Special Report

American Counties With the Lowest Smoking Rates


To determine the counties with the fewest smokers, 24/7 Wall St. reviewed the share of adults that are current smokers 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, 3,142 had boundaries that fell within one of the 50 states or the District of Columbia. Counties with a 2019 five-year population estimate from the U.S. Census Bureau of less than 1,000 were excluded.

The remaining 3,106 places were ranked 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, and life expectancy are also from the 2021 CHR.

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