Tobacco use in LGBT communities Tobacco use in LGBT communities A few years ago, I had to keep my mouth shut about my political opinions because I was a public figure in Quebec not a big celebrity, but still in the spotlight. Does coming out about sexual identity increase the likelihood of smoking? Contemporary Pediatrics There's evidence that people who identify as gay or lesbian are more likely to smoke than heterosexual individuals but there is less insight into the struggles, motivations and methods that LGBTQ+ people LGBT+ young people smoke and vape at a higher prevalence than non LGBT+ peers