Chronic Disease and Maternal Child Health Epidemiology Unit logo

Chronic Disease and Maternal Child Health Epidemiology Unit

The Chronic Disease/MCH Epidemiology Unit works to understand the risk factors and issues surrounding chronic diseases such as cancer and heart disease, as well as diseases and conditions that affect pregnant women, children and adolescents.

Contact Info:

Joseph Grandpre
Chronic Disease/Maternal and Child Health Epidemiology Unit Manager
122 West 25th Street, 3rd Floor West
Cheyenne, WY 82002
Phone: 307-777-8654

2011-2015 COUNTY DATA

The data tabs below represent the most frequently requested data points for Wyoming BRFSS county-level data.  County data is aggregated over five years typically and is provided every two years.  Not all data points are able to be calculated at the county level due to small sample sizes or questions that are  asked only once during the aggregated time-frame.

If you need BRFSS data that is not listed listed below, please call Joe Grandpre at 307-777-8654 or email your request to joe.grandpre@wyo.gov

Note: Changes were made in how the BRFSS data was weighted and raked starting in 2011, great care should be taken in comparing data points prior to and after 2011.

2011-2015 COUNTY DATA

Overweight or Obese by County, 2011-2015 
Wyoming adults with body mass index (weight in kg/height in meters squared) ≥ 25.0.
County Percent 95% CI
Albany 55.0 50.8-59.2
Big Horn 66.9 61.6-71.8
Campbell 68.9 65.5-72.1
Carbon 65.5 60.4-70.3
Converse 67.6 61.9-72.8
Crook 62.1 55.9-68.0
Fremont 67.1 64.0-70.0
Goshen 65.1 59.5-70.4
Hot Springs 65.7 56.9-73.5
Johnson 60.5 53.6-67.0
Laramie 64.6 62.3-66.8
Lincoln 62.2 57.9-66.3
Natrona 64.5 62.1-66.9
Niobrara 58.6 45.2-70.8
Park 60.8 57.2-64.3
Platte 65.4 58.7-71.5
Sheridan 60.5 56.9-64.0
Sublette 60.9 55.0-66.4
Sweetwater 68.0 64.4-71.4
Teton 42.3 37.3-47.5
Uinta 68.8 63.8-73.4
Washakie 68.6 62.4-74.1
Weston 69.6 63.8-74.8
WY 2015 65.4 63.2-67.6
Obesity by County, 2011-2015 
Wyoming adults with body mass index (weight in kg/height in meters squared) ≥ 30.0.
County Percent 95% CI
Albany 19.6 16.6-22.9
Big Horn 29.6 24.9-34.7
Campbell 34.8 31.5-38.2
Carbon 27.2 23.1-31.6
Converse 28.3 23.6-33.7
Crook 23.8 19.1-29.2
Fremont 28.7 25.7-31.9
Goshen 31.7 26.9-36.8
Hot Springs 22.7 17.1-29.4
Johnson 21.0 16.0-27.0
Laramie 27.7 25.8-29.7
Lincoln 24.7 21.2-28.5
Natrona 30.6 28.4-33.0
Niobrara 25.5 15.7-38.6
Park 22.0 19.1-25.2
Platte 29.2 23.6-35.5
Sheridan 24.4 21.4-27.6
Sublette 21.1 16.8-26.0
Sweetwater 30.6 27.3-34.1
Teton 8.3 6.1-11.2
Uinta 28.7 24.4-33.3
Washakie 29.8 23.8-36.6
Weston 36.2 30.1-42.7
WY 2015 29.0 27.0-31.1
No Leisure Time Physical Activity by County, 2011-2015
Wyoming adults reporting not participating in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise other than their regular job during the past month.
County Percent 95% CI
Albany 16.4 13.6-19.5
Big Horn 28.2 23.6-33.5
Campbell 27.1 24.1-30.2
Carbon 28.7 24.7-33.0
Converse 27.7 23.0-32.9
Crook 30.3 25.0-36.3
Fremont 26.5 23.7-29.5
Goshen 27.5 23.2-32.3
Hot Springs 24.8 19.1-31.4
Johnson 23.4 18.7-28.8
Laramie 23.9 22.0-25.8
Lincoln 21.9 18.6-25.6
Natrona 24.1 22.2-26.2
Niobrara 28.8 20.2-39.3
Park 23.0 20.1-26.1
Platte 26.0 20.7-32.2
Sheridan 21.3 18.6-24.3
Sublette 18.8 15.0-23.4
Sweetwater 24.7 21.9-27.7
Teton 12.4 8.8-17.0
Uinta 24.2 20.2-28.7
Washakie 27.3 22.0-33.4
Weston 23.8 19.4-29.0
WY 2015 26.2 24.3-28.2
Inadequate Fruit and Vegetable Consumption by County, 2011, 2013, 2015 
Wyoming adults reporting consuming fruits and vegetables less than 5 times per day.
County Percent 95% CI
Albany 79.7 75.6-83.3
Big Horn 87.2 82.5-90.7
Campbell 82.9 79.4-85.9
Carbon 84.3 79.6-88.1
Converse 87.5 82.6-91.1
Crook 87.1 81.6-91.1
Fremont 82.8 79.8-85.5
Goshen 84.2 79.0-88.3
Hot Springs 86.2 73.7-93.3
Johnson 85.9 80.3-90.2
Laramie 83.9 81.7-85.8
Lincoln 79.9 75.4-83.8
Natrona 83.2 80.7-85.4
Niobrara 78.3 54.2-91.6
Park 81.9 78.1-85.2
Platte 88.9 84.4-92.2
Sheridan 83.7 80.3-86.7
Sublette 84.1 78.6-88.4
Sweetwater 82.2 78.4-85.5
Teton 73.1 67.9-77.8
Uinta 85.6 79.9-89.8
Washakie 88.2 82.6-92.2
Weston 83.4 76.7-88.4
WY 2015 84.3 82.6-85.9
Binge Drinking by County, 2011-2015 
Wyoming men reporting having 5 or more  drinks on an occasion at least once in the past 30 days and women reporting 4 or more drinks on an occasion in the past 30 days (post-2005 definition).
County Percent 95% CI
Albany 23.8 20.0-28.0
Big Horn 11.7 8.4-16.1
Campbell 18.4 15.7-21.5
Carbon 18.6 14.4-23.6
Converse 20.0 15.4-25.4
Crook 13.0 9.3-17.8
Fremont 13.9 11.5-16.6
Goshen 14.1 10.0-19.6
Hot Springs 11.6 7.3-17.8
Johnson 19.6 14.6-25.8
Laramie 15.0 13.2-17.0
Lincoln 16.6 13.2-20.5
Natrona 18.7 16.7-20.9
Niobrara 22.0 11.0-39.1
Park 16.8 13.5-20.8
Platte 16.0 11.3-22.2
Sheridan 16.4 13.5-19.7
Sublette 18.2 14.0-23.4
Sweetwater 17.3 14.5-20.5
Teton 22.7 18.5-27.6
Uinta 13.5 10.0-18.1
Washakie 11.1 7.5-16.1
Weston 16.9 12.2-23.0
WY 2015 16.0 14.2-17.8
Cigarette Smoking by County, 2011-2015
Wyoming adults reporting having smoked at least 100 cigarettes in their lifetime and are currently smoking everyday or some days.
County Percent 95% CI
Albany 14.8 11.8-18.4
Big Horn 17.2 13.6-21.4
Campbell 25.0 22.1-28.2
Carbon 18.0 14.6-21.9
Converse 19.6 15.3-24.8
Crook 18.4 14.2-23.5
Fremont 24.0 20.9-27.5
Goshen 18.9 14.7-23.9
Hot Springs 24.3 16.8-33.7
Johnson 17.2 12.7-22.8
Laramie 21.7 19.8-23.7
Lincoln 15.6 12.3-19.6
Natrona 25.8 23.6-28.2
Niobrara 24.0 14.6-37.0
Park 18.3 15.2-21.8
Platte 20.3 15.3-26.5
Sheridan 20.3 17.3-23.6
Sublette 15.8 11.8-20.8
Sweetwater 24.7 21.6-28.1
Teton 10.1 7.3-13.9
Uinta 18.2 14.5-22.6
Washakie 17.6 12.9-23.6
Weston 23.1 17.7-29.6
WY 2015 19.1 17.3-20.9
Smokeless Tobacco Use for Males by County, 2011-2015 
Wyoming men reporting currently using smokeless tobacco products such as chewing tobacco or snuff.
County Percent 95% CI
Albany 16.3 12.1-21.7
Big Horn 16.3 11.4-22.9
Campbell 23.1 19.0-27.8
Carbon 19.1 13.8-25.9
Converse 17.4 12.0-24.4
Crook 25.1 17.8-34.3
Fremont 15.9 12.8-19.7
Goshen 25.0 18.0-33.6
Hot Springs 27.8 16.8-42.4
Johnson 23.3 16.2-32.2
Laramie 11.5 9.3-14.0
Lincoln 13.8 9.8-19.0
Natrona 14.7 12.1-17.7
Niobrara 12.5 6.4-23.1
Park 12.7 9.3-17.1
Platte 14.2 8.8-22.2
Sheridan 11.3 8.4-15.0
Sublette 20.1 13.7-28.6
Sweetwater 16.8 13.0-21.4
Teton 6.7 3.7-11.7
Uinta 16.8 11.5-23.8
Washakie 21.9 14.7-31.3
Weston 20.9 14.8-28.7
WY 2015 16.3 14.0-18.9
Any Current Tobacco Use by County, 2011-2015
Wyoming adults reporting current smoking or smokeless tobacco use
County Percent 95% CI
Albany 22.1 18.5-26.2
Big Horn 22.9 18.8-27.4
Campbell 33.6 30.4-37.0
Carbon 25.7 21.6-30.3
Converse 26.5 21.7-31.9
Crook 30.6 25.1-36.6
Fremont 31.5 28.2-35.0
Goshen 29.5 24.5-35.1
Hot Springs 35.8 27.4-45.3
Johnson 27.7 22.2-34.1
Laramie 26.6 24.6-28.7
Lincoln 21.6 17.9-25.9
Natrona 31.2 28.9-33.7
Niobrara 28.8 18.8-41.4
Park 22.8 19.5-26.5
Platte 28.0 22.2-34.6
Sheridan 26.1 22.9-29.6
Sublette 23.8 19.1-29.1
Sweetwater 31.3 27.9-34.8
Teton 13.6 10.3-17.7
Uinta 25.7 21.4-30.6
Washakie 25.7 20.2-32.0
Weston 32.5 26.7-39.0
WY 2015 25.5 23.6-27.5
Does Not Always Wear Seatbelts by County, 2011-2015
Wyoming adults who ever ride in a car reporting not always wearing a seatbelt (from choices of always, nearly always, sometimes, seldom, and never).
County Percent 95% CI
Albany 27.2 23.5-31.3
Big Horn 40.2 35.3-45.3
Campbell 27.7 24.5-31.0
Carbon 36.6 31.7-41.9
Converse 34.9 29.5-40.6
Crook 43.0 37.1-49.1
Fremont 30.1 27.0-33.4
Goshen 35.6 30.2-41.4
Hot Springs 37.9 29.8-46.6
Johnson 35.3 29.1-42.1
Laramie 20.2 18.2-22.3
Lincoln 33.7 29.7-38.0
Natrona 25.7 23.5-28.0
Niobrara 48.6 36.0-61.3
Park 27.6 24.1-31.3
Platte 34.1 28.1-40.8
Sheridan 28.8 25.6-32.2
Sublette 36.1 30.3-42.2
Sweetwater 30.1 26.6-33.8
Teton 20.6 16.5-25.4
Uinta 37.5 32.7-42.6
Washakie 36.2 30.3-42.6
Weston 38.6 32.6-45.0
WY 2015 24.8 22.9-26.9
Not Living a Healthy Lifestyle by County, 2011-2015
Wyoming adults reporting smoking, no leisure time activity, or not being at a healthy weight
County Percent 95% CI
Albany 67.3 63.0-71.2
Big Horn 80.2 75.6-84.2
Campbell 82.7 79.8-85.2
Carbon 80.3 75.6-84.3
Converse 83.1 78.2-87.0
Crook 80.2 74.4-85.0
Fremont 80.9 78.4-83.2
Goshen 79.1 74.1-83.4
Hot Springs 80.1 71.8-86.4
Johnson 72.0 64.9-78.2
Laramie 79.0 76.9-80.9
Lincoln 77.0 73.3-80.4
Natrona 79.3 77.1-81.3
Niobrara 74.1 59.9-84.5
Park 73.3 69.8-76.5
Platte 81.5 75.2-86.4
Sheridan 74.6 71.2-77.7
Sublette 73.4 67.7-78.4
Sweetwater 84.6 81.5-87.2
Teton 54.9 49.5-60.2
Uinta 80.6 75.7-84.6
Washakie 81.1 75.7-85.6
Weston 80.1 74.9-84.4
WY 2015 78.0 75.9-79.9
Diabetes by County, 2011-2015 
Wyoming adults who report they were told by a doctor they have diabetes.  Women who were only told during pregnancy are counted as not having diabetes.
County Percent 95% CI
Albany 5.1 4.0-6.4
Big Horn 11.0 8.4-14.3
Campbell 6.3 5.2-7.7
Carbon 9.0 7.1-11.2
Converse 11.1 8.2-14.7
Crook 9.4 6.3-13.7
Fremont 9.5 8.0-11.2
Goshen 10.1 8.0-12.7
Hot Springs 11.4 7.8-16.6
Johnson 6.5 4.8-8.7
Laramie 10.5 9.3-11.8
Lincoln 6.8 5.0-9.3
Natrona 8.8 7.7-10.0
Niobrara 4.4 2.1-8.7
Park 6.6 5.5-8.0
Platte 8.3 5.8-11.7
Sheridan 9.1 7.6-10.9
Sublette 5.8 3.9-8.6
Sweetwater 8.8 7.3-10.6
Teton 3.8 2.4-6.0
Uinta 9.9 7.7-12.6
Washakie 15.1 11.3-19.8
Weston 10.0 7.6-13.1
WY 2015 8.4 7.5-9.4
Ever Diagnosed with Depressive Disorder by County, 2011-2015
Wyoming adults reporting having been told they had a depressive disorder
County Percent 95% CI
Albany 17.8 14.9-21.2
Big Horn 16.9 13.9-20.5
Campbell 19.0 16.4-21.8
Carbon 15.8 13.0-19.1
Converse 17.9 14.0-22.5
Crook 16.9 12.8-21.9
Fremont 19.9 17.3-22.7
Goshen 18.6 15.2-22.7
Hot Springs 23.2 16.3-31.9
Johnson 23.1 17.7-29.6
Laramie 19.1 17.4-20.9
Lincoln 14.6 12.0-17.7
Natrona 21.9 20.0-24.0
Niobrara 24.1 13.7-38.7
Park 17.4 14.8-20.4
Platte 17.5 12.8-23.4
Sheridan 20.3 17.7-23.1
Sublette 14.1 10.9-18.2
Sweetwater 20.8 18.0-24.0
Teton 14.8 11.3-19.2
Uinta 23.8 19.7-28.6
Washakie 16.7 12.3-22.2
Weston 14.8 11.2-19.2
WY 2015 20.9 19.2-22.7
No Health Care Coverage by County, 2011-2015 
Wyoming adults who report they have no health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare.
County Percent 95% CI
Albany 17.7 14.4-21.6
Big Horn 19.2 15.1-24.2
Campbell 18.7 16.0-21.8
Carbon 16.8 13.0-21.6
Converse 17.3 13.2-22.4
Crook 16.9 12.6-22.3
Fremont 17.5 14.8-20.5
Goshen 17.8 13.6-23.0
Hot Springs 14.7 8.6-24.0
Johnson 20.9 15.3-28.0
Laramie 15.2 13.4-17.1
Lincoln 16.6 13.5-20.4
Natrona 19.4 17.3-21.6
Niobrara 22.1 12.4-36.1
Park 14.5 12.0-17.5
Platte 17.9 12.3-25.2
Sheridan 16.7 13.9-20.0
Sublette 17.6 13.2-23.0
Sweetwater 18.8 15.8-22.3
Teton 16.8 12.7-22.0
Uinta 11.8 9.0-15.4
Washakie 18.1 13.4-24.0
Weston 16.5 11.7-22.8
WY 2015 14.0 12.4-15.8
No Personal Doctor by County, 2011-2015 
Wyoming adults who report they do not have one or more persons they think of as their personal doctor or health care provider.
County Percent 95% CI
Albany 36.6 32.5-41.0
Big Horn 30.2 25.2-35.7
Campbell 35.5 32.2-39.0
Carbon 27.8 23.3-32.8
Converse 27.6 22.6-33.2
Crook 28.6 23.7-34.2
Fremont 31.6 28.4-35.0
Goshen 27.4 22.7-32.7
Hot Springs 22.9 15.7-32.0
Johnson 33.4 26.8-40.7
Laramie 26.1 24.0-28.4
Lincoln 22.6 19.1-26.6
Natrona 27.2 24.9-29.7
Niobrara 34.8 23.7-47.8
Park 30.7 26.9-34.7
Platte 21.9 16.4-28.7
Sheridan 27.4 23.9-31.0
Sublette 39.6 34.0-45.5
Sweetwater 32.2 28.7-35.9
Teton 26.9 22.1-32.3
Uinta 29.6 24.8-34.9
Washakie 19.6 14.5-25.9
Weston 24.6 19.8-30.1
WY 2015 30.6 28.5-32.8
Unable to Get Needed Care in Past 12 Months by County, 2011-2015 
Wyoming adults reporting they needed to see a doctor but couldn’t because of the cost at least one time in the past 12 months.
County Percent 95% CI
Albany 10.4 8.0-13.3
Big Horn 11.9 9.1-15.3
Campbell 12.0 9.7-14.6
Carbon 12.3 9.6-15.7
Converse 9.1 6.4-12.7
Crook 12.2 8.5-17.2
Fremont 16.8 14.1-19.9
Goshen 12.9 9.5-17.2
Hot Springs 18.6 11.7-28.1
Johnson 14.3 9.3-21.4
Laramie 13.5 11.9-15.2
Lincoln 9.7 7.5-12.4
Natrona 14.3 12.6-16.1
Niobrara 16.1 7.8-30.3
Park 11.4 9.1-14.1
Platte 14.8 9.6-22.0
Sheridan 12.6 10.3-15.4
Sublette 9.3 6.6-12.9
Sweetwater 16.3 13.5-19.5
Teton 14.1 10.2-19.0
Uinta 12.5 9.2-16.7
Washakie 13.1 8.9-19.0
Weston 10.5 7.3-15.0
WY 2015 11.7 10.2-13.3
Any access issue by County, 2011-2015 
Wyoming adults reporting any of the 3 access to care issues.
County Percent 95% CI
Albany 45.2 41.0-49.5
Big Horn 46.4 41.2-51.7
Campbell 46.9 43.5-50.3
Carbon 43.6 38.6-48.7
Converse 39.7 34.2-45.5
Crook 42.0 36.3-47.8
Fremont 44.4 41.1-47.7
Goshen 40.0 34.9-45.4
Hot Springs 37.7 29.4-46.8
Johnson 45.3 38.7-52.1
Laramie 37.1 34.9-39.4
Lincoln 37.1 33.2-41.3
Natrona 40.8 38.3-43.3
Niobrara 55.5 43.3-67.1
Park 40.8 37.1-44.7
Platte 34.1 27.7-41.2
Sheridan 39.4 35.8-43.1
Sublette 48.7 43.1-54.3
Sweetwater 45.3 41.7-49.0
Teton 37.9 32.8-43.3
Uinta 42.7 37.7-47.9
Washakie 36.0 29.8-42.8
Weston 38.8 32.8-45.1
WY 2015 41.4 39.2-43.6
No Flu Shot in Past 12 Months, All Ages, by County, 2011-2015 
Wyoming adults reporting not having had a flu shot in the past 12 months.  Excludes the small number of persons who had the flu spray.
County Percent 95% CI
Albany 67.3 63.5-70.9
Big Horn 70.4 66.3-74.2
Campbell 66.5 63.3-69.5
Carbon 64.8 59.8-69.5
Converse 68.2 62.8-73.1
Crook 70.8 65.4-75.6
Fremont 65.1 62.0-68.1
Goshen 63.4 58.3-68.3
Hot Springs 66.6 58.9-73.5
Johnson 66.3 59.8-72.2
Laramie 58.6 56.4-60.8
Lincoln 67.9 64.2-71.5
Natrona 66.4 64.1-68.6
Niobrara 60.3 46.8-72.3
Park 63.7 60.2-67.0
Platte 60.3 53.9-66.3
Sheridan 63.2 59.8-66.5
Sublette 76.7 72.3-80.6
Sweetwater 68.5 65.2-71.6
Teton 64.2 59.1-69.0
Uinta 64.5 59.5-69.1
Washakie 67.9 62.2-73.1
Weston 70.4 65.2-75.1
WY 2015 64.3 62.2-66.4
Never Tested for HIV, Age 18-64 by County, 2011-2015 
Wyoming adults age 18-64 reporting never having been tested for HIV, not counting tests as part of a blood donation.
County Percent 95% CI
Albany 65.0 60.3-69.4
Big Horn 67.4 60.4-73.7
Campbell 66.1 62.3-69.7
Carbon 70.7 64.9-75.9
Converse 67.5 60.6-73.8
Crook 82.4 76.0-87.4
Fremont 65.4 61.2-69.4
Goshen 77.2 70.7-82.6
Hot Springs 70.3 56.9-81.0
Johnson 70.5 61.9-77.9
Laramie 59.2 56.4-62.0
Lincoln 74.9 70.1-79.1
Natrona 60.5 57.5-63.4
Niobrara 61.9 44.1-77.0
Park 70.2 65.4-74.7
Platte 69.7 61.2-77.0
Sheridan 68.2 63.8-72.3
Sublette 70.0 63.5-75.7
Sweetwater 62.8 58.4-66.9
Teton 59.9 53.8-65.8
Uinta 73.0 66.9-78.3
Washakie 66.6 57.5-74.6
Weston 74.6 67.1-80.9
WY 2015 62.6 59.9-65.3
Explanation of Tables

Explanation of Tables:

Selected results are now available from this website in the form of demographic tables. These tables include the prevalence estimates, and the 95% confidence intervals. The 95% confidence interval defines the margin of error for the prevalence estimate and is largely based on sample size. When the sample size is small for a particular demographic group, the corresponding margins of error are large and appropriate care should be taken when interpreting those results. When observing differences between two estimates for a particular indicator, confidence intervals which do not overlap will usually indicate a statistically significant difference.

Data that are not available are indicated by “—“. Percents and confidence intervals that are not reported due to inadequate sample size are also indicated by “—“.

County and race/ethnicity categories. On a annual basis, BRFSS cannot provide estimates by county or race/ethnicty due to the small size of many counties and some race/ethnicity groups. For those indicators that regularly appear on the questionnaire, 5 years of data are combined to produce estimates for every county and 5 race/ethnicity groups. These estimates are updated every 2 years.

Limitations of the data. Data are self-reported and subject to recall difficulties and misrepresentation. People excluded from the survey: those without telephones, those with only cell phones (through 2008), those living in nursing homes, prisons, other institutions, dormitories, other large group homes. Response rates for BRFSS and all telephone surveys have been declining in recent years making non-response bias a possible concern.

Inquiries. Further information about BRFSS can be obtained by contacting Joe Grandpre PhD., MPH, BRFSS Coordinator, Wyoming Department of Health, 6101 Yellowstone Road, Suite 510, Cheyenne, WY 82001, 307-777-8654, and at joe.grandpre@wyo.gov.