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

East Cleveland, OH had the highest adult cigarette smoking rate, local model estimate of 176 cities in 2023, at 24.9%. Upper Arlington, OH had the lowest, at 7.2%. The median was 14.7%. Source: the Centers for Disease Control and Prevention.

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Median14.7176 cities

Top 40 cities, 2023

East Cleveland, OH: 24.9 %East Cleveland, OH24.9Youngstown, OH: 24.7 %Youngstown, OH24.7Warren, OH: 24.5 %Warren, OH24.5Portsmouth, OH: 24.3 %Portsmouth, OH24.3Canton, OH: 24.1 %Canton, OH24.1Mansfield, OH: 23.6 %Mansfield, OH23.6Conneaut, OH: 22.9 %Conneaut, OH22.9Ironton, OH: 22.8 %Ironton, OH22.8Lima, OH: 22.8 %Lima, OH22.8Ashtabula, OH: 22.5 %Ashtabula, OH22.5Marion, OH: 21.8 %Marion, OH21.8Zanesville, OH: 21.6 %Zanesville, OH21.6Cambridge, OH: 21.5 %Cambridge, OH21.5Cleveland, OH: 21.5 %Cleveland, OH21.5Springfield, OH: 21.5 %Springfield, OH21.5Painesville, OH: 20.8 %Painesville, OH20.8Alliance, OH: 20.7 %Alliance, OH20.7Hamilton, OH: 20.6 %Hamilton, OH20.6Dayton, OH: 20.5 %Dayton, OH20.5Sandusky, OH: 20.4 %Sandusky, OH20.4Bucyrus, OH: 20.2 %Bucyrus, OH20.2Franklin, OH: 20.2 %Franklin, OH20.2Washington Court House, OH: 20.2 %Washington Court House, OH20.2Ravenna, OH: 20.1 %Ravenna, OH20.1Whitehall, OH: 20.1 %Whitehall, OH20.1Barberton, OH: 20 %Barberton, OH20Lorain, OH: 20 %Lorain, OH20Middletown, OH: 20 %Middletown, OH20Toledo, OH: 19.9 %Toledo, OH19.9Chillicothe, OH: 19.8 %Chillicothe, OH19.8Coshocton, OH: 19.8 %Coshocton, OH19.8Akron, OH: 19.6 %Akron, OH19.6Bellefontaine, OH: 19.6 %Bellefontaine, OH19.6Maple Heights, OH: 19.6 %Maple Heights, OH19.6Massillon, OH: 19.5 %Massillon, OH19.5Galion, OH: 19.4 %Galion, OH19.4Garfield Heights, OH: 19.4 %Garfield Heights, OH19.4Greenville, OH: 19.4 %Greenville, OH19.4Sidney, OH: 19 %Sidney, OH19Circleville, OH: 18.9 %Circleville, OH18.9East Cleveland, OH: 24.9 %East Cleveland, OH24.9Youngstown, OH: 24.7 %Youngstown, OH24.7Warren, OH: 24.5 %Warren, OH24.5Portsmouth, OH: 24.3 %Portsmouth, OH24.3Canton, OH: 24.1 %Canton, OH24.1Mansfield, OH: 23.6 %Mansfield, OH23.6Conneaut, OH: 22.9 %Conneaut, OH22.9Ironton, OH: 22.8 %Ironton, OH22.8Lima, OH: 22.8 %Lima, OH22.8Ashtabula, OH: 22.5 %Ashtabula, OH22.5Marion, OH: 21.8 %Marion, OH21.8Zanesville, OH: 21.6 %Zanesville, OH21.6Cambridge, OH: 21.5 %Cambridge, OH21.5Cleveland, OH: 21.5 %Cleveland, OH21.5Springfield, OH: 21.5 %Springfield, OH21.5Painesville, OH: 20.8 %Painesville, OH20.8Alliance, OH: 20.7 %Alliance, OH20.7Hamilton, OH: 20.6 %Hamilton, OH20.6Dayton, OH: 20.5 %Dayton, OH20.5Sandusky, OH: 20.4 %Sandusky, OH20.4Bucyrus, OH: 20.2 %Bucyrus, OH20.2Franklin, OH: 20.2 %Franklin, OH20.2Washington Court House, OH: 20.2 %Washington Court House, OH20.2Ravenna, OH: 20.1 %Ravenna, OH20.1Whitehall, OH: 20.1 %Whitehall, OH20.1Barberton, OH: 20 %Barberton, OH20Lorain, OH: 20 %Lorain, OH20Middletown, OH: 20 %Middletown, OH20Toledo, OH: 19.9 %Toledo, OH19.9Chillicothe, OH: 19.8 %Chillicothe, OH19.8Coshocton, OH: 19.8 %Coshocton, OH19.8Akron, OH: 19.6 %Akron, OH19.6Bellefontaine, OH: 19.6 %Bellefontaine, OH19.6Maple Heights, OH: 19.6 %Maple Heights, OH19.6Massillon, OH: 19.5 %Massillon, OH19.5Galion, OH: 19.4 %Galion, OH19.4Garfield Heights, OH: 19.4 %Garfield Heights, OH19.4Greenville, OH: 19.4 %Greenville, OH19.4Sidney, OH: 19 %Sidney, OH19Circleville, OH: 18.9 %Circleville, OH18.9
%. 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

RankCities2023 (%)Change on 2022
1East Cleveland, OH24.9-1.1 pts
2Youngstown, OH24.7-2 pts
3Warren, OH24.5-3.5 pts
4Portsmouth, OH24.3-1.5 pts
5Canton, OH24.1-2.1 pts
6Mansfield, OH23.6-1.6 pts
7Conneaut, OH22.9-1.7 pts
8Ironton, OH22.8-1.6 pts
8Lima, OH22.8-2.6 pts
10Ashtabula, OH22.5-3.5 pts
11Marion, OH21.8-2.5 pts
12Zanesville, OH21.6-1.4 pts
13Cambridge, OH21.5-2.3 pts
13Cleveland, OH21.5-2.5 pts
13Springfield, OH21.5-3 pts
16Painesville, OH20.8-1.4 pts
17Alliance, OH20.7-1.6 pts
18Hamilton, OH20.6-3.3 pts
19Dayton, OH20.5-3.2 pts
20Sandusky, OH20.4-2.3 pts
21Bucyrus, OH20.2-2.3 pts
21Franklin, OH20.2-3.3 pts
21Washington Court House, OH20.2-2.7 pts
24Ravenna, OH20.1-3.2 pts
24Whitehall, OH20.1-3.8 pts
26Barberton, OH20-3.1 pts
26Lorain, OH20-3.2 pts
26Middletown, OH20-3.4 pts
29Toledo, OH19.9-1.6 pts
30Chillicothe, OH19.8-1.8 pts
30Coshocton, OH19.8-2.2 pts
32Akron, OH19.6-2.8 pts
32Bellefontaine, OH19.6-2.5 pts
32Maple Heights, OH19.6-1.7 pts
35Massillon, OH19.5-1.5 pts
36Galion, OH19.4-3.3 pts
36Garfield Heights, OH19.4-2.8 pts
36Greenville, OH19.4-0.7 pts
39Sidney, OH19-2.1 pts
40Circleville, OH18.9-2.9 pts
40Piqua, OH18.9-4.5 pts
42Elyria, OH18.8-4.1 pts
42Fostoria, OH18.8-2.8 pts
44Niles, OH18.7-2.5 pts
44Steubenville, OH18.7-3.1 pts
46Newark, OH18.6-2.1 pts
47Trotwood, OH18.5-2.7 pts
48Fremont, OH18.2-3.4 pts
49Lancaster, OH18-3.7 pts
50Euclid, OH17.9-3.3 pts
51Marietta, OH17.8-1 pts
51Salem, OH17.8-2.1 pts
51Van Wert, OH17.8-3.1 pts
54Riverside, OH17.5-3 pts
55London, OH17.4-3.8 pts
55West Carrollton, OH17.4-3.3 pts
57Bedford Heights, OH17.2-2.2 pts
57Urbana, OH17.2-3.5 pts
59New Philadelphia, OH17.1-2.9 pts
59Trenton, OH17.1-2.5 pts
61Xenia, OH17-3.2 pts
62Norwalk, OH16.9-4.5 pts
62Reading, OH16.9-1.3 pts
62Wilmington, OH16.9-3.1 pts
65Celina, OH16.6-2.6 pts
66Eastlake, OH16.5-3.5 pts
67Brook Park, OH16.4-2.4 pts
68Warrensville Heights, OH16.3-2.7 pts
69Ashland, OH16.2-2.4 pts
69Bedford, OH16.2-2.2 pts
69Mount Vernon, OH16.2-3.3 pts
72Cincinnati, OH16.1-2.1 pts
72Defiance, OH16.1-3.3 pts
74Parma Heights, OH16-2.7 pts
75Parma, OH15.5-2.2 pts
76Fairborn, OH15.4-2.5 pts
77Brooklyn, OH15.3-4.3 pts
78Columbus, OH15.2-2.5 pts
79Lebanon, OH15.1-2.3 pts
79Wickliffe, OH15.1-1.4 pts
81Athens, OH15-3.1 pts
81Huber Heights, OH15-3 pts
81Troy, OH15-3.2 pts
84Heath, OH14.9-3.2 pts
84Streetsboro, OH14.9-3.1 pts
86Findlay, OH14.8-3.4 pts
86Reynoldsburg, OH14.8-2.8 pts
88Fairfield, OH14.7-2.6 pts
88Oregon, OH14.7-0.4 pts
88Pataskala, OH14.7-3 pts
91Dover, OH14.6-3.6 pts
91Miamisburg, OH14.6-3.4 pts
91Norton, OH14.6-4.1 pts
91Tiffin, OH14.6-3.5 pts
91Willowick, OH14.6-1.7 pts
96Norwood, OH14.5-3 pts
97Brunswick, OH14.3-2.1 pts
97Vandalia, OH14.3-3.3 pts
99Harrison, OH14.1-2.1 pts
99New Franklin, OH14.1-2.7 pts
99Springdale, OH14.1-1.6 pts
102Kent, OH14-1.5 pts
102Vermilion, OH14-2.4 pts
104Cuyahoga Falls, OH13.8-3.1 pts
104Forest Park, OH13.8-2.6 pts
106Marysville, OH13.7-3.9 pts
106Willoughby, OH13.7-2 pts
108Berea, OH13.6-1.9 pts
109North Olmsted, OH13.5-2.4 pts
109Richmond Heights, OH13.5-3.4 pts
111Bowling Green, OH13.4-1.8 pts
111Tipp City, OH13.4-2.7 pts
113Medina, OH13.3-3.5 pts
113Mentor, OH13.3-2.7 pts
113Wooster, OH13.3-3.3 pts
116Grove City, OH13.2-2.3 pts
117Monroe, OH13.1-2.1 pts
118Kettering, OH12.9-2.3 pts
119North Canton, OH12.8-1.8 pts
120Delaware, OH12.7-2.1 pts
120Tallmadge, OH12.7-2.5 pts
120Wadsworth, OH12.7-3.3 pts
123Amherst, OH12.6-2.2 pts
123Maumee, OH12.6-0.6 pts
125Clayton, OH12.5-2.4 pts
125Englewood, OH12.5-2.9 pts
125North Ridgeville, OH12.5-3.4 pts
128Green, OH12.3-2.8 pts
128Mayfield Heights, OH12.3-1.7 pts
128North Royalton, OH12.3-1.9 pts
131Fairview Park, OH12.2-2 pts
131Middleburg Heights, OH12.2-1.4 pts
133Seven Hills, OH12.1-2.1 pts
134Lakewood, OH12-2.5 pts
134Oxford, OH12-2.9 pts
136South Euclid, OH11.8-3 pts
137Sharonville, OH11.7-3.1 pts
138Macedonia, OH11.5-2.3 pts
139Pickerington, OH11.3-3.2 pts
139Stow, OH11.3-3.1 pts
141Cleveland Heights, OH11.2-2 pts
142Canal Winchester, OH11.1-2.1 pts
142Springboro, OH11.1-2.5 pts
142Strongsville, OH11.1-0.6 pts
142Twinsburg, OH11.1-2.4 pts
146Gahanna, OH10.8-2.9 pts
147Loveland, OH10.4-2.3 pts
148Broadview Heights, OH10.3-1.7 pts
148Hilliard, OH10.3-1.6 pts
148Sylvania, OH10.3-0.8 pts
151Beavercreek, OH10.2-1.9 pts
151Mason, OH10.2-0.8 pts
153Avon Lake, OH10-2.2 pts
154Centerville, OH9.9-2.1 pts
154University Heights, OH9.9-2.8 pts
156Avon, OH9.8-2.6 pts
156Perrysburg, OH9.8-1.8 pts
158Brecksville, OH9.6-2.7 pts
159Solon, OH9.5-1.4 pts
159Westlake, OH9.5-1.4 pts
161Westerville, OH9.3-1.9 pts
162Aurora, OH9.2-1.4 pts
162Lyndhurst, OH9.2-2 pts
164Rocky River, OH9.1-2.3 pts
165Bay Village, OH8.9-3.3 pts
165Blue Ash, OH8.9-0.5 pts
167New Albany, OH8.7-1.6 pts
168Shaker Heights, OH8.5-2.3 pts
169Bexley, OH8.3-0.5 pts
170Dublin, OH8.2-2 pts
171Hudson, OH7.9-1.1 pts
171Powell, OH7.9-1.3 pts
173Montgomery, OH7.7-1.7 pts
174Beachwood, OH7.6-1 pts
174Worthington, OH7.6-2.9 pts
176Upper Arlington, OH7.2-1.7 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 Ohio 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 Ohio 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/ohio-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 Ohio 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/ohio-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 Ohio 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/ohio-cities (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_ohio_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 Ohio 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/ohio-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 Ohio 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/ohio-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/ohio-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  - 
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Rank Cities in Ohio 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":"Ohio","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=municipality&within=Ohio&limit=10

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Questions

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

East Cleveland, OH, with 24.9% in 2023, according to the Centers for Disease Control and Prevention.

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

Upper Arlington, OH, with 7.2% 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.

Adult cigarette smoking rate, local model estimate: other rankings

Cities in Ohio: more rankings