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

McDowell County had the highest adult cigarette smoking rate, local model estimate of 55 counties in 2022, at 27.4%. Ohio County had the lowest, at 15.1%. The median was 21.6%. Source: the Centers for Disease Control and Prevention.

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Highest27.4McDowell County
Lowest15.1Ohio County
Median21.655 counties

Map of counties, 2022

Barbour County: 22.9 %Berkeley County: 16.9 %Boone County: 23.8 %Braxton County: 22.8 %Brooke County: 18.7 %Cabell County: 20.2 %Calhoun County: 25.5 %Clay County: 25 %Doddridge County: 22 %Fayette County: 24.5 %Gilmer County: 19.1 %Grant County: 22.5 %Greenbrier County: 20.3 %Hampshire County: 23.7 %Hancock County: 20.8 %Hardy County: 23.3 %Harrison County: 19.5 %Jackson County: 20 %Jefferson County: 15.3 %Kanawha County: 19.9 %Lewis County: 21.7 %Lincoln County: 26.5 %Logan County: 24.7 %McDowell County: 27.4 %Marion County: 18.9 %Marshall County: 20 %Mason County: 21.6 %Mercer County: 19.1 %Mineral County: 19.5 %Mingo County: 26.4 %Monongalia County: 15.1 %Monroe County: 20.9 %Morgan County: 17.7 %Nicholas County: 21.2 %Ohio County: 15.1 %Pendleton County: 20.2 %Pleasants County: 21.4 %Pocahontas County: 24.8 %Preston County: 22.8 %Putnam County: 15.8 %Raleigh County: 21.1 %Randolph County: 20.1 %Ritchie County: 26.5 %Roane County: 24.9 %Summers County: 22.6 %Taylor County: 23.6 %Tucker County: 17.4 %Tyler County: 21.6 %Upshur County: 23.9 %Wayne County: 22.7 %Webster County: 23.4 %Wetzel County: 21.3 %Wirt County: 25.6 %Wood County: 20.6 %Wyoming County: 27.2 %
  • Under 19
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  • 25 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

McDowell County: 27.4 %McDowell County27.4Wyoming County: 27.2 %Wyoming County27.2Lincoln County: 26.5 %Lincoln County26.5Ritchie County: 26.5 %Ritchie County26.5Mingo County: 26.4 %Mingo County26.4Wirt County: 25.6 %Wirt County25.6Calhoun County: 25.5 %Calhoun County25.5Clay County: 25 %Clay County25Roane County: 24.9 %Roane County24.9Pocahontas County: 24.8 %Pocahontas County24.8Logan County: 24.7 %Logan County24.7Fayette County: 24.5 %Fayette County24.5Upshur County: 23.9 %Upshur County23.9Boone County: 23.8 %Boone County23.8Hampshire County: 23.7 %Hampshire County23.7Taylor County: 23.6 %Taylor County23.6Webster County: 23.4 %Webster County23.4Hardy County: 23.3 %Hardy County23.3Barbour County: 22.9 %Barbour County22.9Braxton County: 22.8 %Braxton County22.8Preston County: 22.8 %Preston County22.8Wayne County: 22.7 %Wayne County22.7Summers County: 22.6 %Summers County22.6Grant County: 22.5 %Grant County22.5Doddridge County: 22 %Doddridge County22Lewis County: 21.7 %Lewis County21.7Mason County: 21.6 %Mason County21.6Tyler County: 21.6 %Tyler County21.6Pleasants County: 21.4 %Pleasants County21.4Wetzel County: 21.3 %Wetzel County21.3Nicholas County: 21.2 %Nicholas County21.2Raleigh County: 21.1 %Raleigh County21.1Monroe County: 20.9 %Monroe County20.9Hancock County: 20.8 %Hancock County20.8Wood County: 20.6 %Wood County20.6Greenbrier County: 20.3 %Greenbrier County20.3Cabell County: 20.2 %Cabell County20.2Pendleton County: 20.2 %Pendleton County20.2Randolph County: 20.1 %Randolph County20.1Jackson County: 20 %Jackson County20Marshall County: 20 %Marshall County20Kanawha County: 19.9 %Kanawha County19.9Harrison County: 19.5 %Harrison County19.5Mineral County: 19.5 %Mineral County19.5Gilmer County: 19.1 %Gilmer County19.1Mercer County: 19.1 %Mercer County19.1Marion County: 18.9 %Marion County18.9Brooke County: 18.7 %Brooke County18.7Morgan County: 17.7 %Morgan County17.7Tucker County: 17.4 %Tucker County17.4Berkeley County: 16.9 %Berkeley County16.9Putnam County: 15.8 %Putnam County15.8Jefferson County: 15.3 %Jefferson County15.3Monongalia County: 15.1 %Monongalia County15.1Ohio County: 15.1 %Ohio County15.1McDowell County: 27.4 %McDowell County27.4Wyoming County: 27.2 %Wyoming County27.2Lincoln County: 26.5 %Lincoln County26.5Ritchie County: 26.5 %Ritchie County26.5Mingo County: 26.4 %Mingo County26.4Wirt County: 25.6 %Wirt County25.6Calhoun County: 25.5 %Calhoun County25.5Clay County: 25 %Clay County25Roane County: 24.9 %Roane County24.9Pocahontas County: 24.8 %Pocahontas County24.8Logan County: 24.7 %Logan County24.7Fayette County: 24.5 %Fayette County24.5Upshur County: 23.9 %Upshur County23.9Boone County: 23.8 %Boone County23.8Hampshire County: 23.7 %Hampshire County23.7Taylor County: 23.6 %Taylor County23.6Webster County: 23.4 %Webster County23.4Hardy County: 23.3 %Hardy County23.3Barbour County: 22.9 %Barbour County22.9Braxton County: 22.8 %Braxton County22.8Preston County: 22.8 %Preston County22.8Wayne County: 22.7 %Wayne County22.7Summers County: 22.6 %Summers County22.6Grant County: 22.5 %Grant County22.5Doddridge County: 22 %Doddridge County22Lewis County: 21.7 %Lewis County21.7Mason County: 21.6 %Mason County21.6Tyler County: 21.6 %Tyler County21.6Pleasants County: 21.4 %Pleasants County21.4Wetzel County: 21.3 %Wetzel County21.3Nicholas County: 21.2 %Nicholas County21.2Raleigh County: 21.1 %Raleigh County21.1Monroe County: 20.9 %Monroe County20.9Hancock County: 20.8 %Hancock County20.8Wood County: 20.6 %Wood County20.6Greenbrier County: 20.3 %Greenbrier County20.3Cabell County: 20.2 %Cabell County20.2Pendleton County: 20.2 %Pendleton County20.2Randolph County: 20.1 %Randolph County20.1Jackson County: 20 %Jackson County20Marshall County: 20 %Marshall County20Kanawha County: 19.9 %Kanawha County19.9Harrison County: 19.5 %Harrison County19.5Mineral County: 19.5 %Mineral County19.5Gilmer County: 19.1 %Gilmer County19.1Mercer County: 19.1 %Mercer County19.1Marion County: 18.9 %Marion County18.9Brooke County: 18.7 %Brooke County18.7Morgan County: 17.7 %Morgan County17.7Tucker County: 17.4 %Tucker County17.4Berkeley County: 16.9 %Berkeley County16.9Putnam County: 15.8 %Putnam County15.8Jefferson County: 15.3 %Jefferson County15.3Monongalia County: 15.1 %Monongalia County15.1Ohio County: 15.1 %Ohio County15.1
%. 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
1McDowell County27.4-2.6 pts
2Wyoming County27.2+1.2 pts
3Lincoln County26.5+0.2 pts
3Ritchie County26.5+2.5 pts
5Mingo County26.4-1.3 pts
6Wirt County25.6+2 pts
7Calhoun County25.5-0.8 pts
8Clay County25-0.7 pts
9Roane County24.9-0.4 pts
10Pocahontas County24.8+0.8 pts
11Logan County24.7-1 pts
12Fayette County24.5+0.6 pts
13Upshur County23.9+1.6 pts
14Boone County23.8-0.1 pts
15Hampshire County23.7+1.3 pts
16Taylor County23.6+2.4 pts
17Webster County23.4-1.9 pts
18Hardy County23.3+1.1 pts
19Barbour County22.90 pts
20Braxton County22.8-2.7 pts
20Preston County22.8+1.2 pts
22Wayne County22.7-0.7 pts
23Summers County22.6-0.2 pts
24Grant County22.5+1.3 pts
25Doddridge County22-0.6 pts
26Lewis County21.7-0.6 pts
27Mason County21.6-1.2 pts
27Tyler County21.6+1.5 pts
29Pleasants County21.4+0.9 pts
30Wetzel County21.3-0.7 pts
31Nicholas County21.2-0.2 pts
32Raleigh County21.1-2.1 pts
33Monroe County20.9-0.7 pts
34Hancock County20.8+1.3 pts
35Wood County20.6+0.6 pts
36Greenbrier County20.3-1.3 pts
37Cabell County20.2+0.5 pts
37Pendleton County20.2-0.4 pts
39Randolph County20.1-0.8 pts
40Jackson County20-2.8 pts
40Marshall County20-0.2 pts
42Kanawha County19.9+0.3 pts
43Harrison County19.5-1.8 pts
43Mineral County19.5+0.9 pts
45Gilmer County19.1-1.2 pts
45Mercer County19.1-1.2 pts
47Marion County18.9-0.7 pts
48Brooke County18.70 pts
49Morgan County17.7-2.2 pts
50Tucker County17.4-1.9 pts
51Berkeley County16.9-2.8 pts
52Putnam County15.8-2.6 pts
53Jefferson County15.3-1.8 pts
54Monongalia County15.1+0.3 pts
54Ohio County15.1-2.8 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, 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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_west_virginia_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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/west-virginia-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 West Virginia 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":"West Virginia","limit":10}
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Questions

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

McDowell County, with 27.4% in 2022, according to the Centers for Disease Control and Prevention.

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

Ohio County, with 15.1% 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 West Virginia: more rankings