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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

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