One Of The Side Effects Of Oppression

One of the side effects of oppression and stress of any marginalized community is substance abuse and self-harm and the trans community is no exception.

The CDC reports that,

Lesbian, Gay, Bisexual, and Transgender Persons and Tobacco Use

People who are lesbian, gay, bisexual, or transgender (LGBT) include all races and ethnicities, ages, and socioeconomic groups, and come from all parts of the U.S. It is estimated that lesbian, gay, and bisexual (LGB) persons make up approximately 3% of the total U.S. population.

Cigarette smoking among LGB individuals in the U.S. is higher than among heterosexual/straight individuals. Nearly 1 in 4 LGB adults smoke cigarettes compared with about 1 in 6 heterosexual/straight adults.
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Transgender Individuals
Limited information exists on cigarette smoking prevalence among transgender people; however, cigarette smoking prevalence among transgender adults is reported to be higher than among the general population of adults.

The transgender population is considered especially vulnerable because of high rates of substance abuse, depression, HIV infection, and social and employment discrimination, all of which are associated with higher smoking prevalence.

In another CDC report,

Know the Facts
If you are part of the LGBT communities, you likely have seen tobacco ads in magazines, newspapers, and Web sites directed at you. Tobacco companies are targeting your communities.

Smoking among lesbian, gay, and bisexual adults in the United States is much higher than among heterosexual/straight adults. About 1 in 5 (20.6%) lesbian, gay, or bisexual adults smokes cigarettes compared with roughly about 1 in 7 (14.9%) heterosexual/straight adults.

Cigarette smoking is also higher among transgender adults (35.5%), than among adults whose gender identity corresponds with their birth sex (cisgender).

What makes it harder for smokers and are trying to stop is that the stressors in their life are still there. The harassment, the microaggressions, the discrimination, and threat of violence do not go away.