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

All 66 values come from Centers for Disease Control and Prevention for 2023, so the places are comparable.

- Indicator id: `adult_smoking_rate_modelled`
- Unit: %
- Definition: 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.
- Source: 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 (https://www.cdc.gov/places/)
- Publisher page: https://invokely.ai/en/publishers/cdc
- Retrieved: 2026-10-12
- Citation: 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.
- Web page: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/south-dakota-counties

| Rank | Place | % |
|---:|---|---:|
| 1 | Oglala Lakota County | 39.8 |
| 2 | Todd County | 37.2 |
| 3 | Buffalo County | 31.7 |
| 4 | Ziebach County | 30.4 |
| 5 | Mellette County | 30.2 |
| 6 | Corson County | 29.6 |
| 7 | Dewey County | 29.5 |
| 8 | Jackson County | 28.5 |
| 9 | Bennett County | 28 |
| 10 | Lyman County | 21.4 |
| 11 | Charles Mix County | 20.4 |
| 12 | Roberts County | 20.3 |
| 13 | Tripp County | 18.9 |
| 14 | Bon Homme County | 17.7 |
| 15 | Fall River County | 17.4 |
| 16 | Faulk County | 17.2 |
| 17 | Beadle County | 16.9 |
| 18 | Butte County | 16.8 |
| 18 | Hanson County | 16.8 |
| 20 | Day County | 16.6 |
| 21 | Clark County | 16.5 |
| 22 | Brule County | 16.4 |
| 23 | Hyde County | 16.3 |
| 24 | Codington County | 16.2 |
| 24 | Gregory County | 16.2 |
| 24 | Jones County | 16.2 |
| 24 | McPherson County | 16.2 |
| 28 | Sanborn County | 16.1 |
| 29 | Perkins County | 16 |
| 30 | Miner County | 15.9 |
| 31 | Douglas County | 15.8 |
| 32 | Haakon County | 15.7 |
| 32 | Walworth County | 15.7 |
| 34 | Davison County | 15.6 |
| 35 | Aurora County | 15.4 |
| 36 | Marshall County | 15.2 |
| 37 | Spink County | 15.1 |
| 38 | Pennington County | 15 |
| 38 | Turner County | 15 |
| 40 | Deuel County | 14.8 |
| 41 | Edmunds County | 14.7 |
| 41 | Grant County | 14.7 |
| 41 | Kingsbury County | 14.7 |
| 44 | Hamlin County | 14.6 |
| 44 | Hutchinson County | 14.6 |
| 46 | Jerauld County | 14.5 |
| 46 | Moody County | 14.5 |
| 48 | Lawrence County | 14.2 |
| 48 | Minnehaha County | 14.2 |
| 50 | Brown County | 14.1 |
| 50 | Meade County | 14.1 |
| 52 | McCook County | 14 |
| 53 | Custer County | 13.9 |
| 54 | Yankton County | 13.8 |
| 55 | Campbell County | 13.7 |
| 55 | Hughes County | 13.7 |
| 55 | Sully County | 13.7 |
| 58 | Potter County | 13.6 |
| 59 | Stanley County | 13.4 |
| 60 | Harding County | 13.3 |
| 61 | Lake County | 13.2 |
| 62 | Hand County | 13 |
| 63 | Union County | 12.8 |
| 64 | Clay County | 12.4 |
| 65 | Lincoln County | 11.6 |
| 66 | Brookings County | 10.7 |