The article by Austin et al1 is a valuable contribution to the increasing epidemiological evidence of elevated health and mental health problems among adolescents and young adults who have same-sex sexual attractions, have engaged in same-sex sexual behavior, and/or have identified their sexual orientation as lesbian, gay, or bisexual (LGB). This study adds to research findings showing that LGB persons, adults as well as youth, smoke tobacco at rates considerably higher than their peers.2,3
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