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

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

Hancock County had the highest adult cigarette smoking rate, local model estimate of 95 counties in 2023, at 29.4%. Williamson County had the lowest, at 10.4%. The median was 20.7%. Source: the Centers for Disease Control and Prevention.

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Highest29.4Hancock County
Lowest10.4Williamson County
Median20.795 counties

Map of counties, 2023

Anderson County: 18.5 %Bedford County: 19.4 %Benton County: 22.4 %Bledsoe County: 25.6 %Blount County: 16.6 %Bradley County: 17.6 %Campbell County: 22.8 %Cannon County: 20.8 %Carroll County: 19.8 %Carter County: 20.5 %Cheatham County: 17.4 %Chester County: 19.4 %Claiborne County: 20.9 %Clay County: 23.1 %Cocke County: 23.9 %Coffee County: 19.9 %Crockett County: 19.5 %Cumberland County: 19.4 %Davidson County: 14 %Decatur County: 23.8 %DeKalb County: 22.2 %Dickson County: 18 %Dyer County: 20.1 %Fayette County: 16.5 %Fentress County: 22.5 %Franklin County: 17.7 %Gibson County: 20.1 %Giles County: 19.5 %Grainger County: 21.3 %Greene County: 20.6 %Grundy County: 24.2 %Hamblen County: 20.9 %Hamilton County: 15.4 %Hancock County: 29.4 %Hardeman County: 22.2 %Hardin County: 22.7 %Hawkins County: 21.2 %Haywood County: 22.9 %Henderson County: 21.5 %Henry County: 21 %Hickman County: 20.9 %Houston County: 20.2 %Humphreys County: 20.6 %Jackson County: 23.2 %Jefferson County: 18.1 %Johnson County: 23.2 %Knox County: 15 %Lake County: 29.4 %Lauderdale County: 23.4 %Lawrence County: 21.4 %Lewis County: 20.8 %Lincoln County: 18.9 %Loudon County: 15.9 %McMinn County: 19.7 %McNairy County: 22 %Macon County: 22.7 %Madison County: 18.4 %Marion County: 21.7 %Marshall County: 18.8 %Maury County: 16.4 %Meigs County: 22.2 %Monroe County: 21.7 %Montgomery County: 15.6 %Moore County: 18.8 %Morgan County: 22.2 %Obion County: 21.1 %Overton County: 22.7 %Perry County: 23.6 %Pickett County: 23.5 %Polk County: 20.7 %Putnam County: 17.6 %Rhea County: 21.5 %Roane County: 18.9 %Robertson County: 18 %Rutherford County: 14.6 %Scott County: 26.4 %Sequatchie County: 22.7 %Sevier County: 18.8 %Shelby County: 17.2 %Smith County: 19.7 %Stewart County: 18.7 %Sullivan County: 19.2 %Sumner County: 15.3 %Tipton County: 19 %Trousdale County: 20.8 %Unicoi County: 21.4 %Union County: 21.3 %Van Buren County: 21.1 %Warren County: 21.4 %Washington County: 16.9 %Wayne County: 23.1 %Weakley County: 19 %White County: 22.1 %Williamson County: 10.4 %Wilson County: 14.4 %
  • Under 18
  • 18 to 19
  • 19 to 21
  • 21 to 23
  • 23 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.

Top 40 counties, 2023

Hancock County: 29.4 %Hancock County29.4Lake County: 29.4 %Lake County29.4Scott County: 26.4 %Scott County26.4Bledsoe County: 25.6 %Bledsoe County25.6Grundy County: 24.2 %Grundy County24.2Cocke County: 23.9 %Cocke County23.9Decatur County: 23.8 %Decatur County23.8Perry County: 23.6 %Perry County23.6Pickett County: 23.5 %Pickett County23.5Lauderdale County: 23.4 %Lauderdale County23.4Jackson County: 23.2 %Jackson County23.2Johnson County: 23.2 %Johnson County23.2Clay County: 23.1 %Clay County23.1Wayne County: 23.1 %Wayne County23.1Haywood County: 22.9 %Haywood County22.9Campbell County: 22.8 %Campbell County22.8Hardin County: 22.7 %Hardin County22.7Macon County: 22.7 %Macon County22.7Overton County: 22.7 %Overton County22.7Sequatchie County: 22.7 %Sequatchie County22.7Fentress County: 22.5 %Fentress County22.5Benton County: 22.4 %Benton County22.4DeKalb County: 22.2 %DeKalb County22.2Hardeman County: 22.2 %Hardeman County22.2Meigs County: 22.2 %Meigs County22.2Morgan County: 22.2 %Morgan County22.2White County: 22.1 %White County22.1McNairy County: 22 %McNairy County22Marion County: 21.7 %Marion County21.7Monroe County: 21.7 %Monroe County21.7Henderson County: 21.5 %Henderson County21.5Rhea County: 21.5 %Rhea County21.5Lawrence County: 21.4 %Lawrence County21.4Unicoi County: 21.4 %Unicoi County21.4Warren County: 21.4 %Warren County21.4Grainger County: 21.3 %Grainger County21.3Union County: 21.3 %Union County21.3Hawkins County: 21.2 %Hawkins County21.2Obion County: 21.1 %Obion County21.1Van Buren County: 21.1 %Van Buren County21.1Hancock County: 29.4 %Hancock County29.4Lake County: 29.4 %Lake County29.4Scott County: 26.4 %Scott County26.4Bledsoe County: 25.6 %Bledsoe County25.6Grundy County: 24.2 %Grundy County24.2Cocke County: 23.9 %Cocke County23.9Decatur County: 23.8 %Decatur County23.8Perry County: 23.6 %Perry County23.6Pickett County: 23.5 %Pickett County23.5Lauderdale County: 23.4 %Lauderdale County23.4Jackson County: 23.2 %Jackson County23.2Johnson County: 23.2 %Johnson County23.2Clay County: 23.1 %Clay County23.1Wayne County: 23.1 %Wayne County23.1Haywood County: 22.9 %Haywood County22.9Campbell County: 22.8 %Campbell County22.8Hardin County: 22.7 %Hardin County22.7Macon County: 22.7 %Macon County22.7Overton County: 22.7 %Overton County22.7Sequatchie County: 22.7 %Sequatchie County22.7Fentress County: 22.5 %Fentress County22.5Benton County: 22.4 %Benton County22.4DeKalb County: 22.2 %DeKalb County22.2Hardeman County: 22.2 %Hardeman County22.2Meigs County: 22.2 %Meigs County22.2Morgan County: 22.2 %Morgan County22.2White County: 22.1 %White County22.1McNairy County: 22 %McNairy County22Marion County: 21.7 %Marion County21.7Monroe County: 21.7 %Monroe County21.7Henderson County: 21.5 %Henderson County21.5Rhea County: 21.5 %Rhea County21.5Lawrence County: 21.4 %Lawrence County21.4Unicoi County: 21.4 %Unicoi County21.4Warren County: 21.4 %Warren County21.4Grainger County: 21.3 %Grainger County21.3Union County: 21.3 %Union County21.3Hawkins County: 21.2 %Hawkins County21.2Obion County: 21.1 %Obion County21.1Van Buren County: 21.1 %Van Buren County21.1
%. 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
1Hancock County29.4-1.2 pts
1Lake County29.4+2.4 pts
3Scott County26.4+0.5 pts
4Bledsoe County25.60 pts
5Grundy County24.2+1 pts
6Cocke County23.9-0.2 pts
7Decatur County23.8-1.6 pts
8Perry County23.6+1.2 pts
9Pickett County23.5-1.6 pts
10Lauderdale County23.4-2.1 pts
11Jackson County23.2-0.5 pts
11Johnson County23.2-0.4 pts
13Clay County23.1-1.2 pts
13Wayne County23.1-2.3 pts
15Haywood County22.9-1.9 pts
16Campbell County22.8+1.2 pts
17Hardin County22.7+2.5 pts
17Macon County22.7+0.1 pts
17Overton County22.7-0.2 pts
17Sequatchie County22.7-2.2 pts
21Fentress County22.5-1.9 pts
22Benton County22.4-0.2 pts
23DeKalb County22.2-3.3 pts
23Hardeman County22.2-1.8 pts
23Meigs County22.2+3.1 pts
23Morgan County22.2-2.6 pts
27White County22.1-2 pts
28McNairy County22-0.7 pts
29Marion County21.7+2.2 pts
29Monroe County21.7-1.5 pts
31Henderson County21.5-0.8 pts
31Rhea County21.5-3.8 pts
33Lawrence County21.4-0.6 pts
33Unicoi County21.4-2.9 pts
33Warren County21.4-4.3 pts
36Grainger County21.3-4.7 pts
36Union County21.3-1.1 pts
38Hawkins County21.2+2 pts
39Obion County21.1-1.3 pts
39Van Buren County21.1-1.8 pts
41Henry County21-1.9 pts
42Claiborne County20.9-2.1 pts
42Hamblen County20.9+1 pts
42Hickman County20.9-1.8 pts
45Cannon County20.8-1.2 pts
45Lewis County20.8-4.9 pts
45Trousdale County20.8-1.3 pts
48Polk County20.7-1.8 pts
49Greene County20.6-1.3 pts
49Humphreys County20.6-3.7 pts
51Carter County20.5-2.4 pts
52Houston County20.2-0.7 pts
53Dyer County20.1-3.9 pts
53Gibson County20.1-2.4 pts
55Coffee County19.9-4.1 pts
56Carroll County19.8-3.4 pts
57McMinn County19.7+0.7 pts
57Smith County19.7-0.5 pts
59Crockett County19.5-1.9 pts
59Giles County19.5-2.2 pts
61Bedford County19.4-2.2 pts
61Chester County19.4-4.1 pts
61Cumberland County19.4-0.4 pts
64Sullivan County19.2+1.4 pts
65Tipton County19-1.6 pts
65Weakley County19+0.5 pts
67Lincoln County18.9-0.7 pts
67Roane County18.90 pts
69Marshall County18.8-5.3 pts
69Moore County18.8+0.9 pts
69Sevier County18.8+1.3 pts
72Stewart County18.7-2.8 pts
73Anderson County18.5+0.8 pts
74Madison County18.4+0.1 pts
75Jefferson County18.1-0.8 pts
76Dickson County18-1.7 pts
76Robertson County18-1.1 pts
78Franklin County17.7-3.7 pts
79Bradley County17.6+0.4 pts
79Putnam County17.6-0.9 pts
81Cheatham County17.4-1.1 pts
82Shelby County17.2-2.1 pts
83Washington County16.9-3.4 pts
84Blount County16.6-1.3 pts
85Fayette County16.5-0.4 pts
86Maury County16.4-2.8 pts
87Loudon County15.9-1.7 pts
88Montgomery County15.6-2.9 pts
89Hamilton County15.4-1.9 pts
90Sumner County15.3-2 pts
91Knox County15-1.1 pts
92Rutherford County14.6-3.8 pts
93Wilson County14.4-3.3 pts
94Davidson County14-4.1 pts
95Williamson County10.4-0.7 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 Tennessee 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties (Accessed: 12 October 2026).

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

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

Hancock County, with 29.4% in 2023, according to the Centers for Disease Control and Prevention.

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

Williamson County, with 10.4% 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 Tennessee: more rankings