Special Report

American Cities Where the Most People Smoke

Source: Sean Pavone / iStock via Getty Images

15. Tulsa, Oklahoma
> Adult smoking rate: 20.5%
> Adults self-reporting fair or poor health: 19.9% — #25th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 37.0 diagnoses per 100,000 — #37th most out of 108 largest MSAs

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14. Deltona-Daytona Beach-Ormond Beach, Florida
> Adult smoking rate: 20.5%
> Adults self-reporting fair or poor health: 19.1% — #39th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 1.0 diagnoses per 100,000 — #the most out of 108 largest MSAs

Source: benedek / Getty Images

13. Pensacola-Ferry–Pass-Brent, Florida
> Adult smoking rate: 20.5%
> Adults self-reporting fair or poor health: 18.6% — #43rd most out of 108 largest MSAs
> Lung and bronchus cancer incidence: Not applicable

Source: benedek / Getty Images

12. Cleveland-Elyria, Ohio
> Adult smoking rate: 20.5%
> Adults self-reporting fair or poor health: 17.9% — #48th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 22.0 diagnoses per 100,000 — #22nd most out of 108 largest MSAs

Source: Sean Pavone / iStock via Getty Images

11. Lakeland-Winter Haven, Florida
> Adult smoking rate: 20.6%
> Adults self-reporting fair or poor health: 22.5% — #6th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 13.0 diagnoses per 100,000 — #13th most out of 108 largest MSAs