LGB girls also had higher odds of heavy use compared to heterosexual girls from 2011-2015. For bisexuals, the odds increased from 4.9X in 2005 to 6.2X to 2015. Compared to heterosexuals, the odds of lesbians heavily using cigarettes increased from 3.3X in 2005 to 3.7X in 2015.
For LGB girls in grades 9-12, sexual identity disparities in heavy cigarette use - using tobacco more than 20 days out of the past 30 - remained high from 2005 to 2015. In addition to using tobacco products at higher rates, youth sexual minorities were more likely to use tobacco more heavily.Transgender youth reported using tobacco products at much higher rates compared to cisgender youth, with 3X the rate of using e-cigarettes, 4X the rate of using cigarettes and 3.5X the rate of using smokeless tobacco compared to cisgender youth.Tobacco products included e-cigarettes, cigarettes, cigars, hookah, and smokeless tobacco.
Transgender youth between 14-17 reported recent use of more than one tobacco product at nearly 3X the rate of cisgender youth.Similarly, LGB female youth reported using cigarettes and cigars at more than 3X and e-cigarettes at more than 2X the rate of straight females in the past month. LGB females between 14-17 reported using one or more tobacco products at 2.5X the rate of straight females.TOBACCO USE TRENDS AMONG SEXUAL MINORITY YOUTH
