Data / Rankings / Adult cigarette smoking rate, local model estimate / Cities in Iowa

Cities in Iowa by adult cigarette smoking rate, local model estimate

Waterloo, IA had the highest adult cigarette smoking rate, local model estimate of 41 cities in 2022, at 19.8%. Waukee, IA had the lowest, at 10.3%. The median was 15%. Source: the Centers for Disease Control and Prevention.

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Highest19.8Waterloo, IA
Lowest10.3Waukee, IA
Median1541 cities

All cities, 2022

Waterloo, IA: 19.8 %Waterloo, IA19.8Ottumwa, IA: 19.6 %Ottumwa, IA19.6Clinton, IA: 19.4 %Clinton, IA19.4Burlington, IA: 18.8 %Burlington, IA18.8Council Bluffs, IA: 18.8 %Council Bluffs, IA18.8Newton, IA: 18.1 %Newton, IA18.1Sioux City, IA: 18.1 %Sioux City, IA18.1Muscatine, IA: 17.8 %Muscatine, IA17.8Des Moines, IA: 17.5 %Des Moines, IA17.5Fort Dodge, IA: 17.4 %Fort Dodge, IA17.4Davenport, IA: 16.9 %Davenport, IA16.9Mason City, IA: 16.8 %Mason City, IA16.8Oskaloosa, IA: 16.5 %Oskaloosa, IA16.5Boone, IA: 16.1 %Boone, IA16.1Marshalltown, IA: 15.7 %Marshalltown, IA15.7Spencer, IA: 15.6 %Spencer, IA15.6Storm Lake, IA: 15.4 %Storm Lake, IA15.4Pleasant Hill, IA: 15.3 %Pleasant Hill, IA15.3Cedar Rapids, IA: 15.1 %Cedar Rapids, IA15.1Le Mars, IA: 15.1 %Le Mars, IA15.1Altoona, IA: 15 %Altoona, IA15Carroll, IA: 15 %Carroll, IA15Dubuque, IA: 14.6 %Dubuque, IA14.6Grimes, IA: 14.5 %Grimes, IA14.5Norwalk, IA: 14.3 %Norwalk, IA14.3Indianola, IA: 13.4 %Indianola, IA13.4Waverly, IA: 13.4 %Waverly, IA13.4Cedar Falls, IA: 13.2 %Cedar Falls, IA13.2Iowa City, IA: 12.9 %Iowa City, IA12.9Marion, IA: 12.9 %Marion, IA12.9Bettendorf, IA: 12.5 %Bettendorf, IA12.5Coralville, IA: 12.2 %Coralville, IA12.2Clive, IA: 11.9 %Clive, IA11.9Pella, IA: 11.9 %Pella, IA11.9Ames, IA: 11.8 %Ames, IA11.8Urbandale, IA: 11.8 %Urbandale, IA11.8Johnston, IA: 11.6 %Johnston, IA11.6Ankeny, IA: 11.2 %Ankeny, IA11.2North Liberty, IA: 11.2 %North Liberty, IA11.2West Des Moines, IA: 11.2 %West Des Moines, IA11.2Waukee, IA: 10.3 %Waukee, IA10.3Waterloo, IA: 19.8 %Waterloo, IA19.8Ottumwa, IA: 19.6 %Ottumwa, IA19.6Clinton, IA: 19.4 %Clinton, IA19.4Burlington, IA: 18.8 %Burlington, IA18.8Council Bluffs, IA: 18.8 %Council Bluffs, IA18.8Newton, IA: 18.1 %Newton, IA18.1Sioux City, IA: 18.1 %Sioux City, IA18.1Muscatine, IA: 17.8 %Muscatine, IA17.8Des Moines, IA: 17.5 %Des Moines, IA17.5Fort Dodge, IA: 17.4 %Fort Dodge, IA17.4Davenport, IA: 16.9 %Davenport, IA16.9Mason City, IA: 16.8 %Mason City, IA16.8Oskaloosa, IA: 16.5 %Oskaloosa, IA16.5Boone, IA: 16.1 %Boone, IA16.1Marshalltown, IA: 15.7 %Marshalltown, IA15.7Spencer, IA: 15.6 %Spencer, IA15.6Storm Lake, IA: 15.4 %Storm Lake, IA15.4Pleasant Hill, IA: 15.3 %Pleasant Hill, IA15.3Cedar Rapids, IA: 15.1 %Cedar Rapids, IA15.1Le Mars, IA: 15.1 %Le Mars, IA15.1Altoona, IA: 15 %Altoona, IA15Carroll, IA: 15 %Carroll, IA15Dubuque, IA: 14.6 %Dubuque, IA14.6Grimes, IA: 14.5 %Grimes, IA14.5Norwalk, IA: 14.3 %Norwalk, IA14.3Indianola, IA: 13.4 %Indianola, IA13.4Waverly, IA: 13.4 %Waverly, IA13.4Cedar Falls, IA: 13.2 %Cedar Falls, IA13.2Iowa City, IA: 12.9 %Iowa City, IA12.9Marion, IA: 12.9 %Marion, IA12.9Bettendorf, IA: 12.5 %Bettendorf, IA12.5Coralville, IA: 12.2 %Coralville, IA12.2Clive, IA: 11.9 %Clive, IA11.9Pella, IA: 11.9 %Pella, IA11.9Ames, IA: 11.8 %Ames, IA11.8Urbandale, IA: 11.8 %Urbandale, IA11.8Johnston, IA: 11.6 %Johnston, IA11.6Ankeny, IA: 11.2 %Ankeny, IA11.2North Liberty, IA: 11.2 %North Liberty, IA11.2West Des Moines, IA: 11.2 %West Des Moines, IA11.2Waukee, IA: 10.3 %Waukee, IA10.3
%. 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

RankCities2022 (%)Change on 2021
1Waterloo, IA19.8+0.3 pts
2Ottumwa, IA19.6-1.2 pts
3Clinton, IA19.4-0.8 pts
4Burlington, IA18.8-1.6 pts
4Council Bluffs, IA18.8+0.1 pts
6Newton, IA18.1-1 pts
6Sioux City, IA18.1-1.3 pts
8Muscatine, IA17.8-0.5 pts
9Des Moines, IA17.5-1.9 pts
10Fort Dodge, IA17.4-1 pts
11Davenport, IA16.9-2.4 pts
12Mason City, IA16.8+0.1 pts
13Oskaloosa, IA16.5-1.8 pts
14Boone, IA16.1-1.4 pts
15Marshalltown, IA15.7-3.8 pts
16Spencer, IA15.6-1.1 pts
17Storm Lake, IA15.4-1.2 pts
18Pleasant Hill, IA15.3-0.8 pts
19Cedar Rapids, IA15.1-1.2 pts
19Le Mars, IA15.1-0.8 pts
21Altoona, IA15-1.1 pts
21Carroll, IA15-1.3 pts
23Dubuque, IA14.6-0.9 pts
24Grimes, IA14.5+0.4 pts
25Norwalk, IA14.3+0.4 pts
26Indianola, IA13.4-1.3 pts
26Waverly, IA13.4+1.3 pts
28Cedar Falls, IA13.2+0.4 pts
29Iowa City, IA12.9-0.6 pts
29Marion, IA12.9-1.6 pts
31Bettendorf, IA12.5-0.8 pts
32Coralville, IA12.2-2 pts
33Clive, IA11.9-0.3 pts
33Pella, IA11.9-0.6 pts
35Ames, IA11.8-1.1 pts
35Urbandale, IA11.8-1.8 pts
37Johnston, IA11.60 pts
38Ankeny, IA11.2-2.1 pts
38North Liberty, IA11.2-1.2 pts
38West Des Moines, IA11.2-0.3 pts
41Waukee, IA10.3-0.9 pts

Other periods

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 Iowa by adult cigarette smoking rate, local model estimate, 2022) [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 Iowa by adult cigarette smoking rate, local model estimate, 2022. Centers for Disease Control and Prevention, 12 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/iowa-cities?period=2022. 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 Iowa by adult cigarette smoking rate, local model estimate, 2022. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/iowa-cities?period=2022.

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 Iowa by adult cigarette smoking rate, local model estimate, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/iowa-cities?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_iowa_by_2022,
  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 Iowa by adult cigarette smoking rate, local model estimate, 2022}},
  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/iowa-cities?period=2022. 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 Iowa by adult cigarette smoking rate, local model estimate, 2022
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/iowa-cities?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/iowa-cities?period=2022.
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  -
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Rank Cities in Iowa 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":"Iowa","limit":10}
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Questions

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

Waterloo, IA, with 19.8% in 2022, according to the Centers for Disease Control and Prevention.

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

Waukee, IA, with 10.3% in 2022.

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.

Adult cigarette smoking rate, local model estimate: other rankings

Cities in Iowa: more rankings