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

Dillon County had the highest adult cigarette smoking rate, local model estimate of 46 counties in 2022, at 27.4%. Charleston County had the lowest, at 9.6%. The median was 17.4%. Source: the Centers for Disease Control and Prevention.

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Highest27.4Dillon County
Median17.446 counties

Map of counties, 2022

Abbeville County: 16.9 %Aiken County: 17.2 %Allendale County: 20.8 %Anderson County: 15.5 %Bamberg County: 19.5 %Barnwell County: 19.9 %Beaufort County: 11.8 %Berkeley County: 14.3 %Calhoun County: 18.4 %Charleston County: 9.6 %Cherokee County: 18.4 %Chester County: 19.2 %Chesterfield County: 18.4 %Clarendon County: 18 %Colleton County: 20.3 %Darlington County: 17.7 %Dillon County: 27.4 %Dorchester County: 16.3 %Edgefield County: 19.1 %Fairfield County: 21.4 %Florence County: 16.5 %Georgetown County: 14.9 %Greenville County: 11 %Greenwood County: 17.5 %Hampton County: 21.2 %Horry County: 16.3 %Jasper County: 17.3 %Kershaw County: 17 %Lancaster County: 15.6 %Laurens County: 18.4 %Lee County: 22.9 %Lexington County: 14.6 %McCormick County: 15.3 %Marion County: 21.6 %Marlboro County: 25 %Newberry County: 16.4 %Oconee County: 16 %Orangeburg County: 18.3 %Pickens County: 17 %Richland County: 13.7 %Saluda County: 17.5 %Spartanburg County: 15.8 %Sumter County: 15.7 %Union County: 22.4 %Williamsburg County: 20.1 %York County: 15.4 %
  • Under 15
  • 15 to 16
  • 16 to 17
  • 17 to 18
  • 18 to 21
  • 21 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.

All counties, 2022

Dillon County: 27.4 %Dillon County27.4Marlboro County: 25 %Marlboro County25Lee County: 22.9 %Lee County22.9Union County: 22.4 %Union County22.4Marion County: 21.6 %Marion County21.6Fairfield County: 21.4 %Fairfield County21.4Hampton County: 21.2 %Hampton County21.2Allendale County: 20.8 %Allendale County20.8Colleton County: 20.3 %Colleton County20.3Williamsburg County: 20.1 %Williamsburg County20.1Barnwell County: 19.9 %Barnwell County19.9Bamberg County: 19.5 %Bamberg County19.5Chester County: 19.2 %Chester County19.2Edgefield County: 19.1 %Edgefield County19.1Calhoun County: 18.4 %Calhoun County18.4Cherokee County: 18.4 %Cherokee County18.4Chesterfield County: 18.4 %Chesterfield County18.4Laurens County: 18.4 %Laurens County18.4Orangeburg County: 18.3 %Orangeburg County18.3Clarendon County: 18 %Clarendon County18Darlington County: 17.7 %Darlington County17.7Greenwood County: 17.5 %Greenwood County17.5Saluda County: 17.5 %Saluda County17.5Jasper County: 17.3 %Jasper County17.3Aiken County: 17.2 %Aiken County17.2Kershaw County: 17 %Kershaw County17Pickens County: 17 %Pickens County17Abbeville County: 16.9 %Abbeville County16.9Florence County: 16.5 %Florence County16.5Newberry County: 16.4 %Newberry County16.4Dorchester County: 16.3 %Dorchester County16.3Horry County: 16.3 %Horry County16.3Oconee County: 16 %Oconee County16Spartanburg County: 15.8 %Spartanburg County15.8Sumter County: 15.7 %Sumter County15.7Lancaster County: 15.6 %Lancaster County15.6Anderson County: 15.5 %Anderson County15.5York County: 15.4 %York County15.4McCormick County: 15.3 %McCormick County15.3Georgetown County: 14.9 %Georgetown County14.9Lexington County: 14.6 %Lexington County14.6Berkeley County: 14.3 %Berkeley County14.3Richland County: 13.7 %Richland County13.7Beaufort County: 11.8 %Beaufort County11.8Greenville County: 11 %Greenville County11Charleston County: 9.6 %Charleston County9.6Dillon County: 27.4 %Dillon County27.4Marlboro County: 25 %Marlboro County25Lee County: 22.9 %Lee County22.9Union County: 22.4 %Union County22.4Marion County: 21.6 %Marion County21.6Fairfield County: 21.4 %Fairfield County21.4Hampton County: 21.2 %Hampton County21.2Allendale County: 20.8 %Allendale County20.8Colleton County: 20.3 %Colleton County20.3Williamsburg County: 20.1 %Williamsburg County20.1Barnwell County: 19.9 %Barnwell County19.9Bamberg County: 19.5 %Bamberg County19.5Chester County: 19.2 %Chester County19.2Edgefield County: 19.1 %Edgefield County19.1Calhoun County: 18.4 %Calhoun County18.4Cherokee County: 18.4 %Cherokee County18.4Chesterfield County: 18.4 %Chesterfield County18.4Laurens County: 18.4 %Laurens County18.4Orangeburg County: 18.3 %Orangeburg County18.3Clarendon County: 18 %Clarendon County18Darlington County: 17.7 %Darlington County17.7Greenwood County: 17.5 %Greenwood County17.5Saluda County: 17.5 %Saluda County17.5Jasper County: 17.3 %Jasper County17.3Aiken County: 17.2 %Aiken County17.2Kershaw County: 17 %Kershaw County17Pickens County: 17 %Pickens County17Abbeville County: 16.9 %Abbeville County16.9Florence County: 16.5 %Florence County16.5Newberry County: 16.4 %Newberry County16.4Dorchester County: 16.3 %Dorchester County16.3Horry County: 16.3 %Horry County16.3Oconee County: 16 %Oconee County16Spartanburg County: 15.8 %Spartanburg County15.8Sumter County: 15.7 %Sumter County15.7Lancaster County: 15.6 %Lancaster County15.6Anderson County: 15.5 %Anderson County15.5York County: 15.4 %York County15.4McCormick County: 15.3 %McCormick County15.3Georgetown County: 14.9 %Georgetown County14.9Lexington County: 14.6 %Lexington County14.6Berkeley County: 14.3 %Berkeley County14.3Richland County: 13.7 %Richland County13.7Beaufort County: 11.8 %Beaufort County11.8Greenville County: 11 %Greenville County11Charleston County: 9.6 %Charleston 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

RankCounties2022 (%)Change on 2021
1Dillon County27.4+2.1 pts
2Marlboro County25-1.7 pts
3Lee County22.9+1 pts
4Union County22.4-0.4 pts
5Marion County21.6-2.3 pts
6Fairfield County21.4+0.2 pts
7Hampton County21.2-1 pts
8Allendale County20.8-3.7 pts
9Colleton County20.3-1.5 pts
10Williamsburg County20.1-0.6 pts
11Barnwell County19.9-3.1 pts
12Bamberg County19.5+0.4 pts
13Chester County19.2-2.2 pts
14Edgefield County19.1-0.8 pts
15Calhoun County18.4-0.9 pts
15Cherokee County18.4-2.4 pts
15Chesterfield County18.4-3.5 pts
15Laurens County18.4-2.2 pts
19Orangeburg County18.3-2.3 pts
20Clarendon County18-3.6 pts
21Darlington County17.7-3.3 pts
22Greenwood County17.5-0.6 pts
22Saluda County17.5-2.5 pts
24Jasper County17.3-0.8 pts
25Aiken County17.2+0.7 pts
26Kershaw County17-0.9 pts
26Pickens County17-0.8 pts
28Abbeville County16.9-2.7 pts
29Florence County16.5-2 pts
30Newberry County16.4-2.4 pts
31Dorchester County16.3-0.7 pts
31Horry County16.3-1.2 pts
33Oconee County16-1.8 pts
34Spartanburg County15.8-1.7 pts
35Sumter County15.7-3.9 pts
36Lancaster County15.6-0.8 pts
37Anderson County15.5-2.7 pts
38York County15.4+1.3 pts
39McCormick County15.3-2.6 pts
40Georgetown County14.9-1.1 pts
41Lexington County14.6-2.3 pts
42Berkeley County14.3-1.9 pts
43Richland County13.7-1 pts
44Beaufort County11.8-0.7 pts
45Greenville County11-3.3 pts
46Charleston County9.6-3.8 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, 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 South Carolina 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/south-carolina-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 South Carolina 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/south-carolina-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 South Carolina 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/south-carolina-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_south_carolina_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 South Carolina 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/south-carolina-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 South Carolina 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/south-carolina-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/south-carolina-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 South Carolina by adult cigarette smoking rate, local model estimate using official data, and cite the source.
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Questions

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

Dillon County, with 27.4% in 2022, according to the Centers for Disease Control and Prevention.

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

Charleston County, with 9.6% 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 South Carolina: more rankings