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

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

Hancock County had the highest adult cigarette smoking rate, local model estimate of 95 counties in 2021, at 29.4%. Williamson County had the lowest, at 11.4%. The median was 22.8%. Source: the Centers for Disease Control and Prevention.

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Highest29.4Hancock County
Lowest11.4Williamson County
Median22.895 counties

Map of counties, 2021

Anderson County: 20.3 %Bedford County: 22.4 %Benton County: 24.9 %Bledsoe County: 26.6 %Blount County: 18.8 %Bradley County: 20.2 %Campbell County: 25.8 %Cannon County: 23.3 %Carroll County: 21.6 %Carter County: 22.5 %Cheatham County: 20.6 %Chester County: 23 %Claiborne County: 23.7 %Clay County: 26.1 %Cocke County: 25.2 %Coffee County: 21.1 %Crockett County: 22.8 %Cumberland County: 21.2 %Davidson County: 17.3 %Decatur County: 23.5 %DeKalb County: 24 %Dickson County: 20.4 %Dyer County: 21.8 %Fayette County: 18.7 %Fentress County: 25 %Franklin County: 19.9 %Gibson County: 22.6 %Giles County: 21.7 %Grainger County: 24.2 %Greene County: 23.3 %Grundy County: 24.7 %Hamblen County: 22.8 %Hamilton County: 16.3 %Hancock County: 29.4 %Hardeman County: 25.4 %Hardin County: 22.7 %Hawkins County: 23.1 %Haywood County: 25.4 %Henderson County: 24.2 %Henry County: 23.2 %Hickman County: 24.2 %Houston County: 22.4 %Humphreys County: 22.1 %Jackson County: 24.4 %Jefferson County: 21.1 %Johnson County: 25.5 %Knox County: 16.5 %Lake County: 29.3 %Lauderdale County: 26.9 %Lawrence County: 23.9 %Lewis County: 25.3 %Lincoln County: 20.4 %Loudon County: 17.3 %McMinn County: 22.5 %McNairy County: 24 %Macon County: 26.4 %Madison County: 19.7 %Marion County: 23.4 %Marshall County: 22.9 %Maury County: 18.7 %Meigs County: 23.7 %Monroe County: 23 %Montgomery County: 18.6 %Moore County: 21.1 %Morgan County: 26.3 %Obion County: 23.9 %Overton County: 24.8 %Perry County: 25.6 %Pickett County: 23.7 %Polk County: 22.3 %Putnam County: 20.4 %Rhea County: 22.8 %Roane County: 19.8 %Robertson County: 20.8 %Rutherford County: 17.6 %Scott County: 27.9 %Sequatchie County: 25.1 %Sevier County: 21.2 %Shelby County: 19 %Smith County: 22.2 %Stewart County: 20.6 %Sullivan County: 19.7 %Sumner County: 17.8 %Tipton County: 20.5 %Trousdale County: 22.9 %Unicoi County: 22.3 %Union County: 24.3 %Van Buren County: 26.2 %Warren County: 24.6 %Washington County: 18.8 %Wayne County: 25.1 %Weakley County: 21.3 %White County: 24.4 %Williamson County: 11.4 %Wilson County: 16.8 %
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%, 2021. 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, 2021

Hancock County: 29.4 %Hancock County29.4Lake County: 29.3 %Lake County29.3Scott County: 27.9 %Scott County27.9Lauderdale County: 26.9 %Lauderdale County26.9Bledsoe County: 26.6 %Bledsoe County26.6Macon County: 26.4 %Macon County26.4Morgan County: 26.3 %Morgan County26.3Van Buren County: 26.2 %Van Buren County26.2Clay County: 26.1 %Clay County26.1Campbell County: 25.8 %Campbell County25.8Perry County: 25.6 %Perry County25.6Johnson County: 25.5 %Johnson County25.5Hardeman County: 25.4 %Hardeman County25.4Haywood County: 25.4 %Haywood County25.4Lewis County: 25.3 %Lewis County25.3Cocke County: 25.2 %Cocke County25.2Sequatchie County: 25.1 %Sequatchie County25.1Wayne County: 25.1 %Wayne County25.1Fentress County: 25 %Fentress County25Benton County: 24.9 %Benton County24.9Overton County: 24.8 %Overton County24.8Grundy County: 24.7 %Grundy County24.7Warren County: 24.6 %Warren County24.6Jackson County: 24.4 %Jackson County24.4White County: 24.4 %White County24.4Union County: 24.3 %Union County24.3Grainger County: 24.2 %Grainger County24.2Henderson County: 24.2 %Henderson County24.2Hickman County: 24.2 %Hickman County24.2DeKalb County: 24 %DeKalb County24McNairy County: 24 %McNairy County24Lawrence County: 23.9 %Lawrence County23.9Obion County: 23.9 %Obion County23.9Claiborne County: 23.7 %Claiborne County23.7Meigs County: 23.7 %Meigs County23.7Pickett County: 23.7 %Pickett County23.7Decatur County: 23.5 %Decatur County23.5Marion County: 23.4 %Marion County23.4Cannon County: 23.3 %Cannon County23.3Greene County: 23.3 %Greene County23.3Hancock County: 29.4 %Hancock County29.4Lake County: 29.3 %Lake County29.3Scott County: 27.9 %Scott County27.9Lauderdale County: 26.9 %Lauderdale County26.9Bledsoe County: 26.6 %Bledsoe County26.6Macon County: 26.4 %Macon County26.4Morgan County: 26.3 %Morgan County26.3Van Buren County: 26.2 %Van Buren County26.2Clay County: 26.1 %Clay County26.1Campbell County: 25.8 %Campbell County25.8Perry County: 25.6 %Perry County25.6Johnson County: 25.5 %Johnson County25.5Hardeman County: 25.4 %Hardeman County25.4Haywood County: 25.4 %Haywood County25.4Lewis County: 25.3 %Lewis County25.3Cocke County: 25.2 %Cocke County25.2Sequatchie County: 25.1 %Sequatchie County25.1Wayne County: 25.1 %Wayne County25.1Fentress County: 25 %Fentress County25Benton County: 24.9 %Benton County24.9Overton County: 24.8 %Overton County24.8Grundy County: 24.7 %Grundy County24.7Warren County: 24.6 %Warren County24.6Jackson County: 24.4 %Jackson County24.4White County: 24.4 %White County24.4Union County: 24.3 %Union County24.3Grainger County: 24.2 %Grainger County24.2Henderson County: 24.2 %Henderson County24.2Hickman County: 24.2 %Hickman County24.2DeKalb County: 24 %DeKalb County24McNairy County: 24 %McNairy County24Lawrence County: 23.9 %Lawrence County23.9Obion County: 23.9 %Obion County23.9Claiborne County: 23.7 %Claiborne County23.7Meigs County: 23.7 %Meigs County23.7Pickett County: 23.7 %Pickett County23.7Decatur County: 23.5 %Decatur County23.5Marion County: 23.4 %Marion County23.4Cannon County: 23.3 %Cannon County23.3Greene County: 23.3 %Greene County23.3
%. 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

RankCounties2021 (%)
1Hancock County29.4
2Lake County29.3
3Scott County27.9
4Lauderdale County26.9
5Bledsoe County26.6
6Macon County26.4
7Morgan County26.3
8Van Buren County26.2
9Clay County26.1
10Campbell County25.8
11Perry County25.6
12Johnson County25.5
13Hardeman County25.4
13Haywood County25.4
15Lewis County25.3
16Cocke County25.2
17Sequatchie County25.1
17Wayne County25.1
19Fentress County25
20Benton County24.9
21Overton County24.8
22Grundy County24.7
23Warren County24.6
24Jackson County24.4
24White County24.4
26Union County24.3
27Grainger County24.2
27Henderson County24.2
27Hickman County24.2
30DeKalb County24
30McNairy County24
32Lawrence County23.9
32Obion County23.9
34Claiborne County23.7
34Meigs County23.7
34Pickett County23.7
37Decatur County23.5
38Marion County23.4
39Cannon County23.3
39Greene County23.3
41Henry County23.2
42Hawkins County23.1
43Chester County23
43Monroe County23
45Marshall County22.9
45Trousdale County22.9
47Crockett County22.8
47Hamblen County22.8
47Rhea County22.8
50Hardin County22.7
51Gibson County22.6
52Carter County22.5
52McMinn County22.5
54Bedford County22.4
54Houston County22.4
56Polk County22.3
56Unicoi County22.3
58Smith County22.2
59Humphreys County22.1
60Dyer County21.8
61Giles County21.7
62Carroll County21.6
63Weakley County21.3
64Cumberland County21.2
64Sevier County21.2
66Coffee County21.1
66Jefferson County21.1
66Moore County21.1
69Robertson County20.8
70Cheatham County20.6
70Stewart County20.6
72Tipton County20.5
73Dickson County20.4
73Lincoln County20.4
73Putnam County20.4
76Anderson County20.3
77Bradley County20.2
78Franklin County19.9
79Roane County19.8
80Madison County19.7
80Sullivan County19.7
82Shelby County19
83Blount County18.8
83Washington County18.8
85Fayette County18.7
85Maury County18.7
87Montgomery County18.6
88Sumner County17.8
89Rutherford County17.6
90Davidson County17.3
90Loudon County17.3
92Wilson County16.8
93Knox County16.5
94Hamilton County16.3
95Williamson County11.4

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/tennessee-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_tennessee_by_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/tennessee-counties?period=2021.
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.
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Questions

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

Hancock County, with 29.4% in 2021, according to the Centers for Disease Control and Prevention.

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

Williamson County, with 11.4% in 2021.

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