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

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 2022, at 24.8%. Cimarron County had the lowest, at 13.2%. The median was 18.7%. Source: the Centers for Disease Control and Prevention.

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Highest24.8Adair County
Lowest13.2Cimarron County
Median18.777 counties

Map of counties, 2022

Adair County: 24.8 %Alfalfa County: 17 %Atoka County: 22.5 %Beaver County: 14.2 %Beckham County: 17.5 %Blaine County: 19.1 %Bryan County: 18.9 %Caddo County: 22.6 %Canadian County: 13.7 %Carter County: 18.4 %Cherokee County: 20.4 %Choctaw County: 21.2 %Cimarron County: 13.2 %Cleveland County: 13.3 %Coal County: 22.8 %Comanche County: 17.6 %Cotton County: 20.3 %Craig County: 23.2 %Creek County: 18.1 %Custer County: 15 %Delaware County: 20.9 %Dewey County: 18.7 %Ellis County: 17.1 %Garfield County: 17 %Garvin County: 19.9 %Grady County: 16.9 %Grant County: 20.5 %Greer County: 20.3 %Harmon County: 15.7 %Harper County: 15.6 %Haskell County: 22.6 %Hughes County: 21.9 %Jackson County: 16.3 %Jefferson County: 20 %Johnston County: 22.4 %Kay County: 16.9 %Kingfisher County: 17.1 %Kiowa County: 21.2 %Latimer County: 22.7 %Le Flore County: 22.9 %Lincoln County: 19.8 %Logan County: 16.3 %Love County: 17 %McClain County: 15.7 %McCurtain County: 23.1 %McIntosh County: 21.7 %Major County: 16.9 %Marshall County: 19.3 %Mayes County: 21.2 %Murray County: 18.5 %Muskogee County: 17.9 %Noble County: 16.9 %Nowata County: 19.6 %Okfuskee County: 23.7 %Oklahoma County: 15.7 %Okmulgee County: 20.9 %Osage County: 18.3 %Ottawa County: 21.6 %Pawnee County: 17.8 %Payne County: 14 %Pittsburg County: 20.2 %Pontotoc County: 19.6 %Pottawatomie County: 20 %Pushmataha County: 22.6 %Roger Mills County: 16.9 %Rogers County: 16.2 %Seminole County: 21.1 %Sequoyah County: 22.5 %Stephens County: 17.5 %Texas County: 16.7 %Tillman County: 18.4 %Tulsa County: 16.1 %Wagoner County: 16 %Washington County: 19.8 %Washita County: 18.8 %Woods County: 15.4 %Woodward County: 18.5 %
  • Under 16
  • 16 to 17
  • 17 to 19
  • 19 to 20
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  • 22 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.

Top 40 counties, 2022

Adair County: 24.8 %Adair County24.8Okfuskee County: 23.7 %Okfuskee County23.7Craig County: 23.2 %Craig County23.2McCurtain County: 23.1 %McCurtain County23.1Le Flore County: 22.9 %Le Flore County22.9Coal County: 22.8 %Coal County22.8Latimer County: 22.7 %Latimer County22.7Caddo County: 22.6 %Caddo County22.6Haskell County: 22.6 %Haskell County22.6Pushmataha County: 22.6 %Pushmataha County22.6Atoka County: 22.5 %Atoka County22.5Sequoyah County: 22.5 %Sequoyah County22.5Johnston County: 22.4 %Johnston County22.4Hughes County: 21.9 %Hughes County21.9McIntosh County: 21.7 %McIntosh County21.7Ottawa County: 21.6 %Ottawa County21.6Choctaw County: 21.2 %Choctaw County21.2Kiowa County: 21.2 %Kiowa County21.2Mayes County: 21.2 %Mayes County21.2Seminole County: 21.1 %Seminole County21.1Delaware County: 20.9 %Delaware County20.9Okmulgee County: 20.9 %Okmulgee County20.9Grant County: 20.5 %Grant County20.5Cherokee County: 20.4 %Cherokee County20.4Cotton County: 20.3 %Cotton County20.3Greer County: 20.3 %Greer County20.3Pittsburg County: 20.2 %Pittsburg County20.2Jefferson County: 20 %Jefferson County20Pottawatomie County: 20 %Pottawatomie County20Garvin County: 19.9 %Garvin County19.9Lincoln County: 19.8 %Lincoln County19.8Washington County: 19.8 %Washington County19.8Nowata County: 19.6 %Nowata County19.6Pontotoc County: 19.6 %Pontotoc County19.6Marshall County: 19.3 %Marshall County19.3Blaine County: 19.1 %Blaine County19.1Bryan County: 18.9 %Bryan County18.9Washita County: 18.8 %Washita County18.8Dewey County: 18.7 %Dewey County18.7Murray County: 18.5 %Murray County18.5Adair County: 24.8 %Adair County24.8Okfuskee County: 23.7 %Okfuskee County23.7Craig County: 23.2 %Craig County23.2McCurtain County: 23.1 %McCurtain County23.1Le Flore County: 22.9 %Le Flore County22.9Coal County: 22.8 %Coal County22.8Latimer County: 22.7 %Latimer County22.7Caddo County: 22.6 %Caddo County22.6Haskell County: 22.6 %Haskell County22.6Pushmataha County: 22.6 %Pushmataha County22.6Atoka County: 22.5 %Atoka County22.5Sequoyah County: 22.5 %Sequoyah County22.5Johnston County: 22.4 %Johnston County22.4Hughes County: 21.9 %Hughes County21.9McIntosh County: 21.7 %McIntosh County21.7Ottawa County: 21.6 %Ottawa County21.6Choctaw County: 21.2 %Choctaw County21.2Kiowa County: 21.2 %Kiowa County21.2Mayes County: 21.2 %Mayes County21.2Seminole County: 21.1 %Seminole County21.1Delaware County: 20.9 %Delaware County20.9Okmulgee County: 20.9 %Okmulgee County20.9Grant County: 20.5 %Grant County20.5Cherokee County: 20.4 %Cherokee County20.4Cotton County: 20.3 %Cotton County20.3Greer County: 20.3 %Greer County20.3Pittsburg County: 20.2 %Pittsburg County20.2Jefferson County: 20 %Jefferson County20Pottawatomie County: 20 %Pottawatomie County20Garvin County: 19.9 %Garvin County19.9Lincoln County: 19.8 %Lincoln County19.8Washington County: 19.8 %Washington County19.8Nowata County: 19.6 %Nowata County19.6Pontotoc County: 19.6 %Pontotoc County19.6Marshall County: 19.3 %Marshall County19.3Blaine County: 19.1 %Blaine County19.1Bryan County: 18.9 %Bryan County18.9Washita County: 18.8 %Washita County18.8Dewey County: 18.7 %Dewey County18.7Murray County: 18.5 %Murray County18.5
%. 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

RankCounties2022 (%)Change on 2021
1Adair County24.8-4.8 pts
2Okfuskee County23.7-3.6 pts
3Craig County23.2-0.4 pts
4McCurtain County23.1-1 pts
5Le Flore County22.9-0.8 pts
6Coal County22.8-0.9 pts
7Latimer County22.7-0.2 pts
8Caddo County22.6-0.9 pts
8Haskell County22.6-0.9 pts
8Pushmataha County22.6-1.2 pts
11Atoka County22.5-1.1 pts
11Sequoyah County22.5-2 pts
13Johnston County22.4+0.5 pts
14Hughes County21.9-1.5 pts
15McIntosh County21.7-1.6 pts
16Ottawa County21.6-1.3 pts
17Choctaw County21.2-2.7 pts
17Kiowa County21.2-0.1 pts
17Mayes County21.2-1.6 pts
20Seminole County21.1-3.9 pts
21Delaware County20.9-1.4 pts
21Okmulgee County20.9-1.2 pts
23Grant County20.5+2.8 pts
24Cherokee County20.4-0.9 pts
25Cotton County20.3-1.1 pts
25Greer County20.3-1.1 pts
27Pittsburg County20.2-1.1 pts
28Jefferson County20-2.4 pts
28Pottawatomie County20+0.3 pts
30Garvin County19.9-1.3 pts
31Lincoln County19.8-0.4 pts
31Washington County19.8+1.3 pts
33Nowata County19.6-2.4 pts
33Pontotoc County19.6+0.7 pts
35Marshall County19.3-1.1 pts
36Blaine County19.1-0.8 pts
37Bryan County18.9-2.2 pts
38Washita County18.80 pts
39Dewey County18.7-0.8 pts
40Murray County18.5-2.3 pts
40Woodward County18.5-0.7 pts
42Carter County18.4-1.7 pts
42Tillman County18.4-1.6 pts
44Osage County18.3-1.5 pts
45Creek County18.1-2.9 pts
46Muskogee County17.9-5.1 pts
47Pawnee County17.8-2.8 pts
48Comanche County17.6-1.8 pts
49Beckham County17.5-3.2 pts
49Stephens County17.5-2 pts
51Ellis County17.1-1.7 pts
51Kingfisher County17.1-0.6 pts
53Alfalfa County17-1.3 pts
53Garfield County17-0.8 pts
53Love County17-3.6 pts
56Grady County16.9-1.3 pts
56Kay County16.9-3.9 pts
56Major County16.9-1 pts
56Noble County16.9-1.7 pts
56Roger Mills County16.9-2.6 pts
61Texas County16.7-1.4 pts
62Jackson County16.3-1 pts
62Logan County16.3-0.6 pts
64Rogers County16.2-1.4 pts
65Tulsa County16.1-0.2 pts
66Wagoner County16-1.8 pts
67Harmon County15.7-3.7 pts
67McClain County15.7-1.5 pts
67Oklahoma County15.7-0.8 pts
70Harper County15.6-2.2 pts
71Woods County15.40 pts
72Custer County15-1.4 pts
73Beaver County14.2-2 pts
74Payne County14-2.2 pts
75Canadian County13.7-1.9 pts
76Cleveland County13.3-2.2 pts
77Cimarron County13.2-1.7 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 Oklahoma 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 Oklahoma 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/oklahoma-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 Oklahoma 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/oklahoma-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 Oklahoma 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/oklahoma-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_oklahoma_by_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 Oklahoma 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/oklahoma-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 Oklahoma 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/oklahoma-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/oklahoma-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 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 24.8% in 2022, according to the Centers for Disease Control and Prevention.

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

Cimarron County, with 13.2% 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 Oklahoma: more rankings