Counties in Pennsylvania by adult cigarette smoking rate, local model estimate, 2022

Forest County had the highest adult cigarette smoking rate, local model estimate of 67 counties in 2022, at 21.8%. Chester County had the lowest, at 10.6%. The median was 17.5%. Source: the Centers for Disease Control and Prevention.

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Highest21.8Forest County
Lowest10.6Chester County
Median17.567 counties

Map of counties, 2022

Adams County: 15.7 %Allegheny County: 14.7 %Armstrong County: 19.6 %Beaver County: 15.5 %Bedford County: 18.2 %Berks County: 14.8 %Blair County: 19.2 %Bradford County: 16.1 %Bucks County: 15.5 %Butler County: 12.2 %Cambria County: 18.1 %Cameron County: 20.8 %Carbon County: 17.6 %Centre County: 15.1 %Chester County: 10.6 %Clarion County: 18 %Clearfield County: 20 %Clinton County: 18.4 %Columbia County: 16.4 %Crawford County: 19.5 %Cumberland County: 14.1 %Dauphin County: 17.1 %Delaware County: 12.5 %Elk County: 17.9 %Erie County: 17.8 %Fayette County: 20.7 %Forest County: 21.8 %Franklin County: 18.5 %Fulton County: 17.2 %Greene County: 18.7 %Huntingdon County: 18.8 %Indiana County: 15.4 %Jefferson County: 20.2 %Juniata County: 18.8 %Lackawanna County: 16.5 %Lancaster County: 15.2 %Lawrence County: 17.7 %Lebanon County: 15.2 %Lehigh County: 16 %Luzerne County: 17.5 %Lycoming County: 16.5 %McKean County: 16 %Mercer County: 16.8 %Mifflin County: 20.8 %Monroe County: 15.8 %Montgomery County: 12.5 %Montour County: 16.8 %Northampton County: 14.6 %Northumberland County: 19.2 %Perry County: 17.8 %Philadelphia County: 18.4 %Pike County: 14.6 %Potter County: 18.2 %Schuylkill County: 19.9 %Snyder County: 15.3 %Somerset County: 18.6 %Sullivan County: 21.1 %Susquehanna County: 14.3 %Tioga County: 18.6 %Union County: 17.5 %Venango County: 18.1 %Warren County: 18.5 %Washington County: 16.6 %Wayne County: 18.9 %Westmoreland County: 13.4 %Wyoming County: 19.2 %York County: 15.7 %
  • Under 15
  • 15 to 16
  • 16 to 18
  • 18 to 19
  • 19 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

Forest County: 21.8 %Forest County21.8Sullivan County: 21.1 %Sullivan County21.1Cameron County: 20.8 %Cameron County20.8Mifflin County: 20.8 %Mifflin County20.8Fayette County: 20.7 %Fayette County20.7Jefferson County: 20.2 %Jefferson County20.2Clearfield County: 20 %Clearfield County20Schuylkill County: 19.9 %Schuylkill County19.9Armstrong County: 19.6 %Armstrong County19.6Crawford County: 19.5 %Crawford County19.5Blair County: 19.2 %Blair County19.2Northumberland County: 19.2 %Northumberland County19.2Wyoming County: 19.2 %Wyoming County19.2Wayne County: 18.9 %Wayne County18.9Huntingdon County: 18.8 %Huntingdon County18.8Juniata County: 18.8 %Juniata County18.8Greene County: 18.7 %Greene County18.7Somerset County: 18.6 %Somerset County18.6Tioga County: 18.6 %Tioga County18.6Franklin County: 18.5 %Franklin County18.5Warren County: 18.5 %Warren County18.5Clinton County: 18.4 %Clinton County18.4Philadelphia County: 18.4 %Philadelphia County18.4Bedford County: 18.2 %Bedford County18.2Potter County: 18.2 %Potter County18.2Cambria County: 18.1 %Cambria County18.1Venango County: 18.1 %Venango County18.1Clarion County: 18 %Clarion County18Elk County: 17.9 %Elk County17.9Erie County: 17.8 %Erie County17.8Perry County: 17.8 %Perry County17.8Lawrence County: 17.7 %Lawrence County17.7Carbon County: 17.6 %Carbon County17.6Luzerne County: 17.5 %Luzerne County17.5Union County: 17.5 %Union County17.5Fulton County: 17.2 %Fulton County17.2Dauphin County: 17.1 %Dauphin County17.1Mercer County: 16.8 %Mercer County16.8Montour County: 16.8 %Montour County16.8Washington County: 16.6 %Washington County16.6Forest County: 21.8 %Forest County21.8Sullivan County: 21.1 %Sullivan County21.1Cameron County: 20.8 %Cameron County20.8Mifflin County: 20.8 %Mifflin County20.8Fayette County: 20.7 %Fayette County20.7Jefferson County: 20.2 %Jefferson County20.2Clearfield County: 20 %Clearfield County20Schuylkill County: 19.9 %Schuylkill County19.9Armstrong County: 19.6 %Armstrong County19.6Crawford County: 19.5 %Crawford County19.5Blair County: 19.2 %Blair County19.2Northumberland County: 19.2 %Northumberland County19.2Wyoming County: 19.2 %Wyoming County19.2Wayne County: 18.9 %Wayne County18.9Huntingdon County: 18.8 %Huntingdon County18.8Juniata County: 18.8 %Juniata County18.8Greene County: 18.7 %Greene County18.7Somerset County: 18.6 %Somerset County18.6Tioga County: 18.6 %Tioga County18.6Franklin County: 18.5 %Franklin County18.5Warren County: 18.5 %Warren County18.5Clinton County: 18.4 %Clinton County18.4Philadelphia County: 18.4 %Philadelphia County18.4Bedford County: 18.2 %Bedford County18.2Potter County: 18.2 %Potter County18.2Cambria County: 18.1 %Cambria County18.1Venango County: 18.1 %Venango County18.1Clarion County: 18 %Clarion County18Elk County: 17.9 %Elk County17.9Erie County: 17.8 %Erie County17.8Perry County: 17.8 %Perry County17.8Lawrence County: 17.7 %Lawrence County17.7Carbon County: 17.6 %Carbon County17.6Luzerne County: 17.5 %Luzerne County17.5Union County: 17.5 %Union County17.5Fulton County: 17.2 %Fulton County17.2Dauphin County: 17.1 %Dauphin County17.1Mercer County: 16.8 %Mercer County16.8Montour County: 16.8 %Montour County16.8Washington County: 16.6 %Washington County16.6
%. 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
1Forest County21.8-0.6 pts
2Sullivan County21.1+2.3 pts
3Cameron County20.8-1.3 pts
3Mifflin County20.8-1.2 pts
5Fayette County20.7-0.7 pts
6Jefferson County20.2-0.8 pts
7Clearfield County20-0.8 pts
8Schuylkill County19.9-0.3 pts
9Armstrong County19.6+0.6 pts
10Crawford County19.5-1 pts
11Blair County19.2-0.6 pts
11Northumberland County19.2-0.6 pts
11Wyoming County19.2+1.1 pts
14Wayne County18.9+0.3 pts
15Huntingdon County18.8-0.5 pts
15Juniata County18.8-1.8 pts
17Greene County18.7-1.4 pts
18Somerset County18.6-1.3 pts
18Tioga County18.6-0.3 pts
20Franklin County18.5+0.6 pts
20Warren County18.5-0.2 pts
22Clinton County18.4-1.5 pts
22Philadelphia County18.4-0.3 pts
24Bedford County18.2-1.9 pts
24Potter County18.2-1.9 pts
26Cambria County18.1-0.8 pts
26Venango County18.1-1.4 pts
28Clarion County18-1.6 pts
29Elk County17.9-0.9 pts
30Erie County17.8-1 pts
30Perry County17.8-1.7 pts
32Lawrence County17.7-1.3 pts
33Carbon County17.6-1.8 pts
34Luzerne County17.5-1.3 pts
34Union County17.5+0.2 pts
36Fulton County17.2-2.9 pts
37Dauphin County17.1+0.6 pts
38Mercer County16.8-1.8 pts
38Montour County16.8+0.4 pts
40Washington County16.6+0.3 pts
41Lackawanna County16.5-1.2 pts
41Lycoming County16.5-1.6 pts
43Columbia County16.4-1.4 pts
44Bradford County16.1-4 pts
45Lehigh County16-0.4 pts
45McKean County16-4.1 pts
47Monroe County15.8-0.7 pts
48Adams County15.7-0.8 pts
48York County15.7-0.3 pts
50Beaver County15.5-2.6 pts
50Bucks County15.5+1.4 pts
52Indiana County15.4-2.4 pts
53Snyder County15.3-3 pts
54Lancaster County15.2-0.8 pts
54Lebanon County15.2-2.5 pts
56Centre County15.1+0.4 pts
57Berks County14.8-3 pts
58Allegheny County14.7-0.7 pts
59Northampton County14.6-0.6 pts
59Pike County14.6-1.5 pts
61Susquehanna County14.3-4.9 pts
62Cumberland County14.1-0.2 pts
63Westmoreland County13.4-2 pts
64Delaware County12.5-2.7 pts
64Montgomery County12.5+0.2 pts
66Butler County12.2-2.7 pts
67Chester County10.6-1.2 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 Pennsylvania 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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_pennsylvania_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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/pennsylvania-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 Pennsylvania 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":"Pennsylvania","limit":10}
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Questions

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

Forest County, with 21.8% in 2022, according to the Centers for Disease Control and Prevention.

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

Chester County, with 10.6% 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 Pennsylvania: more rankings