Counties in Texas by adult cigarette smoking rate, local model estimate
Kenedy County had the highest adult cigarette smoking rate, local model estimate of 254 counties in 2022, at 26.1%. Collin County had the lowest, at 9.1%. The median was 16.8%. Source: the Centers for Disease Control and Prevention.
Map of counties, 2022
- Under 14
- 14 to 16
- 16 to 17
- 17 to 18
- 18 to 19
- 19 and over
Top 40 counties, 2022
Full ranking
| Rank | Counties | 2022 (%) | Change on 2021 |
|---|---|---|---|
| 1 | Kenedy County | 26.1 | +8.7 pts |
| 2 | Newton County | 23.8 | +0.3 pts |
| 3 | King County | 22.6 | -0.4 pts |
| 4 | Hudspeth County | 22.4 | +0.2 pts |
| 5 | San Augustine County | 22.2 | -0.1 pts |
| 6 | Briscoe County | 21.8 | +2.1 pts |
| 7 | Cochran County | 21.2 | -1 pts |
| 8 | Liberty County | 21.1 | +0.6 pts |
| 9 | Jones County | 20.8 | +0.7 pts |
| 9 | Limestone County | 20.8 | +1.2 pts |
| 11 | Shelby County | 20.7 | -0.5 pts |
| 12 | Jasper County | 20.4 | -2.4 pts |
| 12 | Upshur County | 20.4 | +0.7 pts |
| 14 | Cottle County | 20.3 | +0.8 pts |
| 15 | Coke County | 20.1 | +3.1 pts |
| 15 | Potter County | 20.1 | -0.2 pts |
| 15 | Red River County | 20.1 | -0.1 pts |
| 18 | Dimmit County | 20 | -0.9 pts |
| 18 | Leon County | 20 | +1.1 pts |
| 20 | Foard County | 19.9 | +0.1 pts |
| 20 | Polk County | 19.9 | -0.9 pts |
| 20 | Zapata County | 19.9 | +1.8 pts |
| 23 | Wilbarger County | 19.7 | -1.6 pts |
| 24 | Deaf Smith County | 19.6 | +2.8 pts |
| 24 | Gray County | 19.6 | +0.2 pts |
| 24 | Mitchell County | 19.6 | +0.9 pts |
| 27 | Concho County | 19.5 | +2.2 pts |
| 27 | Houston County | 19.5 | -3 pts |
| 27 | Terry County | 19.5 | -0.9 pts |
| 30 | Moore County | 19.3 | +1.8 pts |
| 31 | Sabine County | 19.2 | 0 pts |
| 32 | Cass County | 19.1 | -1.3 pts |
| 32 | Haskell County | 19.1 | -0.5 pts |
| 32 | Lynn County | 19.1 | +1 pts |
| 35 | Falls County | 19 | -2 pts |
| 35 | Marion County | 19 | -1.3 pts |
| 35 | Panola County | 19 | +0.4 pts |
| 35 | Real County | 19 | 0 pts |
| 35 | San Jacinto County | 19 | -0.6 pts |
| 40 | Angelina County | 18.9 | +0.4 pts |
| 40 | Cherokee County | 18.9 | +0.1 pts |
| 40 | Edwards County | 18.9 | +1 pts |
| 40 | Matagorda County | 18.9 | +1 pts |
| 40 | McMullen County | 18.9 | +2 pts |
| 40 | Stephens County | 18.9 | +1.7 pts |
| 46 | Dawson County | 18.8 | -1.9 pts |
| 47 | Crosby County | 18.7 | +0.3 pts |
| 47 | Floyd County | 18.7 | +3.2 pts |
| 47 | Lamar County | 18.7 | -0.4 pts |
| 47 | Upton County | 18.7 | +1.6 pts |
| 51 | Anderson County | 18.6 | -2.3 pts |
| 51 | Freestone County | 18.6 | -0.4 pts |
| 51 | Garza County | 18.6 | +1.2 pts |
| 54 | Coryell County | 18.5 | +0.2 pts |
| 54 | Jefferson County | 18.5 | -0.4 pts |
| 54 | Wheeler County | 18.5 | -1.1 pts |
| 57 | Hale County | 18.4 | +1.4 pts |
| 58 | Yoakum County | 18.3 | +2.8 pts |
| 59 | Collingsworth County | 18.2 | -1.3 pts |
| 59 | Presidio County | 18.2 | -1.7 pts |
| 59 | Walker County | 18.2 | -0.4 pts |
| 62 | Bee County | 18.1 | +0.1 pts |
| 62 | McCulloch County | 18.1 | +0.3 pts |
| 62 | Nolan County | 18.1 | -0.6 pts |
| 62 | Orange County | 18.1 | -1 pts |
| 66 | Bosque County | 18 | +1.4 pts |
| 66 | Childress County | 18 | +0.4 pts |
| 66 | Grayson County | 18 | +1.7 pts |
| 66 | Hamilton County | 18 | -0.5 pts |
| 66 | Tyler County | 18 | -2.9 pts |
| 66 | Wise County | 18 | +0.6 pts |
| 72 | Bowie County | 17.9 | -0.5 pts |
| 72 | Frio County | 17.9 | -0.1 pts |
| 72 | Hill County | 17.9 | +0.8 pts |
| 72 | Jack County | 17.9 | -2.7 pts |
| 72 | Morris County | 17.9 | -1 pts |
| 77 | Eastland County | 17.8 | -0.4 pts |
| 77 | Grimes County | 17.8 | -1.3 pts |
| 77 | Reeves County | 17.8 | -0.9 pts |
| 80 | Lampasas County | 17.7 | +1.2 pts |
| 80 | Lee County | 17.7 | -0.6 pts |
| 80 | Live Oak County | 17.7 | -1.9 pts |
| 80 | Starr County | 17.7 | -1.4 pts |
| 80 | Swisher County | 17.7 | -3.1 pts |
| 80 | Young County | 17.7 | +1 pts |
| 86 | Henderson County | 17.6 | -1.4 pts |
| 86 | Madison County | 17.6 | -1.4 pts |
| 88 | Burleson County | 17.5 | +0.7 pts |
| 88 | Gaines County | 17.5 | -2.1 pts |
| 88 | Jackson County | 17.5 | +0.8 pts |
| 88 | Johnson County | 17.5 | +0.7 pts |
| 88 | Lamb County | 17.5 | -0.9 pts |
| 88 | Palo Pinto County | 17.5 | -0.4 pts |
| 94 | Hardin County | 17.4 | -1 pts |
| 94 | Howard County | 17.4 | -1.1 pts |
| 94 | La Salle County | 17.4 | +1.7 pts |
| 94 | Titus County | 17.4 | -1.2 pts |
| 94 | Van Zandt County | 17.4 | -0.4 pts |
| 99 | Comanche County | 17.3 | +1.4 pts |
| 99 | Gregg County | 17.3 | -0.9 pts |
| 99 | Lipscomb County | 17.3 | +2.3 pts |
| 99 | Navarro County | 17.3 | -1.5 pts |
| 99 | Scurry County | 17.3 | -0.6 pts |
| 99 | Trinity County | 17.3 | -2.5 pts |
| 105 | Aransas County | 17.2 | -0.2 pts |
| 105 | Coleman County | 17.2 | -0.3 pts |
| 105 | Dallam County | 17.2 | -4.1 pts |
| 105 | Hardeman County | 17.2 | +0.5 pts |
| 105 | Ward County | 17.2 | -0.2 pts |
| 110 | Camp County | 17.1 | -1 pts |
| 110 | Martin County | 17.1 | +1.1 pts |
| 110 | Maverick County | 17.1 | +0.6 pts |
| 110 | Rusk County | 17.1 | -1.5 pts |
| 114 | Fannin County | 17 | -1.5 pts |
| 114 | Rains County | 17 | -0.2 pts |
| 114 | Stonewall County | 17 | +0.1 pts |
| 114 | Zavala County | 17 | -0.7 pts |
| 118 | Crane County | 16.9 | +2 pts |
| 118 | Fisher County | 16.9 | +1.6 pts |
| 118 | Kaufman County | 16.9 | +0.3 pts |
| 118 | McLennan County | 16.9 | +0.9 pts |
| 118 | Sutton County | 16.9 | +1.6 pts |
| 123 | Callahan County | 16.8 | +0.5 pts |
| 123 | Hunt County | 16.8 | -0.6 pts |
| 123 | Karnes County | 16.8 | -1.5 pts |
| 123 | Lavaca County | 16.8 | +0.1 pts |
| 123 | Oldham County | 16.8 | -0.9 pts |
| 128 | Andrews County | 16.7 | -0.3 pts |
| 128 | Smith County | 16.7 | +0.6 pts |
| 128 | Willacy County | 16.7 | -1.8 pts |
| 128 | Winkler County | 16.7 | +0.3 pts |
| 132 | Caldwell County | 16.6 | -0.2 pts |
| 132 | DeWitt County | 16.6 | -1.8 pts |
| 132 | Gonzales County | 16.6 | -1.3 pts |
| 132 | Harrison County | 16.6 | -1.4 pts |
| 132 | Knox County | 16.6 | -1.4 pts |
| 132 | Parmer County | 16.6 | +0.9 pts |
| 138 | Hidalgo County | 16.5 | +1.4 pts |
| 138 | San Saba County | 16.5 | -1.6 pts |
| 138 | Wharton County | 16.5 | -0.2 pts |
| 141 | Cameron County | 16.4 | +1.6 pts |
| 141 | Culberson County | 16.4 | -2.9 pts |
| 141 | Hall County | 16.4 | -1.3 pts |
| 141 | Jeff Davis County | 16.4 | -0.5 pts |
| 145 | Erath County | 16.3 | +1 pts |
| 145 | Kimble County | 16.3 | +0.6 pts |
| 145 | Montgomery County | 16.3 | +2 pts |
| 145 | Robertson County | 16.3 | -2.3 pts |
| 149 | Donley County | 16.2 | -0.6 pts |
| 149 | Duval County | 16.2 | +0.6 pts |
| 149 | Nueces County | 16.2 | +1.3 pts |
| 149 | Pecos County | 16.2 | -2.3 pts |
| 149 | Victoria County | 16.2 | 0 pts |
| 154 | Hopkins County | 16.1 | -1.7 pts |
| 154 | Montague County | 16.1 | -1.6 pts |
| 154 | Schleicher County | 16.1 | +1.7 pts |
| 157 | Brown County | 16 | -1.3 pts |
| 157 | Jim Wells County | 16 | -0.2 pts |
| 159 | Colorado County | 15.9 | -0.6 pts |
| 159 | Cooke County | 15.9 | -1.1 pts |
| 159 | Ector County | 15.9 | -0.5 pts |
| 159 | Hockley County | 15.9 | -1.1 pts |
| 159 | Jim Hogg County | 15.9 | -0.9 pts |
| 159 | Wichita County | 15.9 | -1 pts |
| 165 | Dickens County | 15.8 | -1.3 pts |
| 165 | Hemphill County | 15.8 | +1.4 pts |
| 165 | Wood County | 15.8 | -1 pts |
| 168 | Atascosa County | 15.7 | +0.4 pts |
| 168 | Milam County | 15.7 | -2.1 pts |
| 168 | Ochiltree County | 15.7 | -1 pts |
| 168 | Sherman County | 15.7 | -0.6 pts |
| 172 | Austin County | 15.6 | -0.1 pts |
| 172 | Harris County | 15.6 | -0.1 pts |
| 172 | Refugio County | 15.6 | -1.5 pts |
| 172 | Runnels County | 15.6 | -1.3 pts |
| 172 | San Patricio County | 15.6 | -0.8 pts |
| 177 | Brooks County | 15.5 | -1.6 pts |
| 177 | Tom Green County | 15.5 | +1.1 pts |
| 179 | Armstrong County | 15.4 | +1.5 pts |
| 179 | Burnet County | 15.4 | +0.1 pts |
| 179 | Goliad County | 15.4 | -0.2 pts |
| 179 | Hutchinson County | 15.4 | -1.6 pts |
| 179 | Washington County | 15.4 | +0.7 pts |
| 184 | Bell County | 15.3 | -1.8 pts |
| 184 | Blanco County | 15.3 | +0.9 pts |
| 184 | Loving County | 15.3 | -1.8 pts |
| 184 | Wilson County | 15.3 | +0.7 pts |
| 188 | Bandera County | 15.2 | +0.8 pts |
| 188 | Roberts County | 15.2 | +0.2 pts |
| 190 | Clay County | 15.1 | -0.7 pts |
| 191 | Archer County | 15 | -1.9 pts |
| 191 | Medina County | 15 | +1.1 pts |
| 193 | Carson County | 14.9 | -0.3 pts |
| 193 | Chambers County | 14.9 | -1.3 pts |
| 193 | Crockett County | 14.9 | +1.3 pts |
| 193 | Kerr County | 14.9 | +1 pts |
| 193 | Nacogdoches County | 14.9 | -2.5 pts |
| 193 | Throckmorton County | 14.9 | -2.1 pts |
| 193 | Val Verde County | 14.9 | -1 pts |
| 200 | Bastrop County | 14.8 | -0.9 pts |
| 200 | Mills County | 14.8 | -0.5 pts |
| 200 | Motley County | 14.8 | -0.5 pts |
| 203 | Castro County | 14.7 | -0.1 pts |
| 203 | Fayette County | 14.7 | -0.6 pts |
| 203 | Llano County | 14.7 | +0.8 pts |
| 203 | Shackelford County | 14.7 | +0.3 pts |
| 203 | Tarrant County | 14.7 | 0 pts |
| 208 | Irion County | 14.6 | -1 pts |
| 209 | Delta County | 14.5 | -3.3 pts |
| 209 | Uvalde County | 14.5 | -1.2 pts |
| 211 | Baylor County | 14.4 | -2.8 pts |
| 211 | Ellis County | 14.4 | -0.7 pts |
| 211 | Reagan County | 14.4 | +0.6 pts |
| 211 | Taylor County | 14.4 | -0.9 pts |
| 215 | Kinney County | 14.3 | -1.2 pts |
| 215 | Lubbock County | 14.3 | -0.8 pts |
| 217 | Kent County | 14.2 | +1.3 pts |
| 217 | Sterling County | 14.2 | -0.4 pts |
| 217 | Waller County | 14.2 | +0.1 pts |
| 220 | Mason County | 14.1 | +1.8 pts |
| 221 | El Paso County | 14 | -0.3 pts |
| 222 | Bexar County | 13.9 | +0.7 pts |
| 222 | Randall County | 13.9 | +0.1 pts |
| 224 | Bailey County | 13.8 | -1.7 pts |
| 224 | Hartley County | 13.8 | -0.8 pts |
| 226 | Galveston County | 13.7 | -0.4 pts |
| 226 | Gillespie County | 13.7 | +1 pts |
| 226 | Menard County | 13.7 | -0.8 pts |
| 229 | Hansford County | 13.5 | -4 pts |
| 229 | Hays County | 13.5 | +0.3 pts |
| 231 | Kleberg County | 13.4 | -0.5 pts |
| 232 | Calhoun County | 13.3 | -1.6 pts |
| 232 | Dallas County | 13.3 | -2.6 pts |
| 232 | Parker County | 13.3 | -2.5 pts |
| 235 | Brazoria County | 13.2 | -0.9 pts |
| 236 | Comal County | 12.9 | +0.4 pts |
| 236 | Franklin County | 12.9 | -1.2 pts |
| 238 | Midland County | 12.7 | -1.9 pts |
| 238 | Somervell County | 12.7 | -2.7 pts |
| 240 | Rockwall County | 12.4 | +0.6 pts |
| 240 | Travis County | 12.4 | +1.3 pts |
| 242 | Glasscock County | 12.2 | -3.8 pts |
| 243 | Brazos County | 12.1 | -2.1 pts |
| 244 | Guadalupe County | 12 | -2 pts |
| 244 | Hood County | 12 | -2.5 pts |
| 246 | Webb County | 11.9 | -3.6 pts |
| 247 | Brewster County | 11.4 | -0.4 pts |
| 248 | Fort Bend County | 11.2 | 0 pts |
| 249 | Williamson County | 11 | -0.4 pts |
| 250 | Denton County | 10.9 | -0.9 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
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 Texas 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 Texas 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/texas-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 Texas 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/texas-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 Texas 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/texas-counties?period=2022 (Accessed: 12 October 2026).
BibTeX
@misc{centers_counties_in_texas_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 Texas 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/texas-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 Texas 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/texas-counties?period=2022
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-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 -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank Counties in Texas 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":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=province&within=Texas&limit=10
Questions
Which county has the highest adult cigarette smoking rate, local model estimate?
Kenedy County, with 26.1% in 2022, according to the Centers for Disease Control and Prevention.
Which county has the lowest adult cigarette smoking rate, local model estimate?
Collin County, with 9.1% 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 New York
- Counties in Utah
- Counties in Oregon
- Cities in Idaho
- Cities in Alabama
- Cities in Louisiana