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

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

McDowell County had the highest adult cigarette smoking rate, local model estimate of 55 counties in 2023, at 28.7%. Monongalia County had the lowest, at 13.9%. The median was 20.6%. Source: the Centers for Disease Control and Prevention.

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Highest28.7McDowell County
Lowest13.9Monongalia County
Median20.655 counties

Map of counties, 2023

Barbour County: 21.4 %Berkeley County: 17.4 %Boone County: 21.9 %Braxton County: 24.1 %Brooke County: 16.9 %Cabell County: 17.8 %Calhoun County: 26.2 %Clay County: 24.3 %Doddridge County: 21.5 %Fayette County: 21.7 %Gilmer County: 20.7 %Grant County: 19.2 %Greenbrier County: 20.8 %Hampshire County: 20.3 %Hancock County: 18.6 %Hardy County: 21.6 %Harrison County: 18.8 %Jackson County: 19.7 %Jefferson County: 15.1 %Kanawha County: 18.9 %Lewis County: 21.2 %Lincoln County: 24.6 %Logan County: 24 %McDowell County: 28.7 %Marion County: 17.7 %Marshall County: 20.4 %Mason County: 21.9 %Mercer County: 21.1 %Mineral County: 17.5 %Mingo County: 27.6 %Monongalia County: 13.9 %Monroe County: 20.5 %Morgan County: 19.4 %Nicholas County: 20.7 %Ohio County: 16.3 %Pendleton County: 19.3 %Pleasants County: 19.7 %Pocahontas County: 22.2 %Preston County: 20.6 %Putnam County: 16.3 %Raleigh County: 20.5 %Randolph County: 20 %Ritchie County: 23.3 %Roane County: 23.9 %Summers County: 22.6 %Taylor County: 20.5 %Tucker County: 18.5 %Tyler County: 20.2 %Upshur County: 20.9 %Wayne County: 21.5 %Webster County: 24.2 %Wetzel County: 20.6 %Wirt County: 21.4 %Wood County: 18.9 %Wyoming County: 24.6 %
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%, 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

McDowell County: 28.7 %McDowell County28.7Mingo County: 27.6 %Mingo County27.6Calhoun County: 26.2 %Calhoun County26.2Lincoln County: 24.6 %Lincoln County24.6Wyoming County: 24.6 %Wyoming County24.6Clay County: 24.3 %Clay County24.3Webster County: 24.2 %Webster County24.2Braxton County: 24.1 %Braxton County24.1Logan County: 24 %Logan County24Roane County: 23.9 %Roane County23.9Ritchie County: 23.3 %Ritchie County23.3Summers County: 22.6 %Summers County22.6Pocahontas County: 22.2 %Pocahontas County22.2Boone County: 21.9 %Boone County21.9Mason County: 21.9 %Mason County21.9Fayette County: 21.7 %Fayette County21.7Hardy County: 21.6 %Hardy County21.6Doddridge County: 21.5 %Doddridge County21.5Wayne County: 21.5 %Wayne County21.5Barbour County: 21.4 %Barbour County21.4Wirt County: 21.4 %Wirt County21.4Lewis County: 21.2 %Lewis County21.2Mercer County: 21.1 %Mercer County21.1Upshur County: 20.9 %Upshur County20.9Greenbrier County: 20.8 %Greenbrier County20.8Gilmer County: 20.7 %Gilmer County20.7Nicholas County: 20.7 %Nicholas County20.7Preston County: 20.6 %Preston County20.6Wetzel County: 20.6 %Wetzel County20.6Monroe County: 20.5 %Monroe County20.5Raleigh County: 20.5 %Raleigh County20.5Taylor County: 20.5 %Taylor County20.5Marshall County: 20.4 %Marshall County20.4Hampshire County: 20.3 %Hampshire County20.3Tyler County: 20.2 %Tyler County20.2Randolph County: 20 %Randolph County20Jackson County: 19.7 %Jackson County19.7Pleasants County: 19.7 %Pleasants County19.7Morgan County: 19.4 %Morgan County19.4Pendleton County: 19.3 %Pendleton County19.3Grant County: 19.2 %Grant County19.2Kanawha County: 18.9 %Kanawha County18.9Wood County: 18.9 %Wood County18.9Harrison County: 18.8 %Harrison County18.8Hancock County: 18.6 %Hancock County18.6Tucker County: 18.5 %Tucker County18.5Cabell County: 17.8 %Cabell County17.8Marion County: 17.7 %Marion County17.7Mineral County: 17.5 %Mineral County17.5Berkeley County: 17.4 %Berkeley County17.4Brooke County: 16.9 %Brooke County16.9Ohio County: 16.3 %Ohio County16.3Putnam County: 16.3 %Putnam County16.3Jefferson County: 15.1 %Jefferson County15.1Monongalia County: 13.9 %Monongalia County13.9McDowell County: 28.7 %McDowell County28.7Mingo County: 27.6 %Mingo County27.6Calhoun County: 26.2 %Calhoun County26.2Lincoln County: 24.6 %Lincoln County24.6Wyoming County: 24.6 %Wyoming County24.6Clay County: 24.3 %Clay County24.3Webster County: 24.2 %Webster County24.2Braxton County: 24.1 %Braxton County24.1Logan County: 24 %Logan County24Roane County: 23.9 %Roane County23.9Ritchie County: 23.3 %Ritchie County23.3Summers County: 22.6 %Summers County22.6Pocahontas County: 22.2 %Pocahontas County22.2Boone County: 21.9 %Boone County21.9Mason County: 21.9 %Mason County21.9Fayette County: 21.7 %Fayette County21.7Hardy County: 21.6 %Hardy County21.6Doddridge County: 21.5 %Doddridge County21.5Wayne County: 21.5 %Wayne County21.5Barbour County: 21.4 %Barbour County21.4Wirt County: 21.4 %Wirt County21.4Lewis County: 21.2 %Lewis County21.2Mercer County: 21.1 %Mercer County21.1Upshur County: 20.9 %Upshur County20.9Greenbrier County: 20.8 %Greenbrier County20.8Gilmer County: 20.7 %Gilmer County20.7Nicholas County: 20.7 %Nicholas County20.7Preston County: 20.6 %Preston County20.6Wetzel County: 20.6 %Wetzel County20.6Monroe County: 20.5 %Monroe County20.5Raleigh County: 20.5 %Raleigh County20.5Taylor County: 20.5 %Taylor County20.5Marshall County: 20.4 %Marshall County20.4Hampshire County: 20.3 %Hampshire County20.3Tyler County: 20.2 %Tyler County20.2Randolph County: 20 %Randolph County20Jackson County: 19.7 %Jackson County19.7Pleasants County: 19.7 %Pleasants County19.7Morgan County: 19.4 %Morgan County19.4Pendleton County: 19.3 %Pendleton County19.3Grant County: 19.2 %Grant County19.2Kanawha County: 18.9 %Kanawha County18.9Wood County: 18.9 %Wood County18.9Harrison County: 18.8 %Harrison County18.8Hancock County: 18.6 %Hancock County18.6Tucker County: 18.5 %Tucker County18.5Cabell County: 17.8 %Cabell County17.8Marion County: 17.7 %Marion County17.7Mineral County: 17.5 %Mineral County17.5Berkeley County: 17.4 %Berkeley County17.4Brooke County: 16.9 %Brooke County16.9Ohio County: 16.3 %Ohio County16.3Putnam County: 16.3 %Putnam County16.3Jefferson County: 15.1 %Jefferson County15.1Monongalia County: 13.9 %Monongalia County13.9
%. 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
1McDowell County28.7+1.3 pts
2Mingo County27.6+1.2 pts
3Calhoun County26.2+0.7 pts
4Lincoln County24.6-1.9 pts
4Wyoming County24.6-2.6 pts
6Clay County24.3-0.7 pts
7Webster County24.2+0.8 pts
8Braxton County24.1+1.3 pts
9Logan County24-0.7 pts
10Roane County23.9-1 pts
11Ritchie County23.3-3.2 pts
12Summers County22.60 pts
13Pocahontas County22.2-2.6 pts
14Boone County21.9-1.9 pts
14Mason County21.9+0.3 pts
16Fayette County21.7-2.8 pts
17Hardy County21.6-1.7 pts
18Doddridge County21.5-0.5 pts
18Wayne County21.5-1.2 pts
20Barbour County21.4-1.5 pts
20Wirt County21.4-4.2 pts
22Lewis County21.2-0.5 pts
23Mercer County21.1+2 pts
24Upshur County20.9-3 pts
25Greenbrier County20.8+0.5 pts
26Gilmer County20.7+1.6 pts
26Nicholas County20.7-0.5 pts
28Preston County20.6-2.2 pts
28Wetzel County20.6-0.7 pts
30Monroe County20.5-0.4 pts
30Raleigh County20.5-0.6 pts
30Taylor County20.5-3.1 pts
33Marshall County20.4+0.4 pts
34Hampshire County20.3-3.4 pts
35Tyler County20.2-1.4 pts
36Randolph County20-0.1 pts
37Jackson County19.7-0.3 pts
37Pleasants County19.7-1.7 pts
39Morgan County19.4+1.7 pts
40Pendleton County19.3-0.9 pts
41Grant County19.2-3.3 pts
42Kanawha County18.9-1 pts
42Wood County18.9-1.7 pts
44Harrison County18.8-0.7 pts
45Hancock County18.6-2.2 pts
46Tucker County18.5+1.1 pts
47Cabell County17.8-2.4 pts
48Marion County17.7-1.2 pts
49Mineral County17.5-2 pts
50Berkeley County17.4+0.5 pts
51Brooke County16.9-1.8 pts
52Ohio County16.3+1.2 pts
52Putnam County16.3+0.5 pts
54Jefferson County15.1-0.2 pts
55Monongalia County13.9-1.2 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 West Virginia 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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_west_virginia_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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/west-virginia-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 West Virginia by adult cigarette smoking rate, local model estimate using official data, and cite the source.
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Questions

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

McDowell County, with 28.7% in 2023, according to the Centers for Disease Control and Prevention.

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

Monongalia County, with 13.9% 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 West Virginia: more rankings