Special Report

American Cities Where the Most People Smoke

Source: Sean Pavone / Getty Images

30. Tampa-St. Petersburg-Clearwater, Florida
> Adult smoking rate: 19.5%
> Adults self-reporting fair or poor health: 19.2% — #38th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 17.0 diagnoses per 100,000 — #17th most out of 108 largest MSAs

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29. Buffalo-Cheektowaga-Niagara Falls, New York
> Adult smoking rate: 19.5%
> Adults self-reporting fair or poor health: 16.8% — #67th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 9.0 diagnoses per 100,000 — #9th most out of 108 largest MSAs

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28. Lancaster, Pennsylvania
> Adult smoking rate: 19.5%
> Adults self-reporting fair or poor health: 17.8% — #49th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 48.0 diagnoses per 100,000 — #48th most out of 108 largest MSAs

Source: SeanPavonePhoto / Getty Images

27. Augusta-Richmond County, Georgia-South Carolina
> Adult smoking rate: 19.5%
> Adults self-reporting fair or poor health: 20.4% — #19th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 45.0 diagnoses per 100,000 — #45th most out of 108 largest MSAs

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26. Columbus, Ohio
> Adult smoking rate: 19.6%
> Adults self-reporting fair or poor health: 16.2% — #80th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 59.0 diagnoses per 100,000 — #59th most out of 108 largest MSAs