Cities in California by adult cigarette smoking rate, local model estimate, 2023

Clearlake, CA had the highest adult cigarette smoking rate, local model estimate of 376 cities in 2023, at 20.9%. San Marino, CA had the lowest, at 5%. The median was 10.9%. Source: the Centers for Disease Control and Prevention.

Highest20.9Clearlake, CA

Lowest5San Marino, CA

Median10.9376 cities

Top 40 cities, 2023

%. Source: CDC, PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult cigarette smoking rate, crude prevalence. Retrieved 2026-10-12.

Full ranking

Rank	Cities	2023 (%)	Change on 2022
1	Clearlake, CA	20.9	-0.1 pts
1	Corcoran, CA	20.9	-1.6 pts
3	Avenal, CA	20.7	+1 pts
4	Mendota, CA	18.9	-2.5 pts
5	Blythe, CA	18.8	0 pts
6	Chowchilla, CA	18.7	+1.3 pts
6	Oroville, CA	18.7	+0.5 pts
8	California City, CA	18.4	+0.3 pts
9	Arvin, CA	17.8	-0.7 pts
10	McFarland, CA	17.3	-1.4 pts
10	Shasta Lake, CA	17.3	-1.5 pts
12	Red Bluff, CA	17	-0.6 pts
13	Susanville, CA	16.9	-1.1 pts
14	Coalinga, CA	16.7	-1.9 pts
14	Farmersville, CA	16.7	+0.5 pts
16	King City, CA	16.6	-0.5 pts
17	Marysville, CA	16.5	-0.1 pts
18	Barstow, CA	16.4	-0.3 pts
19	Anderson, CA	16.3	-2.3 pts
19	Cudahy, CA	16.3	-1.1 pts
19	Delano, CA	16.3	-1.3 pts
22	Madera, CA	16.2	-0.7 pts
23	Adelanto, CA	16.1	-0.5 pts
23	Bell Gardens, CA	16.1	-1.1 pts
23	Eureka, CA	16.1	-0.3 pts
23	Lindsay, CA	16.1	-2.1 pts
23	Parlier, CA	16.1	-0.2 pts
23	Soledad, CA	16.1	-2.1 pts
29	Wasco, CA	15.7	-1.4 pts
30	South El Monte, CA	15.5	-0.1 pts
31	Victorville, CA	15.4	-0.7 pts
31	Yucca Valley, CA	15.4	-0.9 pts
33	El Cajon, CA	15.3	-0.6 pts
33	Kerman, CA	15.3	-1.7 pts
35	Hesperia, CA	15.2	+0.1 pts
35	Shafter, CA	15.2	-0.9 pts
35	Tehachapi, CA	15.2	-0.4 pts
38	San Bernardino, CA	15.1	-0.4 pts
39	Desert Hot Springs, CA	14.9	-0.5 pts
40	Ceres, CA	14.8	-0.6 pts
40	Porterville, CA	14.8	-0.5 pts
42	Fortuna, CA	14.7	+0.6 pts
42	Hemet, CA	14.7	-1.3 pts
42	Maywood, CA	14.7	-0.3 pts
42	Tulare, CA	14.7	-0.3 pts
46	Apple Valley, CA	14.6	-0.5 pts
46	Bell, CA	14.6	-0.8 pts
46	Lompoc, CA	14.6	-0.7 pts
46	Merced, CA	14.6	-1.3 pts
50	Atwater, CA	14.5	-0.7 pts
50	Compton, CA	14.5	-1 pts
52	Dinuba, CA	14.4	-1 pts
52	Greenfield, CA	14.4	-1.2 pts
52	Reedley, CA	14.4	+0.3 pts
55	Huntington Park, CA	14.3	-0.5 pts
55	Yuba City, CA	14.3	-0.8 pts
57	Livingston, CA	14.1	-1.2 pts
57	Ukiah, CA	14.1	-0.6 pts
59	Lancaster, CA	14	-1.1 pts
59	Newman, CA	14	-0.7 pts
59	Paradise, CA	14	-0.9 pts
59	San Jacinto, CA	14	-1.1 pts
63	Lynwood, CA	13.9	-0.8 pts
63	Santa Maria, CA	13.9	-0.9 pts
65	Fresno, CA	13.8	-0.7 pts
65	Grover Beach, CA	13.8	+1.6 pts
65	Stockton, CA	13.8	-0.4 pts
68	El Monte, CA	13.7	-0.6 pts
68	Modesto, CA	13.7	-0.3 pts
68	Redding, CA	13.7	-0.7 pts
68	Watsonville, CA	13.7	-1.3 pts
72	Hanford, CA	13.6	-0.3 pts
72	Highland, CA	13.6	0 pts
72	Los Banos, CA	13.6	-1.5 pts
75	Oakdale, CA	13.5	-0.1 pts
75	Rosemead, CA	13.5	0 pts
77	Bakersfield, CA	13.4	-1 pts
77	Banning, CA	13.4	-1 pts
77	Exeter, CA	13.4	-1 pts
80	Hawthorne, CA	13.3	-0.6 pts
80	Riverbank, CA	13.3	0 pts
82	Brawley, CA	13.1	-1.8 pts
82	Lawndale, CA	13.1	-0.9 pts
82	Lemoore, CA	13.1	-0.9 pts
82	Montclair, CA	13.1	-0.4 pts
82	Palmdale, CA	13.1	-0.7 pts
82	Paramount, CA	13.1	-0.8 pts
82	Selma, CA	13.1	-1.4 pts
89	Lodi, CA	13	-0.3 pts
89	Twentynine Palms, CA	13	-0.8 pts
91	Patterson, CA	12.9	-0.2 pts
91	Salinas, CA	12.9	-1.8 pts
91	West Sacramento, CA	12.9	-1.1 pts
94	Coachella, CA	12.8	-2.4 pts
94	El Centro, CA	12.8	-1.4 pts
94	Perris, CA	12.8	-1.6 pts
94	Ridgecrest, CA	12.8	-0.2 pts
98	Citrus Heights, CA	12.7	-0.7 pts
98	Colton, CA	12.7	-0.6 pts
98	Hawaiian Gardens, CA	12.7	-1.3 pts
98	Imperial Beach, CA	12.7	-1.6 pts
98	Inglewood, CA	12.7	-1.2 pts
98	Rialto, CA	12.7	-0.8 pts
104	Grass Valley, CA	12.6	-0.5 pts
104	Norco, CA	12.6	-0.7 pts
104	Placerville, CA	12.6	-0.1 pts
104	San Pablo, CA	12.6	-1.2 pts
104	Santa Paula, CA	12.6	-1.3 pts
104	South Lake Tahoe, CA	12.6	-1.5 pts
104	Turlock, CA	12.6	-0.9 pts
111	Calexico, CA	12.5	-1.2 pts
111	Lake Elsinore, CA	12.5	-1.5 pts
111	Moreno Valley, CA	12.5	-1.3 pts
111	Sanger, CA	12.5	-0.4 pts
111	Seaside, CA	12.5	-0.9 pts
116	Bellflower, CA	12.4	-0.6 pts
116	Jurupa Valley, CA	12.4	-1.6 pts
118	Arcata, CA	12.3	-0.7 pts
118	Canyon Lake, CA	12.3	-1 pts
118	Rancho Cordova, CA	12.3	-1.1 pts
118	Wildomar, CA	12.3	-0.6 pts
122	Escondido, CA	12.2	-1.3 pts
122	South Gate, CA	12.2	-1.1 pts
122	Yucaipa, CA	12.2	+0.2 pts
125	Antioch, CA	12.1	-1.3 pts
125	Atascadero, CA	12.1	0 pts
125	Baldwin Park, CA	12.1	-0.5 pts
125	Cathedral City, CA	12.1	-1.2 pts
125	El Paso de Robles (Paso Robles), CA	12.1	-0.3 pts
125	Manteca, CA	12.1	-0.4 pts
125	Stanton, CA	12.1	-1.5 pts
125	Suisun City, CA	12.1	-0.9 pts
125	Westminster, CA	12.1	-1.1 pts
134	Galt, CA	12	-1.3 pts
134	Ontario, CA	12	-0.8 pts
134	Oxnard, CA	12	-1 pts
134	Pomona, CA	12	-1.4 pts
134	Vallejo, CA	12	-0.9 pts
134	Visalia, CA	12	-0.7 pts
140	Indio, CA	11.9	-1.8 pts
140	Lathrop, CA	11.9	-0.5 pts
140	Long Beach, CA	11.9	-0.7 pts
140	Los Angeles, CA	11.9	-0.6 pts
140	National City, CA	11.9	-1.4 pts
140	Richmond, CA	11.9	-1 pts
140	Sacramento, CA	11.9	-0.9 pts
147	Calimesa, CA	11.8	-0.7 pts
147	Chico, CA	11.8	-0.9 pts
147	Dixon, CA	11.8	-0.6 pts
150	Fairfield, CA	11.7	-1 pts
150	Kingsburg, CA	11.7	-0.5 pts
150	Lemon Grove, CA	11.7	-0.5 pts
150	Port Hueneme, CA	11.7	-1.5 pts
154	Pittsburg, CA	11.6	-1.5 pts
154	Ripon, CA	11.6	-0.2 pts
154	Santa Ana, CA	11.6	-2 pts
157	Auburn, CA	11.5	-2 pts
157	Chino, CA	11.5	-0.2 pts
157	Commerce, CA	11.5	-1.7 pts
157	Glendale, CA	11.5	-0.3 pts
157	La Puente, CA	11.5	-0.8 pts
157	Oakland, CA	11.5	-0.5 pts
157	Riverside, CA	11.5	-1.2 pts
157	Vacaville, CA	11.5	-1 pts
165	Beaumont, CA	11.4	-0.6 pts
165	Fontana, CA	11.4	-0.7 pts
165	Garden Grove, CA	11.4	-1.5 pts
165	Grand Terrace, CA	11.4	-0.6 pts
165	Menifee, CA	11.4	-0.9 pts
165	Santee, CA	11.4	-1.2 pts
165	Tracy, CA	11.4	-0.7 pts
165	Vista, CA	11.4	-1.3 pts
173	Hollister, CA	11.3	-1.4 pts
173	Marina, CA	11.3	-1.3 pts
173	Santa Rosa, CA	11.3	-1 pts
173	Woodland, CA	11.3	-1 pts
177	Napa, CA	11.2	-0.8 pts
177	Oakley, CA	11.2	-1.7 pts
177	San Fernando, CA	11.2	-1.6 pts
180	Imperial, CA	11.1	-0.1 pts
180	Monterey Park, CA	11.1	+0.1 pts
180	Rohnert Park, CA	11.1	-0.5 pts
183	Anaheim, CA	11	-1.3 pts
183	Fillmore, CA	11	-1.7 pts
183	San Leandro, CA	11	-0.1 pts
183	San Luis Obispo, CA	11	-0.7 pts
187	Gardena, CA	10.9	-1.1 pts
187	Lomita, CA	10.9	-0.7 pts
189	Artesia, CA	10.8	+0.6 pts
189	Corona, CA	10.8	-1.2 pts
189	Hayward, CA	10.8	-0.9 pts
189	Healdsburg, CA	10.8	-0.4 pts
189	Montebello, CA	10.8	-0.8 pts
189	Santa Fe Springs, CA	10.8	-0.9 pts
195	Palm Springs, CA	10.7	-1.1 pts
196	Oceanside, CA	10.6	-1.3 pts
196	San Gabriel, CA	10.6	-0.8 pts
196	Windsor, CA	10.6	-0.8 pts
199	Carson, CA	10.5	-0.5 pts
199	East Palo Alto, CA	10.5	-2.4 pts
199	Gilroy, CA	10.5	0 pts
199	Norwalk, CA	10.5	-1.1 pts
199	Rio Vista, CA	10.5	-0.7 pts
204	American Canyon, CA	10.4	-0.4 pts
204	Azusa, CA	10.4	-0.3 pts
204	Clovis, CA	10.4	-1 pts
204	Concord, CA	10.4	-1 pts
204	La Mesa, CA	10.4	-1.2 pts
204	San Buenaventura (Ventura), CA	10.4	-1 pts
210	Pico Rivera, CA	10.3	-1.2 pts
210	San Rafael, CA	10.3	+0.2 pts
212	Burbank, CA	10.2	-0.5 pts
213	Elk Grove, CA	10.1	-0.7 pts
213	La Quinta, CA	10.1	-1.3 pts
213	Rancho Cucamonga, CA	10.1	-0.4 pts
213	Simi Valley, CA	10.1	-0.7 pts
217	Covina, CA	10	-0.5 pts
217	Murrieta, CA	10	-1.4 pts
217	Petaluma, CA	10	-0.9 pts
217	Upland, CA	10	-0.6 pts
221	Downey, CA	9.9	-0.9 pts
221	San Marcos, CA	9.9	-1 pts
221	Santa Clarita, CA	9.9	-0.7 pts
224	Buena Park, CA	9.8	-1.5 pts
224	Duarte, CA	9.8	-0.5 pts
224	Santa Barbara, CA	9.8	-0.5 pts
224	Signal Hill, CA	9.8	-0.6 pts
224	Temecula, CA	9.8	-0.9 pts
229	Alhambra, CA	9.7	-0.6 pts
229	Costa Mesa, CA	9.7	-1.5 pts
229	Lakewood, CA	9.7	-0.8 pts
229	Los Alamitos, CA	9.7	-0.7 pts
229	Redlands, CA	9.7	-0.8 pts
234	Arroyo Grande, CA	9.6	-1.5 pts
234	Benicia, CA	9.6	-1 pts
234	Chula Vista, CA	9.6	-1.4 pts
234	Lincoln, CA	9.6	-1.5 pts
234	Morro Bay, CA	9.6	-0.9 pts
234	West Covina, CA	9.6	-0.3 pts
234	Whittier, CA	9.6	-0.5 pts
241	Novato, CA	9.5	-0.4 pts
241	Palm Desert, CA	9.5	-0.6 pts
241	Roseville, CA	9.5	-0.8 pts
244	Brentwood, CA	9.4	-1.1 pts
244	La Habra, CA	9.4	-1.8 pts
244	Loma Linda, CA	9.4	-1 pts
244	Monrovia, CA	9.4	-0.9 pts
244	Morgan Hill, CA	9.4	-0.2 pts
244	San Dimas, CA	9.4	-0.4 pts
244	San Jose, CA	9.4	0 pts

Showing the top 250 of 376. The Excel download has every row.

Other periods

2023
2022
2021

About this ranking

Percentage of adults who have smoked at least 100 cigarettes in their lifetime and now smoke every day or on some days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries. State and national values come from direct BRFSS estimates under adult_smoking_rate.

Every value in the ranking comes from the same publisher and the same period, so the cities are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult cigarette smoking rate, crude prevalence (Cities in California by adult cigarette smoking rate, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult cigarette smoking rate, crude prevalence, Cities in California by adult cigarette smoking rate, local model estimate, 2023. Centers for Disease Control and Prevention, 12 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/california-cities. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult cigarette smoking rate, crude prevalence. Cities in California by adult cigarette smoking rate, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/california-cities.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult cigarette smoking rate, crude prevalence, Cities in California by adult cigarette smoking rate, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/california-cities (Accessed: 12 October 2026).

BibTeX

@misc{centers_cities_in_california_by_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult cigarette smoking rate, crude prevalence: Cities in California by adult cigarette smoking rate, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/california-cities. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}

RIS

TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult cigarette smoking rate, crude prevalence: Cities in California by adult cigarette smoking rate, local model estimate, 2023
PY  - 2025
DA  - 2025/12/12
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-smoking-rate-county-estimate/california-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/california-cities.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  -

Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Embed code

<iframe src="https://invokely.ai/embed/rankings/adult-smoking-rate-county-estimate/california-cities" width="760" height="500" title="Cities in California by adult cigarette smoking rate, local model estimate, 2023, chart from Invokely" loading="lazy" style="border:0;width:100%;max-width:760px" referrerpolicy="strict-origin-when-cross-origin"></iframe>

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Cities in California by adult cigarette smoking rate, local model estimate using official data, and cite the source.

rank_places {"indicator":"adult_smoking_rate_modelled","level":"municipality","within":"California","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=municipality&within=California&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

Which city has the highest adult cigarette smoking rate, local model estimate?

Clearlake, CA, with 20.9% in 2023, according to the Centers for Disease Control and Prevention.

Which city has the lowest adult cigarette smoking rate, local model estimate?

San Marino, CA, with 5% in 2023.

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, PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult cigarette smoking rate, crude prevalence. Retrieved 2026-10-12.