People who find themselves lesbian, homosexual, bisexual, or transgender (LGBT) embody all races and ethnicities, ages, and socioeconomic teams, and are available from all components of the U.S. It’s estimated that lesbian, homosexual, and bisexual (LGB) individuals make up roughly three% of the whole U.S. inhabitants.1

Cigarette smoking amongst LGB people within the U.S. is larger than amongst heterosexual/straight people. Practically 1 in four LGB adults smoke cigarettes in contrast with about 1 in 6 heterosexual/straight adults.2

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Cigarette Smoking Prevalence

23.9% of LGB adults smoke cigarettes in comparison with 16.6% of straight adults.2

Graph of Smoking Prevalence Among LGB and Straight Adults

* Information taken from the 2014 Nationwide Well being Interview Survey and seek advice from adults aged 18 years and older.

Transgender People

Restricted data exists on cigarette smoking prevalence amongst transgender folks; nevertheless, cigarette smoking prevalence amongst transgender adults is reported to be larger than among the many common inhabitants of adults.three

The transgender inhabitants is taken into account particularly susceptible due to excessive charges of substance abuse, melancholy, HIV an infection, and social and employment discrimination, all of that are related to larger smoking prevalence.four

Well being Results

  • Greater than 30,000 LGBT individuals die every year of tobacco-related ailments.5
  • Homosexual males have excessive charges of HPV an infection which, when coupled with tobacco use, will increase their threat for anal and different cancers.5
  • LGBT people typically have threat components for smoking that embody every day stress associated to prejudice and stigma that they could face.7,eight
  • Bartenders and servers in LGBT nightclubs are uncovered to excessive ranges of secondhand smoke.9
  • Amongst ladies, secondhand smoke publicity is extra widespread amongst non-smoking lesbian ladies than amongst non-smoking straight ladies.10

Quitting Conduct

  • LGB people are 5 instances extra probably than others to by no means intend to name a smoking cessation quitline.11
  • LGBT people are much less prone to have medical insurance than straight people,6,12 which can negatively have an effect on well being in addition to entry to cessation remedies, together with counseling and medicine.
  • Homosexual, bisexual, and transgender males are 20% much less probably than straight males to concentrate on smoking quitlines regardless of LGBT people having publicity to tobacco cessation promoting just like straight people’ publicity.13

Tobacco Business Advertising and Affect

Excessive charges of tobacco use inside the LGBT neighborhood are due partially to the aggressive advertising and marketing by tobacco corporations that sponsor occasions, bar promotions, giveaways, and ads.four,5,14

  • Tobacco corporations promote at “homosexual satisfaction” festivals and different LGBT neighborhood occasions and contribute to native and nationwide LGBT and HIV/AIDS organizations.5
  • Tobacco ads in homosexual and lesbian publications typically depict tobacco use as a “regular” a part of LGBT life.four
  • The tobacco trade encourages menthol cigarette use amongst LGBT populations.14
    • Roughly 36% of LGBT people who smoke report smoking menthol cigarettes in comparison with 29% of heterosexual/straight people who smoke.14
  • The advertising and marketing marketing campaign, Undertaking SCUM (Sub-Tradition City Advertising), was created within the mid-1990s by a tobacco firm to focus on LGBT and homeless populations.15
Woman holding a guitar

Culturally acceptable anti-smoking well being advertising and marketing methods and mass media campaigns like CDC’s Tips From Former Smokers national tobacco education campaign, in addition to CDC-recommended tobacco prevention and control programs and policies, will help cut back the burden of illness among the many LGBT inhabitants.



  1. Ward BA, Dahlhamer JM, Galinsky AM, Joestl SS. Sexual Orientation and Health Among U.S. Adults: National Health Interview Survey, 2013 [PDF–194 KB]. Atlanta: Facilities for Illness Management and Prevention, Nationwide Middle for Well being Statistics, 2014 [accessed 2016 Mar 18].
  2. Facilities for Illness Management and Prevention. Current Cigarette Smoking Among Adults—United States, 2005–2014. Morbidity and Mortality Weekly Report 2015;64(44):1233–40 [accessed 2016 Mar 17].
  3. Buchting FO, Emory KT, Scout, Kim Y, Fagan P, Vera LE, Emery S. Transgender Use of Cigarettes, Cigars, and E-cigarettes in a Nationwide Research. American Journal of Preventive Drugs 2017. In Press [cited 2017 Feb 17].
  4. American Lung Affiliation. The LGBT Community: A Priority Population for Tobacco Control [PDF–367 KB]. Greenwood Village (CO): American Lung Affiliation, Smokefree Communities Undertaking [accessed 2016 Mar 17].
  5. The DC Middle for the LGBT Group. Smoking and the LGBT Community. Washington DC, 2015 [accessed 2016 Mar 17].
  6. Margolies L. The Same, Only Scarier—The LGBT Cancer Experience. American Most cancers Society, 2015 [accessed 2016 Mar 17].
  7. Facilities for Illness Management and Prevention. Current Cigarette Smoking Among Adults—United States, 2005–2013. Morbidity and Mortality Weekly Report 2014;63(47):1108-12 [accessed 2016 Mar 17].
  8. King BA, Dube SR, Tyan M. Current Tobacco Use Among Adults in the United States. Findings from the National Adult Tobacco Survey. American Journal of Public Well being 2012;102(11):e93-e100 [accessed 2016 Mar 17].
  9. People for Nonsmokers’ Rights. LGBT (Lesbian, Gay, Bisexual & Transgender). [accessed 2016 Mar 17].
  10. Cochran SD, Bandiera FC, Mays VM. Sexual Orientation-Related Differences in Tobacco Use and Secondhand Smoke Exposure among US Adults Aged 20-59 Years: 2003-2010 National Health and Nutrition Examination Surveys. American Journal of Public Well being 2013;103(10):1837-44 [accessed 2016 Mar 17].
  11. Burns EK, Deaton EA, Levinson AH. Rates and Reasons: Disparities in Low Intentions to Use a State Smoking Cessation Quitline. American Journal of Well being Promotion, 2011; 25, No. sp5:S59-65 [accessed 2016 Mar 17].
  12. Kates J, Ranji U, Beamesderfer A, Salganicoff A, Dawson L. Health and Access to Care and Coverage for Lesbian, Gay, Bisexual, and Transgender Individuals in the U.S. The Henry J. Kaiser Household Basis 2015; Situation Temporary [accessed 2016 Mar 17].
  13. Fallin A, Lee YO, Bennett Okay, Goodin A. Smoking Cessation Consciousness and Utilization Amongst Lesbian, Homosexual, Bisexual, and Transgender Adults: An Evaluation of the 2009-2010 Nationwide Grownup Tobacco Survey. Nicotine and Tobacco Analysis, 2015:1-5 [cited 2016 Mar 17].
  14. Fallin A, Goodin AJ, King BA. Menthol Cigarette Smoking amongst Lesbian, Homosexual, Bisexual, and Transgender Adults. American Journal of Preventive Drugs, 2015;48(1):93-7 [cited 2016 Mar 17].
  15. Facilities for Illness Management and Prevention. Best Practices User Guide: Health Equity in Tobacco Prevention and Control [PDF–5.05 MB]. Atlanta: U.S. Division of Well being and Human Companies, Facilities for Illness Management and Prevention, Nationwide Middle for Power Illness Prevention and Well being Promotion, Workplace on Smoking and Well being, 2015 [accessed 2016 Mar 17].

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