Data / Rankings / Adult cigarette smoking rate / US states

US states by adult smoking rate

West Virginia had the highest adult smoking rate of 51 states in 2022, at 21%. Utah had the lowest, at 6.7%. The median was 14%. Source: Centers for Disease Control and Prevention.

Highest21West Virginia
Lowest6.7Utah
Median1451 states

All states, 2022

CSVChart (SVG)

West VirginiaWest Virginia: 21 %21ArkansasArkansas: 18.7 %18.7TennesseeTennessee: 18.5 %18.5KentuckyKentucky: 17.4 %17.4MississippiMississippi: 17.4 %17.4OhioOhio: 17.1 %17.1MissouriMissouri: 16.8 %16.8LouisianaLouisiana: 16.7 %16.7IndianaIndiana: 16.2 %16.2AlaskaAlaska: 15.9 %15.9AlabamaAlabama: 15.6 %15.6OklahomaOklahoma: 15.6 %15.6WyomingWyoming: 15.5 %15.5South CarolinaSouth Carolina: 15.4 %15.4MichiganMichigan: 15.2 %15.2MontanaMontana: 15.2 %15.2North DakotaNorth Dakota: 15.1 %15.1MaineMaine: 15 %15New MexicoNew Mexico: 15 %15PennsylvaniaPennsylvania: 14.9 %14.9NevadaNevada: 14.8 %14.8IowaIowa: 14.7 %14.7KansasKansas: 14.5 %14.5North CarolinaNorth Carolina: 14.5 %14.5WisconsinWisconsin: 14.2 %14.2South DakotaSouth Dakota: 14 %14MinnesotaMinnesota: 13 %13NebraskaNebraska: 13 %13VermontVermont: 13 %13DelawareDelaware: 12.9 %12.9ArizonaArizona: 12.7 %12.7GeorgiaGeorgia: 12.5 %12.5IllinoisIllinois: 12.4 %12.4OregonOregon: 12.4 %12.4VirginiaVirginia: 12.1 %12.1IdahoIdaho: 11.9 %11.9Rhode IslandRhode Island: 11.8 %11.8TexasTexas: 11.8 %11.8FloridaFlorida: 11.3 %11.3New HampshireNew Hampshire: 11.2 %11.2New YorkNew York: 11.2 %11.2ColoradoColorado: 10.7 %10.7District of ColumbiaDistrict of Columbia: 10.6 %10.6MassachusettsMassachusetts: 10.4 %10.4New JerseyNew Jersey: 10.4 %10.4ConnecticutConnecticut: 10 %10HawaiiHawaii: 10 %10WashingtonWashington: 10 %10CaliforniaCalifornia: 9.7 %9.7MarylandMaryland: 9.6 %9.6UtahUtah: 6.7 %6.7
%. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStates2022 (%)Change on 2021
1West Virginia21-1 pts
2Arkansas18.7-2.4 pts
3Tennessee18.5-1.2 pts
4Kentucky17.4-2.2 pts
4Mississippi17.4-2.2 pts
6Ohio17.1-0.9 pts
7Missouri16.8-0.5 pts
8Louisiana16.7-2.8 pts
9Indiana16.2-1.1 pts
10Alaska15.9-1.2 pts
11Alabama15.6-1.6 pts
11Oklahoma15.6-1.3 pts
13Wyoming15.5-0.9 pts
14South Carolina15.4-0.1 pts
15Michigan15.2-1.8 pts
15Montana15.2+0.8 pts
17North Dakota15.1+0.1 pts
18Maine15-0.6 pts
18New Mexico15+1.6 pts
20Pennsylvania14.9+0.5 pts
21Nevada14.8-0.7 pts
22Iowa14.7+0.1 pts
23Kansas14.5-1.1 pts
23North Carolina14.5+0.1 pts
25Wisconsin14.2+0.9 pts
26South Dakota14-1.3 pts
27Minnesota13-0.4 pts
27Nebraska13-0.4 pts
27Vermont13-1.8 pts
30Delaware12.9-0.5 pts
31Arizona12.7-0.4 pts
32Georgia12.5-2.5 pts
33Illinois12.4+0.4 pts
33Oregon12.40 pts
35Virginia12.1-0.3 pts
36Idaho11.9-1.4 pts
37Rhode Island11.8-0.6 pts
37Texas11.8-1.3 pts
39Florida11.3n/a
40New Hampshire11.2-1.1 pts
40New York11.2-0.8 pts
42Colorado10.7-1.3 pts
43District of Columbia10.6+1.1 pts
44Massachusetts10.4-0.2 pts
44New Jersey10.4-0.3 pts
46Connecticut10-1.1 pts
46Hawaii10-0.1 pts
46Washington10-0.8 pts
49California9.7+0.9 pts
50Maryland9.6-0.5 pts
51Utah6.7-0.5 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. 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 21% in 2022, according to Centers for Disease Control and Prevention.

Which state has the lowest adult smoking rate?

Utah, with 6.7% 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, 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.

US states: more rankings