US cities by adult cigarette smoking rate, local model estimate, 2023

New Square, NY had the highest adult cigarette smoking rate, local model estimate of 3101 cities in 2023, at 29.2%. Mercer Island, WA had the lowest, at 4.9%. The median was 12.8%. Source: the Centers for Disease Control and Prevention.

Highest29.2New Square, NY

Lowest4.9Mercer Island, WA

Median12.83101 cities

Top 40 cities, 2023

%. 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

Rank	Cities	2023 (%)	Change on 2022
1	New Square, NY	29.2	-0.4 pts
2	Hamtramck, MI	27	+0.8 pts
3	Jennings, MO	26.8	0 pts
4	Crowley, LA	26.7	+0.7 pts
5	Forrest City, AR	26.3	-1.3 pts
5	Kiryas Joel, NY	26.3	-2 pts
7	Melvindale, MI	25.7	-0.6 pts
7	Minden, LA	25.7	+0.2 pts
9	Gary, IN	25.6	-0.9 pts
10	Flint, MI	25.3	-1 pts
11	Opelousas, LA	25	-0.5 pts
12	East Cleveland, OH	24.9	-1.1 pts
13	Youngstown, OH	24.7	-2 pts
14	Warren, OH	24.5	-3.5 pts
15	Poplar Bluff, MO	24.3	-3.1 pts
15	Portsmouth, OH	24.3	-1.5 pts
17	Abbeville, LA	24.1	+1.6 pts
17	Canton, OH	24.1	-2.1 pts
17	Inkster, MI	24.1	-1.7 pts
20	Parkersburg, WV	23.9	-1.4 pts
21	Bellefontaine Neighbors, MO	23.7	-0.5 pts
22	Mansfield, OH	23.6	-1.6 pts
22	Saginaw, MI	23.6	-1.3 pts
24	Connersville, IN	23.5	-0.3 pts
25	Palatka, FL	23.3	+0.7 pts
26	Bridgeton, NJ	23.2	+0.8 pts
26	Canton, MS	23.2	+0.2 pts
26	Gatesville, TX	23.2	-1.7 pts
26	Morristown, TN	23.2	-1.8 pts
26	Prichard, AL	23.2	-1.1 pts
31	Conneaut, OH	22.9	-1.7 pts
32	Ironton, OH	22.8	-1.6 pts
32	Lima, OH	22.8	-2.6 pts
34	Ashtabula, OH	22.5	-3.5 pts
34	McMinnville, TN	22.5	-1 pts
36	Bogalusa, LA	22.3	-1.4 pts
36	Clarksburg, WV	22.3	-1.1 pts
36	Crossville, TN	22.3	-2.2 pts
36	East St. Louis, IL	22.3	-0.8 pts
36	Greenville, MS	22.3	-0.1 pts
36	West Plains, MO	22.3	-0.9 pts
42	Kennett, MO	22.1	-2.5 pts
42	Muskegon, MI	22.1	-2.2 pts
44	Clarksdale, MS	22	+0.7 pts
44	Meridian, MS	22	-0.5 pts
44	Paris, TN	22	-1.5 pts
47	Monett, MO	21.9	-0.8 pts
48	Detroit, MI	21.8	-1.6 pts
48	Lawrenceburg, TN	21.8	-1 pts
48	Marion, OH	21.8	-2.5 pts
48	Muskogee, OK	21.8	+0.2 pts
52	Jackson, MI	21.7	-2 pts
52	Lebanon, MO	21.7	-2.6 pts
52	New Iberia, LA	21.7	-1.8 pts
55	Farmington, MO	21.6	-1.9 pts
55	Gadsden, AL	21.6	+0.6 pts
55	Greenwood, MS	21.6	-0.4 pts
55	Moberly, MO	21.6	-2.8 pts
55	Okmulgee, OK	21.6	-1.4 pts
55	Zanesville, OH	21.6	-1.4 pts
61	Cambridge, OH	21.5	-2.3 pts
61	Cleveland, OH	21.5	-2.5 pts
61	Ferguson, MO	21.5	-1.3 pts
61	Springfield, OH	21.5	-3 pts
65	Douglas, GA	21.4	+0.1 pts
65	Kinston, NC	21.4	+1.2 pts
65	Martinsburg, WV	21.4	-1.2 pts
65	New Bedford, MA	21.4	+1.6 pts
65	Port Huron, MI	21.4	-0.3 pts
70	Fall River, MA	21.3	+1.6 pts
70	Hartsville, TN	21.3	-3.4 pts
70	Springfield, TN	21.3	-2 pts
70	Union City, TN	21.3	-0.9 pts
74	Anderson, IN	21.2	-1.2 pts
74	Miami, OK	21.2	+0.5 pts
74	Monroe, LA	21.2	-0.4 pts
77	East Chicago, IN	21.1	-1.7 pts
78	Florida City, FL	21	-1.9 pts
78	Lake Station, IN	21	-1.3 pts
78	Peru, IN	21	-1.7 pts
78	Richmond, IN	21	-0.8 pts
78	West Memphis, AR	21	-3.3 pts
83	Carthage, MO	20.9	-2.3 pts
83	Clearlake, CA	20.9	-0.1 pts
83	Corcoran, CA	20.9	-1.6 pts
83	Morgan City, LA	20.9	-1.8 pts
83	Portland, TN	20.9	-3 pts
88	Alexandria, LA	20.8	-0.2 pts
88	Lumberton, NC	20.8	-1.1 pts
88	Painesville, OH	20.8	-1.4 pts
91	Alliance, OH	20.7	-1.6 pts
91	Avenal, CA	20.7	+1 pts
91	Camden, NJ	20.7	-0.1 pts
91	Dyersburg, TN	20.7	-1.4 pts
91	McAlester, OK	20.7	-1.5 pts
91	Michigan City, IN	20.7	-1.1 pts
97	Beckley, WV	20.6	-1.6 pts
97	Hamilton, OH	20.6	-3.3 pts
97	Huntington, WV	20.6	-1 pts
97	Lewisburg, TN	20.6	-2.1 pts
101	Dayton, OH	20.5	-3.2 pts
101	Marion, IN	20.5	-2.5 pts
103	Hopewell, VA	20.4	-1.3 pts
103	Monroe, GA	20.4	-0.9 pts
103	Sandusky, OH	20.4	-2.3 pts
106	Eastpointe, MI	20.3	-1.8 pts
106	Elmira, NY	20.3	-0.8 pts
106	Laurinburg, NC	20.3	+0.2 pts
106	New Castle, IN	20.3	-1.8 pts
106	Pontiac, MI	20.3	-2 pts
106	Shelbyville, TN	20.3	-1.7 pts
112	Bucyrus, OH	20.2	-2.3 pts
112	Dublin, GA	20.2	-0.1 pts
112	Fort Pierce, FL	20.2	-1.3 pts
112	Franklin, OH	20.2	-3.3 pts
112	Ionia, MI	20.2	-1.7 pts
112	Malvern, AR	20.2	-3.1 pts
112	Russellville, AL	20.2	-0.4 pts
112	Washington Court House, OH	20.2	-2.7 pts
112	Waycross, GA	20.2	-1.1 pts
121	McComb, MS	20.1	-1.9 pts
121	Millington, TN	20.1	-2.8 pts
121	Ravenna, OH	20.1	-3.2 pts
121	Whitehall, OH	20.1	-3.8 pts
125	Barberton, OH	20	-3.1 pts
125	Eufaula, AL	20	0 pts
125	Lorain, OH	20	-3.2 pts
125	Middletown, OH	20	-3.4 pts
125	Texarkana, AR	20	-2.7 pts
125	Washington, IN	20	+0.5 pts
131	Athens, TN	19.9	-0.4 pts
131	Atlantic City, NJ	19.9	-0.3 pts
131	Brunswick, GA	19.9	-0.5 pts
131	Coldwater, MI	19.9	-1.4 pts
131	Kingsport, TN	19.9	-0.8 pts
131	Lenoir City, TN	19.9	-2.4 pts
131	Lincoln Park, MI	19.9	-1.1 pts
131	Memphis, TN	19.9	-1.5 pts
131	Sikeston, MO	19.9	-3.8 pts
131	Terre Haute, IN	19.9	-1.4 pts
131	Toledo, OH	19.9	-1.6 pts
142	Center Point, AL	19.8	-1.4 pts
142	Chillicothe, OH	19.8	-1.8 pts
142	Clarkston, GA	19.8	-2.6 pts
142	Coshocton, OH	19.8	-2.2 pts
142	Moultrie, GA	19.8	-0.2 pts
142	Port Arthur, TX	19.8	-0.8 pts
148	Bonham, TX	19.7	-1.2 pts
148	Corinth, MS	19.7	-0.3 pts
148	Danville, IL	19.7	-1.2 pts
148	Elkton, MD	19.7	+0.6 pts
148	Fulton, NY	19.7	-1.5 pts
148	Hammond, IN	19.7	-1.1 pts
148	Hannibal, MO	19.7	-3.1 pts
148	Jackson, TN	19.7	-1.2 pts
148	Kokomo, IN	19.7	-1.8 pts
148	Riverdale, IL	19.7	-3.5 pts
158	Akron, OH	19.6	-2.8 pts
158	Bellefontaine, OH	19.6	-2.5 pts
158	Crawfordsville, IN	19.6	-1.7 pts
158	Danville, VA	19.6	-1.3 pts
158	Guthrie, OK	19.6	+0.8 pts
158	Logansport, IN	19.6	-2.3 pts
158	Maple Heights, OH	19.6	-1.7 pts
158	Natchez, MS	19.6	+0.5 pts
158	Ozark, AL	19.6	+0.1 pts
158	Paragould, AR	19.6	-1.5 pts
168	Belle Glade, FL	19.5	-2 pts
168	Duncan, OK	19.5	+0.4 pts
168	Escanaba, MI	19.5	+0.2 pts
168	Laurel, MS	19.5	-0.4 pts
168	Lexington, NC	19.5	-0.1 pts
168	Massillon, OH	19.5	-1.5 pts
168	Sedalia, MO	19.5	-2.1 pts
168	Shelbyville, IN	19.5	-2 pts
176	Brookhaven, MS	19.4	-0.3 pts
176	Clinton, TN	19.4	-0.8 pts
176	Cumberland, MD	19.4	+1.2 pts
176	Galion, OH	19.4	-3.3 pts
176	Garfield Heights, OH	19.4	-2.8 pts
176	Gloversville, NY	19.4	-3 pts
176	Greenville, OH	19.4	-0.7 pts
176	Griffin, GA	19.4	-0.6 pts
176	Martinsville, VA	19.4	-0.1 pts
176	St. Albans, WV	19.4	+0.8 pts
186	Albany, GA	19.3	-0.7 pts
186	Burton, MI	19.3	-1.1 pts
186	Elizabethton, TN	19.3	-0.7 pts
186	Fort Payne, AL	19.3	-0.3 pts
186	Gallup, NM	19.3	-2.4 pts
186	Grenada, MS	19.3	-1.3 pts
186	Henderson, NC	19.3	+0.2 pts
186	Jesup, GA	19.3	-0.5 pts
186	Kings Mountain, NC	19.3	+0.4 pts
186	Muncie, IN	19.3	-1.6 pts
186	St. Ann, MO	19.3	-1.5 pts
186	St. Joseph, MO	19.3	-2 pts
186	Sylacauga, AL	19.3	-0.2 pts
199	Greeneville, TN	19.2	-1.8 pts
199	Hagerstown, MD	19.2	-0.4 pts
199	Houma, LA	19.2	-1.1 pts
199	Mexico, MO	19.2	-2.6 pts
199	Moss Point, MS	19.2	-1.2 pts
199	Selma, AL	19.2	-1.2 pts
199	Tullahoma, TN	19.2	-0.8 pts
206	Alpena, MI	19.1	-1.9 pts
206	Bainbridge, GA	19.1	-0.1 pts
206	Faribault, MN	19.1	0 pts
206	Kankakee, IL	19.1	-2.5 pts
206	Overland, MO	19.1	-1.1 pts
206	Shreveport, LA	19.1	-0.5 pts
212	Baker, LA	19	-0.8 pts
212	Bristol, TN	19	-1.7 pts
212	Central Falls, RI	19	-2.4 pts
212	Gretna, LA	19	-1 pts
212	Manchester, TN	19	-1.6 pts
212	Opa-locka, FL	19	-1.1 pts
212	Sidney, OH	19	-2.1 pts
212	South Charleston, WV	19	-1.6 pts
220	Bay City, MI	18.9	-2.6 pts
220	Bessemer, AL	18.9	-1.6 pts
220	Blytheville, AR	18.9	-3.4 pts
220	Circleville, OH	18.9	-2.9 pts
220	Durant, OK	18.9	-1.1 pts
220	Gulfport, MS	18.9	-1.4 pts
220	Mendota, CA	18.9	-2.5 pts
220	Mount Clemens, MI	18.9	-3.6 pts
220	Piqua, OH	18.9	-4.5 pts
220	Ponca City, OK	18.9	+0.5 pts
220	Sevierville, TN	18.9	-0.4 pts
220	Sweetwater, TX	18.9	-0.8 pts
220	Waterloo, IA	18.9	-0.9 pts
220	Wayne, MI	18.9	-2.5 pts
234	Battle Creek, MI	18.8	+0.1 pts
234	Blythe, CA	18.8	0 pts
234	Clarksville, IN	18.8	-1 pts
234	Elkhart, IN	18.8	-2.4 pts
234	Elyria, OH	18.8	-4.1 pts
234	Fostoria, OH	18.8	-2.8 pts
234	Joplin, MO	18.8	-1.9 pts
234	Lawton, OK	18.8	+0.6 pts
234	Lewiston, ME	18.8	-0.4 pts
234	Natchitoches, LA	18.8	-2.4 pts
244	Bedford, IN	18.7	-2.4 pts
244	Chowchilla, CA	18.7	+1.3 pts
244	Clinton, IA	18.7	-0.7 pts
244	Del City, OK	18.7	-0.4 pts
244	Hibbing, MN	18.7	+0.5 pts
244	Niles, OH	18.7	-2.5 pts
244	Oroville, CA	18.7	+0.5 pts

Showing the top 250 of 3101. The Excel download has every row.

Other periods

2023
2022
2021

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. 110 cities with data in other periods have no value for 2023 and are left out rather than filled from another source. 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 (US cities 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, US cities 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/us-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. US cities 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/us-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, US cities 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/us-cities (Accessed: 12 October 2026).

BibTeX

@misc{centers_us_cities_by_adult_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: US cities 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/us-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: US cities 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/us-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/us-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  -

Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Embed code

<iframe src="https://invokely.ai/embed/rankings/adult-smoking-rate-county-estimate/us-cities" width="760" height="500" title="US cities by adult cigarette smoking rate, local model estimate, 2023, chart from Invokely" loading="lazy" style="border:0;width:100%;max-width:760px" referrerpolicy="strict-origin-when-cross-origin"></iframe>

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank US cities 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":"United States","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=municipality&within=United%20States&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

New Square, NY, with 29.2% in 2023, according to the Centers for Disease Control and Prevention.

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

Mercer Island, WA, with 4.9% 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. 110 cities have no value for 2023 and are not ranked.