Special Report

American Cities Where the Most People Smoke

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5. Knoxville, Tennessee
> Adult smoking rate: 21.7%
> Adults self-reporting fair or poor health: 20.5% — #18th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 5.0 diagnoses per 100,000 — #5th most out of 108 largest MSAs

Source: Sean Pavone / Getty Images

4. Louisville/Jefferson County, KY-IN
> Adult smoking rate: 22.6%
> Adults self-reporting fair or poor health: 20.1% — #22nd most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 6.0 diagnoses per 100,000 — #6th most out of 108 largest MSAs

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3. Akron, Ohio
> Adult smoking rate: 22.8%
> Adults self-reporting fair or poor health: 17.1% — #60th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 30.0 diagnoses per 100,000 — #30th most out of 108 largest MSAs

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2. Toledo, Ohio
> Adult smoking rate: 22.9%
> Adults self-reporting fair or poor health: 19.4% — #34th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 38.0 diagnoses per 100,000 — #38th most out of 108 largest MSAs

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1. Youngstown-Warren-Boardman, Ohio-Pennsylvania
> Adult smoking rate: 24.5%
> Adults self-reporting fair or poor health: 20% — #24th most out of 108 largest MSAs
> Lung and bronchus cancer incidence: 11.0 diagnoses per 100,000 — #11th most out of 108 largest MSAs