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

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

Ferry County had the highest adult cigarette smoking rate, local model estimate of 39 counties in 2022, at 16.8%. King County had the lowest, at 7.1%. The median was 13%. Source: the Centers for Disease Control and Prevention.

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Highest16.8Ferry County
Lowest7.1King County
Median1339 counties

Map of counties, 2022

Adams County: 14.2 %Asotin County: 14.6 %Benton County: 11.7 %Chelan County: 11.9 %Clallam County: 11.1 %Clark County: 10.4 %Columbia County: 12.6 %Cowlitz County: 14.7 %Douglas County: 13.1 %Ferry County: 16.8 %Franklin County: 14.6 %Garfield County: 13.1 %Grant County: 13.5 %Grays Harbor County: 15 %Island County: 9.7 %Jefferson County: 9.8 %King County: 7.1 %Kitsap County: 9.3 %Kittitas County: 11.6 %Klickitat County: 14 %Lewis County: 15.5 %Lincoln County: 14.5 %Mason County: 13.6 %Okanogan County: 16.3 %Pacific County: 13.6 %Pend Oreille County: 13.7 %Pierce County: 12.8 %San Juan County: 10.6 %Skagit County: 11.1 %Skamania County: 13 %Snohomish County: 10.7 %Spokane County: 13.6 %Stevens County: 14.3 %Thurston County: 10.4 %Wahkiakum County: 12.4 %Walla Walla County: 11.9 %Whatcom County: 10.8 %Whitman County: 11.3 %Yakima County: 15 %
  • Under 11
  • 11 to 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 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.

All counties, 2022

Ferry County: 16.8 %Ferry County16.8Okanogan County: 16.3 %Okanogan County16.3Lewis County: 15.5 %Lewis County15.5Grays Harbor County: 15 %Grays Harbor County15Yakima County: 15 %Yakima County15Cowlitz County: 14.7 %Cowlitz County14.7Asotin County: 14.6 %Asotin County14.6Franklin County: 14.6 %Franklin County14.6Lincoln County: 14.5 %Lincoln County14.5Stevens County: 14.3 %Stevens County14.3Adams County: 14.2 %Adams County14.2Klickitat County: 14 %Klickitat County14Pend Oreille County: 13.7 %Pend Oreille County13.7Mason County: 13.6 %Mason County13.6Pacific County: 13.6 %Pacific County13.6Spokane County: 13.6 %Spokane County13.6Grant County: 13.5 %Grant County13.5Douglas County: 13.1 %Douglas County13.1Garfield County: 13.1 %Garfield County13.1Skamania County: 13 %Skamania County13Pierce County: 12.8 %Pierce County12.8Columbia County: 12.6 %Columbia County12.6Wahkiakum County: 12.4 %Wahkiakum County12.4Chelan County: 11.9 %Chelan County11.9Walla Walla County: 11.9 %Walla Walla County11.9Benton County: 11.7 %Benton County11.7Kittitas County: 11.6 %Kittitas County11.6Whitman County: 11.3 %Whitman County11.3Clallam County: 11.1 %Clallam County11.1Skagit County: 11.1 %Skagit County11.1Whatcom County: 10.8 %Whatcom County10.8Snohomish County: 10.7 %Snohomish County10.7San Juan County: 10.6 %San Juan County10.6Clark County: 10.4 %Clark County10.4Thurston County: 10.4 %Thurston County10.4Jefferson County: 9.8 %Jefferson County9.8Island County: 9.7 %Island County9.7Kitsap County: 9.3 %Kitsap County9.3King County: 7.1 %King County7.1Ferry County: 16.8 %Ferry County16.8Okanogan County: 16.3 %Okanogan County16.3Lewis County: 15.5 %Lewis County15.5Grays Harbor County: 15 %Grays Harbor County15Yakima County: 15 %Yakima County15Cowlitz County: 14.7 %Cowlitz County14.7Asotin County: 14.6 %Asotin County14.6Franklin County: 14.6 %Franklin County14.6Lincoln County: 14.5 %Lincoln County14.5Stevens County: 14.3 %Stevens County14.3Adams County: 14.2 %Adams County14.2Klickitat County: 14 %Klickitat County14Pend Oreille County: 13.7 %Pend Oreille County13.7Mason County: 13.6 %Mason County13.6Pacific County: 13.6 %Pacific County13.6Spokane County: 13.6 %Spokane County13.6Grant County: 13.5 %Grant County13.5Douglas County: 13.1 %Douglas County13.1Garfield County: 13.1 %Garfield County13.1Skamania County: 13 %Skamania County13Pierce County: 12.8 %Pierce County12.8Columbia County: 12.6 %Columbia County12.6Wahkiakum County: 12.4 %Wahkiakum County12.4Chelan County: 11.9 %Chelan County11.9Walla Walla County: 11.9 %Walla Walla County11.9Benton County: 11.7 %Benton County11.7Kittitas County: 11.6 %Kittitas County11.6Whitman County: 11.3 %Whitman County11.3Clallam County: 11.1 %Clallam County11.1Skagit County: 11.1 %Skagit County11.1Whatcom County: 10.8 %Whatcom County10.8Snohomish County: 10.7 %Snohomish County10.7San Juan County: 10.6 %San Juan County10.6Clark County: 10.4 %Clark County10.4Thurston County: 10.4 %Thurston County10.4Jefferson County: 9.8 %Jefferson County9.8Island County: 9.7 %Island County9.7Kitsap County: 9.3 %Kitsap County9.3King County: 7.1 %King County7.1
%. 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
1Ferry County16.8-1.3 pts
2Okanogan County16.3-0.7 pts
3Lewis County15.5-1.6 pts
4Grays Harbor County15-2.5 pts
4Yakima County15-0.6 pts
6Cowlitz County14.7-1.9 pts
7Asotin County14.6-0.7 pts
7Franklin County14.6-0.6 pts
9Lincoln County14.5+0.4 pts
10Stevens County14.3-1.4 pts
11Adams County14.2-1.8 pts
12Klickitat County14-0.8 pts
13Pend Oreille County13.7-1.8 pts
14Mason County13.6-2.7 pts
14Pacific County13.6-0.8 pts
14Spokane County13.6-0.3 pts
17Grant County13.5-2.1 pts
18Douglas County13.1-1.3 pts
18Garfield County13.1-0.5 pts
20Skamania County13-2.4 pts
21Pierce County12.8-1.4 pts
22Columbia County12.6-0.6 pts
23Wahkiakum County12.4-1.9 pts
24Chelan County11.9-1.8 pts
24Walla Walla County11.9-1.1 pts
26Benton County11.7-1.3 pts
27Kittitas County11.6-1.6 pts
28Whitman County11.3+0.1 pts
29Clallam County11.1-2.1 pts
29Skagit County11.1-2.1 pts
31Whatcom County10.8-2.2 pts
32Snohomish County10.7-1.1 pts
33San Juan County10.6-0.1 pts
34Clark County10.4-2.5 pts
34Thurston County10.4-1.8 pts
36Jefferson County9.8-1.6 pts
37Island County9.7-2.3 pts
38Kitsap County9.3-3.2 pts
39King County7.1-2.1 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, 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_washington_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 Washington 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/washington-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 Washington 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/washington-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/washington-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 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 16.8% in 2022, according to the Centers for Disease Control and Prevention.

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

King County, with 7.1% 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 Washington: more rankings