2025 Survey Methods
This report summarizes results from the 2025 Wyoming Adult Commercial Tobacco and Nicotine Survey and trend analyses using previous versions of the survey.
In this section, WYSAC provides a general summary of the methods used to collect and analyze the data for the 2025 survey. For statistical analysis, WYSAC performed logistic regression and multinomial logistic regression to identify associations with time. Relationships and linear trends noted as significant in the body of the report are statistically significant, p < .05.
Appendix A provides tables reporting Wyoming’s state-level unweighted counts, weighted percentages, and 95% confidence intervals (CIs) for weighted percentages for every survey item and WYSAC-calculated variable.
Appendix B provides the technical details of the methods used to collect the data for the 2025 survey as reported by WYSAC.
Appendix C provides details of statistical analyses summarized in the body of this report.
WYSAC purchased a random sample of telephone numbers in Wyoming and, beginning in 2023, requested that the sample include the following:
- Email and postal mail addresses linked to those phone numbers when available.
- An additional, separate stratum of phone numbers intended to reach American Indian respondents to increase participation and improve representation of Wyoming’s American Indian population.
First, on April 1, 2025, WYSAC sent an email with an invitation to complete the survey online when emails were available for the numbers selected. On April 7, 2025, WYSAC sent an email reminder to those who had not responded to the first email invite.
Second, on April 5, 2025, WYSAC mailed an invitation to complete the survey online to people with postal addresses on the list and who either did not have an email address or had undeliverable email addresses from the initial email invites. On April 15, 2025, WYSAC sent a second invitation letter to those who had not responded.
Finally, WYSAC called people who had not completed a survey online regardless of whether they had email or postal addresses in the sample list. Trained WYSAC telephone interviewers conducted the telephone interviews. Calling began on April 3, 2025, and ended on June 12, 2025. WYSAC completed 2,484 surveys. Survey participants completed 1,868 surveys online. WYSAC callers completed 616 surveys (89% on cell phones; 11% on landlines).
This three-tier approach maintained the basic sampling process as in previous versions of the survey and sped up data collection by providing adults with options on how to respond.
In some figures and tables, percentages may not total 100% because respondents could choose more than one response. Occasionally, rounding of the actual percentages may result in reporting percentages that do not total 100.
Key Limitations
Most Adult Commercial Tobacco and Nicotine Survey items have been tested and validated by the CDC and reused over time. However, the survey relies on self‐reported data, respondents’ memory of events, and their interpretation of the survey items. Therefore, the results presented here might include recall errors or respondent bias (such as not reporting behaviors that might be perceived as embarrassing or unpopular).
Unlike survey iterations before 2023, which were conducted exclusively via phone, the 2025 survey used two response modes: online and phone. In 2025, 75% of respondents completed the survey online, while 25% responded via phone. WYSAC examined the demographic characteristics of respondents (unweighted frequencies) by mode:
- The online survey had a lower proportion of young adults (ages 18-29) than the phone survey.
- The online survey had a higher proportion of women than the phone survey.
- The online survey had a lower proportion of American Indian respondents than the phone survey.
- The online survey had a lower proportion of respondents with low income (annual household income less than $30,000) than the phone survey.
Because of its complex skip pattern, the survey does not ask every question of every respondent. For example, people who have never smoked are not asked about quitting smoking. In some cases, fewer than 50 people were asked a question. Estimates generated from such small groups are extremely imprecise, so WYSAC does not report them in the body of the report. This practice follows the example set by the CDC in reporting Behavioral Risk Factor Surveillance System (BRFSS) statistics (https://www.cdc.gov/brfss/brfssprevalence/).
Additionally, while the 2025 survey collected data on respondents’ industry and occupation, it did not sample a sufficiently large number of adults from specific industries or occupations to produce reliable estimates. As a result, WYSAC did not report industry or occupational differences in prevalence of tobacco or nicotine use, secondhand exposure, or quitting behaviors. These data are available upon request.
