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 2022, at 30.6%. Williamson County had the lowest, at 11.1%. The median was 22.1%. Source: the Centers for Disease Control and Prevention.

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Highest30.6Hancock County
Lowest11.1Williamson County
Median22.195 counties

Map of counties, 2022

Anderson County: 17.7 %Bedford County: 21.6 %Benton County: 22.6 %Bledsoe County: 25.6 %Blount County: 17.9 %Bradley County: 17.2 %Campbell County: 21.6 %Cannon County: 22 %Carroll County: 23.2 %Carter County: 22.9 %Cheatham County: 18.5 %Chester County: 23.5 %Claiborne County: 23 %Clay County: 24.3 %Cocke County: 24.1 %Coffee County: 24 %Crockett County: 21.4 %Cumberland County: 19.8 %Davidson County: 18.1 %Decatur County: 25.4 %DeKalb County: 25.5 %Dickson County: 19.7 %Dyer County: 24 %Fayette County: 16.9 %Fentress County: 24.4 %Franklin County: 21.4 %Gibson County: 22.5 %Giles County: 21.7 %Grainger County: 26 %Greene County: 21.9 %Grundy County: 23.2 %Hamblen County: 19.9 %Hamilton County: 17.3 %Hancock County: 30.6 %Hardeman County: 24 %Hardin County: 20.2 %Hawkins County: 19.2 %Haywood County: 24.8 %Henderson County: 22.3 %Henry County: 22.9 %Hickman County: 22.7 %Houston County: 20.9 %Humphreys County: 24.3 %Jackson County: 23.7 %Jefferson County: 18.9 %Johnson County: 23.6 %Knox County: 16.1 %Lake County: 27 %Lauderdale County: 25.5 %Lawrence County: 22 %Lewis County: 25.7 %Lincoln County: 19.6 %Loudon County: 17.6 %McMinn County: 19 %McNairy County: 22.7 %Macon County: 22.6 %Madison County: 18.3 %Marion County: 19.5 %Marshall County: 24.1 %Maury County: 19.2 %Meigs County: 19.1 %Monroe County: 23.2 %Montgomery County: 18.5 %Moore County: 17.9 %Morgan County: 24.8 %Obion County: 22.4 %Overton County: 22.9 %Perry County: 22.4 %Pickett County: 25.1 %Polk County: 22.5 %Putnam County: 18.5 %Rhea County: 25.3 %Roane County: 18.9 %Robertson County: 19.1 %Rutherford County: 18.4 %Scott County: 25.9 %Sequatchie County: 24.9 %Sevier County: 17.5 %Shelby County: 19.3 %Smith County: 20.2 %Stewart County: 21.5 %Sullivan County: 17.8 %Sumner County: 17.3 %Tipton County: 20.6 %Trousdale County: 22.1 %Unicoi County: 24.3 %Union County: 22.4 %Van Buren County: 22.9 %Warren County: 25.7 %Washington County: 20.3 %Wayne County: 25.4 %Weakley County: 18.5 %White County: 24.1 %Williamson County: 11.1 %Wilson County: 17.7 %
  • Under 18
  • 18 to 20
  • 20 to 22
  • 22 to 23
  • 23 to 25
  • 25 and over
%, 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

Hancock County: 30.6 %Hancock County30.6Lake County: 27 %Lake County27Grainger County: 26 %Grainger County26Scott County: 25.9 %Scott County25.9Lewis County: 25.7 %Lewis County25.7Warren County: 25.7 %Warren County25.7Bledsoe County: 25.6 %Bledsoe County25.6DeKalb County: 25.5 %DeKalb County25.5Lauderdale County: 25.5 %Lauderdale County25.5Decatur County: 25.4 %Decatur County25.4Wayne County: 25.4 %Wayne County25.4Rhea County: 25.3 %Rhea County25.3Pickett County: 25.1 %Pickett County25.1Sequatchie County: 24.9 %Sequatchie County24.9Haywood County: 24.8 %Haywood County24.8Morgan County: 24.8 %Morgan County24.8Fentress County: 24.4 %Fentress County24.4Clay County: 24.3 %Clay County24.3Humphreys County: 24.3 %Humphreys County24.3Unicoi County: 24.3 %Unicoi County24.3Cocke County: 24.1 %Cocke County24.1Marshall County: 24.1 %Marshall County24.1White County: 24.1 %White County24.1Coffee County: 24 %Coffee County24Dyer County: 24 %Dyer County24Hardeman County: 24 %Hardeman County24Jackson County: 23.7 %Jackson County23.7Johnson County: 23.6 %Johnson County23.6Chester County: 23.5 %Chester County23.5Carroll County: 23.2 %Carroll County23.2Grundy County: 23.2 %Grundy County23.2Monroe County: 23.2 %Monroe County23.2Claiborne County: 23 %Claiborne County23Carter County: 22.9 %Carter County22.9Henry County: 22.9 %Henry County22.9Overton County: 22.9 %Overton County22.9Van Buren County: 22.9 %Van Buren County22.9Hickman County: 22.7 %Hickman County22.7McNairy County: 22.7 %McNairy County22.7Benton County: 22.6 %Benton County22.6Hancock County: 30.6 %Hancock County30.6Lake County: 27 %Lake County27Grainger County: 26 %Grainger County26Scott County: 25.9 %Scott County25.9Lewis County: 25.7 %Lewis County25.7Warren County: 25.7 %Warren County25.7Bledsoe County: 25.6 %Bledsoe County25.6DeKalb County: 25.5 %DeKalb County25.5Lauderdale County: 25.5 %Lauderdale County25.5Decatur County: 25.4 %Decatur County25.4Wayne County: 25.4 %Wayne County25.4Rhea County: 25.3 %Rhea County25.3Pickett County: 25.1 %Pickett County25.1Sequatchie County: 24.9 %Sequatchie County24.9Haywood County: 24.8 %Haywood County24.8Morgan County: 24.8 %Morgan County24.8Fentress County: 24.4 %Fentress County24.4Clay County: 24.3 %Clay County24.3Humphreys County: 24.3 %Humphreys County24.3Unicoi County: 24.3 %Unicoi County24.3Cocke County: 24.1 %Cocke County24.1Marshall County: 24.1 %Marshall County24.1White County: 24.1 %White County24.1Coffee County: 24 %Coffee County24Dyer County: 24 %Dyer County24Hardeman County: 24 %Hardeman County24Jackson County: 23.7 %Jackson County23.7Johnson County: 23.6 %Johnson County23.6Chester County: 23.5 %Chester County23.5Carroll County: 23.2 %Carroll County23.2Grundy County: 23.2 %Grundy County23.2Monroe County: 23.2 %Monroe County23.2Claiborne County: 23 %Claiborne County23Carter County: 22.9 %Carter County22.9Henry County: 22.9 %Henry County22.9Overton County: 22.9 %Overton County22.9Van Buren County: 22.9 %Van Buren County22.9Hickman County: 22.7 %Hickman County22.7McNairy County: 22.7 %McNairy County22.7Benton County: 22.6 %Benton County22.6
%. 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
1Hancock County30.6+1.2 pts
2Lake County27-2.3 pts
3Grainger County26+1.8 pts
4Scott County25.9-2 pts
5Lewis County25.7+0.4 pts
5Warren County25.7+1.1 pts
7Bledsoe County25.6-1 pts
8DeKalb County25.5+1.5 pts
8Lauderdale County25.5-1.4 pts
10Decatur County25.4+1.9 pts
10Wayne County25.4+0.3 pts
12Rhea County25.3+2.5 pts
13Pickett County25.1+1.4 pts
14Sequatchie County24.9-0.2 pts
15Haywood County24.8-0.6 pts
15Morgan County24.8-1.5 pts
17Fentress County24.4-0.6 pts
18Clay County24.3-1.8 pts
18Humphreys County24.3+2.2 pts
18Unicoi County24.3+2 pts
21Cocke County24.1-1.1 pts
21Marshall County24.1+1.2 pts
21White County24.1-0.3 pts
24Coffee County24+2.9 pts
24Dyer County24+2.2 pts
24Hardeman County24-1.4 pts
27Jackson County23.7-0.7 pts
28Johnson County23.6-1.9 pts
29Chester County23.5+0.5 pts
30Carroll County23.2+1.6 pts
30Grundy County23.2-1.5 pts
30Monroe County23.2+0.2 pts
33Claiborne County23-0.7 pts
34Carter County22.9+0.4 pts
34Henry County22.9-0.3 pts
34Overton County22.9-1.9 pts
34Van Buren County22.9-3.3 pts
38Hickman County22.7-1.5 pts
38McNairy County22.7-1.3 pts
40Benton County22.6-2.3 pts
40Macon County22.6-3.8 pts
42Gibson County22.5-0.1 pts
42Polk County22.5+0.2 pts
44Obion County22.4-1.5 pts
44Perry County22.4-3.2 pts
44Union County22.4-1.9 pts
47Henderson County22.3-1.9 pts
48Trousdale County22.1-0.8 pts
49Cannon County22-1.3 pts
49Lawrence County22-1.9 pts
51Greene County21.9-1.4 pts
52Giles County21.70 pts
53Bedford County21.6-0.8 pts
53Campbell County21.6-4.2 pts
55Stewart County21.5+0.9 pts
56Crockett County21.4-1.4 pts
56Franklin County21.4+1.5 pts
58Houston County20.9-1.5 pts
59Tipton County20.6+0.1 pts
60Washington County20.3+1.5 pts
61Hardin County20.2-2.5 pts
61Smith County20.2-2 pts
63Hamblen County19.9-2.9 pts
64Cumberland County19.8-1.4 pts
65Dickson County19.7-0.7 pts
66Lincoln County19.6-0.8 pts
67Marion County19.5-3.9 pts
68Shelby County19.3+0.3 pts
69Hawkins County19.2-3.9 pts
69Maury County19.2+0.5 pts
71Meigs County19.1-4.6 pts
71Robertson County19.1-1.7 pts
73McMinn County19-3.5 pts
74Jefferson County18.9-2.2 pts
74Roane County18.9-0.9 pts
76Cheatham County18.5-2.1 pts
76Montgomery County18.5-0.1 pts
76Putnam County18.5-1.9 pts
76Weakley County18.5-2.8 pts
80Rutherford County18.4+0.8 pts
81Madison County18.3-1.4 pts
82Davidson County18.1+0.8 pts
83Blount County17.9-0.9 pts
83Moore County17.9-3.2 pts
85Sullivan County17.8-1.9 pts
86Anderson County17.7-2.6 pts
86Wilson County17.7+0.9 pts
88Loudon County17.6+0.3 pts
89Sevier County17.5-3.7 pts
90Hamilton County17.3+1 pts
90Sumner County17.3-0.5 pts
92Bradley County17.2-3 pts
93Fayette County16.9-1.8 pts
94Knox County16.1-0.4 pts
95Williamson County11.1-0.3 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, 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_tennessee_by_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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/tennessee-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 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 30.6% in 2022, according to the Centers for Disease Control and Prevention.

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

Williamson County, with 11.1% 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 Tennessee: more rankings