The American Cancer Society Cancer Action Network (ACS CAN) supports a comprehensive approach to tobacco control that includes significantly increasing excise taxes on all tobacco products to generate revenue, protect kids, and save lives. Significant tobacco tax increases are one of the most effective ways to prevent kids from starting to use tobacco and help adults quit.
Big Tobacco Targets the LGBTQ+ Community
While overall smoking rates have declined in recent years, smoking rates remain higher among specific subpopulations, including the LGBTQ+ community. These differences are in large part due to the tobacco industry’s targeted marketing through advertising, price discounting and other strategies.[i] Every year the tobacco industry spends $9.1 billion in the United States marketing their deadly and addictive products.[ii]
Tobacco Use in the LGBTQ+ Community
Every year tens of thousands of LGBT persons die from tobacco-related diseases.viii
Individuals who are lesbian, gay, or bisexual use tobacco at higher rates than those who are straight and those who are transgender use tobacco at higher rates than cisgender individuals. In 2022, lesbian, gay, or bisexual high school students used tobacco products at nearly one and a half times the rate of straight students, 21.5% and 14.1% respectively.[iii] Further, in 2022, 20.5% of transgender high school students used tobacco products, compared to 14.8% of their cisgender peers.[iv] In 2020 smoking rates among gay, lesbian, and bisexual adults in the US were significantly higher than rates for straight adults, 16.1% and 12.3% respectively.[v] Over half (54.5%) of lesbian or gay adults who smoke use menthol cigarettes, a higher rate than straight adults who smoke.[vi] There is limited data available on smoking rates among transgender adults; however, one study found higher smoking rates among transgender adults than cisgender adults.[vii]
“High rates of tobacco use within the LGBT community are due in part to the aggressive marketing by tobacco companies that sponsor events, bar promotions, giveaways, and advertisements.”– Centers for Disease Control and Prevention
Tobacco Industry Targeting of LGBTQ+ Communities
Big Tobacco has targeted LGBTQ+ communities with a variety of deceptive marketing tactics for decades, and it has paid off in billions of dollars in sales for the tobacco industry while costing thousands of lives. In fact, LGBT adults spend over $2.6 billion on cigarettes each year.[viii] Starting in the 1990s Big Tobacco has targeted LGBTQ+ communities by:
- Developing marketing materials targeted at the LGBTQ+ community before most other industries.[ix]
- Designing advertisements for LGBTQ+ publications that depict tobacco use as a “normal” part of LGBTQ+ life.[x]
- In 1995, one tobacco company created a marketing strategy known as “Project SCUM” or subculture urban marketing targeted at gay men and individuals experiencing homelessness in San Francisco.[xi]
- Using corporate philanthropy to demonstrate support of the LGBTQ+ community, another tobacco company settled a boycott by pledging a large donation to AIDS research, gaining them access to the LGBTQ+ market.[xii]
- Hosting promotions including LGBTQ+ bar nights featuring specific cigarette brands.[xiii]
- Sponsoring events at pride festivals. For example, one cigarette brand sponsored more than a dozen events at San Francisco’s pride festival alone in 2000.[xiv]
- Promoting menthol cigarettes which are easier to use and harder to quit.[xv]
Big Tobacco’s Deceptive and Targeted Marketing Costs Lives
Smoking causes approximately 30% of cancer deaths.xvii
Big Tobacco’s deceptive marketing practices, including using flavors such as menthol, continue to incentivize tobacco use among LGBTQ+ communities and other populations, causing these groups to shoulder a disproportionate share of the real cost of tobacco use. Smoking harms nearly every organ in the body and remains the number one cause of preventable death.[xvi] Smoking is the single largest contributing risk factor to cancer in the United States, increasing the risk of at least 12 cancers.[xvii]
[i] The Truth Initiative, Campaign for Tobacco-Free Kids, American Heart Association and American Stroke Association, American Cancer Society Cancer Action Network, American Lung Association, Americans for Nonsmokers’ Rights, and Robert Wood Johnson Foundation. A report entitled Broken Promises to Our Children: A State-By-State Look at the 1998 State Tobacco Settlement 19 Years Later. December, 2017.Available on-line at: https://www.tobaccofreekids.org/what-we-do/us/statereport.
[ii] U.S. Federal Trade Commission (FTC), Cigarette Report for 2020, 2021 https://www.ftc.gov/system/files/documents/reports/federal-trade-commiss... [data for top 5 manufacturers only].; FTC, Smokeless Tobacco Report for 2020, 2021, https://www.ftc.gov/system/files/documents/reports/federal-trade-commiss... [Data for top 5 manufacturers only]. FTC, E-Cigarette Report for 2019 – 2020, 2022. https://www.ftc.gov/system/files/ftc_gov/pdf/E-Cigarette%20Report%202019...
[iii] Park-Lee E, Ren C, Cooper M, Cornelius M, Jamal A, Cullen KA. Tobacco Product Use Among Middle and High School Students — United States, 2022. MMWR Morb Mortal Wkly Rep 2022;71:1429–1435. DOI: http://dx.doi.org/10.15585/mmwr.mm7145a1.
[iv] Park-Lee E, Ren C, Cooper M, Cornelius M, Jamal A, Cullen KA. Tobacco Product Use Among Middle and High School Students — United States, 2022. MMWR Morb Mortal Wkly Rep 2022;71:1429–1435. DOI: http://dx.doi.org/10.15585/mmwr.mm7145a1.
[v] Cornelius ME, Loretan CG, Wang TW, Jamal A, Homa DM. Tobacco Product Use Among Adults — United States, 2020. MMWR Morb Mortal Wkly Rep 2022;71:397–405. DOI: http://dx.doi.org/10.15585/mmwr.mm7111a1
[vii] Buchting FO, Emory KT, Scout, Kim Y, Fagan P, Vera LE, Emery S. Transgender Use of Cigarettes, Cigars, and E-cigarettes in a National Study. American Journal of Preventive Medicine July 2017.
[ix] American Lung Association. Smoking Out a Deadly Threat: Tobacco Use in the LGBT Community. 2010. http://www.lung.org/assets/documents/research/lgbt-report.pdf
[x] Centers for Disease Control and Prevention (CDC). Lesbian, Gay, Bisexual, and Transgender Persons and Tobacco Use. Updated February 28, 2017. https://www.cdc.gov/tobacco/disparities/lgbt/index.htm
[xi] The Truth Initiative. Tobacco Use in LGBT Communities. February 2018. https://truthinitiative.org/news/tobacco-social-justice-issue-smoking-and-lgbt-communities. See Also American Lung Association. Smoking Out a Deadly Threat: Tobacco Use in the LGBT Community. 2010. http://www.lung.org/assets/documents/research/lgbt-report.pdf
[xii] The Truth Initiative. Tobacco Use in LGBT Communities. February 2018. https://truthinitiative.org/news/tobacco-social-justice-issue-smoking-and-lgbt-communities. See also Ramirez A. Philip Morris to Increase AIDS Donations. The New York Times. 05/30/1991, 1991; Company News.
[xiii] The Truth Initiative. Tobacco Use in LGBT Communities. February 2018. https://truthinitiative.org/news/tobacco-social-justice-issue-smoking-an...
[xiv] The Truth Initiative. One Trend That’s Changing Pride Festivals for the Better. 2017. https://truthinitiative.org/news/one-trend-changing-pride-festivals-better
[xv] Centers for Disease Control and Prevention (CDC). Lesbian, Gay, Bisexual, and Transgender Persons and Tobacco Use. Updated February 28, 2017. https://www.cdc.gov/tobacco/disparities/lgbt/index.htm
[xvi] Centers for Disease Control and Prevention (CDC). Health Effects of Cigarette Smoking. Updated October 29, 2021. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/e...