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

Oglala Lakota County had the highest adult cigarette smoking rate, local model estimate of 66 counties in 2022, at 37.3%. Lincoln County had the lowest, at 10.1%. The median was 15.6%. Source: the Centers for Disease Control and Prevention.

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Highest37.3Oglala Lakota County
Lowest10.1Lincoln County
Median15.666 counties

Map of counties, 2022

Aurora County: 15.7 %Beadle County: 19 %Bennett County: 26 %Bon Homme County: 16.7 %Brookings County: 10.8 %Brown County: 14 %Brule County: 18.7 %Buffalo County: 34.4 %Butte County: 17.3 %Campbell County: 13.8 %Charles Mix County: 18.9 %Clark County: 15.6 %Clay County: 14.3 %Codington County: 16.8 %Corson County: 26.9 %Custer County: 15.1 %Davison County: 17.8 %Day County: 16.6 %Deuel County: 16.7 %Dewey County: 27.3 %Douglas County: 14.9 %Edmunds County: 15.4 %Fall River County: 17.5 %Faulk County: 18.1 %Grant County: 13.8 %Gregory County: 18.3 %Haakon County: 15.4 %Hamlin County: 15.4 %Hand County: 14.3 %Hanson County: 16 %Harding County: 13.1 %Hughes County: 13 %Hutchinson County: 15.2 %Hyde County: 15.2 %Jackson County: 26.1 %Jerauld County: 15.7 %Jones County: 13.3 %Kingsbury County: 14.9 %Lake County: 13.3 %Lawrence County: 14.2 %Lincoln County: 10.1 %Lyman County: 22.8 %McCook County: 14.8 %McPherson County: 14.4 %Marshall County: 13.7 %Meade County: 13.6 %Mellette County: 27 %Miner County: 16.3 %Minnehaha County: 11.8 %Moody County: 16.3 %Oglala Lakota County: 37.3 %Pennington County: 16 %Perkins County: 11.4 %Potter County: 14.6 %Roberts County: 20.9 %Sanborn County: 14.5 %Spink County: 15.7 %Stanley County: 15.6 %Sully County: 14.9 %Todd County: 33.3 %Tripp County: 21.1 %Turner County: 15.6 %Union County: 13 %Walworth County: 16 %Yankton County: 14.5 %Ziebach County: 29.6 %
  • Under 14
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%, 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

Oglala Lakota County: 37.3 %Oglala Lakota County37.3Buffalo County: 34.4 %Buffalo County34.4Todd County: 33.3 %Todd County33.3Ziebach County: 29.6 %Ziebach County29.6Dewey County: 27.3 %Dewey County27.3Mellette County: 27 %Mellette County27Corson County: 26.9 %Corson County26.9Jackson County: 26.1 %Jackson County26.1Bennett County: 26 %Bennett County26Lyman County: 22.8 %Lyman County22.8Tripp County: 21.1 %Tripp County21.1Roberts County: 20.9 %Roberts County20.9Beadle County: 19 %Beadle County19Charles Mix County: 18.9 %Charles Mix County18.9Brule County: 18.7 %Brule County18.7Gregory County: 18.3 %Gregory County18.3Faulk County: 18.1 %Faulk County18.1Davison County: 17.8 %Davison County17.8Fall River County: 17.5 %Fall River County17.5Butte County: 17.3 %Butte County17.3Codington County: 16.8 %Codington County16.8Bon Homme County: 16.7 %Bon Homme County16.7Deuel County: 16.7 %Deuel County16.7Day County: 16.6 %Day County16.6Miner County: 16.3 %Miner County16.3Moody County: 16.3 %Moody County16.3Hanson County: 16 %Hanson County16Pennington County: 16 %Pennington County16Walworth County: 16 %Walworth County16Aurora County: 15.7 %Aurora County15.7Jerauld County: 15.7 %Jerauld County15.7Spink County: 15.7 %Spink County15.7Clark County: 15.6 %Clark County15.6Stanley County: 15.6 %Stanley County15.6Turner County: 15.6 %Turner County15.6Edmunds County: 15.4 %Edmunds County15.4Haakon County: 15.4 %Haakon County15.4Hamlin County: 15.4 %Hamlin County15.4Hutchinson County: 15.2 %Hutchinson County15.2Hyde County: 15.2 %Hyde County15.2Oglala Lakota County: 37.3 %Oglala Lakota County37.3Buffalo County: 34.4 %Buffalo County34.4Todd County: 33.3 %Todd County33.3Ziebach County: 29.6 %Ziebach County29.6Dewey County: 27.3 %Dewey County27.3Mellette County: 27 %Mellette County27Corson County: 26.9 %Corson County26.9Jackson County: 26.1 %Jackson County26.1Bennett County: 26 %Bennett County26Lyman County: 22.8 %Lyman County22.8Tripp County: 21.1 %Tripp County21.1Roberts County: 20.9 %Roberts County20.9Beadle County: 19 %Beadle County19Charles Mix County: 18.9 %Charles Mix County18.9Brule County: 18.7 %Brule County18.7Gregory County: 18.3 %Gregory County18.3Faulk County: 18.1 %Faulk County18.1Davison County: 17.8 %Davison County17.8Fall River County: 17.5 %Fall River County17.5Butte County: 17.3 %Butte County17.3Codington County: 16.8 %Codington County16.8Bon Homme County: 16.7 %Bon Homme County16.7Deuel County: 16.7 %Deuel County16.7Day County: 16.6 %Day County16.6Miner County: 16.3 %Miner County16.3Moody County: 16.3 %Moody County16.3Hanson County: 16 %Hanson County16Pennington County: 16 %Pennington County16Walworth County: 16 %Walworth County16Aurora County: 15.7 %Aurora County15.7Jerauld County: 15.7 %Jerauld County15.7Spink County: 15.7 %Spink County15.7Clark County: 15.6 %Clark County15.6Stanley County: 15.6 %Stanley County15.6Turner County: 15.6 %Turner County15.6Edmunds County: 15.4 %Edmunds County15.4Haakon County: 15.4 %Haakon County15.4Hamlin County: 15.4 %Hamlin County15.4Hutchinson County: 15.2 %Hutchinson County15.2Hyde County: 15.2 %Hyde County15.2
%. 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
1Oglala Lakota County37.3-5.7 pts
2Buffalo County34.4-0.4 pts
3Todd County33.3-9.7 pts
4Ziebach County29.6-2.6 pts
5Dewey County27.3-3.7 pts
6Mellette County27-6.5 pts
7Corson County26.9-3 pts
8Jackson County26.1-3.5 pts
9Bennett County26-1.3 pts
10Lyman County22.8+0.3 pts
11Tripp County21.1+0.6 pts
12Roberts County20.9-1.6 pts
13Beadle County19+1.4 pts
14Charles Mix County18.9-2.9 pts
15Brule County18.7+0.3 pts
16Gregory County18.3+0.1 pts
17Faulk County18.1+1.9 pts
18Davison County17.8+0.9 pts
19Fall River County17.5-1.1 pts
20Butte County17.3-1.5 pts
21Codington County16.8-0.5 pts
22Bon Homme County16.7-1.6 pts
22Deuel County16.7+1.2 pts
24Day County16.6-1.2 pts
25Miner County16.3+0.3 pts
25Moody County16.3+0.6 pts
27Hanson County16-0.2 pts
27Pennington County16+0.1 pts
27Walworth County16-0.8 pts
30Aurora County15.7-0.5 pts
30Jerauld County15.7+0.4 pts
30Spink County15.7+0.9 pts
33Clark County15.6-0.2 pts
33Stanley County15.6+1.6 pts
33Turner County15.6-0.3 pts
36Edmunds County15.40 pts
36Haakon County15.4-2.5 pts
36Hamlin County15.4-0.6 pts
39Hutchinson County15.2-0.3 pts
39Hyde County15.2-0.3 pts
41Custer County15.1-1.1 pts
42Douglas County14.9-0.8 pts
42Kingsbury County14.9+0.3 pts
42Sully County14.9+0.2 pts
45McCook County14.8-0.2 pts
46Potter County14.6+0.2 pts
47Sanborn County14.5-2.2 pts
47Yankton County14.5-0.9 pts
49McPherson County14.4-2.3 pts
50Clay County14.3+1.1 pts
50Hand County14.3+0.4 pts
52Lawrence County14.2-0.8 pts
53Brown County14-0.5 pts
54Campbell County13.8-0.4 pts
54Grant County13.8-1.2 pts
56Marshall County13.7-0.8 pts
57Meade County13.6-2.2 pts
58Jones County13.3-0.9 pts
58Lake County13.3-1 pts
60Harding County13.1-2.6 pts
61Hughes County13-2.5 pts
61Union County13-0.4 pts
63Minnehaha County11.8-3.4 pts
64Perkins County11.4-4.2 pts
65Brookings County10.8-0.8 pts
66Lincoln County10.1-2.1 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, 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_south_dakota_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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/south-dakota-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 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 37.3% in 2022, according to the Centers for Disease Control and Prevention.

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

Lincoln County, with 10.1% 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 Dakota: more rankings