Transgender adults were also about twice as likely to use e-cigarettes and cigars compared to cisgender adults.
Only 22.4% of cisgender adults reported currently using cigarettes compared to 34.9% of transgender adults.
Transgender adults also had higher odds of currently using tobacco products, including cigarettes, e-cigarettes, and cigars, compared to cisgender adult use of any tobacco product (32.6% vs 23.6%).
LGBT smokers are significantly more likely to smoke menthol cigarettes: more than 36% of LGBT smokers report that they usually smoke menthols, which are easier to use and harder to quit. LGB adults were nearly twice as likely to use e-cigarettes and little cigars. Gay and bi-sexual men were also more likely than straight men to use cigarettes (23.8% vs 17.3%), as were LGB women compared to straight women (17.9% vs 13.5%). Overall, more lesbian, gay or bisexual adults smoked cigarettes (20.5%) compared to heterosexual adults (15.3%) in 2016. TOBACCO USE HIGHER IN ADULT SEXUAL MINORITIES Trends were similar with boys - compared to heterosexual boys, odds of heavy use were generally higher among gay and bisexual boys between 20, with the exception of 2015 for gay boys and 2009 for bisexual boys. 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.