County18.9Kay County: 18.7 %Kay County18.7Marshall County: 18.7 %Marshall County18.7Stephens County: 18.6 %Stephens County18.6Love County: 18.5 %Love County18.5Creek County: 18.4 %Creek County18.4Pottawatomie County: 18.1 %Pottawatomie County18.1Tillman County: 18.1 %Tillman County18.1Adair County: 25.8 %Adair County25.8Okfuskee County: 24.4 %Okfuskee County24.4Pushmataha County: 23.6 %Pushmataha County23.6Coal County: 23.1 %Coal County23.1Sequoyah County: 22.8 %Sequoyah County22.8Seminole County: 22.5 %Seminole County22.5Latimer County: 22.4 %Latimer County22.4Craig County: 22.2 %Craig County22.2Le Flore County: 21.9 %Le Flore County21.9Hughes County: 21.8 %Hughes County21.8McIntosh County: 21.8 %McIntosh County21.8Caddo County: 21.5 %Caddo County21.5Choctaw County: 21.5 %Choctaw County21.5Atoka County: 21.3 %Atoka County21.3Ottawa County: 21.3 %Ottawa County21.3McCurtain County: 21.2 %McCurtain County21.2Johnston County: 21 %Johnston County21Jefferson County: 20.9 %Jefferson County20.9Haskell County: 20.7 %Haskell County20.7Muskogee County: 20.7 %Muskogee County20.7Delaware County: 20.5 %Delaware County20.5Mayes County: 20.3 %Mayes County20.3Nowata County: 20.3 %Nowata County20.3Beckham County: 20 %Beckham County20Okmulgee County: 20 %Okmulgee County20Kiowa County: 19.9 %Kiowa County19.9Cotton County: 19.3 %Cotton County19.3Pawnee County: 19.3 %Pawnee County19.3Garvin County: 19.2 %Garvin County19.2Pittsburg County: 19.2 %Pittsburg County19.2Bryan County: 19 %Bryan County19Cherokee County: 18.9 %Cherokee County18.9Lincoln County: 18.9 %Lincoln County18.9Kay County: 18.7 %Kay County18.7Marshall County: 18.7 %Marshall County18.7Stephens County: 18.6 %Stephens County18.6Love County: 18.5 %Love County18.5Creek County: 18.4 %Creek County18.4Pottawatomie County: 18.1 %Pottawatomie County18.1Tillman County: 18.1 %Tillman County18.1
%. 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
1Adair County25.8+1 pts
2Okfuskee County24.4+0.7 pts
3Pushmataha County23.6+1 pts
4Coal County23.1+0.3 pts
5Sequoyah County22.8+0.3 pts
6Seminole County22.5+1.4 pts
7Latimer County22.4-0.3 pts
8Craig County22.2-1 pts
9Le Flore County21.9-1 pts
10Hughes County21.8-0.1 pts
10McIntosh County21.8+0.1 pts
12Caddo County21.5-1.1 pts
12Choctaw County21.5+0.3 pts
14Atoka County21.3-1.2 pts
14Ottawa County21.3-0.3 pts
16McCurtain County21.2-1.9 pts
17Johnston County21-1.4 pts
18Jefferson County20.9+0.9 pts
19Haskell County20.7-1.9 pts
19Muskogee County20.7+2.8 pts
21Delaware County20.5-0.4 pts
22Mayes County20.3-0.9 pts
22Nowata County20.3+0.7 pts
24Beckham County20+2.5 pts
24Okmulgee County20-0.9 pts
26Kiowa County19.9-1.3 pts
27Cotton County19.3-1 pts
27Pawnee County19.3+1.5 pts
29Garvin County19.2-0.7 pts
29Pittsburg County19.2-1 pts
31Bryan County19+0.1 pts
32Cherokee County18.9-1.5 pts
32Lincoln County18.9-0.9 pts
34Kay County18.7+1.8 pts
34Marshall County18.7-0.6 pts
36Stephens County18.6+1.1 pts
37Love County18.5+1.5 pts
38Creek County18.4+0.3 pts
39Pottawatomie County18.1-1.9 pts
39Tillman County18.1-0.3 pts
41Carter County18-0.4 pts
42Alfalfa County17.9+0.9 pts
42Greer County17.9-2.4 pts
42Murray County17.9-0.6 pts
42Osage County17.9-0.4 pts
46Harmon County17.8+2.1 pts
47Blaine County17.6-1.5 pts
47Comanche County17.60 pts
49Dewey County17.5-1.2 pts
49Washita County17.5-1.3 pts
51Roger Mills County17.4+0.5 pts
52Garfield County16.9-0.1 pts
52Grant County16.9-3.6 pts
52Major County16.90 pts
52Washington County16.9-2.9 pts
52Woodward County16.9-1.6 pts
57Noble County16.8-0.1 pts
58Pontotoc County16.5-3.1 pts
59Ellis County16.4-0.7 pts
60Grady County16.3-0.6 pts
61Harper County16.2+0.6 pts
62Jackson County16.1-0.2 pts
63Texas County16-0.7 pts
64Rogers County15.7-0.5 pts
65Kingfisher County15.6-1.5 pts
66Wagoner County15.5-0.5 pts
67Custer County15.4+0.4 pts
67McClain County15.4-0.3 pts
69Beaver County15.3+1.1 pts
69Logan County15.3-1 pts
71Tulsa County14.7-1.4 pts
71Woods County14.7-0.7 pts
73Oklahoma County14.3-1.4 pts
74Payne County140 pts
75Canadian County13.4-0.3 pts
76Cleveland County13.2-0.1 pts
77Cimarron County13-0.2 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 Oklahoma 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 Oklahoma 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/oklahoma-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 Oklahoma 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/oklahoma-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 Oklahoma 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/oklahoma-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_oklahoma_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 Oklahoma 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/oklahoma-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 Oklahoma 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/oklahoma-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/oklahoma-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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Rank Counties in Oklahoma 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":"Oklahoma","limit":10}
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Questions

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

Adair County, with 25.8% in 2023, according to the Centers for Disease Control and Prevention.

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

Cimarron County, with 13% 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 Oklahoma: more rankings