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

Ferry County had the highest adult cigarette smoking rate, local model estimate of 39 counties in 2023, at 16%. King County had the lowest, at 7.2%. The median was 11.7%. Source: the Centers for Disease Control and Prevention.

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Highest16Ferry County
Lowest7.2King County
Median11.739 counties

Map of counties, 2023

Adams County: 14 %Asotin County: 13.3 %Benton County: 10.4 %Chelan County: 11.4 %Clallam County: 11.8 %Clark County: 11 %Columbia County: 11.9 %Cowlitz County: 13.4 %Douglas County: 11.7 %Ferry County: 16 %Franklin County: 12.1 %Garfield County: 11.4 %Grant County: 12.6 %Grays Harbor County: 15 %Island County: 9.5 %Jefferson County: 9.5 %King County: 7.2 %Kitsap County: 10.4 %Kittitas County: 11.1 %Klickitat County: 12.1 %Lewis County: 14.4 %Lincoln County: 11.7 %Mason County: 13 %Okanogan County: 15.5 %Pacific County: 13.1 %Pend Oreille County: 13.6 %Pierce County: 11.6 %San Juan County: 8.9 %Skagit County: 11.4 %Skamania County: 12 %Snohomish County: 10.1 %Spokane County: 11.7 %Stevens County: 14 %Thurston County: 10.2 %Wahkiakum County: 13.3 %Walla Walla County: 11.1 %Whatcom County: 10.8 %Whitman County: 10.1 %Yakima County: 12.9 %
  • Under 10
  • 10 to 11
  • 11 to 12
  • 12 to 13
  • 13 to 14
  • 14 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.

All counties, 2023

Ferry County: 16 %Ferry County16Okanogan County: 15.5 %Okanogan County15.5Grays Harbor County: 15 %Grays Harbor County15Lewis County: 14.4 %Lewis County14.4Adams County: 14 %Adams County14Stevens County: 14 %Stevens County14Pend Oreille County: 13.6 %Pend Oreille County13.6Cowlitz County: 13.4 %Cowlitz County13.4Asotin County: 13.3 %Asotin County13.3Wahkiakum County: 13.3 %Wahkiakum County13.3Pacific County: 13.1 %Pacific County13.1Mason County: 13 %Mason County13Yakima County: 12.9 %Yakima County12.9Grant County: 12.6 %Grant County12.6Franklin County: 12.1 %Franklin County12.1Klickitat County: 12.1 %Klickitat County12.1Skamania County: 12 %Skamania County12Columbia County: 11.9 %Columbia County11.9Clallam County: 11.8 %Clallam County11.8Douglas County: 11.7 %Douglas County11.7Lincoln County: 11.7 %Lincoln County11.7Spokane County: 11.7 %Spokane County11.7Pierce County: 11.6 %Pierce County11.6Chelan County: 11.4 %Chelan County11.4Garfield County: 11.4 %Garfield County11.4Skagit County: 11.4 %Skagit County11.4Kittitas County: 11.1 %Kittitas County11.1Walla Walla County: 11.1 %Walla Walla County11.1Clark County: 11 %Clark County11Whatcom County: 10.8 %Whatcom County10.8Benton County: 10.4 %Benton County10.4Kitsap County: 10.4 %Kitsap County10.4Thurston County: 10.2 %Thurston County10.2Snohomish County: 10.1 %Snohomish County10.1Whitman County: 10.1 %Whitman County10.1Island County: 9.5 %Island County9.5Jefferson County: 9.5 %Jefferson County9.5San Juan County: 8.9 %San Juan County8.9King County: 7.2 %King County7.2Ferry County: 16 %Ferry County16Okanogan County: 15.5 %Okanogan County15.5Grays Harbor County: 15 %Grays Harbor County15Lewis County: 14.4 %Lewis County14.4Adams County: 14 %Adams County14Stevens County: 14 %Stevens County14Pend Oreille County: 13.6 %Pend Oreille County13.6Cowlitz County: 13.4 %Cowlitz County13.4Asotin County: 13.3 %Asotin County13.3Wahkiakum County: 13.3 %Wahkiakum County13.3Pacific County: 13.1 %Pacific County13.1Mason County: 13 %Mason County13Yakima County: 12.9 %Yakima County12.9Grant County: 12.6 %Grant County12.6Franklin County: 12.1 %Franklin County12.1Klickitat County: 12.1 %Klickitat County12.1Skamania County: 12 %Skamania County12Columbia County: 11.9 %Columbia County11.9Clallam County: 11.8 %Clallam County11.8Douglas County: 11.7 %Douglas County11.7Lincoln County: 11.7 %Lincoln County11.7Spokane County: 11.7 %Spokane County11.7Pierce County: 11.6 %Pierce County11.6Chelan County: 11.4 %Chelan County11.4Garfield County: 11.4 %Garfield County11.4Skagit County: 11.4 %Skagit County11.4Kittitas County: 11.1 %Kittitas County11.1Walla Walla County: 11.1 %Walla Walla County11.1Clark County: 11 %Clark County11Whatcom County: 10.8 %Whatcom County10.8Benton County: 10.4 %Benton County10.4Kitsap County: 10.4 %Kitsap County10.4Thurston County: 10.2 %Thurston County10.2Snohomish County: 10.1 %Snohomish County10.1Whitman County: 10.1 %Whitman County10.1Island County: 9.5 %Island County9.5Jefferson County: 9.5 %Jefferson County9.5San Juan County: 8.9 %San Juan County8.9King County: 7.2 %King County7.2
%. 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
1Ferry County16-0.8 pts
2Okanogan County15.5-0.8 pts
3Grays Harbor County150 pts
4Lewis County14.4-1.1 pts
5Adams County14-0.2 pts
5Stevens County14-0.3 pts
7Pend Oreille County13.6-0.1 pts
8Cowlitz County13.4-1.3 pts
9Asotin County13.3-1.3 pts
9Wahkiakum County13.3+0.9 pts
11Pacific County13.1-0.5 pts
12Mason County13-0.6 pts
13Yakima County12.9-2.1 pts
14Grant County12.6-0.9 pts
15Franklin County12.1-2.5 pts
15Klickitat County12.1-1.9 pts
17Skamania County12-1 pts
18Columbia County11.9-0.7 pts
19Clallam County11.8+0.7 pts
20Douglas County11.7-1.4 pts
20Lincoln County11.7-2.8 pts
20Spokane County11.7-1.9 pts
23Pierce County11.6-1.2 pts
24Chelan County11.4-0.5 pts
24Garfield County11.4-1.7 pts
24Skagit County11.4+0.3 pts
27Kittitas County11.1-0.5 pts
27Walla Walla County11.1-0.8 pts
29Clark County11+0.6 pts
30Whatcom County10.80 pts
31Benton County10.4-1.3 pts
31Kitsap County10.4+1.1 pts
33Thurston County10.2-0.2 pts
34Snohomish County10.1-0.6 pts
34Whitman County10.1-1.2 pts
36Island County9.5-0.2 pts
36Jefferson County9.5-0.3 pts
38San Juan County8.9-1.7 pts
39King County7.2+0.1 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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties (Accessed: 12 October 2026).

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

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

Ferry County, with 16% in 2023, according to the Centers for Disease Control and Prevention.

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

King County, with 7.2% 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 Washington: more rankings