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In the past 50 years, the US smoking rate has fallen from 40% to about 18%. That suggests the habit and the health problems associated with it are easing, yet more than a quarter of residents still smoke in some US cities. The US metropolitan areas (none of them major ones) with the highest smoking rates, per 24/7 Wall St.:

1. Fort Smith, Ark.-Okla.: 28.3%
2. Lafayette, La.: 28.3%
3. Erie, Pa.: 28.2%
4. Kingsport-Bristol-Bristol, Tenn.-Va.: 28%
5. Fayetteville, NC: 27.8%
6. Spartanburg, SC: 27.6%
7. Canton-Massillon, Ohio: 27.5%
8. Huntington-Ashland, W. Va.-Ky.-Ohio: 27.2%
9. Hickory-Lenoir-Morganton, NC: 25.4%
10. Winston-Salem, NC: 25%

Click for the full list or see the US cities with the worst diets. (Read more smoking stories.)