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).
Chronic disease is a general term that refers to illnesses that progress slowly and last a long time (World Health Organization [WHO], 2014), such as cancer, heart disease, and diabetes. Chronic diseases are the leading causes of death and sickness in the United States and Wyoming (Centers for Disease Control and Prevention, National Center for Health Statistics [CDC, NCDHS], 2017). “Smoking remains the leading preventable cause of premature disease and death in the United States” (U.S. Department of Health and Human Services [USDHHS], 2014, p. iii).