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

All 133 values come from Centers for Disease Control and Prevention for 2023, so the places are comparable.

- Indicator id: `adult_smoking_rate_modelled`
- Unit: %
- Definition: 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.
- Source: 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 (https://www.cdc.gov/places/)
- Publisher page: https://invokely.ai/en/publishers/cdc
- Retrieved: 2026-10-12
- Citation: 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.
- Web page: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/virginia-counties

| Rank | Place | % |
|---:|---|---:|
| 1 | Buchanan County | 21.6 |
| 2 | Lee County | 21.2 |
| 3 | Dickenson County | 20.6 |
| 4 | Hopewell city | 20.3 |
| 5 | Covington city | 19.9 |
| 6 | Grayson County | 19.8 |
| 6 | Norton city | 19.8 |
| 8 | Wise County | 19.4 |
| 9 | Bath County | 19.3 |
| 10 | Charlotte County | 19.2 |
| 10 | Galax city | 19.2 |
| 10 | Greensville County | 19.2 |
| 13 | Danville city | 19.1 |
| 13 | Martinsville city | 19.1 |
| 15 | Russell County | 19 |
| 16 | Lunenburg County | 18.9 |
| 17 | Emporia city | 18.6 |
| 17 | Scott County | 18.6 |
| 19 | Buckingham County | 18.4 |
| 19 | Halifax County | 18.4 |
| 21 | Smyth County | 18.3 |
| 22 | Pittsylvania County | 18.1 |
| 22 | Tazewell County | 18.1 |
| 24 | Nottoway County | 18 |
| 25 | Brunswick County | 17.9 |
| 25 | Carroll County | 17.9 |
| 27 | Henry County | 17.8 |
| 28 | Amelia County | 17.7 |
| 29 | Richmond County | 17.3 |
| 30 | Bristol city | 17.2 |
| 30 | Patrick County | 17.2 |
| 32 | Sussex County | 17.1 |
| 32 | Westmoreland County | 17.1 |
| 34 | Page County | 17 |
| 35 | Essex County | 16.9 |
| 35 | Petersburg city | 16.9 |
| 37 | Franklin city | 16.8 |
| 38 | Wythe County | 16.7 |
| 39 | Alleghany County | 16.6 |
| 39 | Charles City County | 16.6 |
| 41 | Accomack County | 16.5 |
| 41 | Roanoke city | 16.5 |
| 43 | King and Queen County | 16.4 |
| 43 | Portsmouth city | 16.4 |
| 45 | Mecklenburg County | 16.3 |
| 46 | Bland County | 16 |
| 46 | Giles County | 16 |
| 48 | Shenandoah County | 15.9 |
| 49 | Appomattox County | 15.8 |
| 49 | Buena Vista city | 15.8 |
| 51 | Pulaski County | 15.7 |
| 52 | Amherst County | 15.6 |
| 52 | Craig County | 15.6 |
| 54 | Winchester city | 15.5 |
| 55 | Cumberland County | 15.4 |
| 56 | Campbell County | 15.3 |
| 57 | Caroline County | 15.2 |
| 57 | Waynesboro city | 15.2 |
| 59 | Floyd County | 15 |
| 59 | Franklin County | 15 |
| 59 | Southampton County | 15 |
| 59 | Warren County | 15 |
| 63 | Louisa County | 14.9 |
| 64 | Washington County | 14.8 |
| 65 | Dinwiddie County | 14.6 |
| 65 | Prince Edward County | 14.6 |
| 67 | Augusta County | 14.5 |
| 68 | Northampton County | 14.4 |
| 68 | Surry County | 14.4 |
| 70 | Greene County | 14.2 |
| 70 | Richmond city | 14.2 |
| 72 | Hampton city | 14.1 |
| 72 | Madison County | 14.1 |
| 72 | Newport News city | 14.1 |
| 75 | Radford city | 14 |
| 76 | Rockingham County | 13.9 |
| 77 | King William County | 13.8 |
| 77 | Manassas Park city | 13.8 |
| 77 | Prince George County | 13.8 |
| 77 | Rockbridge County | 13.8 |
| 81 | Culpeper County | 13.7 |
| 81 | Nelson County | 13.7 |
| 81 | Norfolk city | 13.7 |
| 81 | Orange County | 13.7 |
| 85 | Gloucester County | 13.5 |
| 85 | Rappahannock County | 13.5 |
| 85 | Staunton city | 13.5 |
| 88 | Lancaster County | 13.4 |
| 89 | Bedford County | 13.2 |
| 89 | Harrisonburg city | 13.2 |
| 89 | Isle of Wight County | 13.2 |
| 89 | Suffolk city | 13.2 |
| 93 | King George County | 13.1 |
| 93 | Mathews County | 13.1 |
| 93 | Middlesex County | 13.1 |
| 96 | Botetourt County | 13 |
| 96 | Frederick County | 13 |
| 96 | Salem city | 13 |
| 99 | Colonial Heights city | 12.8 |
| 99 | Highland County | 12.8 |
| 99 | Powhatan County | 12.8 |
| 99 | Spotsylvania County | 12.8 |
| 103 | Chesapeake city | 12.5 |
| 103 | Fluvanna County | 12.5 |
| 105 | Lynchburg city | 12.3 |
| 105 | New Kent County | 12.3 |
| 107 | Manassas city | 12 |
| 107 | Northumberland County | 12 |
| 109 | Roanoke County | 11.9 |
| 109 | Virginia Beach city | 11.9 |
| 111 | Hanover County | 11.8 |
| 111 | Montgomery County | 11.8 |
| 113 | Clarke County | 11.7 |
| 113 | Fredericksburg city | 11.7 |
| 115 | Chesterfield County | 11.5 |
| 115 | Fauquier County | 11.5 |
| 117 | Henrico County | 11.4 |
| 118 | Poquoson city | 11.2 |
| 119 | Charlottesville city | 11.1 |
| 119 | Prince William County | 11.1 |
| 121 | Stafford County | 11 |
| 122 | Goochland County | 10.1 |
| 123 | York County | 10 |
| 124 | James City County | 9.7 |
| 124 | Williamsburg city | 9.7 |
| 126 | Fairfax city | 9.2 |
| 126 | Lexington city | 9.2 |
| 128 | Albemarle County | 9 |
| 128 | Alexandria city | 9 |
| 130 | Loudoun County | 8.4 |
| 131 | Fairfax County | 8.1 |
| 132 | Arlington County | 7 |
| 133 | Falls Church city | 6.7 |