Smoking follows education, not geography

Across US counties, the share of adults who smoke falls steeply as the share with a college degree rises.

Counties with higher Bachelor’s Degree or Higher tend to have lower Adults Who Smoke.

Very strong link: a correlation of −0.75 across 2,916 counties.CorrelationHow closely two metrics move together, from −1 to +1. Near +1: both rise together. Near −1: one rises as the other falls. Near 0: no clear link.More in the glossary →

10.0%20.0%30.0%40.0%20.0%40.0%60.0%80.0%Bachelor’s Degree or Higher (% of Adults 25+)Adults Who Smoke (%)Oglala Lakota County, SDTodd County, SDSummit County, UTFalls Church city, VATooele County, UT
Each dot is one place. The dashed line is the trend; circled places are named in the text.

Smoking used to be common across every group. Today it is concentrated where fewer adults have a college degree, which this county-level view makes plain.

Each dot in the chart is one of 2,916 counties. The correlation between Bachelor’s Degree or Higher and Adults Who Smoke is -0.75, a very strong relationship: about 56% of the differences in Adults Who Smoke from place to place line up with Bachelor’s Degree or Higher. Ranked instead of measured, the link is -0.79.

The highest Adults Who Smoke is in Oglala Lakota County, SD (40.3%), Todd County, SD (37.9%) and Kusilvak Census Area, AK (36.9%); the lowest is in Summit County, UT (6.5%), Falls Church city, VA (6.7%) and Arlington County, VA (7%). The median place has 16.1% for Adults Who Smoke and 22.4% for Bachelor’s Degree or Higher.

The biggest exceptions sit furthest from the trend line. Oglala Lakota County, SD, Todd County, SD and Kusilvak Census Area, AK have a much higher Adults Who Smoke than their Bachelor’s Degree or Higher would predict, while Tooele County, UT, Beaver County, UT and Juab County, UT have a much lower one.

This is a comparison across places, not proof that one causes the other: both can follow from something else, such as income, age or how urban a place is. Bachelor’s Degree or Higher is from 2024 and Adults Who Smoke from 2023.

Highest Adults Who Smoke

PlaceAdults Who SmokeBachelor’s Degree or Higher
Oglala Lakota County, SD40.3%11.8%
Todd County, SD37.9%16.6%
Kusilvak Census Area, AK36.9%5.78%
Sioux County, ND33.6%16.3%
Buffalo County, SD32.1%9.91%

Lowest Adults Who Smoke

PlaceAdults Who SmokeBachelor’s Degree or Higher
Summit County, UT6.5%59.8%
Falls Church city, VA6.7%80.5%
Arlington County, VA7%77.1%
Utah County, UT7%44.4%
Los Alamos County, NM7.1%69.7%

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