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Am J Public Health. 2015 Dec;105(12):2426-9. doi: 10.2105/AJPH.2015.302806. Epub 2015 Oct 15.

Tobacco Denormalization as a Public Health Strategy: Implications for Sexual and Gender Minorities.

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Tamar M. J. Antin is with the Prevention Research Center of the Pacific Institute for Research and Evaluation, Oakland, CA, and the Institute for Scientific Analysis, Alameda, CA. Sharon Lipperman-Kreda is with the Prevention Research Center of the Pacific Institute for Research and Evaluation. Geoffrey Hunt is with the Institute for Scientific Analysis, Alameda.


Although the population-level success of tobacco denormalization is widely accepted, it remains unclear whether these strategies alleviate health inequities for sexual and gender minorities. The high risk of smoking among sexual and gender minorities together with research that documents a relationship between stigma-related processes and smoking prevalence for these groups raises questions about whether tobacco-related stigma intensifies the disadvantages associated with the stigmas of other social identities. We have not adequately considered how tobacco-related stigma overlaps with other social identity stigmas. Given concerns about the intensification of inequality, this type of inquiry has important implications for understanding both the effectiveness and limitations of tobacco denormalization strategies for sexual and gender minorities and identifying those tobacco prevention, treatment, and public health policies that work to ameliorate health inequities.

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