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9A.6 Lesbian, gay, bisexual, trans, queer and intersex (LGBTQI+) people
Foreword

Relevant news and research: Lesbian, gay, bisexual, trans, queer and intersex (LGBTQI+) people

Arayasirikul, S., Maycott, J. and Contestable, A. (2025). Disparities in Tobacco Use, Binge Drinking, and Injection Drug Use Among Sexual and Gender Minoritized People Recruited Online in San Francisco, California: Survey Results. Online J Public Health Inform, e81982. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41248490


Hernandez-Torres, R., Ramos-Santiago, J., Negron-Velez, Y., Aristegui, I., Cartujano-Barrera, F., Bermonti Perez, M. E., Rivera-Segarra, E. and Ramos-Pibernus, A. (2025). Prevalence and Associations of Current Cigarette Smoking Among Latinx Transgender and Gender Diverse Adults Living in Puerto Rico and Florida: A Secondary Data Analysis. Tob Use Insights, 1179173X251399535. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41281908


Tundealao, S., Oubda, M. C., Klaff, R., Reininger, B., McNeill, L. and Tami-Maury, I. (2025). Pragmatic recruitment strategies for a text-based smoking cessation intervention for sexual and gender minority groups. Discov Public Health, 1, 743. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41306822


Duncan, F. C. and Okuyemi, K. (2025). Tailored Navigation of Lung Cancer Screening and Smoking Cessation in LGBTQ+ Populations: Bridging Gaps, Building Trust. Ann Am Thorac Soc, 10, 1473-1475. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41031792


Maglalang, D. D., Wang, K., Moitra, E., Zelaya, D. G. and Sun, S. (2025). Discrimination, Levels of Internalized Heterosexism, and Use of Cigarettes and E-Cigarettes in Young Sexual Minority Men. Sex Gend Divers Soc Serv, 3, 616-635. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41049792


McNair Am, R., Grant, R., An, T. L., Mooney-Somers, J., Pennay, A., Power, J. and Bourne, A. (2025). Agency and queer solidarity: Help-seeking for alcohol and nicotine issues among lesbian, bisexual and queer women and non-binary people. J Subst Use Addict Treat, 209813. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41120024


Qiu, L., Shirui, Z. and Luo, M. (2025). Trends in global research on tobacco use among sexual and gender minorities: A bibliometric analysis, 1984-2024. Tob Induc Dis. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41070238


Romm, K. F., Gilford, C., Jr., Das, M., Nhem, M., Vogel, E. A. and Cohn, A. M. (2025). Associations of rural-urban residence with daily experiences of minority stress and tobacco use among sexual minority young adults. Addict Behav, 108525. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41124757


Jongenelis, M. I. and Cook, G. (2025). Tobacco industry 'rainbow washing' during Pride Month. Tob Control. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41015525


Lee, J., Smith, A. D., Downey, D. L., Mabrouk, F. A., Nunez, A., Sikora, N., Byron, M. J., Cheney, M. K., De Genna, N. M., Khayat, A., Maglalang, D. D., Patterson, J. G., Rose, S. W., Sun, C. J., Tan, A. S. L., Weinberger, A. H. and Hinds, J. T. (2025). A scoping review of theory-based tobacco control efforts for sexual and gender minority populations. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40973055


Robertson, T., Fisher, J. L., Patterson, J. G., Scout, N. F. N. and Arthur, E. K. (2025). Alcohol and tobacco use among sexual and gender minority cancer survivors in relation to urbanicity/rurality. Cancer Causes Control. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40924254


Hinds, J. T., Wein, P. Y., Stern, E., Cioffi, L., Cuddleston, K., Gordon, T., Patton, C. D. and Weinberger, A. H. (2025). Reporting of tobacco use and health outcomes among transgender and gender expansive people in gender-affirming hormone therapy research: 1980-2024. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40795336


Mozo, E. H., Siegel, J. A., Douglas, V., Flores, J. J., Jones, I. J., Rivera, D. B. and Blashill, A. J. (2025). Internalized Homophobia and Cigarette Use Among Latino and Black Sexual Minority Men: Protective and Risk Factors. Stigma Health. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40881469


Romm, K. F., Gilford, C., Vogel, E. A., McQuoid, J. M., Chen, M., Cohn, A. M. and Berg, C. J. (2025). Rural-urban Residence, Minority Stress, and Tobacco Use among Sexual and Gender Minority Young Adults in Oklahoma and Surrounding States. J Health Care Poor Underserved, 3, 943-970. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40820784


Huh, J., Schuler, L., Lee, R., Pang, R. D. and Kirkpatrick, M. (2025). Intersectional discrimination acutely and vicariously affects cessation outcomes and psychological processes between same-sex couples during a tobacco quit attempt. Addict Behav, 108425. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40614369


Krueger, E. A., Cordero, L., Hong, C., Flynn, R. and Holloway, I. W. (2025). Cannabis use patterns among emerging adults in California who use tobacco: Differences by sexual identity, gender identity, and sex assigned at birth. Addict Behav Rep, 100624. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40726811


Salgin, L., Kellogg, D., Helm, J., Blashill, A. J., Myers, M., Jun, H. J., Lim, A. C. and Calzo, J. P. (2025). Measuring Stress, Socialization, and Smoking Behaviors Among Lesbian, Gay, Bisexual, Transgender, Queer, and Other Sexual and Gender Minority Adolescents (the Puff Break Research Study): Protocol for a Ecological Momentary Assessment Study. JMIR Res Protoc, e71927. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40609086


Schoen, M., Galusha, S., Ennis, A. C., Elson, E., Jankowski, E., Meadows, A., Stanwick, M., Curran, H., Klein, E. G. and Patterson, J. G. (2025). Young adults' visual attention to, unaided recall, and perspectives of tobacco public education messages: an experimental eye-tracking study. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40632104


Regalado, S. and Duong, J. (2025). Tobacco product use among youth: the intersection of sexual identity and race/ethnicity. J Ethn Subst Abuse, Jan-19. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40560867


Vogel, E. A., Romm, K. F., McMaughan, D. J., LoParco, C. R., Bhanot, P., Cavazos-Rehg, P. A., Szlyk, H., Kasson, E. and Berg, C. J. (2025). Neurodivergence, Minority Stress, and Tobacco Use in a Sample of US Sexual and Gender Minoritized Young Adults. Subst Use Addctn J, 2.97673E+16. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40577058


Yi, G., Javanbakht, M., Rosen, A. D., Gorbach, P., Clark, J. and Shoptaw, S. (2025). Speed and smoking kill: A time-varying survival analysis linking methamphetamine use, cigarette smoking, and mortality in sexual minority men. Int J Drug Policy, 104874. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40505184


Azagba, S., Sajith de Silva, G. and Ebling, T. (2025). Housing Instability, E-Cigarette, and Tobacco Use by Sexual Identity in US High Schoolers. Pediatrics, 6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40404175


Figueroa, W., Sridhar, S., Jankowski, E., Ennis, A., Trinh, A., Seiber, E. and Patterson, J. G. (2025). Examining pathways between structural stigma and tobacco use: a comparison among young adults living in the United States by sexual orientation and gender identity. Int J Equity Health, 1, 128. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40340763


Ganz, O., Krueger, E. A., Tan, A. S. L., Talbot, E., Delnevo, C. D. and Cantrell, J. (2024). Differences in Tobacco Advertising Receptivity Among Young Adults by Sexual Identity and Sex: Findings From the Population Assessment of Tobacco and Health Study. Ann LGBTQ Public Popul Health, 2, 155-175. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40384878


Lin, M. Y., Lockhart, D. and Denlinger-Apte, R. (2025). Exploring Factors Shaping Tobacco and Marijuana Use Among Sexual Minority Adolescents. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40326389


Triplette, M., Omernik, B., Snidarich, M., Heffner, J. L., Brooks, E., Crothers, K., Brown, M. C., Murphy, N. R. and Louie, T. (2025). Tailored Patient Navigation to Support Lung Cancer Screening and Smoking Cessation in LGBTQ+ Individuals: A Pilot Study. Ann Am Thorac Soc. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40440319


Truth Initiative (2025). Tobacco use in the LGBTQ+ community. . Available from: https://truthinitiative.org/sites/default/files/media/files/2025/05/LGBTQ-Fact-Sheet-2025.pdf


Lee, J., Evans-Polce, R. J. and Parker, M. A. (2025). Multiple and frequent tobacco product use by sexual minority youth in the United States: Results from the 2023 National Youth Tobacco Survey. Prev Med Rep, 103069. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40290643


McQuoid, J., Blackwell, M., Bradley, D., Durazo, A., Frank-Pearce, S. G., Heffner, J. L., Islam, S., Le, M., Ling, P. M., Pan, S., Raye, T., Tan, A. S. L., Vogel, E. A., Wilson, M. and Kendzor, D. E. (2025). It took me on a journey other than just to stop smoking: Pilot trial outcomes of an Empowerment Theory-based smoking cessation intervention for sexual and/or gender minoritized people in Oklahoma. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40202852


Quit (2025). Higher smoking and vaping in LGBTIQA+ communities prompts refreshed campaign to empower quitting. . Available from: https://newsroom.quit.org.au/news/higher-smoking-and-vaping-in-lgbtiqa-communities-prompts-refreshed-campaign-to-empower-quitting


Reisner, S. L., Johnson, N., Chen, J. T., Marini, M., LeBlanc, M. E., Mayer, K. H., Oendari, A., Bright, D. M., Callender, S., Valdez, G., Khan, T. and Krieger, N. (2025). Analyzing multiple types of discrimination using implicit and explicit measures, comparing target vs. Dominant groups, in a study of smoking/vaping among community health center members in Boston, Massachusetts (2020-2022). Int J Equity Health, 1, 110. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40264155


Rosales, R., Zelaya, D. G., Hevey, B., Moreno, O., Chavez, S. J., Figuereo, V., Colby, S. M. and DeBlaere, C. (2025). Double Jeopardy: Does Intersectional Discrimination Moderate the Relationship Between Acculturation and Cigarette Dependence Among Latinx Sexual Minority Men Current Smokers?. J Racial Ethn Health Disparities. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40232668


Chan, R. C. H., Lam, M. S., Mao, L., Prankumar, S. K. and Wong, H. (2025). Intracommunity intersectional discrimination and its impact on psychological distress and smoking behavior among sexual minority men from minority ethnic backgrounds. Soc Sci Med, 117723. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40022957


DeAtley, T., Baker, A., Denlinger-Apte, R., Ogunbajo, A., Martinez, U., Ceballos, R., Wetter, D. W., Operario, D., Kershaw, T., Gamarel, K. E. and Restar, A. (2025). Assessing Tobacco Harm Perceptions among Transgender and Nonbinary Adults: Results from a Community Informed State-wide Survey. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40059718


Kcomt, L., Jardine, J., Evans-Polce, R. J., McCabe, S. E., Clift, J., Walter-McCabe, H., Engstrom, C. W. and Veliz, P. T. (2025). Associations of Sexual Orientation and Sexual Orientation-Related State Policy Environments with Smoking and Lung Cancer Screening Outcomes among U.S. Adults. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40163704


Paudel, K., Gautam, K., Hossain Sujan, M. S., Adhikari, P., Bhusal, S., Wickersham, J. A., Bhakta, K. C., Sapkota, S., Dhakal, M., Adhikari, T. B. and Shrestha, R. (2025). Patterns of Alcohol Use and Daily Smoking Among Men Who Have Sex with Men in Nepal. J Community Health. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40042735


Paudel, K., Rana, A., Gautam, K., Rijal, A., Kc, B., Adhikari, T. B. and Shrestha, R. (2024). Urgent Need for Tobacco Cessation Initiatives Among LGBT Communities in Nepal. Health Prospect, 3, 31-33. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40124567


Perry, K. J., Ivanova, M. Y., Masum, M., Rahal, D., Richards, V. L. and Hinds, J. T. (2025). Heterogeneity in Protective Factors as a Buffer for Unique Risk Factors and Daily Smoking among Transgender Adults. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40036981


Romm, K. F., Vogel, E. A., Cavazos-Rehg, P. A. and Berg, C. J. (2025). Rural-urban movement and stability in relation to minority stress-related factors, tobacco norms, and tobacco use among a sample of US sexual minority-identifying young adults. J Rural Health, 1, e70016. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40102197


Azagba, S., Ebling, T. and de Silva, G. S. R. (2025). Disparities in Tobacco use and cravings among sexual and gender minority adolescents in the United States. Prev Med Rep, 102993. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39967808


Brown, N., Shin, H. and Smiley, S. L. (2024). Perceptions of the Harm of Cigarettes, Mental Health, and Quality of Life Among Transgender Adults Who Smoke Menthol Cigarettes: Results from Wave 5 of the Population Assessment for Tobacco and Health (PATH) Study. Int J Environ Res Public Health, 12. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39767458


Figueroa, W., Sridhar, S., Jankowski, E., Ennis, A., Trinh, A., Seiber, E. and Patterson, J. (2024). Using structural equation modeling to assess pathways between structural stigma and tobacco use among sexual and gender minority young adults living in the United States. Res Sq. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39764098


Grant, R., Mooney-Somers, J., McNair, R., Pennay, A., Segan, C., Power, J. and Bourne, A. (2025). Psychological, social and cultural influences on smoking among lesbian, bisexual and queer women. Tob Control. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39870519


Ruiz, R. A., Lehavot, K., Heffner, J. L., Kava, C. M. and Ornelas, I. J. (2024). Coping and Social Support in Relation to Minority Stress and Cigarette Smoking Among Lesbian, Gay, and Bisexual Veterans. Ann LGBTQ Public Popul Health, 4, 335-352. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39790992


Sidhu, L., Kumar, S., Ragavane, P., Chandrasekaran, P. and Murugappan, S. (2024). Assessment of national tobacco control program (NTCP) initiative on tobacco cessation among transgenders in Puducherry - A quasi-experimental study. J Family Med Prim Care, 12, 5708-5713. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39790809


Watson, R. J., Lawrence, S. E., McCauley, P. S., Wheldon, C. W., Fish, J. N. and Eaton, L. A. (2025). Examining tobacco use at the intersection of gender, sexual orientation, race, and ethnicity using national U.S. data of sexual and gender diverse youth. Addict Behav, 108246. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39798355


Chichetto, N. E., Canidate, S., Gebru, N. M., McNeely, K. V., Ding, D. D., Hanna, D. B., Parikh, Z., Shoptaw, S. J., Jones, D. L., Lazar, J. M., Kizer, J. R., Cohen, M. H., Haberlen, S. A., Lahiri, C. D., Wise, J. M., Palella, F., Levine, A., Friedman, M. R. and Plankey, M. (2025). Impact of syndemic heavy drinking, smoking, and depression on mortality among MSM with and without HIV: A longitudinal study. Drug Alcohol Depend, 112523. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39662355


Deyo, A. G., LaRowe, L. R., Powers, J. M., Ruiz, R. A., Kidwell, K. M. and Ditre, J. W. (2024). Prevalence of Tobacco and Poly-Tobacco Use as a Function of Sexual Orientation Identity and Sex. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39656680


Evans-Polce, R. J., Kcomt, L., Casey, L., Boyd, C. J., McCabe, S. E., Veliz, P. T., Conlin, C. and Parra, L. A. (2024). Associations of sexual orientation and state-level antidiscrimination policy protections with alcohol, tobacco, and mental health outcomes in a U.S. sample of adolescents and adults. Soc Sci Med, 117605. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39662360


Kelley, N., Maglalang, D. D., Suh, R., Bello, M. S., de Leon, C., Moitra, E. and Ahluwalia, J. S. (2024). Gaps in smoking cessation counseling administered by healthcare providers to BIPOC gay men who smoke daily in the U.S. J Subst Use Addict Treat, 209590. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39622436


Kierstead, E. C., Dimaya, B., Palmerini, M., Bayacal, G. C. and Hair, E. C. (2024). Measuring cigarette and e-cigarette use over time among LGBT+ youth and young adults using a repeat cross-sectional survey, 2022-2024. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39656646


Lee, J., Hinds, J. T., Dai, H. D. and Weinberger, A. H. (2024). Tobacco and cannabis co-use by sexual minority adults in the United States, 2022. Am J Prev Med. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39725091


Lee, J., Wein, P. Y., Heffner, J. L., Weinberger, A. H. and Hinds, J. T. (2024). Practicing inclusive language related to people who are lesbian, gay, bisexual, transgender, queer, intersex, asexual and other sexual and gender identities (LGBTQIA+) in nicotine and tobacco research. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39705106


Vogel, E. A., Romm, K. F. and Berg, C. J. (2024). Tobacco, cannabis, alcohol, and polysubstance use disparities among sexual identity groups of US young adult women and men. Addict Behav Rep, 100571. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39691282


Earlier news and research

For news items and research on this topic earlier than 2025, click here.

Intro
Chapter 2