Considerations for Lesbian, Gay, Bisexual, Transgender, and Questioning/Queer Persons
Lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ+) people are an important population for
tobacco control efforts given this population's high
prevalence of tobacco use. Many factors may contribute to tobacco use among LGBTQ+ people including
stigma, discrimination, and social norms. Additionally, commercial tobacco companies have conducted
advertising campaigns focused on LGBTQ+ people, particularly gay men, since the 1990s.
A 2014 systematic review of
clinical, community, and policy-focused tobacco cessation interventions for LGBTQ+ people found that
many interventions have limited reach. The review also found few effective community, policy, and
media interventions for tobacco cessation for LGBTQ+ people. The cessation research is most limited for
transgender populations. The study found that further research is needed to explore if community
interventions can improve tobacco cessation outcomes for this population. There is also a need for
research that explores the impacts of policy interventions on tobacco cessation and identifies
optimal strategies for messaging in media campaigns for LGBTQ+ people.
There are promising practices available to guide the development of tobacco cessation interventions for LGBTQ+
people. The American Lung Association emphasizes the need for multiple
strategies such as targeted interventions that focus on prevention and cessation, the expansion and
improvement of data collection and reporting on tobacco use in the LGBTQ+ population, and the need for tobacco
control programs in LGBTQ+ organizations.