US Counties With the Highest Current Cigarette Smoking

2,956 US counties ranked by current cigarette smoking, from highest to lowest. First are Oglala Lakota County, SD (40.3%), Todd County, SD (37.9%) and Kusilvak Census Area, AK (36.9%). The middle one of the 2,956 has 16.1%.

What this measures

The estimated percentage of adults who smoke cigarettes every day or some days. It is adjusted so places with older or younger populations can be compared fairly. It is an estimate from a statistical model, not a direct count from a local survey. Source: CDC PLACES.

For most measures, a national ranking mostly sorts places by income and by how urban they are. Each county’s own page compares it with the 50 counties most like it instead, which is often the fairer view.

The 100 highest counties

More on current cigarette smoking

• US Counties With the Lowest Current Cigarette Smoking
• Current cigarette smoking by US county: map by year and what it goes with

A ranking describes places, not the people in them, and a high or low place does not by itself say why. All US rankings.