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doi:10.1001/jamanetworkopen.2021.7044

The American Lung Associations compilation of research, for example, finds possible contributing factors to be associated with: The stress and discrimination related to homophobia The tobacco industrys targeted marketing to gay and transgender customers The lack of access to culturally appropriate tobacco treatment programs Smoking becomes a coping mechanism to help them deal with these issuesissues that are further magnified for gay and transgender people of color who face discrimination due to both race and sexual orientation or gender identity

Thats because exposure to tobacco companies retail marketingsuch as offering promotions and discounts for cigarettes and displaying them at eye level, behind check-out countersis linked to impulse purchases, an increased likelihood of young people starting to smoke, and decreased success for people attempting to quit

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