The Wyoming Tobacco Prevention and Control Program (TPCP) shares four goals with the national tobacco prevention and control program led by the Centers for Disease Control and Prevention (CDC). The Impact of Tobacco in Wyoming: 2017 Annual Summary provides data on the prevalence of tobacco use and data associated with these four goals:
- Reduce youth initiation (CDC, 2014b),
- Reduce exposure to secondhand smoke (Starr et al., 2005),
- Promote tobacco cessation (CDC, 2015),
- Minimize disparities in the burden of tobacco use (Starr et al., 2005).
This Annual Summary also includes a discussion about the health and economic burdens of tobacco use in Wyoming. In reporting the data, the Wyoming Survey & Analysis Center (WYSAC) at the University of Wyoming uses the data sources’ conventions for ascertaining statistical significance and for reporting confidence intervals. Generally using an alpha of .05 for statistical tests or 95% confidence intervals, WYSAC identifies as significant only differences or relationships that have been identified by the data sources as statistically significant or where confidence intervals do not overlap. When differences and relationships are not statistically significant, WYSAC describes the related estimates as similar. The references list at the end includes information for materials cited in this document.
Prevalence of Tobacco Use
Adult Cigarette Smoking
Current smokers are those who reported smoking at least 100 cigarettes in their lifetime and currently smoke every day or some days. According to the 2016 Behavioral Risk Factor Surveillance System (BRFSS), 19% of Wyoming adults smoke, slightly more than the national median of 17%. Wyoming’s smoking rate is similar to most of the region; Wyoming, South Dakota, Montana, and Nebraska are in a statistical tie for the highest smoking rate in the region (Table 1). The smoking rate in Wyoming has declined since 2011, when the smoking rate was 23%.
Adult Use of Other Tobacco and Electronic Nicotine Delivery Systems (ENDS)
Compared to the national median, a greater proportion of Wyoming adults use smokeless tobacco. In 2016, 10% of Wyoming adults reported using chewing tobacco, snuff, or snus every day or some days, compared to 4% of U.S. adults (BRFSS, 2016).
In 2015, 8% of Wyoming adults had used cigars or cigarillos at least once in the past 30 days (WYSAC, 2017a).
Electronic nicotine delivery systems (ENDS; also known as e-cigarettes, e-cigs, or vape pens) are battery powered devices that produce an aerosol by heating a liquid instead of producing smoke from burning tobacco. Contents of the liquid vary across products, and some models allow for customized liquids. Many ENDS liquids contain nicotine. In 2016, 24% of all Wyoming adults had tried ENDS at least once, and 6% of Wyoming adults were current ENDS users (used ENDS some days or every day). These rates are similar to national estimates: 22% of U.S. adults had tried ENDS, and 5% were current users (BRFSS, 2016).
In 2015, the majority (61%) of Wyoming adults who had ever tried ENDS said they tried them out of curiosity. Other common reasons for trying ENDS included using them to cut down or quit cigarette smoking (WYSAC, 2017a). The U.S. Food and Drug Administration (FDA) has not approved any ENDS as a cessation aid (FDA, 2013).
Youth Cigarette Smoking
In Wyoming and in the United States, the cigarette smoking rate among high school students has declined since 2001, based on smoking on one or more of the past 30 days. In each year, the Wyoming and national smoking rates have been similar (Figure 1; Youth Risk Behavior Surveillance System [YRBSS], 2015).
Youth Use of Other Tobacco and Electronic Nicotine Delivery Systems (ENDS)
In 2015, 12% of Wyoming high school students used smokeless tobacco in the past 30 days. This rate was significantly higher than the national rate of 7% (YRBSS, 2015).
Similar percentages of Wyoming and U.S. high school students reported using cigars, cigarillos, and little cigars (13% of Wyoming students vs. 10% of U.S. students), based on smoking them on at least one of the past 30 days (YRBSS, 2015).
Overall, 49% of Wyoming high school students had ever used ENDS in 2015, similar to the estimate of 45% nationwide. However, a greater percentage of Wyoming high school students (30%) were current ENDS users when compared to the national estimate (24%).