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

Poplar Bluff, MO had the highest adult cigarette smoking rate, local model estimate of 81 cities in 2021, at 29.5%. Town and Country, MO had the lowest, at 9.1%. The median was 18.8%. Source: the Centers for Disease Control and Prevention.

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Highest29.5Poplar Bluff, MO
Median18.881 cities

Top 40 cities, 2021

Poplar Bluff, MO: 29.5 %Poplar Bluff, MO29.5Jennings, MO: 28.2 %Jennings, MO28.2Kennett, MO: 26.1 %Kennett, MO26.1Bellefontaine Neighbors, MO: 25.1 %Bellefontaine Neighbors, MO25.1Ferguson, MO: 24.9 %Ferguson, MO24.9Farmington, MO: 24.6 %Farmington, MO24.6Moberly, MO: 23.8 %Moberly, MO23.8Overland, MO: 23.7 %Overland, MO23.7Carthage, MO: 23.5 %Carthage, MO23.5Sikeston, MO: 23.2 %Sikeston, MO23.2West Plains, MO: 22.9 %West Plains, MO22.9Harrisonville, MO: 22.8 %Harrisonville, MO22.8St. Ann, MO: 22.8 %St. Ann, MO22.8Lebanon, MO: 22.5 %Lebanon, MO22.5St. Joseph, MO: 22.5 %St. Joseph, MO22.5Hannibal, MO: 22.4 %Hannibal, MO22.4Sedalia, MO: 22.4 %Sedalia, MO22.4Excelsior Springs, MO: 22.3 %Excelsior Springs, MO22.3Fulton, MO: 22.1 %Fulton, MO22.1Monett, MO: 22.1 %Monett, MO22.1Mexico, MO: 22 %Mexico, MO22Neosho, MO: 21.6 %Neosho, MO21.6Webb City, MO: 21.3 %Webb City, MO21.3St. Louis, MO: 21.2 %St. Louis, MO21.2Belton, MO: 20.5 %Belton, MO20.5Joplin, MO: 20.5 %Joplin, MO20.5Union, MO: 20.5 %Union, MO20.5Marshall, MO: 20.4 %Marshall, MO20.4Branson, MO: 20.3 %Branson, MO20.3Grandview, MO: 20.3 %Grandview, MO20.3Troy, MO: 20.3 %Troy, MO20.3Festus, MO: 20.1 %Festus, MO20.1Florissant, MO: 20.1 %Florissant, MO20.1Independence, MO: 20.1 %Independence, MO20.1Arnold, MO: 20 %Arnold, MO20Hazelwood, MO: 19.7 %Hazelwood, MO19.7Springfield, MO: 19.5 %Springfield, MO19.5Bolivar, MO: 19.4 %Bolivar, MO19.4Bridgeton, MO: 19.3 %Bridgeton, MO19.3Republic, MO: 19.1 %Republic, MO19.1Poplar Bluff, MO: 29.5 %Poplar Bluff, MO29.5Jennings, MO: 28.2 %Jennings, MO28.2Kennett, MO: 26.1 %Kennett, MO26.1Bellefontaine Neighbors, MO: 25.1 %Bellefontaine Neighbors, MO25.1Ferguson, MO: 24.9 %Ferguson, MO24.9Farmington, MO: 24.6 %Farmington, MO24.6Moberly, MO: 23.8 %Moberly, MO23.8Overland, MO: 23.7 %Overland, MO23.7Carthage, MO: 23.5 %Carthage, MO23.5Sikeston, MO: 23.2 %Sikeston, MO23.2West Plains, MO: 22.9 %West Plains, MO22.9Harrisonville, MO: 22.8 %Harrisonville, MO22.8St. Ann, MO: 22.8 %St. Ann, MO22.8Lebanon, MO: 22.5 %Lebanon, MO22.5St. Joseph, MO: 22.5 %St. Joseph, MO22.5Hannibal, MO: 22.4 %Hannibal, MO22.4Sedalia, MO: 22.4 %Sedalia, MO22.4Excelsior Springs, MO: 22.3 %Excelsior Springs, MO22.3Fulton, MO: 22.1 %Fulton, MO22.1Monett, MO: 22.1 %Monett, MO22.1Mexico, MO: 22 %Mexico, MO22Neosho, MO: 21.6 %Neosho, MO21.6Webb City, MO: 21.3 %Webb City, MO21.3St. Louis, MO: 21.2 %St. Louis, MO21.2Belton, MO: 20.5 %Belton, MO20.5Joplin, MO: 20.5 %Joplin, MO20.5Union, MO: 20.5 %Union, MO20.5Marshall, MO: 20.4 %Marshall, MO20.4Branson, MO: 20.3 %Branson, MO20.3Grandview, MO: 20.3 %Grandview, MO20.3Troy, MO: 20.3 %Troy, MO20.3Festus, MO: 20.1 %Festus, MO20.1Florissant, MO: 20.1 %Florissant, MO20.1Independence, MO: 20.1 %Independence, MO20.1Arnold, MO: 20 %Arnold, MO20Hazelwood, MO: 19.7 %Hazelwood, MO19.7Springfield, MO: 19.5 %Springfield, MO19.5Bolivar, MO: 19.4 %Bolivar, MO19.4Bridgeton, MO: 19.3 %Bridgeton, MO19.3Republic, MO: 19.1 %Republic, MO19.1
%. 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

RankCities2021 (%)
1Poplar Bluff, MO29.5
2Jennings, MO28.2
3Kennett, MO26.1
4Bellefontaine Neighbors, MO25.1
5Ferguson, MO24.9
6Farmington, MO24.6
7Moberly, MO23.8
8Overland, MO23.7
9Carthage, MO23.5
10Sikeston, MO23.2
11West Plains, MO22.9
12Harrisonville, MO22.8
12St. Ann, MO22.8
14Lebanon, MO22.5
14St. Joseph, MO22.5
16Hannibal, MO22.4
16Sedalia, MO22.4
18Excelsior Springs, MO22.3
19Fulton, MO22.1
19Monett, MO22.1
21Mexico, MO22
22Neosho, MO21.6
23Webb City, MO21.3
24St. Louis, MO21.2
25Belton, MO20.5
25Joplin, MO20.5
25Union, MO20.5
28Marshall, MO20.4
29Branson, MO20.3
29Grandview, MO20.3
29Troy, MO20.3
32Festus, MO20.1
32Florissant, MO20.1
32Independence, MO20.1
35Arnold, MO20
36Hazelwood, MO19.7
37Springfield, MO19.5
38Bolivar, MO19.4
39Bridgeton, MO19.3
40Republic, MO19.1
41Raytown, MO18.8
42Nixa, MO18.7
43Kansas City, MO18.6
44Cape Girardeau, MO18.4
45Grain Valley, MO18.3
46Jefferson City, MO18.2
46Kirksville, MO18.2
48Ozark, MO17.7
48Rolla, MO17.7
50Washington, MO17.5
51Jackson, MO17.3
52Gladstone, MO17
53Kearney, MO16.9
54Warrensburg, MO16.8
55Smithville, MO16.5
56Blue Springs, MO16.1
56Liberty, MO16.1
58Wentzville, MO15.7
59Raymore, MO15.6
60University City, MO15.2
61Eureka, MO15
62Columbia, MO14.9
62St. Charles, MO14.9
64Maryland Heights, MO14.8
65O'Fallon, MO14.5
66Maryville, MO14.3
67Manchester, MO14
68Crestwood, MO13.8
69Dardenne Prairie, MO13.7
69St. Peters, MO13.7
71Lake St. Louis, MO13.4
71Lee's Summit, MO13.4
73Ellisville, MO13.3
74Ballwin, MO12.8
75Wildwood, MO12.6
76Kirkwood, MO11.7
77Webster Groves, MO11.1
78Chesterfield, MO10.7
78Clayton, MO10.7
80Creve Coeur, MO10.5
81Town and Country, MO9.1

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 Missouri by adult cigarette smoking rate, local model estimate, 2021) [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 Missouri by adult cigarette smoking rate, local model estimate, 2021. Centers for Disease Control and Prevention, 12 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/missouri-cities?period=2021. 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 Missouri by adult cigarette smoking rate, local model estimate, 2021. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/missouri-cities?period=2021.

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 Missouri by adult cigarette smoking rate, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/missouri-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_missouri_by_2021,
  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 Missouri by adult cigarette smoking rate, local model estimate, 2021}},
  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/missouri-cities?period=2021. 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 Missouri by adult cigarette smoking rate, local model estimate, 2021
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/missouri-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/missouri-cities?period=2021.
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 Missouri 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":"Missouri","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=municipality&within=Missouri&limit=10

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Questions

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

Poplar Bluff, MO, with 29.5% in 2021, according to the Centers for Disease Control and Prevention.

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

Town and Country, MO, with 9.1% in 2021.

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 Missouri: more rankings