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Lesbian, gay, bisexual and transgender (LGBT) individuals smoke at high rates: LGB higher than their heterosexual counterparts; transgender, higher than their cisgender counterparts.1 Historically, LGBT bars often played a central role in the lives of LGBT people in the USA, often serving as one of the only available spaces for socialising.2 Bars have historically allowed smoking and tobacco marketing,3 and there is a well-established link between drinking alcohol and smoking.4 Tobacco companies were also early contributors to HIV/AIDS organisations and the Gay and Lesbian Alliance Against Defamation (GLAAD) Media Awards Program5 ,6 and early adopters of employee non-discrimination policies covering sexual orientation.7 Recently, the tobacco companies released advertisements linking tobacco use with contemporary LGBT issues (eg, freedom to smoke likened to freedom to marry, figure 1)8 and LGBT pride.9 ,10
Contributors AF contributed to the analysis and interpretation of the data, and drafting of the manuscript. BD led data collection and critically revised for content. Both the authors gave final approval on this manuscript.
Funding Tri-City Health Center's LGBT Tobacco was funded by the California Department of Health.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.