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

Ashtabula, OH had the highest adult cigarette smoking rate, local model estimate of 176 cities in 2021, at 29.1%. Upper Arlington, OH had the lowest, at 8.8%. The median was 18.2%. Source: the Centers for Disease Control and Prevention.

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Highest29.1Ashtabula, OH
Median18.2176 cities

Top 40 cities, 2021

Ashtabula, OH: 29.1 %Ashtabula, OH29.1Youngstown, OH: 28.9 %Youngstown, OH28.9Portsmouth, OH: 28.6 %Portsmouth, OH28.6East Cleveland, OH: 27.8 %East Cleveland, OH27.8Canton, OH: 27.6 %Canton, OH27.6Warren, OH: 27.6 %Warren, OH27.6Marion, OH: 27.5 %Marion, OH27.5Cleveland, OH: 26.6 %Cleveland, OH26.6Conneaut, OH: 26.3 %Conneaut, OH26.3Mansfield, OH: 26.3 %Mansfield, OH26.3Lima, OH: 26.2 %Lima, OH26.2Barberton, OH: 25.3 %Barberton, OH25.3Lorain, OH: 25.1 %Lorain, OH25.1Springfield, OH: 25.1 %Springfield, OH25.1Akron, OH: 25 %Akron, OH25Cambridge, OH: 25 %Cambridge, OH25Sandusky, OH: 25 %Sandusky, OH25Dayton, OH: 24.9 %Dayton, OH24.9Whitehall, OH: 24.9 %Whitehall, OH24.9Middletown, OH: 24.7 %Middletown, OH24.7Steubenville, OH: 24.7 %Steubenville, OH24.7Zanesville, OH: 24.6 %Zanesville, OH24.6Washington Court House, OH: 24.5 %Washington Court House, OH24.5Coshocton, OH: 24.2 %Coshocton, OH24.2Fostoria, OH: 24.2 %Fostoria, OH24.2Ironton, OH: 24.2 %Ironton, OH24.2Galion, OH: 24.1 %Galion, OH24.1Elyria, OH: 24 %Elyria, OH24New Philadelphia, OH: 23.7 %New Philadelphia, OH23.7Trotwood, OH: 23.7 %Trotwood, OH23.7Alliance, OH: 23.5 %Alliance, OH23.5Bucyrus, OH: 23.5 %Bucyrus, OH23.5Circleville, OH: 23.5 %Circleville, OH23.5Franklin, OH: 23.5 %Franklin, OH23.5Toledo, OH: 23.5 %Toledo, OH23.5Chillicothe, OH: 23.3 %Chillicothe, OH23.3Maple Heights, OH: 23.3 %Maple Heights, OH23.3Massillon, OH: 23.3 %Massillon, OH23.3Hamilton, OH: 23.1 %Hamilton, OH23.1Ravenna, OH: 23 %Ravenna, OH23Ashtabula, OH: 29.1 %Ashtabula, OH29.1Youngstown, OH: 28.9 %Youngstown, OH28.9Portsmouth, OH: 28.6 %Portsmouth, OH28.6East Cleveland, OH: 27.8 %East Cleveland, OH27.8Canton, OH: 27.6 %Canton, OH27.6Warren, OH: 27.6 %Warren, OH27.6Marion, OH: 27.5 %Marion, OH27.5Cleveland, OH: 26.6 %Cleveland, OH26.6Conneaut, OH: 26.3 %Conneaut, OH26.3Mansfield, OH: 26.3 %Mansfield, OH26.3Lima, OH: 26.2 %Lima, OH26.2Barberton, OH: 25.3 %Barberton, OH25.3Lorain, OH: 25.1 %Lorain, OH25.1Springfield, OH: 25.1 %Springfield, OH25.1Akron, OH: 25 %Akron, OH25Cambridge, OH: 25 %Cambridge, OH25Sandusky, OH: 25 %Sandusky, OH25Dayton, OH: 24.9 %Dayton, OH24.9Whitehall, OH: 24.9 %Whitehall, OH24.9Middletown, OH: 24.7 %Middletown, OH24.7Steubenville, OH: 24.7 %Steubenville, OH24.7Zanesville, OH: 24.6 %Zanesville, OH24.6Washington Court House, OH: 24.5 %Washington Court House, OH24.5Coshocton, OH: 24.2 %Coshocton, OH24.2Fostoria, OH: 24.2 %Fostoria, OH24.2Ironton, OH: 24.2 %Ironton, OH24.2Galion, OH: 24.1 %Galion, OH24.1Elyria, OH: 24 %Elyria, OH24New Philadelphia, OH: 23.7 %New Philadelphia, OH23.7Trotwood, OH: 23.7 %Trotwood, OH23.7Alliance, OH: 23.5 %Alliance, OH23.5Bucyrus, OH: 23.5 %Bucyrus, OH23.5Circleville, OH: 23.5 %Circleville, OH23.5Franklin, OH: 23.5 %Franklin, OH23.5Toledo, OH: 23.5 %Toledo, OH23.5Chillicothe, OH: 23.3 %Chillicothe, OH23.3Maple Heights, OH: 23.3 %Maple Heights, OH23.3Massillon, OH: 23.3 %Massillon, OH23.3Hamilton, OH: 23.1 %Hamilton, OH23.1Ravenna, OH: 23 %Ravenna, OH23
%. 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 (%)
1Ashtabula, OH29.1
2Youngstown, OH28.9
3Portsmouth, OH28.6
4East Cleveland, OH27.8
5Canton, OH27.6
5Warren, OH27.6
7Marion, OH27.5
8Cleveland, OH26.6
9Conneaut, OH26.3
9Mansfield, OH26.3
11Lima, OH26.2
12Barberton, OH25.3
13Lorain, OH25.1
13Springfield, OH25.1
15Akron, OH25
15Cambridge, OH25
15Sandusky, OH25
18Dayton, OH24.9
18Whitehall, OH24.9
20Middletown, OH24.7
20Steubenville, OH24.7
22Zanesville, OH24.6
23Washington Court House, OH24.5
24Coshocton, OH24.2
24Fostoria, OH24.2
24Ironton, OH24.2
27Galion, OH24.1
28Elyria, OH24
29New Philadelphia, OH23.7
29Trotwood, OH23.7
31Alliance, OH23.5
31Bucyrus, OH23.5
31Circleville, OH23.5
31Franklin, OH23.5
31Toledo, OH23.5
36Chillicothe, OH23.3
36Maple Heights, OH23.3
36Massillon, OH23.3
39Hamilton, OH23.1
40Ravenna, OH23
41Painesville, OH22.9
41Van Wert, OH22.9
43Lancaster, OH22.8
44Euclid, OH22.7
44Piqua, OH22.7
46Sidney, OH22.6
47Newark, OH22.5
48Bellefontaine, OH22.4
48Fremont, OH22.4
48Niles, OH22.4
48Norwalk, OH22.4
52Urbana, OH22.3
53Garfield Heights, OH22.2
53Marietta, OH22.2
55Greenville, OH22.1
56Salem, OH21.9
56Warrensville Heights, OH21.9
58London, OH21.7
59Bedford Heights, OH21
60Wilmington, OH20.9
61Brooklyn, OH20.8
61Xenia, OH20.8
63Trenton, OH20.7
64Brook Park, OH20.6
65Norwood, OH20.5
65West Carrollton, OH20.5
67Cincinnati, OH20.4
68Defiance, OH20.3
68Reading, OH20.3
70Celina, OH20.1
71Mount Vernon, OH19.8
72Riverside, OH19.7
73Troy, OH19.6
74Heath, OH19.5
74Tiffin, OH19.5
76Bedford, OH19.3
76Eastlake, OH19.3
78Columbus, OH19.1
78Norton, OH19.1
80Fairborn, OH19
81Lebanon, OH18.9
82Forest Park, OH18.7
83Streetsboro, OH18.6
84Huber Heights, OH18.5
84Vermilion, OH18.5
86Findlay, OH18.4
87Harrison, OH18.3
88Ashland, OH18.2
88New Franklin, OH18.2
88Parma, OH18.2
91Cuyahoga Falls, OH18.1
91Fairfield, OH18.1
93Brunswick, OH18
93Marysville, OH18
93Miamisburg, OH18
93Pataskala, OH18
97Oregon, OH17.9
98Amherst, OH17.7
98Reynoldsburg, OH17.7
98Willowick, OH17.7
101Parma Heights, OH17.6
102Wooster, OH17.5
103Dover, OH17.4
103Green, OH17.4
105North Ridgeville, OH17.3
105Richmond Heights, OH17.3
107Vandalia, OH17.1
108Wickliffe, OH16.9
109North Olmsted, OH16.8
110South Euclid, OH16.7
111Grove City, OH16.6
111Kent, OH16.6
113Tallmadge, OH16.5
114Lakewood, OH16.3
115Mentor, OH16.2
116Athens, OH16.1
116Berea, OH16.1
116Bowling Green, OH16.1
116Englewood, OH16.1
120Canal Winchester, OH16
120North Canton, OH16
120Pickerington, OH16
120Springdale, OH16
124Delaware, OH15.9
124Medina, OH15.9
124Willoughby, OH15.9
127Oxford, OH15.7
128Kettering, OH15.6
129Cleveland Heights, OH15.5
130Monroe, OH15.4
131Clayton, OH15.3
131Tipp City, OH15.3
131Wadsworth, OH15.3
134Fairview Park, OH15
134Twinsburg, OH15
136Sharonville, OH14.9
137Maumee, OH14.8
137Mayfield Heights, OH14.8
139Stow, OH14.7
140North Royalton, OH14.6
141Macedonia, OH14.5
141Middleburg Heights, OH14.5
143Seven Hills, OH14.3
144Hilliard, OH13.9
145Avon Lake, OH13.8
145Gahanna, OH13.8
147Springboro, OH13.7
148Loveland, OH13.6
149Strongsville, OH13.5
150Avon, OH13.3
151Aurora, OH13.1
151Westerville, OH13.1
153Broadview Heights, OH13
154Sylvania, OH12.9
154University Heights, OH12.9
156Mason, OH12.6
157Beavercreek, OH12.4
157Perrysburg, OH12.4
159Westlake, OH12.2
160Blue Ash, OH11.8
161Lyndhurst, OH11.7
162New Albany, OH11.5
162Shaker Heights, OH11.5
162Solon, OH11.5
165Brecksville, OH11.4
165Centerville, OH11.4
167Hudson, OH11
168Rocky River, OH10.9
169Bexley, OH10.8
170Bay Village, OH10.7
171Dublin, OH10.4
172Powell, OH10
172Worthington, OH10
174Montgomery, OH9.7
175Beachwood, OH9.3
176Upper Arlington, OH8.8

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, 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 Ohio 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/ohio-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 Ohio 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/ohio-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 Ohio 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/ohio-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_ohio_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 Ohio 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/ohio-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 Ohio 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/ohio-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/ohio-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 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?

Ashtabula, OH, with 29.1% in 2021, 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 8.8% 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 Ohio: more rankings