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

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

Oglala Lakota County had the highest adult cigarette smoking rate, local model estimate of 66 counties in 2023, at 39.8%. Brookings County had the lowest, at 10.7%. The median was 15.6%. Source: the Centers for Disease Control and Prevention.

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Highest39.8Oglala Lakota County
Lowest10.7Brookings County
Median15.666 counties

Map of counties, 2023

Aurora County: 15.4 %Beadle County: 16.9 %Bennett County: 28 %Bon Homme County: 17.7 %Brookings County: 10.7 %Brown County: 14.1 %Brule County: 16.4 %Buffalo County: 31.7 %Butte County: 16.8 %Campbell County: 13.7 %Charles Mix County: 20.4 %Clark County: 16.5 %Clay County: 12.4 %Codington County: 16.2 %Corson County: 29.6 %Custer County: 13.9 %Davison County: 15.6 %Day County: 16.6 %Deuel County: 14.8 %Dewey County: 29.5 %Douglas County: 15.8 %Edmunds County: 14.7 %Fall River County: 17.4 %Faulk County: 17.2 %Grant County: 14.7 %Gregory County: 16.2 %Haakon County: 15.7 %Hamlin County: 14.6 %Hand County: 13 %Hanson County: 16.8 %Harding County: 13.3 %Hughes County: 13.7 %Hutchinson County: 14.6 %Hyde County: 16.3 %Jackson County: 28.5 %Jerauld County: 14.5 %Jones County: 16.2 %Kingsbury County: 14.7 %Lake County: 13.2 %Lawrence County: 14.2 %Lincoln County: 11.6 %Lyman County: 21.4 %McCook County: 14 %McPherson County: 16.2 %Marshall County: 15.2 %Meade County: 14.1 %Mellette County: 30.2 %Miner County: 15.9 %Minnehaha County: 14.2 %Moody County: 14.5 %Oglala Lakota County: 39.8 %Pennington County: 15 %Perkins County: 16 %Potter County: 13.6 %Roberts County: 20.3 %Sanborn County: 16.1 %Spink County: 15.1 %Stanley County: 13.4 %Sully County: 13.7 %Todd County: 37.2 %Tripp County: 18.9 %Turner County: 15 %Union County: 12.8 %Walworth County: 15.7 %Yankton County: 13.8 %Ziebach County: 30.4 %
  • Under 14
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%, 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.

Top 40 counties, 2023

Oglala Lakota County: 39.8 %Oglala Lakota County39.8Todd County: 37.2 %Todd County37.2Buffalo County: 31.7 %Buffalo County31.7Ziebach County: 30.4 %Ziebach County30.4Mellette County: 30.2 %Mellette County30.2Corson County: 29.6 %Corson County29.6Dewey County: 29.5 %Dewey County29.5Jackson County: 28.5 %Jackson County28.5Bennett County: 28 %Bennett County28Lyman County: 21.4 %Lyman County21.4Charles Mix County: 20.4 %Charles Mix County20.4Roberts County: 20.3 %Roberts County20.3Tripp County: 18.9 %Tripp County18.9Bon Homme County: 17.7 %Bon Homme County17.7Fall River County: 17.4 %Fall River County17.4Faulk County: 17.2 %Faulk County17.2Beadle County: 16.9 %Beadle County16.9Butte County: 16.8 %Butte County16.8Hanson County: 16.8 %Hanson County16.8Day County: 16.6 %Day County16.6Clark County: 16.5 %Clark County16.5Brule County: 16.4 %Brule County16.4Hyde County: 16.3 %Hyde County16.3Codington County: 16.2 %Codington County16.2Gregory County: 16.2 %Gregory County16.2Jones County: 16.2 %Jones County16.2McPherson County: 16.2 %McPherson County16.2Sanborn County: 16.1 %Sanborn County16.1Perkins County: 16 %Perkins County16Miner County: 15.9 %Miner County15.9Douglas County: 15.8 %Douglas County15.8Haakon County: 15.7 %Haakon County15.7Walworth County: 15.7 %Walworth County15.7Davison County: 15.6 %Davison County15.6Aurora County: 15.4 %Aurora County15.4Marshall County: 15.2 %Marshall County15.2Spink County: 15.1 %Spink County15.1Pennington County: 15 %Pennington County15Turner County: 15 %Turner County15Deuel County: 14.8 %Deuel County14.8Oglala Lakota County: 39.8 %Oglala Lakota County39.8Todd County: 37.2 %Todd County37.2Buffalo County: 31.7 %Buffalo County31.7Ziebach County: 30.4 %Ziebach County30.4Mellette County: 30.2 %Mellette County30.2Corson County: 29.6 %Corson County29.6Dewey County: 29.5 %Dewey County29.5Jackson County: 28.5 %Jackson County28.5Bennett County: 28 %Bennett County28Lyman County: 21.4 %Lyman County21.4Charles Mix County: 20.4 %Charles Mix County20.4Roberts County: 20.3 %Roberts County20.3Tripp County: 18.9 %Tripp County18.9Bon Homme County: 17.7 %Bon Homme County17.7Fall River County: 17.4 %Fall River County17.4Faulk County: 17.2 %Faulk County17.2Beadle County: 16.9 %Beadle County16.9Butte County: 16.8 %Butte County16.8Hanson County: 16.8 %Hanson County16.8Day County: 16.6 %Day County16.6Clark County: 16.5 %Clark County16.5Brule County: 16.4 %Brule County16.4Hyde County: 16.3 %Hyde County16.3Codington County: 16.2 %Codington County16.2Gregory County: 16.2 %Gregory County16.2Jones County: 16.2 %Jones County16.2McPherson County: 16.2 %McPherson County16.2Sanborn County: 16.1 %Sanborn County16.1Perkins County: 16 %Perkins County16Miner County: 15.9 %Miner County15.9Douglas County: 15.8 %Douglas County15.8Haakon County: 15.7 %Haakon County15.7Walworth County: 15.7 %Walworth County15.7Davison County: 15.6 %Davison County15.6Aurora County: 15.4 %Aurora County15.4Marshall County: 15.2 %Marshall County15.2Spink County: 15.1 %Spink County15.1Pennington County: 15 %Pennington County15Turner County: 15 %Turner County15Deuel County: 14.8 %Deuel County14.8
%. 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
1Oglala Lakota County39.8+2.5 pts
2Todd County37.2+3.9 pts
3Buffalo County31.7-2.7 pts
4Ziebach County30.4+0.8 pts
5Mellette County30.2+3.2 pts
6Corson County29.6+2.7 pts
7Dewey County29.5+2.2 pts
8Jackson County28.5+2.4 pts
9Bennett County28+2 pts
10Lyman County21.4-1.4 pts
11Charles Mix County20.4+1.5 pts
12Roberts County20.3-0.6 pts
13Tripp County18.9-2.2 pts
14Bon Homme County17.7+1 pts
15Fall River County17.4-0.1 pts
16Faulk County17.2-0.9 pts
17Beadle County16.9-2.1 pts
18Butte County16.8-0.5 pts
18Hanson County16.8+0.8 pts
20Day County16.60 pts
21Clark County16.5+0.9 pts
22Brule County16.4-2.3 pts
23Hyde County16.3+1.1 pts
24Codington County16.2-0.6 pts
24Gregory County16.2-2.1 pts
24Jones County16.2+2.9 pts
24McPherson County16.2+1.8 pts
28Sanborn County16.1+1.6 pts
29Perkins County16+4.6 pts
30Miner County15.9-0.4 pts
31Douglas County15.8+0.9 pts
32Haakon County15.7+0.3 pts
32Walworth County15.7-0.3 pts
34Davison County15.6-2.2 pts
35Aurora County15.4-0.3 pts
36Marshall County15.2+1.5 pts
37Spink County15.1-0.6 pts
38Pennington County15-1 pts
38Turner County15-0.6 pts
40Deuel County14.8-1.9 pts
41Edmunds County14.7-0.7 pts
41Grant County14.7+0.9 pts
41Kingsbury County14.7-0.2 pts
44Hamlin County14.6-0.8 pts
44Hutchinson County14.6-0.6 pts
46Jerauld County14.5-1.2 pts
46Moody County14.5-1.8 pts
48Lawrence County14.20 pts
48Minnehaha County14.2+2.4 pts
50Brown County14.1+0.1 pts
50Meade County14.1+0.5 pts
52McCook County14-0.8 pts
53Custer County13.9-1.2 pts
54Yankton County13.8-0.7 pts
55Campbell County13.7-0.1 pts
55Hughes County13.7+0.7 pts
55Sully County13.7-1.2 pts
58Potter County13.6-1 pts
59Stanley County13.4-2.2 pts
60Harding County13.3+0.2 pts
61Lake County13.2-0.1 pts
62Hand County13-1.3 pts
63Union County12.8-0.2 pts
64Clay County12.4-1.9 pts
65Lincoln County11.6+1.5 pts
66Brookings County10.7-0.1 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 Dakota 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties (Accessed: 12 October 2026).

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

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

Oglala Lakota County, with 39.8% in 2023, according to the Centers for Disease Control and Prevention.

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

Brookings County, with 10.7% 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 Dakota: more rankings