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

Dillon County had the highest adult cigarette smoking rate, local model estimate of 46 counties in 2023, at 21%. Beaufort County had the lowest, at 9.6%. The median was 15.2%. Source: the Centers for Disease Control and Prevention.

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Highest21Dillon County
Median15.246 counties

Map of counties, 2023

Abbeville County: 16 %Aiken County: 13.4 %Allendale County: 19 %Anderson County: 14.2 %Bamberg County: 16.3 %Barnwell County: 19.5 %Beaufort County: 9.6 %Berkeley County: 12.9 %Calhoun County: 14.1 %Charleston County: 10.5 %Cherokee County: 17.3 %Chester County: 17.8 %Chesterfield County: 18.1 %Clarendon County: 16.9 %Colleton County: 17.6 %Darlington County: 16.4 %Dillon County: 21 %Dorchester County: 13.2 %Edgefield County: 16.3 %Fairfield County: 17.2 %Florence County: 14.8 %Georgetown County: 11.9 %Greenville County: 11.3 %Greenwood County: 15 %Hampton County: 19.1 %Horry County: 14.6 %Jasper County: 14 %Kershaw County: 14.5 %Lancaster County: 12.6 %Laurens County: 16.5 %Lee County: 18.6 %Lexington County: 13 %McCormick County: 14.6 %Marion County: 20.1 %Marlboro County: 21 %Newberry County: 15.3 %Oconee County: 14.7 %Orangeburg County: 16.4 %Pickens County: 13.5 %Richland County: 11.2 %Saluda County: 15.9 %Spartanburg County: 14.2 %Sumter County: 15 %Union County: 19.2 %Williamsburg County: 17.5 %York County: 11.3 %
  • Under 13
  • 13 to 14
  • 14 to 15
  • 15 to 17
  • 17 to 18
  • 18 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.

All counties, 2023

Dillon County: 21 %Dillon County21Marlboro County: 21 %Marlboro County21Marion County: 20.1 %Marion County20.1Barnwell County: 19.5 %Barnwell County19.5Union County: 19.2 %Union County19.2Hampton County: 19.1 %Hampton County19.1Allendale County: 19 %Allendale County19Lee County: 18.6 %Lee County18.6Chesterfield County: 18.1 %Chesterfield County18.1Chester County: 17.8 %Chester County17.8Colleton County: 17.6 %Colleton County17.6Williamsburg County: 17.5 %Williamsburg County17.5Cherokee County: 17.3 %Cherokee County17.3Fairfield County: 17.2 %Fairfield County17.2Clarendon County: 16.9 %Clarendon County16.9Laurens County: 16.5 %Laurens County16.5Darlington County: 16.4 %Darlington County16.4Orangeburg County: 16.4 %Orangeburg County16.4Bamberg County: 16.3 %Bamberg County16.3Edgefield County: 16.3 %Edgefield County16.3Abbeville County: 16 %Abbeville County16Saluda County: 15.9 %Saluda County15.9Newberry County: 15.3 %Newberry County15.3Greenwood County: 15 %Greenwood County15Sumter County: 15 %Sumter County15Florence County: 14.8 %Florence County14.8Oconee County: 14.7 %Oconee County14.7Horry County: 14.6 %Horry County14.6McCormick County: 14.6 %McCormick County14.6Kershaw County: 14.5 %Kershaw County14.5Anderson County: 14.2 %Anderson County14.2Spartanburg County: 14.2 %Spartanburg County14.2Calhoun County: 14.1 %Calhoun County14.1Jasper County: 14 %Jasper County14Pickens County: 13.5 %Pickens County13.5Aiken County: 13.4 %Aiken County13.4Dorchester County: 13.2 %Dorchester County13.2Lexington County: 13 %Lexington County13Berkeley County: 12.9 %Berkeley County12.9Lancaster County: 12.6 %Lancaster County12.6Georgetown County: 11.9 %Georgetown County11.9Greenville County: 11.3 %Greenville County11.3York County: 11.3 %York County11.3Richland County: 11.2 %Richland County11.2Charleston County: 10.5 %Charleston County10.5Beaufort County: 9.6 %Beaufort County9.6Dillon County: 21 %Dillon County21Marlboro County: 21 %Marlboro County21Marion County: 20.1 %Marion County20.1Barnwell County: 19.5 %Barnwell County19.5Union County: 19.2 %Union County19.2Hampton County: 19.1 %Hampton County19.1Allendale County: 19 %Allendale County19Lee County: 18.6 %Lee County18.6Chesterfield County: 18.1 %Chesterfield County18.1Chester County: 17.8 %Chester County17.8Colleton County: 17.6 %Colleton County17.6Williamsburg County: 17.5 %Williamsburg County17.5Cherokee County: 17.3 %Cherokee County17.3Fairfield County: 17.2 %Fairfield County17.2Clarendon County: 16.9 %Clarendon County16.9Laurens County: 16.5 %Laurens County16.5Darlington County: 16.4 %Darlington County16.4Orangeburg County: 16.4 %Orangeburg County16.4Bamberg County: 16.3 %Bamberg County16.3Edgefield County: 16.3 %Edgefield County16.3Abbeville County: 16 %Abbeville County16Saluda County: 15.9 %Saluda County15.9Newberry County: 15.3 %Newberry County15.3Greenwood County: 15 %Greenwood County15Sumter County: 15 %Sumter County15Florence County: 14.8 %Florence County14.8Oconee County: 14.7 %Oconee County14.7Horry County: 14.6 %Horry County14.6McCormick County: 14.6 %McCormick County14.6Kershaw County: 14.5 %Kershaw County14.5Anderson County: 14.2 %Anderson County14.2Spartanburg County: 14.2 %Spartanburg County14.2Calhoun County: 14.1 %Calhoun County14.1Jasper County: 14 %Jasper County14Pickens County: 13.5 %Pickens County13.5Aiken County: 13.4 %Aiken County13.4Dorchester County: 13.2 %Dorchester County13.2Lexington County: 13 %Lexington County13Berkeley County: 12.9 %Berkeley County12.9Lancaster County: 12.6 %Lancaster County12.6Georgetown County: 11.9 %Georgetown County11.9Greenville County: 11.3 %Greenville County11.3York County: 11.3 %York County11.3Richland County: 11.2 %Richland County11.2Charleston County: 10.5 %Charleston County10.5Beaufort County: 9.6 %Beaufort County9.6
%. 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

RankCounties2023 (%)Change on 2022
1Dillon County21-6.4 pts
1Marlboro County21-4 pts
3Marion County20.1-1.5 pts
4Barnwell County19.5-0.4 pts
5Union County19.2-3.2 pts
6Hampton County19.1-2.1 pts
7Allendale County19-1.8 pts
8Lee County18.6-4.3 pts
9Chesterfield County18.1-0.3 pts
10Chester County17.8-1.4 pts
11Colleton County17.6-2.7 pts
12Williamsburg County17.5-2.6 pts
13Cherokee County17.3-1.1 pts
14Fairfield County17.2-4.2 pts
15Clarendon County16.9-1.1 pts
16Laurens County16.5-1.9 pts
17Darlington County16.4-1.3 pts
17Orangeburg County16.4-1.9 pts
19Bamberg County16.3-3.2 pts
19Edgefield County16.3-2.8 pts
21Abbeville County16-0.9 pts
22Saluda County15.9-1.6 pts
23Newberry County15.3-1.1 pts
24Greenwood County15-2.5 pts
24Sumter County15-0.7 pts
26Florence County14.8-1.7 pts
27Oconee County14.7-1.3 pts
28Horry County14.6-1.7 pts
28McCormick County14.6-0.7 pts
30Kershaw County14.5-2.5 pts
31Anderson County14.2-1.3 pts
31Spartanburg County14.2-1.6 pts
33Calhoun County14.1-4.3 pts
34Jasper County14-3.3 pts
35Pickens County13.5-3.5 pts
36Aiken County13.4-3.8 pts
37Dorchester County13.2-3.1 pts
38Lexington County13-1.6 pts
39Berkeley County12.9-1.4 pts
40Lancaster County12.6-3 pts
41Georgetown County11.9-3 pts
42Greenville County11.3+0.3 pts
42York County11.3-4.1 pts
44Richland County11.2-2.5 pts
45Charleston County10.5+0.9 pts
46Beaufort County9.6-2.2 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 South Carolina 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 South Carolina 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/south-carolina-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 South Carolina 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/south-carolina-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 South Carolina 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/south-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_south_carolina_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 South Carolina 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/south-carolina-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 South Carolina 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/south-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/south-carolina-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 South Carolina 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":"South Carolina","limit":10}
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Questions

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

Dillon County, with 21% in 2023, according to the Centers for Disease Control and Prevention.

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

Beaufort County, with 9.6% 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 South Carolina: more rankings