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Widening sexual orientation inequities in smoking among older adults in the USA, 2015–2019
  1. Jie Yang1,
  2. Joseph G L Lee2,3
  1. 1 School of Social Work, College of Health and Human Performance, East Carolina University, Greenville, North Carolina, USA
  2. 2 Department of Health Education and Promotion, College of Health and Human Performance, and Center for Health Disparities, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA
  3. 3 Cancer Prevention and Control, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, USA
  1. Correspondence to Dr Jie Yang, School of Social Work, East Carolina University College of Health and Human Performance, Greenville, NC 27858, USA; yangji18{at}

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A recent editorial in Tobacco Control noted the neglect of older adults in the field of tobacco control, arguing that we must do better.1 This research letter seeks to answer that call and amplify its message by assessing what is missed in health equity research when older adults are ignored in another area of inequity: differences in smoking by sexual orientation.2 3 Older lesbian, gay and bisexual (LGB) adults often have been rendered invisible in popular culture with detrimental effects.4 While evidence clearly shows LGB adults overall have higher risk of smoking than their heterosexual counterparts,2 research and interventions for addressing LGB smoking inequities, with some exceptions,5 neglect older adults.6 This letter examines trends in inequities in smoking between LGB and heterosexual …

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  • Contributors JY and JGLL developed the research question. JY conducted statistical analyses. JY and JGLL contributed equally to drafting the manuscript.

  • Funding This study was supported by an East Carolina University 2021 Health Behaviour Research Cluster seed grant.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.