Tobacco use is a preventable cause of chronic diseases like heart disease, cancers, respiratory diseases, and high blood pressure in the United States (USDHHS, 2014). Chronic diseases are leading causes of death and sickness in the United States and Wyoming. In 2016, cardiovascular disease, cancer, and chronic lower respiratory diseases were the first, second, and fourth leading causes of death in Wyoming, respectively (CDC, National Center for Health Statistics, 2017).
The Behavioral Risk Factor Surveillance System (BRFSS) is a survey conducted by the CDC. It collects information from United States adults regarding their health-related risk behaviors, chronic health conditions, and use of preventative services. http://www.cdc.gov/brfss/