Data / Rankings / Adult cigarette smoking rate / US states

US states by adult smoking rate, 2025

West Virginia had the highest adult smoking rate of 48 states in 2025, at 17.8%. Utah had the lowest, at 5.7%. The median was 10.6%. Source: Centers for Disease Control and Prevention.

Highest17.8West Virginia
Lowest5.7Utah
Median10.648 states

All states, 2025

CSVChart (SVG)

West VirginiaWest Virginia: 17.8 %17.8LouisianaLouisiana: 15.7 %15.7KentuckyKentucky: 15.2 %15.2TennesseeTennessee: 15 %15OhioOhio: 14.4 %14.4MissouriMissouri: 14.2 %14.2ArkansasArkansas: 14.2 %14.2South DakotaSouth Dakota: 13.7 %13.7AlaskaAlaska: 13.5 %13.5OklahomaOklahoma: 13.2 %13.2IndianaIndiana: 13.1 %13.1MaineMaine: 12.9 %12.9North DakotaNorth Dakota: 12.4 %12.4MontanaMontana: 12.2 %12.2WyomingWyoming: 12.1 %12.1AlabamaAlabama: 12 %12KansasKansas: 11.7 %11.7IowaIowa: 11.7 %11.7NebraskaNebraska: 11.3 %11.3South CarolinaSouth Carolina: 11.2 %11.2PennsylvaniaPennsylvania: 11 %11MichiganMichigan: 10.8 %10.8WisconsinWisconsin: 10.8 %10.8North CarolinaNorth Carolina: 10.7 %10.7New MexicoNew Mexico: 10.5 %10.5VirginiaVirginia: 10.1 %10.1OregonOregon: 10 %10GeorgiaGeorgia: 9.8 %9.8IllinoisIllinois: 9.7 %9.7VermontVermont: 9.6 %9.6District of ColumbiaDistrict of Columbia: 9.5 %9.5MinnesotaMinnesota: 9.4 %9.4DelawareDelaware: 9.4 %9.4TexasTexas: 9.2 %9.2New YorkNew York: 9.1 %9.1FloridaFlorida: 9 %9Rhode IslandRhode Island: 8.9 %8.9IdahoIdaho: 8.5 %8.5MarylandMaryland: 8.3 %8.3HawaiiHawaii: 8.3 %8.3MassachusettsMassachusetts: 8.2 %8.2ColoradoColorado: 8.2 %8.2New HampshireNew Hampshire: 8.2 %8.2WashingtonWashington: 8 %8ArizonaArizona: 7.7 %7.7ConnecticutConnecticut: 7.5 %7.5New JerseyNew Jersey: 7.1 %7.1UtahUtah: 5.7 %5.7
%. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStates2025 (%)Change on 2024
1West Virginia17.8-3 pts
2Louisiana15.7+0.6 pts
3Kentucky15.2-2 pts
4Tennessee15n/a
5Ohio14.4+0.3 pts
6Missouri14.2-0.5 pts
7Arkansas14.2-2.3 pts
8South Dakota13.7+0.2 pts
9Alaska13.5-1.2 pts
10Oklahoma13.2-0.9 pts
11Indiana13.1-0.8 pts
12Maine12.9-1.5 pts
13North Dakota12.4+0.1 pts
14Montana12.2-0.1 pts
15Wyoming12.1-0.6 pts
16Alabama12-2 pts
17Kansas11.7-2 pts
18Iowa11.7-1.2 pts
19Nebraska11.3-1 pts
20South Carolina11.2-1.3 pts
21Pennsylvania11-0.7 pts
22Michigan10.8-2.6 pts
23Wisconsin10.8-1.1 pts
24North Carolina10.7-0.8 pts
25New Mexico10.5-1.5 pts
26Virginia10.1-1 pts
27Oregon10-0.7 pts
28Georgia9.8-1.4 pts
29Illinois9.7-0.8 pts
30Vermont9.6-1 pts
31District of Columbia9.5+1 pts
32Minnesota9.4-0.8 pts
33Delaware9.4-0.7 pts
34Texas9.2-0.8 pts
35New York9.1-0.8 pts
36Florida9-1.7 pts
37Rhode Island8.9-1 pts
38Idaho8.5-1.1 pts
39Maryland8.3+0.5 pts
40Hawaii8.3+0.2 pts
41Massachusetts8.2-0.5 pts
42Colorado8.2-1.5 pts
43New Hampshire8.2-0.9 pts
44Washington8+0.1 pts
45Arizona7.7-2.5 pts
46Connecticut7.5-1.5 pts
47New Jersey7.1-1.5 pts
48Utah5.7-0 pts

Other periods

About this ranking

Percentage of adults aged 18 and over who currently smoke cigarettes: they have smoked at least 100 cigarettes in their lifetime and now smoke every day or on some days. Crude prevalence, not age-adjusted.

United States: CDC Behavioral Risk Factor Surveillance System (BRFSS), states and DC only. BRFSS publishes the median of the states rather than a national prevalence, so no national value is served. E-cigarettes and other tobacco products are not counted. The series starts in 2011, when BRFSS changed its methods.

Every value in the ranking comes from the same publisher and the same period, so the states are compared on one definition. 3 states with data in other periods have no value for 2025 and are left out rather than filled from another source. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), adults who are current smokers, crude prevalence, overall. https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid%3D%27_RFSMOK3%27+AND+responseid%3D%27RESP046%27+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27. Retrieved 2026-10-09.

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Questions

Which state has the highest adult smoking rate?

West Virginia, with 17.8% in 2025, according to Centers for Disease Control and Prevention.

Which state has the lowest adult smoking rate?

Utah, with 5.7% in 2025.

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, Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), adults who are current smokers, crude prevalence, overall. Retrieved 2026-10-09. 3 states have no value for 2025 and are not ranked.

US states: more rankings