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

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

Hopewell, VA had the highest adult cigarette smoking rate, local model estimate of 39 cities in 2023, at 20.4%. Falls Church, VA had the lowest, at 6.9%. The median was 12.9%. Source: the Centers for Disease Control and Prevention.

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Highest20.4Hopewell, VA
Lowest6.9Falls Church, VA
Median12.939 cities

All cities, 2023

Hopewell, VA: 20.4 %Hopewell, VA20.4Danville, VA: 19.6 %Danville, VA19.6Martinsville, VA: 19.4 %Martinsville, VA19.4Bristol, VA: 18.1 %Bristol, VA18.1Petersburg, VA: 17.6 %Petersburg, VA17.6Roanoke, VA: 16.7 %Roanoke, VA16.7Portsmouth, VA: 16.5 %Portsmouth, VA16.5Front Royal, VA: 16.3 %Front Royal, VA16.3Waynesboro, VA: 15.7 %Waynesboro, VA15.7Winchester, VA: 15.7 %Winchester, VA15.7Newport News, VA: 14.4 %Newport News, VA14.4Hampton, VA: 14.3 %Hampton, VA14.3Richmond, VA: 13.9 %Richmond, VA13.9Manassas Park, VA: 13.7 %Manassas Park, VA13.7Norfolk, VA: 13.7 %Norfolk, VA13.7Radford, VA: 13.7 %Radford, VA13.7Suffolk, VA: 13.4 %Suffolk, VA13.4Culpeper, VA: 13.3 %Culpeper, VA13.3Staunton, VA: 13.3 %Staunton, VA13.3Chesapeake, VA: 12.9 %Chesapeake, VA12.9Colonial Heights, VA: 12.9 %Colonial Heights, VA12.9Harrisonburg, VA: 12.9 %Harrisonburg, VA12.9Lynchburg, VA: 12.9 %Lynchburg, VA12.9Salem, VA: 12.9 %Salem, VA12.9Christiansburg, VA: 12.2 %Christiansburg, VA12.2Manassas, VA: 12.1 %Manassas, VA12.1Virginia Beach, VA: 12.1 %Virginia Beach, VA12.1Fredericksburg, VA: 11.6 %Fredericksburg, VA11.6Poquoson, VA: 11.2 %Poquoson, VA11.2Charlottesville, VA: 11.1 %Charlottesville, VA11.1Warrenton, VA: 11 %Warrenton, VA11Blacksburg, VA: 10.1 %Blacksburg, VA10.1Herndon, VA: 9.8 %Herndon, VA9.8Leesburg, VA: 9.8 %Leesburg, VA9.8Williamsburg, VA: 9.2 %Williamsburg, VA9.2Alexandria, VA: 9.1 %Alexandria, VA9.1Fairfax, VA: 9.1 %Fairfax, VA9.1Vienna, VA: 7.4 %Vienna, VA7.4Falls Church, VA: 6.9 %Falls Church, VA6.9Hopewell, VA: 20.4 %Hopewell, VA20.4Danville, VA: 19.6 %Danville, VA19.6Martinsville, VA: 19.4 %Martinsville, VA19.4Bristol, VA: 18.1 %Bristol, VA18.1Petersburg, VA: 17.6 %Petersburg, VA17.6Roanoke, VA: 16.7 %Roanoke, VA16.7Portsmouth, VA: 16.5 %Portsmouth, VA16.5Front Royal, VA: 16.3 %Front Royal, VA16.3Waynesboro, VA: 15.7 %Waynesboro, VA15.7Winchester, VA: 15.7 %Winchester, VA15.7Newport News, VA: 14.4 %Newport News, VA14.4Hampton, VA: 14.3 %Hampton, VA14.3Richmond, VA: 13.9 %Richmond, VA13.9Manassas Park, VA: 13.7 %Manassas Park, VA13.7Norfolk, VA: 13.7 %Norfolk, VA13.7Radford, VA: 13.7 %Radford, VA13.7Suffolk, VA: 13.4 %Suffolk, VA13.4Culpeper, VA: 13.3 %Culpeper, VA13.3Staunton, VA: 13.3 %Staunton, VA13.3Chesapeake, VA: 12.9 %Chesapeake, VA12.9Colonial Heights, VA: 12.9 %Colonial Heights, VA12.9Harrisonburg, VA: 12.9 %Harrisonburg, VA12.9Lynchburg, VA: 12.9 %Lynchburg, VA12.9Salem, VA: 12.9 %Salem, VA12.9Christiansburg, VA: 12.2 %Christiansburg, VA12.2Manassas, VA: 12.1 %Manassas, VA12.1Virginia Beach, VA: 12.1 %Virginia Beach, VA12.1Fredericksburg, VA: 11.6 %Fredericksburg, VA11.6Poquoson, VA: 11.2 %Poquoson, VA11.2Charlottesville, VA: 11.1 %Charlottesville, VA11.1Warrenton, VA: 11 %Warrenton, VA11Blacksburg, VA: 10.1 %Blacksburg, VA10.1Herndon, VA: 9.8 %Herndon, VA9.8Leesburg, VA: 9.8 %Leesburg, VA9.8Williamsburg, VA: 9.2 %Williamsburg, VA9.2Alexandria, VA: 9.1 %Alexandria, VA9.1Fairfax, VA: 9.1 %Fairfax, VA9.1Vienna, VA: 7.4 %Vienna, VA7.4Falls Church, VA: 6.9 %Falls Church, VA6.9
%. 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
1Hopewell, VA20.4-1.3 pts
2Danville, VA19.6-1.3 pts
3Martinsville, VA19.4-0.1 pts
4Bristol, VA18.1-0.9 pts
5Petersburg, VA17.6-2.5 pts
6Roanoke, VA16.7-1.1 pts
7Portsmouth, VA16.5-1.9 pts
8Front Royal, VA16.3-2.6 pts
9Waynesboro, VA15.7-2 pts
9Winchester, VA15.7-0.9 pts
11Newport News, VA14.4-1.4 pts
12Hampton, VA14.3-2.1 pts
13Richmond, VA13.9-1.1 pts
14Manassas Park, VA13.7-1 pts
14Norfolk, VA13.7-2.1 pts
14Radford, VA13.7-0.4 pts
17Suffolk, VA13.4-1.5 pts
18Culpeper, VA13.3-1.4 pts
18Staunton, VA13.3-0.8 pts
20Chesapeake, VA12.9-1.1 pts
20Colonial Heights, VA12.9-1.9 pts
20Harrisonburg, VA12.9-1.5 pts
20Lynchburg, VA12.9-1.1 pts
20Salem, VA12.9-0.9 pts
25Christiansburg, VA12.2-1.2 pts
26Manassas, VA12.1-0.8 pts
26Virginia Beach, VA12.1-0.9 pts
28Fredericksburg, VA11.6-1.6 pts
29Poquoson, VA11.2-0.3 pts
30Charlottesville, VA11.1-0.8 pts
31Warrenton, VA11-1.4 pts
32Blacksburg, VA10.1-0.6 pts
33Herndon, VA9.8+0.1 pts
33Leesburg, VA9.8-0.9 pts
35Williamsburg, VA9.2-1.3 pts
36Alexandria, VA9.1-1.2 pts
36Fairfax, VA9.1-1.6 pts
38Vienna, VA7.4-0.3 pts
39Falls Church, VA6.9-0.3 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 Virginia 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 Virginia 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/virginia-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 Virginia 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/virginia-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 Virginia 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/virginia-cities (Accessed: 12 October 2026).

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

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Questions

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

Hopewell, VA, with 20.4% in 2023, according to the Centers for Disease Control and Prevention.

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

Falls Church, VA, with 6.9% 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.

Adult cigarette smoking rate, local model estimate: other rankings

Cities in Virginia: more rankings