Smoking is the leading cause of preventable illness and death in the country, accounting for 393,000 deaths a year. A new report on LGBT smoking has been released that shows that LGBT people suffer more from this deadly addiction. Researchers combed through more than 40 separate analyses to determine that lesbian, gay, bisexual, and transgender people are more likely to use tobacco than straight people. A dozen or so states have collected sexual orientation information on routine health surveys. However, only 6 states have published reports on tobacco use by sexual orientation: Arizona, California, Massachusetts, New Mexico, and Oregon and Washington together. All 6 of these states found significantly elevated smoking rates in the LGBT community.
The statistics are alarming. Gay men are nearly two and a half times more likely to develop a smoking habit than straight men. Lesbians are twice as likely compared to straight women, and people who are bisexual appear to have the highest risk of all - all of the state surveys that collected data on bisexuals found smoking rates higher than 30 percent, and ranging up to a high of 39.1 percent. At 30.7 percent, the transgender smoking prevalence was very close to the overall LGBT rate of 30.4 percent.
LGBT youth are a vulnerable population. Bisexual youth seem to be at highest risk compared with both heterosexual and homosexual youth. Researchers found that bisexual boys were twice as likely to smoke regularly as either gay or straight boys. Compared to heterosexuals, “mostly heterosexual” girls were 2.5 times more likely, and lesbian/bisexual girls were an alarming 9.7 times more likely to smoke at least weekly. Boys identified as “mostly heterosexual” were 2.5 times more likely than heterosexual boys to smoke at least weekly, but gay/bisexual boys were no more likely to smoke than heterosexual boys.
The report analyzed reasons for the smoking rate disparity. One reason is the stress of discrimination. Actual or even perceived stigma causes stress, and research has shown that smoking rates, as well as other negative health behaviors and outcomes, are higher in groups that experience high levels of stress. The bar culture might also be to blame. Because there is a biological and behavioral link between drinking and smoking, it is likely that the bar culture would have contributed to elevated smoking rates. Access to healthcare is another issue. LGBT people have less access to health care and the smoking cessation tools often necessary to kick the habit. Another reason is tobacco company targetting of the LGBT community. The tobacco industry was one of the first to develop marketing materials specifically targeting the LGBT community, and it has over time cynically reaped the benefits of the attention paid to a group that had been largely ignored by mainstream advertisers. Finally, some of our community leaders have ignored the problem. Despite the impact of tobacco use on the health and well-being of the LGBT community, many LGBT organizations do not seem to view tobacco control as a relevant issue and some noted in studies that combating smoking could be bad for an organization’s bank account. There are so many reasons for LGBT smoking disparities. The issue is very complex.
The study is a good look at current knowledge of LGBT smoking. We should all be very concerned with the elevated rates of smoking and take the figures as a call to action. We need to tackle the driving forces of smoking in the community. One day perhaps we can look at smoking in the LGBT community as an unfortunate but limited chapter in our group history.
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Keep track of the work Butt Out is doing by going to our website (www.butt-out.org/), friending us on Facebook (butt-outsanfrancisco) or by connecting with us on Twitter (twitter.com/buttoutsf).Butt Out is a project of Breathe California, funded by the San Francisco Tobacco Free Project, which works to get tobacco money out of LGBT community organizations in San Francisco. We also educate the public about the hazards of smoking and about smoking cessation.
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