Tobacco Use and Gambling in LGBTQIA Populations - Healthcare Guild

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1-800-522-4700 Hotline from National Council on Problem Gambling

Problem gambling is gambling behavior which causes disruptions in any major area of life: psychological, physical, social or vocational. The term "Problem Gambling" includes, but is not limited to, the condition known as "Pathological", or "Compulsive" Gambling, a progressive addiction characterized by increasing preoccupation with gambling, a need to bet more money more frequently, restlessness or irritability when attempting to stop, "chasing" losses, and loss of control manifested by continuation of the gambling behavior in spite of mounting, serious, negative consequences.... Call 1-800-522-4700 to speak with a professional who can connect you with the proper resources in your state. 

Gambling Helper - News and Forums for Gambling Addiction

"Addictive behaviors rewire the brain," says Dr. Howard Shaffer, director of Harvard Medical School's Division on Addictions.  Learn more about how gambling is a real and highly destructive addiction. is an online community for support in dealing with gambling addiction. 

Gamblers Anonymous Support Groups for Those Wanting to Quit Gambling

Gamblers Anonymous is a fellowship of men and women who share their experience, strength and hope with each other that they may solve their common problem and help others to recover from a gambling problem. The only requirement for membership is a desire to stop gambling. There are no dues or fees for Gamblers Anonymous membership... 

National Asian Pacific American Families Against Substance Abuse (NAPAFASA)

Download “Problem Gambling and the LGBT Community” by NAPAFASA... 

Center for Disease Control Prevention - Tobacco Control

The CDC Office on Smoking and Health (OSH) is a National Clearinghouse for Smoking and Health, OSH is dedicated to reducing the death and disease caused by tobacco use and exposure to secondhand smoke....

Be Tobacco Free On-Line Clearinghouse of Tobacco Information provides information about tobacco addiction, the health effects of tobacco products, how to quit and how to avoid starting from various Department of Health and Human Services (HHS) operating and staff divisions including CDC, NIH, HHS, OASH, OSG and FDA ....

Fenway Applauds the CDC - LGBT Oriented Anti-Smoking Advertisements

The Fenway Institute applauds the United States Centers for Disease Control and Prevention’s (CDC) Office of Smoking and Health (OSH) for including lesbian, gay, bisexual and transgender (LGBT) people among the populations featured in their new ‘Tips From Former Smokers’ tobacco cessation campaign. The campaign features compelling messages from people affected by tobacco use. Other populations featured include African-Americans, Latinos, and Native Americans/Alaskan Natives...

According to the American Lung Association, “Smoking is the leading cause of preventable illness and death in the country. It is the primary cause of two of the deadliest lung diseases: lung cancer (which causes more American deaths than any other cancer), and chronic obstructive pulmonary disease (COPD), the fourth leading cause of death in the nation. Since the smoking rate within the LGBT community is roughly double that of the general population, more members of the LGBT community are at greatly increased risk of these deadly diseases, as well as other tobacco-related health threats such as heart attacks and strokes”....Click Here to Read the ALA Article.

The Last Drag: An Evaluation of an LGBT-Specific Smoking Intervention.

Many studies in the past 20 years have documented that lesbian, gay, bisexual, and transgender (LGBT) individuals smoke at rates that exceed the general population, yet, there have been few reports of smoking cessation interventions targeting this population. This study reports on data from 233 participants in The Last Drag, a seven-session, six-week group education and support intervention tailored for LGBT smokers. Data on smoking rates were collected during the first and last sessions, and at one, three, and six months post-intervention. As with many interventions over time, missing data is a challenge in determining success rates, but even using the most conservative estimates, nearly 60% were smoke-free at the end of the intervention, and 36% remained smoke-free by six months post-intervention. This success rate is comparable to, or better, than many mainstream smoking cessation interventions reported in the literature. The Last Drag is an effective, low-cost, LGBT-specific community intervention that can be replicated in other communities.

Why Smoking is Harmful to Smokers

  1. Cigarette smoking causes an estimated 443,000 deaths each year, including approximately 49,400 deaths due to exposure to secondhand smoke.

  2. 8.6 million people live with a serious illness caused by smoking.

  3. On average, smokers die 13 to 14 years earlier than nonsmokers.

  4. Lung cancer is the leading cause of cancer death among both men and women in the United States, and 90% of lung cancer deaths among men and approximately 80% of lung cancer deaths among women are due to smoking.

  5. Smoking causes many other types of cancer, including cancers of the throat, mouth, nasal cavity, esophagus, stomach, pancreas, kidney, bladder, and cervix, as well as acute myeloid leukemia.

  6. People who smoke are up to two to four times more likely to suffer a heart attack than nonsmokers, and the risk increases with the number of cigarettes smoked. Smoking also causes most cases of chronic obstructive lung disease.

  7. Among youth who persist in smoking, a third will die prematurely from smoking.

Why Smoking is Harmful to Others

  1. An estimated 88 million nonsmoking Americans, including 54% of children aged 3–11 years, are exposed to secondhand smoke.

  2. Nonsmokers who are exposed to secondhand smoke at home or work increase their lung cancer risk by 20–30%.

  3. Secondhand smoke exposure causes an estimated 3,400 lung cancer deaths annually among adult nonsmokers in the United States.

  4. An estimated 88 million nonsmokers in the United States were exposed to secondhand smoke in 2007–2008.

  5. Nonsmokers who are exposed to secondhand smoke at home or work increase their heart disease risk by 25–30%.

  6. Secondhand smoke exposure causes an estimated 46,000 heart disease deaths annually among adult nonsmokers in the United States.

  7. Children are at particular risk for exposure to secondhand smoke: 53.6% of young children (aged 3–11 years) were exposed to secondhand smoke in 2007–2008.

  8. While only 5.4% of adult nonsmokers in the United States lived with someone who smoked inside their home, 18.2% of children (aged 3–11 years) lived with someone who smoked inside their home in 2007–2008.

  9. Babies and children who breathe secondhand smoke are sick more often with bronchitis, pneumonia, and ear infections.

  10. In children, secondhand smoke causes:

    1. Ear infections

    2. More frequent and severe asthma attacks

    3. Respiratory issues, including coughing, sneezing, and shortness of breath

    4. Respiratory infections, including bronchitis and pneumonia

    5. An increased risk of sudden infant death syndrome (SIDS)

  11. In children aged 18 months and younger in the United States, secondhand smoke exposure is responsible for:

    1. 150,000–300,000 new cases of bronchitis and pneumonia annually

    2. Approximately 7,500–15,000 hospitalizations annually

Smokeless Tobacco Users

  1. 15% of high school boys use smokeless tobacco, and an estimated 9% of all high school students use smokeless tobacco.

  2. 3.5% of all adults use smokeless tobacco.

  3. Among the 50 states and DC, smokeless tobacco use was highest in Wyoming (9.1%), West Virginia (8.5%), and Mississippi (7.5%).

  4. In all 50 states and DC, smokeless tobacco use was significantly higher among men than women; smokeless tobacco use among men ranged from 2.0% (DC) to 17.1% (West Virginia).

  5. Data suggests that men, young adults (aged 18–24 years), and those with a high school education or less are more likely to use smokeless tobacco.

Why Smokeless Tobacco is Harmful

  1. Smokeless tobacco contains 28 cancer-causing agents (carcinogens).

  2. Smokeless tobacco is a known cause of cancer; it causes oral and pancreatic cancer.

  3. Smokeless tobacco is also strongly associated with leukoplakia—a precancerous lesion of the soft tissue in the mouth that consists of a white patch or plaque that cannot be scraped off.

  4. Smokeless tobacco is associated with recession of the gums, gum disease, and tooth decay.

  5. Smokeless tobacco use during pregnancy increases the risks for preeclampsia (i.e., a condition that may include high blood pressure, fluid retention, and swelling), premature birth, and low birth weight.

  6. Smokeless tobacco use by men causes reduced sperm count and abnormal sperm cells.

  7. Smokeless tobacco contains nicotine, and using it leads to nicotine addiction and dependence.

  8. Adolescents who use smokeless tobacco are more likely to become cigarette smokers.

Additional Anti-Tobacco Resources for Lesbian, Gay, Bisexual, Transgender Individuals

  1. Tobacco use and its effects in this National Cancer Institute (NCI), part of the National Institutes of Health (NIH), fact sheet

  2. The health effects and cost of tobacco use in this Centers for Disease Control and Prevention (CDC) Fact Sheet

  3. Current smoking statistics among adults in this CDC Morbidity and Mortality Weekly Report (MMWR)

  4. Tobacco use among youth in this CDC fact sheet

  5. The CDC's efforts to control tobacco in this report

  6. Secondhand smoke exposure and its effect on your cardiovascular system in this CDC report

  7. Keeping the next generation tobacco free in the Surgeon General's 2012 report

  8. The health effects of secondhand smoke in this CDC Vital Signs report

  9. Secondhand smoke in this CDC fact sheet

  10. Protecting children from secondhand smoke in this CDC parent's guide

  11. Tobacco use by state in this CDC MMWR

From: HHS website:

Additional Tobacco Resources for Lesbian, Gay, Bisexual, Transgender Individuals


American Lung Association - Smoking Out a Deadly Threat: Tobacco Us in the LGBT Community

The American Lung Association is committed to preventing lung disease and improving lung health.

In particular, we are working to address the needs of those populations and communities that are

disproportionately affected by lung disease, such as the lesbian, gay, bisexual and transgender (LGBT) community. I hope that this report—Smoking Out a Deadly Threat: Tobacco Use in the LGBT Community—will help to spur individuals and organizations to raise awareness, take action, and reduce the uncommonly high smoking rate among LGBT individuals.

Coming Out About Smoking: A Report From the National LGBTQ Young Adult Tobacco Project

Reduction of tobacco use among youth and young adults in the United States is an important public health issue. Emerging data from national probability samples suggests that young adults are smoking at significantly higher rates than their heterosexual counterparts. However, beyond smoking prevalence rates, little else is known about tobacco use among this under-served subpopulation of youth. In the summer of 2009, the National Youth Advocacy Coalition (NYAC) was funded by the American Legacy Foundation’s Small Innovative Grants program to conduct a nation-wide research project focusing on tobacco use in the lesbian, gay, bisexual, transgender, questioning, and intersex community of young adults, ages 18–24. As a national organization dedicated to serving LGBTQ youth and youth service providers, NYAC was uniquely positioned to take the lead in conducting one of the first national studies of tobacco use in this population.

The Fenway Institute: Network for LGBT Tobacco Control

Consistently involving local LGBT community leaders in policy planning will bring experience and input that naturally tailors your programs to the local community environment. It will also engage and educate key LGBT opinion-makers, which can then provide access to other resources.

GLMA - Tobacco Use and Interventions for LGBT Individuals

The Gay and Lesbian Medical Association (GLMA) is the world's largest and oldest association of lesbian, gay, bisexual and transgender (LGBT) health care professionals. GLMA was founded in 1981 as the American Association of Physicians for Human Rights with the mission of ensuring equality in health care for LGBT individuals and health care professionals. Today, there is still considerable ignorance about LGBT health issues, with many assuming that LGBT health involves only HIV/AIDS. In fact, the full scope of the LGBT health agenda includes breast and cervical cancer, hepatitis, mental health, substance abuse, tobacco use, depression, access to care for transgender persons, and other concerns.

National Cancer Institute - LGBT of Color - Reducing Tobacco-Related Health Disparities

While large data gaps exist, population-based studies of LGBTs show notably higher smoking rates in this population than in the general population.3 Among certain subgroups—lesbian and bisexual women, for example—smoking rates are almost 200 percent higher than rates in the general population. Factors such as low community awareness of higher smoking rates and high community susceptibility to tobacco marketing efforts contribute to this disparity.

The Network for LGBT Health Equity - Tobacco Control

We work to link information and people on a variety of LGBT health issues. We are created to help eliminate tobacco disparities for LGBT people. Lesbians, gays, bisexuals, and transgender people have been targeted by the Tobacco Industry. Interventions to counter tobacco use are not always culturally tailored for the LGBT communities. The LGBTQ communities smoke at rates 40%-almost 200% higher than the general population. The National Tobacco Control Network is working to link and support the many local LGBT health advocates, so their work can help eliminate tobacco health disparities for all LGBTs.

Red Ribbon Works - Tobacco, Alcohol Prevention for Kids

Safe & Drug Free Schools Program - Tobacco, Drug, Alcohol Prevention

Substance Abuse Librarians and Information Specialists - SALIS (Alcohol, Tobacco, Drugs)

American Public Health Association - Tobacco Prevention Resources

LGBT Tobacco Education Partnership - California

The SafeGuards Project - Tobacco Control Resources


Tobacco Prevention and Control

Gambling Prevention and Intervention

1-800-QUITNOW (1-800-784-8669) Hotline to Quit Smoking

Lesbian, Gay, Bisexual, and Transgender populations use tobacco products at a significantly higher rate than the rest of the population... Tobacco use is the leading cause of preventable illness and death in the United States. It causes many different cancers as well as chronic lung diseases such as emphysema and bronchitis, heart disease, pregnancy-related problems, and many other serious health problems.  For support in quitting, including
free quit coaching, a free quit plan, free educational materials, and referrals to local resources, call 1-800-QUIT-NOW (1-800-784-8669).....

Quit Smoking Today Interactive On-Line Help -

The CDC Office on Smoking and Health (OSH) is a National Clearinghouse for Smoking and Health, OSH is dedicated to reducing the death and disease caused by tobacco use and exposure to secondhand smoke....

If you are a Healthcare Provider, Doing a 30 Second Intervention with Smoking Patients Can Double Their Chances of Quitting Successfully

Remember that the average person tries to stop smoking 7-8 times before stopping permanently.  Educate yourself on how to be part of your client’s support team during a quit attempt...

Click here to Reach Out to providers who are organizing LGBT tobacco control in your state.

Click here to access the LGBT Tobacco Resource Library

MPOWERED: Best and Promising Practices for Lesbian, Gay, Bisexual, Transgender Tobacco Prevention and Control

The Network for LGBT Health Equity is dedicated to culling the effective strategies learned from programs and making them accessible to the many other people who want to build similar projects in their regions. The Network is one of six CDC- funded tobacco disparity networks, each dedicated to convening people, identifying best practices and fostering the growth of the field. Our work is very much informed by the other disparity networks we work alongside. We benefit not only from information about how LGBT people of color and low socioeconomic status are impacted by tobacco, but also from seeing what similar barriers are encountered by other disparity networks......

American Lung Association - Stop Smoking Resources

Every year in the U.S. over 392,000 people die from tobacco-caused disease, making it the leading cause of preventable death. Another 50,000 people die from exposure to secondhand smoke. Tragically, each day thousands of kids still pick up a cigarette for the first time......
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