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

Cities in North Carolina by adult cigarette smoking rate, local model estimate

Lumberton, NC had the highest adult cigarette smoking rate, local model estimate of 93 cities in 2022, at 21.9%. Morrisville, NC had the lowest, at 7.1%. The median was 14.3%. Source: the Centers for Disease Control and Prevention.

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Highest21.9Lumberton, NC
Lowest7.1Morrisville, NC
Median14.393 cities

Top 40 cities, 2022

Lumberton, NC: 21.9 %Lumberton, NC21.9Reidsville, NC: 21.4 %Reidsville, NC21.4Kinston, NC: 20.2 %Kinston, NC20.2Laurinburg, NC: 20.1 %Laurinburg, NC20.1Lexington, NC: 19.6 %Lexington, NC19.6Wilson, NC: 19.5 %Wilson, NC19.5Lenoir, NC: 19.3 %Lenoir, NC19.3Morganton, NC: 19.3 %Morganton, NC19.3Henderson, NC: 19.1 %Henderson, NC19.1Eden, NC: 19 %Eden, NC19Thomasville, NC: 19 %Thomasville, NC19Kings Mountain, NC: 18.9 %Kings Mountain, NC18.9Roanoke Rapids, NC: 18.3 %Roanoke Rapids, NC18.3Albemarle, NC: 18.1 %Albemarle, NC18.1Shelby, NC: 18.1 %Shelby, NC18.1Goldsboro, NC: 18 %Goldsboro, NC18Asheboro, NC: 17.9 %Asheboro, NC17.9Mount Airy, NC: 17.8 %Mount Airy, NC17.8Sanford, NC: 17.8 %Sanford, NC17.8Rocky Mount, NC: 17.7 %Rocky Mount, NC17.7Tarboro, NC: 17.5 %Tarboro, NC17.5Lincolnton, NC: 17.2 %Lincolnton, NC17.2Gastonia, NC: 17 %Gastonia, NC17Burlington, NC: 16.8 %Burlington, NC16.8Kannapolis, NC: 16.8 %Kannapolis, NC16.8Graham, NC: 16.6 %Graham, NC16.6Salisbury, NC: 16.5 %Salisbury, NC16.5Hope Mills, NC: 16.4 %Hope Mills, NC16.4Monroe, NC: 16.4 %Monroe, NC16.4Smithfield, NC: 16.3 %Smithfield, NC16.3Statesville, NC: 16 %Statesville, NC16Elizabeth City, NC: 15.8 %Elizabeth City, NC15.8Newton, NC: 15.6 %Newton, NC15.6Winston-Salem, NC: 15.6 %Winston-Salem, NC15.6Waynesville, NC: 15.5 %Waynesville, NC15.5Fayetteville, NC: 15.4 %Fayetteville, NC15.4Zebulon, NC: 15.4 %Zebulon, NC15.4Archdale, NC: 15.3 %Archdale, NC15.3Spring Lake, NC: 15.3 %Spring Lake, NC15.3High Point, NC: 15.2 %High Point, NC15.2Lumberton, NC: 21.9 %Lumberton, NC21.9Reidsville, NC: 21.4 %Reidsville, NC21.4Kinston, NC: 20.2 %Kinston, NC20.2Laurinburg, NC: 20.1 %Laurinburg, NC20.1Lexington, NC: 19.6 %Lexington, NC19.6Wilson, NC: 19.5 %Wilson, NC19.5Lenoir, NC: 19.3 %Lenoir, NC19.3Morganton, NC: 19.3 %Morganton, NC19.3Henderson, NC: 19.1 %Henderson, NC19.1Eden, NC: 19 %Eden, NC19Thomasville, NC: 19 %Thomasville, NC19Kings Mountain, NC: 18.9 %Kings Mountain, NC18.9Roanoke Rapids, NC: 18.3 %Roanoke Rapids, NC18.3Albemarle, NC: 18.1 %Albemarle, NC18.1Shelby, NC: 18.1 %Shelby, NC18.1Goldsboro, NC: 18 %Goldsboro, NC18Asheboro, NC: 17.9 %Asheboro, NC17.9Mount Airy, NC: 17.8 %Mount Airy, NC17.8Sanford, NC: 17.8 %Sanford, NC17.8Rocky Mount, NC: 17.7 %Rocky Mount, NC17.7Tarboro, NC: 17.5 %Tarboro, NC17.5Lincolnton, NC: 17.2 %Lincolnton, NC17.2Gastonia, NC: 17 %Gastonia, NC17Burlington, NC: 16.8 %Burlington, NC16.8Kannapolis, NC: 16.8 %Kannapolis, NC16.8Graham, NC: 16.6 %Graham, NC16.6Salisbury, NC: 16.5 %Salisbury, NC16.5Hope Mills, NC: 16.4 %Hope Mills, NC16.4Monroe, NC: 16.4 %Monroe, NC16.4Smithfield, NC: 16.3 %Smithfield, NC16.3Statesville, NC: 16 %Statesville, NC16Elizabeth City, NC: 15.8 %Elizabeth City, NC15.8Newton, NC: 15.6 %Newton, NC15.6Winston-Salem, NC: 15.6 %Winston-Salem, NC15.6Waynesville, NC: 15.5 %Waynesville, NC15.5Fayetteville, NC: 15.4 %Fayetteville, NC15.4Zebulon, NC: 15.4 %Zebulon, NC15.4Archdale, NC: 15.3 %Archdale, NC15.3Spring Lake, NC: 15.3 %Spring Lake, NC15.3High Point, NC: 15.2 %High Point, NC15.2
%. 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
1Lumberton, NC21.9-2.4 pts
2Reidsville, NC21.4+0.6 pts
3Kinston, NC20.2-2.7 pts
4Laurinburg, NC20.1-2.3 pts
5Lexington, NC19.6-3.9 pts
6Wilson, NC19.5-1.5 pts
7Lenoir, NC19.3-0.9 pts
7Morganton, NC19.3-0.7 pts
9Henderson, NC19.1-3.6 pts
10Eden, NC19-2.2 pts
10Thomasville, NC19-1.5 pts
12Kings Mountain, NC18.9-1.4 pts
13Roanoke Rapids, NC18.3-2.6 pts
14Albemarle, NC18.1-0.8 pts
14Shelby, NC18.1-2.2 pts
16Goldsboro, NC18-1.1 pts
17Asheboro, NC17.9-1.9 pts
18Mount Airy, NC17.8-1.4 pts
18Sanford, NC17.8-0.9 pts
20Rocky Mount, NC17.7-2.2 pts
21Tarboro, NC17.5-2.8 pts
22Lincolnton, NC17.2-1.4 pts
23Gastonia, NC17-1.9 pts
24Burlington, NC16.8-2.4 pts
24Kannapolis, NC16.8-2.1 pts
26Graham, NC16.6-3.8 pts
27Salisbury, NC16.5-1.4 pts
28Hope Mills, NC16.4-1.7 pts
28Monroe, NC16.4-2.5 pts
30Smithfield, NC16.3-1.6 pts
31Statesville, NC16-1.7 pts
32Elizabeth City, NC15.8-2.3 pts
33Newton, NC15.6-2.4 pts
33Winston-Salem, NC15.6-1.6 pts
35Waynesville, NC15.5-0.8 pts
36Fayetteville, NC15.4-1.4 pts
36Zebulon, NC15.4-3.4 pts
38Archdale, NC15.3-3.5 pts
38Spring Lake, NC15.3-2.2 pts
40High Point, NC15.2-1.7 pts
41New Bern, NC15.1-2.9 pts
42Greensboro, NC14.6-0.4 pts
42Hickory, NC14.6-3 pts
42Mount Holly, NC14.6-2.5 pts
45Kernersville, NC14.3-2.5 pts
45Mebane, NC14.3-1.7 pts
45Pineville, NC14.3+1.4 pts
48Havelock, NC14.2-0.1 pts
49Greenville, NC14.1-0.7 pts
50Clayton, NC14-2.1 pts
51Knightdale, NC13.9-0.4 pts
52Aberdeen, NC13.80 pts
52Morehead City, NC13.8-2 pts
54Concord, NC13.7-2.7 pts
55Belmont, NC13.5-1.6 pts
55Wilmington, NC13.5-1.8 pts
57Hendersonville, NC13.2-0.4 pts
58Jacksonville, NC13-1.5 pts
59Charlotte, NC12.9-1.4 pts
60Asheville, NC12.8-0.7 pts
61Lewisville, NC12.7-1 pts
62Mint Hill, NC12.6-1.2 pts
63Mooresville, NC12.5-2.2 pts
64Indian Trail, NC12.4-2.3 pts
65Leland, NC12.2-3.5 pts
66Durham, NC12.1-2.4 pts
67Winterville, NC11.9-0.8 pts
68Stallings, NC11.8-2 pts
68Waxhaw, NC11.8-0.4 pts
70Clemmons, NC11.6-1.2 pts
71Garner, NC11.5-2.8 pts
72Raleigh, NC11.4-0.7 pts
72Wendell, NC11.4-3.2 pts
74Boone, NC11.2-1.2 pts
74Fuquay-Varina, NC11.2-1.8 pts
76Southern Pines, NC10.9-0.9 pts
76Summerfield, NC10.9-0.5 pts
78Huntersville, NC10.6-0.7 pts
78Rolesville, NC10.6-1.3 pts
80Cornelius, NC10.5-0.9 pts
81Matthews, NC10.1-1.1 pts
81Wake Forest, NC10.1-1.4 pts
83Harrisburg, NC9.9-3.1 pts
84Apex, NC9.6-0.3 pts
84Holly Springs, NC9.6-1.5 pts
86Carrboro, NC9.4-1 pts
87Elon, NC8.7-1.1 pts
88Weddington, NC8.6-1.5 pts
89Chapel Hill, NC8.4-1.5 pts
90Cary, NC8.3-0.8 pts
91Pinehurst, NC8-1.6 pts
92Davidson, NC7.9-1.4 pts
93Morrisville, NC7.1-1.9 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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-cities?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-cities?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/north-carolina-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 North Carolina 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":"North Carolina","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=municipality&within=North%20Carolina&limit=10

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Questions

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

Lumberton, NC, with 21.9% in 2022, according to the Centers for Disease Control and Prevention.

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

Morrisville, NC, with 7.1% 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 North Carolina: more rankings