Data / Rankings / Adult cigarette smoking rate / US states

US states by adult smoking rate

West Virginia had the highest adult smoking rate of 50 states in 2024, at 20.8%. Utah had the lowest, at 5.7%. The median was 11.6%. Source: Centers for Disease Control and Prevention.

Highest20.8West Virginia
Lowest5.7Utah
Median11.650 states

All states, 2024

CSVChart (SVG)

West VirginiaWest Virginia: 20.8 %20.8KentuckyKentucky: 17.2 %17.2ArkansasArkansas: 16.5 %16.5LouisianaLouisiana: 15 %15AlaskaAlaska: 14.7 %14.7MissouriMissouri: 14.7 %14.7MaineMaine: 14.4 %14.4OhioOhio: 14.1 %14.1OklahomaOklahoma: 14.1 %14.1AlabamaAlabama: 14 %14IndianaIndiana: 13.9 %13.9MississippiMississippi: 13.8 %13.8KansasKansas: 13.7 %13.7South DakotaSouth Dakota: 13.5 %13.5MichiganMichigan: 13.4 %13.4IowaIowa: 12.9 %12.9WyomingWyoming: 12.7 %12.7South CarolinaSouth Carolina: 12.6 %12.6North DakotaNorth Dakota: 12.4 %12.4MontanaMontana: 12.2 %12.2NebraskaNebraska: 12.2 %12.2New MexicoNew Mexico: 12 %12WisconsinWisconsin: 11.9 %11.9NevadaNevada: 11.9 %11.9PennsylvaniaPennsylvania: 11.7 %11.7North CarolinaNorth Carolina: 11.5 %11.5GeorgiaGeorgia: 11.2 %11.2VirginiaVirginia: 11.1 %11.1FloridaFlorida: 10.6 %10.6OregonOregon: 10.6 %10.6VermontVermont: 10.5 %10.5IllinoisIllinois: 10.5 %10.5MinnesotaMinnesota: 10.2 %10.2ArizonaArizona: 10.2 %10.2DelawareDelaware: 10.1 %10.1TexasTexas: 10 %10New YorkNew York: 9.9 %9.9Rhode IslandRhode Island: 9.9 %9.9ColoradoColorado: 9.7 %9.7IdahoIdaho: 9.6 %9.6New HampshireNew Hampshire: 9.1 %9.1ConnecticutConnecticut: 9 %9MassachusettsMassachusetts: 8.8 %8.8New JerseyNew Jersey: 8.6 %8.6District of ColumbiaDistrict of Columbia: 8.5 %8.5HawaiiHawaii: 8.1 %8.1WashingtonWashington: 7.9 %7.9MarylandMaryland: 7.8 %7.8CaliforniaCalifornia: 7.6 %7.6UtahUtah: 5.7 %5.7
%. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStates2024 (%)Change on 2023
1West Virginia20.8+0.4 pts
2Kentucky17.2n/a
3Arkansas16.5+1.5 pts
4Louisiana15-0.7 pts
5Alaska14.7-0.6 pts
6Missouri14.7-0.6 pts
7Maine14.4+0.4 pts
8Ohio14.1-0.9 pts
9Oklahoma14.1-1.8 pts
10Alabama14-0.2 pts
11Indiana13.9-0.5 pts
12Mississippi13.8-1.8 pts
13Kansas13.7-0.2 pts
14South Dakota13.5-1.7 pts
15Michigan13.4-0.2 pts
16Iowa12.9-0.8 pts
17Wyoming12.7-1.3 pts
18South Carolina12.6+0.5 pts
19North Dakota12.4-1.1 pts
20Montana12.2-0.2 pts
21Nebraska12.2+0.1 pts
22New Mexico12-0.2 pts
23Wisconsin11.9-0.1 pts
24Nevada11.9-2.3 pts
25Pennsylvania11.7n/a
26North Carolina11.5-1.7 pts
27Georgia11.2-0.8 pts
28Virginia11.1+0.2 pts
29Florida10.6+0.1 pts
30Oregon10.60 pts
31Vermont10.5-0.8 pts
32Illinois10.5-0.3 pts
33Minnesota10.2-2 pts
34Arizona10.2+0.2 pts
35Delaware10.1-1.3 pts
36Texas10-1.3 pts
37New York9.9+0.6 pts
38Rhode Island9.9+0.4 pts
39Colorado9.7-0.5 pts
40Idaho9.6-0.8 pts
41New Hampshire9.1-1.3 pts
42Connecticut9+0.6 pts
43Massachusetts8.8-1 pts
44New Jersey8.6-0.5 pts
45District of Columbia8.5-1.3 pts
46Hawaii8.1-0.9 pts
47Washington7.9-1.1 pts
48Maryland7.8-1.3 pts
49California7.6-0.9 pts
50Utah5.7-0.2 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. 1 states with data in other periods have no value for 2024 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 20.8% in 2024, according to Centers for Disease Control and Prevention.

Which state has the lowest adult smoking rate?

Utah, with 5.7% in 2024.

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. 1 states have no value for 2024 and are not ranked.

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