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

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

Kelso, WA had the highest adult cigarette smoking rate, local model estimate of 91 cities in 2021, at 20.9%. Mercer Island, WA had the lowest, at 6%. The median was 13.2%. Source: the Centers for Disease Control and Prevention.

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Highest20.9Kelso, WA
Lowest6Mercer Island, WA
Median13.291 cities

Top 40 cities, 2021

Kelso, WA: 20.9 %Kelso, WA20.9Shelton, WA: 20.6 %Shelton, WA20.6Airway Heights, WA: 20.4 %Airway Heights, WA20.4Longview, WA: 18.9 %Longview, WA18.9Aberdeen, WA: 18.7 %Aberdeen, WA18.7Sunnyside, WA: 18.2 %Sunnyside, WA18.2Centralia, WA: 17.7 %Centralia, WA17.7Yakima, WA: 16.7 %Yakima, WA16.7Grandview, WA: 16.2 %Grandview, WA16.2Lakewood, WA: 16.2 %Lakewood, WA16.2Pasco, WA: 15.7 %Pasco, WA15.7Kennewick, WA: 15.6 %Kennewick, WA15.6Port Orchard, WA: 15.6 %Port Orchard, WA15.6Yelm, WA: 15.6 %Yelm, WA15.6Moses Lake, WA: 15.5 %Moses Lake, WA15.5Port Angeles, WA: 15.5 %Port Angeles, WA15.5East Wenatchee, WA: 15.3 %East Wenatchee, WA15.3Spokane, WA: 15.3 %Spokane, WA15.3Tacoma, WA: 15.3 %Tacoma, WA15.3Bremerton, WA: 15.2 %Bremerton, WA15.2Burlington, WA: 15.2 %Burlington, WA15.2Sumner, WA: 15 %Sumner, WA15Mount Vernon, WA: 14.9 %Mount Vernon, WA14.9Battle Ground, WA: 14.8 %Battle Ground, WA14.8Spokane Valley, WA: 14.8 %Spokane Valley, WA14.8Wenatchee, WA: 14.8 %Wenatchee, WA14.8Ferndale, WA: 14.6 %Ferndale, WA14.6Sedro-Woolley, WA: 14.6 %Sedro-Woolley, WA14.6Bonney Lake, WA: 14.5 %Bonney Lake, WA14.5Vancouver, WA: 14.5 %Vancouver, WA14.5Everett, WA: 14.4 %Everett, WA14.4Monroe, WA: 14.4 %Monroe, WA14.4Oak Harbor, WA: 14.4 %Oak Harbor, WA14.4Puyallup, WA: 14.4 %Puyallup, WA14.4Fife, WA: 14.2 %Fife, WA14.2SeaTac, WA: 14.2 %SeaTac, WA14.2Tukwila, WA: 14.2 %Tukwila, WA14.2Marysville, WA: 14 %Marysville, WA14Kent, WA: 13.9 %Kent, WA13.9Washougal, WA: 13.5 %Washougal, WA13.5Kelso, WA: 20.9 %Kelso, WA20.9Shelton, WA: 20.6 %Shelton, WA20.6Airway Heights, WA: 20.4 %Airway Heights, WA20.4Longview, WA: 18.9 %Longview, WA18.9Aberdeen, WA: 18.7 %Aberdeen, WA18.7Sunnyside, WA: 18.2 %Sunnyside, WA18.2Centralia, WA: 17.7 %Centralia, WA17.7Yakima, WA: 16.7 %Yakima, WA16.7Grandview, WA: 16.2 %Grandview, WA16.2Lakewood, WA: 16.2 %Lakewood, WA16.2Pasco, WA: 15.7 %Pasco, WA15.7Kennewick, WA: 15.6 %Kennewick, WA15.6Port Orchard, WA: 15.6 %Port Orchard, WA15.6Yelm, WA: 15.6 %Yelm, WA15.6Moses Lake, WA: 15.5 %Moses Lake, WA15.5Port Angeles, WA: 15.5 %Port Angeles, WA15.5East Wenatchee, WA: 15.3 %East Wenatchee, WA15.3Spokane, WA: 15.3 %Spokane, WA15.3Tacoma, WA: 15.3 %Tacoma, WA15.3Bremerton, WA: 15.2 %Bremerton, WA15.2Burlington, WA: 15.2 %Burlington, WA15.2Sumner, WA: 15 %Sumner, WA15Mount Vernon, WA: 14.9 %Mount Vernon, WA14.9Battle Ground, WA: 14.8 %Battle Ground, WA14.8Spokane Valley, WA: 14.8 %Spokane Valley, WA14.8Wenatchee, WA: 14.8 %Wenatchee, WA14.8Ferndale, WA: 14.6 %Ferndale, WA14.6Sedro-Woolley, WA: 14.6 %Sedro-Woolley, WA14.6Bonney Lake, WA: 14.5 %Bonney Lake, WA14.5Vancouver, WA: 14.5 %Vancouver, WA14.5Everett, WA: 14.4 %Everett, WA14.4Monroe, WA: 14.4 %Monroe, WA14.4Oak Harbor, WA: 14.4 %Oak Harbor, WA14.4Puyallup, WA: 14.4 %Puyallup, WA14.4Fife, WA: 14.2 %Fife, WA14.2SeaTac, WA: 14.2 %SeaTac, WA14.2Tukwila, WA: 14.2 %Tukwila, WA14.2Marysville, WA: 14 %Marysville, WA14Kent, WA: 13.9 %Kent, WA13.9Washougal, WA: 13.5 %Washougal, WA13.5
%. 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 (%)
1Kelso, WA20.9
2Shelton, WA20.6
3Airway Heights, WA20.4
4Longview, WA18.9
5Aberdeen, WA18.7
6Sunnyside, WA18.2
7Centralia, WA17.7
8Yakima, WA16.7
9Grandview, WA16.2
9Lakewood, WA16.2
11Pasco, WA15.7
12Kennewick, WA15.6
12Port Orchard, WA15.6
12Yelm, WA15.6
15Moses Lake, WA15.5
15Port Angeles, WA15.5
17East Wenatchee, WA15.3
17Spokane, WA15.3
17Tacoma, WA15.3
20Bremerton, WA15.2
20Burlington, WA15.2
22Sumner, WA15
23Mount Vernon, WA14.9
24Battle Ground, WA14.8
24Spokane Valley, WA14.8
24Wenatchee, WA14.8
27Ferndale, WA14.6
27Sedro-Woolley, WA14.6
29Bonney Lake, WA14.5
29Vancouver, WA14.5
31Everett, WA14.4
31Monroe, WA14.4
31Oak Harbor, WA14.4
31Puyallup, WA14.4
35Fife, WA14.2
35SeaTac, WA14.2
35Tukwila, WA14.2
38Marysville, WA14
39Kent, WA13.9
40Washougal, WA13.5
41Burien, WA13.4
41Snohomish, WA13.4
43Arlington, WA13.3
43Auburn, WA13.3
45Lynden, WA13.2
45Walla Walla, WA13.2
47Des Moines, WA13
48Federal Way, WA12.8
49Ellensburg, WA12.7
49University Place, WA12.7
51Bellingham, WA12.6
51Enumclaw, WA12.6
53Lynnwood, WA12.5
54Edgewood, WA12.4
54Lake Stevens, WA12.4
54Olympia, WA12.4
57Lacey, WA12.3
58West Richland, WA12.2
59Richland, WA11.9
60Covington, WA11.8
60Ridgefield, WA11.8
62Tumwater, WA11.7
63Poulsbo, WA11.6
64Cheney, WA11.5
65Anacortes, WA11.4
66Renton, WA11.3
67Mountlake Terrace, WA11
67Pullman, WA11
69Liberty Lake, WA10.8
69Port Townsend, WA10.8
71Camas, WA10.6
72Maple Valley, WA10.3
73Gig Harbor, WA9.9
74Mukilteo, WA9.6
75Shoreline, WA9.3
76Edmonds, WA9.2
77Bothell, WA9.1
78Mill Creek, WA8.9
79Woodinville, WA8.8
80Seattle, WA8.7
81Snoqualmie, WA8.5
82Kenmore, WA8.3
82Lake Forest Park, WA8.3
84Issaquah, WA8.1
84Kirkland, WA8.1
86Bainbridge Island, WA7.9
87Bellevue, WA7.2
87Newcastle, WA7.2
89Sammamish, WA7
90Redmond, WA6.8
91Mercer Island, WA6

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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_washington_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 Washington 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/washington-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 Washington 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/washington-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/washington-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 Washington 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":"Washington","limit":10}
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Questions

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

Kelso, WA, with 20.9% in 2021, 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 6% 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 Washington: more rankings