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

Adair County had the highest adult cigarette smoking rate, local model estimate of 77 counties in 2021, at 29.6%. Cimarron County had the lowest, at 14.9%. The median was 20.2%. Source: the Centers for Disease Control and Prevention.

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Highest29.6Adair County
Lowest14.9Cimarron County
Median20.277 counties

Map of counties, 2021

Adair County: 29.6 %Alfalfa County: 18.3 %Atoka County: 23.6 %Beaver County: 16.2 %Beckham County: 20.7 %Blaine County: 19.9 %Bryan County: 21.1 %Caddo County: 23.5 %Canadian County: 15.6 %Carter County: 20.1 %Cherokee County: 21.3 %Choctaw County: 23.9 %Cimarron County: 14.9 %Cleveland County: 15.5 %Coal County: 23.7 %Comanche County: 19.4 %Cotton County: 21.4 %Craig County: 23.6 %Creek County: 21 %Custer County: 16.4 %Delaware County: 22.3 %Dewey County: 19.5 %Ellis County: 18.8 %Garfield County: 17.8 %Garvin County: 21.2 %Grady County: 18.2 %Grant County: 17.7 %Greer County: 21.4 %Harmon County: 19.4 %Harper County: 17.8 %Haskell County: 23.5 %Hughes County: 23.4 %Jackson County: 17.3 %Jefferson County: 22.4 %Johnston County: 21.9 %Kay County: 20.8 %Kingfisher County: 17.7 %Kiowa County: 21.3 %Latimer County: 22.9 %Le Flore County: 23.7 %Lincoln County: 20.2 %Logan County: 16.9 %Love County: 20.6 %McClain County: 17.2 %McCurtain County: 24.1 %McIntosh County: 23.3 %Major County: 17.9 %Marshall County: 20.4 %Mayes County: 22.8 %Murray County: 20.8 %Muskogee County: 23 %Noble County: 18.6 %Nowata County: 22 %Okfuskee County: 27.3 %Oklahoma County: 16.5 %Okmulgee County: 22.1 %Osage County: 19.8 %Ottawa County: 22.9 %Pawnee County: 20.6 %Payne County: 16.2 %Pittsburg County: 21.3 %Pontotoc County: 18.9 %Pottawatomie County: 19.7 %Pushmataha County: 23.8 %Roger Mills County: 19.5 %Rogers County: 17.6 %Seminole County: 25 %Sequoyah County: 24.5 %Stephens County: 19.5 %Texas County: 18.1 %Tillman County: 20 %Tulsa County: 16.3 %Wagoner County: 17.8 %Washington County: 18.5 %Washita County: 18.8 %Woods County: 15.4 %Woodward County: 19.2 %
  • Under 18
  • 18 to 19
  • 19 to 20
  • 20 to 21
  • 21 to 23
  • 23 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

Adair County: 29.6 %Adair County29.6Okfuskee County: 27.3 %Okfuskee County27.3Seminole County: 25 %Seminole County25Sequoyah County: 24.5 %Sequoyah County24.5McCurtain County: 24.1 %McCurtain County24.1Choctaw County: 23.9 %Choctaw County23.9Pushmataha County: 23.8 %Pushmataha County23.8Coal County: 23.7 %Coal County23.7Le Flore County: 23.7 %Le Flore County23.7Atoka County: 23.6 %Atoka County23.6Craig County: 23.6 %Craig County23.6Caddo County: 23.5 %Caddo County23.5Haskell County: 23.5 %Haskell County23.5Hughes County: 23.4 %Hughes County23.4McIntosh County: 23.3 %McIntosh County23.3Muskogee County: 23 %Muskogee County23Latimer County: 22.9 %Latimer County22.9Ottawa County: 22.9 %Ottawa County22.9Mayes County: 22.8 %Mayes County22.8Jefferson County: 22.4 %Jefferson County22.4Delaware County: 22.3 %Delaware County22.3Okmulgee County: 22.1 %Okmulgee County22.1Nowata County: 22 %Nowata County22Johnston County: 21.9 %Johnston County21.9Cotton County: 21.4 %Cotton County21.4Greer County: 21.4 %Greer County21.4Cherokee County: 21.3 %Cherokee County21.3Kiowa County: 21.3 %Kiowa County21.3Pittsburg County: 21.3 %Pittsburg County21.3Garvin County: 21.2 %Garvin County21.2Bryan County: 21.1 %Bryan County21.1Creek County: 21 %Creek County21Kay County: 20.8 %Kay County20.8Murray County: 20.8 %Murray County20.8Beckham County: 20.7 %Beckham County20.7Love County: 20.6 %Love County20.6Pawnee County: 20.6 %Pawnee County20.6Marshall County: 20.4 %Marshall County20.4Lincoln County: 20.2 %Lincoln County20.2Carter County: 20.1 %Carter County20.1Adair County: 29.6 %Adair County29.6Okfuskee County: 27.3 %Okfuskee County27.3Seminole County: 25 %Seminole County25Sequoyah County: 24.5 %Sequoyah County24.5McCurtain County: 24.1 %McCurtain County24.1Choctaw County: 23.9 %Choctaw County23.9Pushmataha County: 23.8 %Pushmataha County23.8Coal County: 23.7 %Coal County23.7Le Flore County: 23.7 %Le Flore County23.7Atoka County: 23.6 %Atoka County23.6Craig County: 23.6 %Craig County23.6Caddo County: 23.5 %Caddo County23.5Haskell County: 23.5 %Haskell County23.5Hughes County: 23.4 %Hughes County23.4McIntosh County: 23.3 %McIntosh County23.3Muskogee County: 23 %Muskogee County23Latimer County: 22.9 %Latimer County22.9Ottawa County: 22.9 %Ottawa County22.9Mayes County: 22.8 %Mayes County22.8Jefferson County: 22.4 %Jefferson County22.4Delaware County: 22.3 %Delaware County22.3Okmulgee County: 22.1 %Okmulgee County22.1Nowata County: 22 %Nowata County22Johnston County: 21.9 %Johnston County21.9Cotton County: 21.4 %Cotton County21.4Greer County: 21.4 %Greer County21.4Cherokee County: 21.3 %Cherokee County21.3Kiowa County: 21.3 %Kiowa County21.3Pittsburg County: 21.3 %Pittsburg County21.3Garvin County: 21.2 %Garvin County21.2Bryan County: 21.1 %Bryan County21.1Creek County: 21 %Creek County21Kay County: 20.8 %Kay County20.8Murray County: 20.8 %Murray County20.8Beckham County: 20.7 %Beckham County20.7Love County: 20.6 %Love County20.6Pawnee County: 20.6 %Pawnee County20.6Marshall County: 20.4 %Marshall County20.4Lincoln County: 20.2 %Lincoln County20.2Carter County: 20.1 %Carter County20.1
%. 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

RankCounties2021 (%)
1Adair County29.6
2Okfuskee County27.3
3Seminole County25
4Sequoyah County24.5
5McCurtain County24.1
6Choctaw County23.9
7Pushmataha County23.8
8Coal County23.7
8Le Flore County23.7
10Atoka County23.6
10Craig County23.6
12Caddo County23.5
12Haskell County23.5
14Hughes County23.4
15McIntosh County23.3
16Muskogee County23
17Latimer County22.9
17Ottawa County22.9
19Mayes County22.8
20Jefferson County22.4
21Delaware County22.3
22Okmulgee County22.1
23Nowata County22
24Johnston County21.9
25Cotton County21.4
25Greer County21.4
27Cherokee County21.3
27Kiowa County21.3
27Pittsburg County21.3
30Garvin County21.2
31Bryan County21.1
32Creek County21
33Kay County20.8
33Murray County20.8
35Beckham County20.7
36Love County20.6
36Pawnee County20.6
38Marshall County20.4
39Lincoln County20.2
40Carter County20.1
41Tillman County20
42Blaine County19.9
43Osage County19.8
44Pottawatomie County19.7
45Dewey County19.5
45Roger Mills County19.5
45Stephens County19.5
48Comanche County19.4
48Harmon County19.4
50Woodward County19.2
51Pontotoc County18.9
52Ellis County18.8
52Washita County18.8
54Noble County18.6
55Washington County18.5
56Alfalfa County18.3
57Grady County18.2
58Texas County18.1
59Major County17.9
60Garfield County17.8
60Harper County17.8
60Wagoner County17.8
63Grant County17.7
63Kingfisher County17.7
65Rogers County17.6
66Jackson County17.3
67McClain County17.2
68Logan County16.9
69Oklahoma County16.5
70Custer County16.4
71Tulsa County16.3
72Beaver County16.2
72Payne County16.2
74Canadian County15.6
75Cleveland County15.5
76Woods County15.4
77Cimarron County14.9

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, 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 Oklahoma 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/oklahoma-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 Oklahoma 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/oklahoma-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 Oklahoma 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/oklahoma-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_oklahoma_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 Oklahoma 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/oklahoma-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 Oklahoma 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/oklahoma-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/oklahoma-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 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 29.6% in 2021, according to the Centers for Disease Control and Prevention.

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

Cimarron County, with 14.9% 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 Oklahoma: more rankings