US cities by adult cigarette smoking rate, local model estimate

New Square, NY had the highest adult cigarette smoking rate, local model estimate of 3211 cities in 2022, at 29.6%. Los Altos, CA had the lowest, at 4.9%. The median was 14.3%. Source: the Centers for Disease Control and Prevention.

Highest29.6New Square, NY

Lowest4.9Los Altos, CA

Median14.33211 cities

Top 40 cities, 2022

%. 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	2022 (%)	Change on 2021
1	New Square, NY	29.6	-6.4 pts
2	Kiryas Joel, NY	28.3	-4.7 pts
3	Warren, OH	28	+0.4 pts
4	Forrest City, AR	27.6	+0.6 pts
5	Poplar Bluff, MO	27.4	-2.1 pts
6	Jennings, MO	26.8	-1.4 pts
7	Youngstown, OH	26.7	-2.2 pts
8	Gary, IN	26.5	+0.2 pts
9	Flint, MI	26.3	-2.7 pts
9	Melvindale, MI	26.3	-2.2 pts
11	Canton, OH	26.2	-1.4 pts
11	Hamtramck, MI	26.2	-7.8 pts
13	Ashtabula, OH	26	-3.1 pts
13	Crowley, LA	26	-3.8 pts
13	East Cleveland, OH	26	-1.8 pts
16	Inkster, MI	25.8	-3.3 pts
16	Portsmouth, OH	25.8	-2.8 pts
18	Minden, LA	25.5	-2.8 pts
18	Opelousas, LA	25.5	-4.6 pts
20	Lima, OH	25.4	-0.8 pts
21	Parkersburg, WV	25.3	+0.7 pts
22	Mansfield, OH	25.2	-1.1 pts
23	New Castle, PA	25.1	-0.1 pts
24	Morristown, TN	25	-0.8 pts
25	Darby, PA	24.9	+2.2 pts
25	Gatesville, TX	24.9	+1.7 pts
25	Saginaw, MI	24.9	-1.4 pts
28	Hartsville, TN	24.7	+2.4 pts
29	Conneaut, OH	24.6	-1.7 pts
29	Kennett, MO	24.6	-1.5 pts
31	Crossville, TN	24.5	-0.2 pts
31	Springfield, OH	24.5	-0.6 pts
33	Ironton, OH	24.4	+0.2 pts
33	Moberly, MO	24.4	+0.6 pts
35	Lebanon, MO	24.3	+1.8 pts
35	Marion, OH	24.3	-3.2 pts
35	Muskegon, MI	24.3	-0.5 pts
35	Prichard, AL	24.3	-0.6 pts
35	West Memphis, AR	24.3	-3.3 pts
40	Bellefontaine Neighbors, MO	24.2	-0.9 pts
40	Johnstown, PA	24.2	-4.7 pts
42	McKeesport, PA	24.1	-2.4 pts
43	Cleveland, OH	24	-2.6 pts
44	Camden, AR	23.9	-2 pts
44	Hamilton, OH	23.9	+0.8 pts
44	Portland, TN	23.9	-0.5 pts
44	Whitehall, OH	23.9	-1 pts
48	Cambridge, OH	23.8	-1.2 pts
48	Connersville, IN	23.8	-2.7 pts
50	Bogalusa, LA	23.7	-3.5 pts
50	Dayton, OH	23.7	-1.2 pts
50	Jackson, MI	23.7	-2.5 pts
50	Sikeston, MO	23.7	+0.5 pts
54	Farmington, MO	23.5	-1.1 pts
54	Franklin, OH	23.5	0 pts
54	McMinnville, TN	23.5	-2.6 pts
54	New Iberia, LA	23.5	-2.5 pts
54	Paris, TN	23.5	-2.4 pts
59	Chester, PA	23.4	-2.4 pts
59	Clarksburg, WV	23.4	-1.5 pts
59	Detroit, MI	23.4	-5.1 pts
59	Middletown, OH	23.4	-1.3 pts
59	Piqua, OH	23.4	+0.7 pts
64	Malvern, AR	23.3	-1.1 pts
64	Ravenna, OH	23.3	+0.3 pts
64	Springfield, TN	23.3	-0.6 pts
67	Carthage, MO	23.2	-0.3 pts
67	Lorain, OH	23.2	-1.9 pts
67	Riverdale, IL	23.2	+1.6 pts
67	West Plains, MO	23.2	+0.3 pts
71	Barberton, OH	23.1	-2.2 pts
71	East St. Louis, IL	23.1	-2.7 pts
73	Canton, MS	23	+1.9 pts
73	Marion, IN	23	-0.9 pts
73	Okmulgee, OK	23	-1.9 pts
73	Zanesville, OH	23	-1.6 pts
77	Elyria, OH	22.9	-1.1 pts
77	Florida City, FL	22.9	n/a
77	Millington, TN	22.9	+1.9 pts
77	Washington Court House, OH	22.9	-1.6 pts
81	East Chicago, IN	22.8	-1.3 pts
81	Ferguson, MO	22.8	-2.1 pts
81	Hannibal, MO	22.8	+0.4 pts
81	Lawrenceburg, TN	22.8	-0.3 pts
81	Nanticoke, PA	22.8	+0.3 pts
86	Galion, OH	22.7	-1.4 pts
86	Lewisburg, TN	22.7	-3.2 pts
86	Monett, MO	22.7	+0.6 pts
86	Morgan City, LA	22.7	-1.2 pts
86	Peru, IN	22.7	-2.4 pts
86	Sandusky, OH	22.7	-2.3 pts
86	Texarkana, AR	22.7	-1.2 pts
93	Martinsburg, WV	22.6	-2 pts
93	Palatka, FL	22.6	n/a
95	Abbeville, LA	22.5	-1.5 pts
95	Bucyrus, OH	22.5	-1 pts
95	Corcoran, CA	22.5	-1 pts
95	Meridian, MS	22.5	-0.4 pts
95	Mount Clemens, MI	22.5	-2.5 pts
95	York, PA	22.5	-2.4 pts
101	Akron, OH	22.4	-2.6 pts
101	Anderson, IN	22.4	-1.3 pts
101	Bridgeton, NJ	22.4	-4.6 pts
101	Clarkston, GA	22.4	-2.6 pts
101	Gloversville, NY	22.4	-5.5 pts
101	Greenville, MS	22.4	-3.9 pts
107	Alliance, OH	22.3	-1.2 pts
107	Blytheville, AR	22.3	-3.4 pts
107	Lake Station, IN	22.3	-1.2 pts
107	Lenoir City, TN	22.3	-1 pts
107	Pontiac, MI	22.3	-1.8 pts
112	Beckley, WV	22.2	-0.6 pts
112	Garfield Heights, OH	22.2	0 pts
112	McAlester, OK	22.2	-0.5 pts
112	Painesville, OH	22.2	-0.7 pts
112	Union City, TN	22.2	-4.9 pts
117	Bellefontaine, OH	22.1	-0.3 pts
117	Dyersburg, TN	22.1	-2.4 pts
117	Eastpointe, MI	22.1	-1.4 pts
117	New Castle, IN	22.1	-2.3 pts
121	Coshocton, OH	22	-2.2 pts
121	Greenwood, MS	22	-2.7 pts
121	McComb, MS	22	-2.8 pts
121	Shelbyville, TN	22	-2.5 pts
125	Hopkinsville, KY	21.9	-2.2 pts
125	Ionia, MI	21.9	-1.2 pts
125	Logansport, IN	21.9	-2.1 pts
125	Lumberton, NC	21.9	-2.4 pts
125	Niles, MI	21.9	-1 pts
125	Somerset, KY	21.9	-3 pts
131	Circleville, OH	21.8	-1.7 pts
131	Mexico, MO	21.8	-0.2 pts
131	Michigan City, IN	21.8	-2.4 pts
131	Pine Bluff, AR	21.8	-1.3 pts
131	Richmond, IN	21.8	-0.9 pts
131	Steubenville, OH	21.8	-2.9 pts
137	Excelsior Springs, MO	21.7	-0.6 pts
137	Gallup, NM	21.7	+3.3 pts
137	Hopewell, VA	21.7	-0.2 pts
137	Lancaster, OH	21.7	-1.1 pts
137	Port Huron, MI	21.7	-3.4 pts
137	Sharon, PA	21.7	-2.8 pts
143	Chillicothe, OH	21.6	-1.7 pts
143	Columbia, PA	21.6	-1 pts
143	Erie, PA	21.6	-2 pts
143	Fostoria, OH	21.6	-2.6 pts
143	Fremont, OH	21.6	-0.8 pts
143	Huntington, WV	21.6	-1.3 pts
143	Kankakee, IL	21.6	-1.4 pts
143	Monroe, LA	21.6	-2.6 pts
143	Muskogee, OK	21.6	-1.6 pts
143	Sedalia, MO	21.6	-0.8 pts
153	Bay City, MI	21.5	-0.7 pts
153	Belle Glade, FL	21.5	n/a
153	Coatesville, PA	21.5	-1.7 pts
153	Farmington, NM	21.5	+3.6 pts
153	Fort Pierce, FL	21.5	n/a
153	Hazleton, PA	21.5	-1.5 pts
153	Kokomo, IN	21.5	-0.7 pts
153	Shelbyville, IN	21.5	+0.1 pts
153	Toledo, OH	21.5	-2 pts
162	Central Falls, RI	21.4	-1 pts
162	Memphis, TN	21.4	-1.3 pts
162	Mendota, CA	21.4	-0.2 pts
162	Norwalk, OH	21.4	-1 pts
162	Reidsville, NC	21.4	+0.6 pts
162	Shepherdsville, KY	21.4	+0.2 pts
162	Wayne, MI	21.4	-3.5 pts
169	Butler, PA	21.3	-3 pts
169	Clarksdale, MS	21.3	-3.1 pts
169	Coldwater, MI	21.3	-0.9 pts
169	Crawfordsville, IN	21.3	+1.3 pts
169	Douglas, GA	21.3	-0.3 pts
169	Maple Heights, OH	21.3	-2 pts
169	Monroe, GA	21.3	-0.6 pts
169	Pottsville, PA	21.3	-0.3 pts
169	St. Joseph, MO	21.3	-1.2 pts
169	Terre Haute, IN	21.3	-1.1 pts
169	Waycross, GA	21.3	-0.3 pts
180	Center Point, AL	21.2	-0.5 pts
180	Elkhart, IN	21.2	-1.1 pts
180	Euclid, OH	21.2	-1.5 pts
180	Fulton, NY	21.2	-1.4 pts
180	London, OH	21.2	-0.5 pts
180	Natchitoches, LA	21.2	-2.3 pts
180	Niles, OH	21.2	-1.2 pts
180	Radcliff, KY	21.2	-2.7 pts
180	Trotwood, OH	21.2	-2.5 pts
189	Bedford, IN	21.1	-0.8 pts
189	Beech Grove, IN	21.1	-0.3 pts
189	Berwick, PA	21.1	-1 pts
189	East Ridge, TN	21.1	+1.8 pts
189	Elmira, NY	21.1	-6.5 pts
189	Paragould, AR	21.1	-1.9 pts
189	Seymour, IN	21.1	0 pts
189	Sidney, OH	21.1	-1.5 pts
197	Alexandria, LA	21	-3.6 pts
197	Alpena, MI	21	+1.5 pts
197	Clearlake, CA	21	-1.2 pts
197	Gadsden, AL	21	-1 pts
197	Glasgow, KY	21	-4 pts
197	Greeneville, TN	21	-1.8 pts
197	Lincoln Park, MI	21	-4.5 pts
197	Massillon, OH	21	-2.3 pts
205	Bonham, TX	20.9	0 pts
205	Danville, IL	20.9	-2 pts
205	Danville, VA	20.9	0 pts
205	El Dorado, AR	20.9	-0.3 pts
205	Jackson, TN	20.9	-0.3 pts
205	Muncie, IN	20.9	-0.5 pts
205	New Kensington, PA	20.9	-0.7 pts
205	Van Wert, OH	20.9	-2 pts
205	Washington, PA	20.9	-1 pts
214	Camden, NJ	20.8	-4 pts
214	Hammond, IN	20.8	-0.9 pts
214	Harrisburg, PA	20.8	-2 pts
214	Paris, KY	20.8	-2.2 pts
214	St. Ann, MO	20.8	-2 pts
214	Talladega, AL	20.8	-2.8 pts
220	Bristol, TN	20.7	-0.8 pts
220	Hanover, PA	20.7	+2.4 pts
220	Joplin, MO	20.7	+0.2 pts
220	Kingsport, TN	20.7	-0.3 pts
220	Miami, OK	20.7	-2.4 pts
220	Newark, OH	20.7	-1.8 pts
220	Rantoul, IL	20.7	-0.1 pts
220	Union, MO	20.7	+0.2 pts
220	Urbana, OH	20.7	-1.6 pts
220	Van Buren, AR	20.7	-1.9 pts
220	West Carrollton, OH	20.7	+0.2 pts
231	Bellmead, TX	20.6	-1.5 pts
231	Covington, KY	20.6	-2.4 pts
231	Grenada, MS	20.6	-0.4 pts
231	Lebanon, PA	20.6	-3.3 pts
231	Madisonville, KY	20.6	-2.5 pts
231	Manchester, TN	20.6	+1.7 pts
231	Port Arthur, TX	20.6	-2.1 pts
231	Reading, PA	20.6	-5 pts
231	Russellville, AL	20.6	+0.6 pts
231	South Charleston, WV	20.6	+2.3 pts
241	Bessemer, AL	20.5	-1.3 pts
241	Endicott, NY	20.5	-1.5 pts
241	Harvey, IL	20.5	-2.9 pts
241	North Little Rock, AR	20.5	-3.2 pts
241	Riverside, OH	20.5	+0.8 pts
241	Sturgis, MI	20.5	-2.5 pts
247	Altoona, PA	20.4	-3.2 pts
247	Brunswick, GA	20.4	-2.2 pts
247	Burton, MI	20.4	-2.9 pts
247	Festus, MO	20.4	+0.3 pts

Showing the top 250 of 3211. 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. 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, 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, US cities 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/us-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. US cities 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/us-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, US cities 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/us-cities?period=2022 (Accessed: 12 October 2026).

BibTeX

@misc{centers_us_cities_by_adult_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: US cities 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/us-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: US cities 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/us-cities?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/us-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 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

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Questions

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

New Square, NY, with 29.6% in 2022, according to the Centers for Disease Control and Prevention.

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

Los Altos, CA, with 4.9% 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.