The County with the Lowest Smoking Rate in Every State


To determine the county with the fewest smоkers in every state, 24/7 Tempo reviewed the share of adults that are current smоkers from the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute joint program’s 2021 County Health Rankings & Roadmaps report. While the CHR report is from 2021, adult smоking rates are from 2018.

Of the 3,220 counties or county equivalents, 3,141 had boundaries that fell within one of the 50 states, while the rest were in the District of Columbia or Puerto Rico. Counties with a 2019 five-year population estimate from the U.S. Census Bureau of less than 1,000 were excluded.

The remaining 3,105 places were ranked within their state based on the adult smоking rate. Additional information on the share of adults reporting poor or fair health, the number of deaths among residents under age 75 per 100,000 (premature death rate), and life expectancy are also from the 2021 CHR.