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The study sample consisted of 15\u2009801 individuals. Social and behavioural characteristics and the use of tobacco products were compared according to sexual orientation\/gender identity. A multivariate logistic model was constructed to assess the association between tobacco use and sexual orientation\/gender identity, as well as models stratified by SGM and non-SGM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Prevalence of any tobacco product use was 44.7% among SGM and 17.0% among non-SGM. Water pipe use was ~8 times higher for SGM than for non-SGM (13.5% vs 1.6%). SGM tobacco users were younger and had more schooling than non-SGM tobacco users. After adjusting for social and behavioural variables, the multivariate model showed that SGM were 150% more likely to use tobacco products than non-SGM (adjusted OR 2.52; 95%\u2009CI 1.61 to 3.95). In the model for SGM, schooling, alcohol consumption, illicit drug consumption, violence and anxiety\/depression were significantly associated with tobacco use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Prevalence of tobacco use among SGM was higher than among non-SGM, and the profile of tobacco users differed between them. It is urgent to monitor health issues in SGM in Brazil and to adopt tobacco control strategies for this group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-065738","type":"journal-article","created":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T13:16:17Z","timestamp":1681305377000},"page":"e065738","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Tobacco use by sexual and gender minorities: findings from a Brazilian national survey"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2066-3755","authenticated-orcid":false,"given":"Aline Mesquita","family":"Carvalho","sequence":"first","affiliation":[{"name":"Division of Tobacco Control, Instituto Nacional de C\u00e2ncer, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2539-9965","authenticated-orcid":false,"given":"Neilane","family":"Bertoni","sequence":"additional","affiliation":[{"name":"Division of Population Research, Instituto Nacional de C\u00e2ncer, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9005-8171","authenticated-orcid":false,"given":"Carolina","family":"Coutinho","sequence":"additional","affiliation":[{"name":"Get\u00falio Vargas Foundation School of Business Administration of Sao Paulo, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5970-8896","authenticated-orcid":false,"given":"Francisco Inacio","family":"Bastos","sequence":"additional","affiliation":[{"name":"Oswaldo Cruz Foundation, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5452-7081","authenticated-orcid":false,"given":"Vania de Matos","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Fiocruz, Instituto Fernandes Figueira, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"key":"2025101814271216000_13.4.e065738.1","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.1590\/1413-81232018236.05202018","article-title":"A pol\u00edtica de controle do tabaco no brasil: Um balan\u00e7o de 30 anos","volume":"23","author":"Portes","year":"2018","journal-title":"Ci\u00eanc Sa\u00fade Coletiva"},{"key":"2025101814271216000_13.4.e065738.2","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1002\/1878-0261.12918","article-title":"Tobacco control policies in the 21st century: achievements and open challenges","volume":"15","author":"Peruga","year":"2021","journal-title":"Mol Oncol"},{"key":"2025101814271216000_13.4.e065738.3","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2021-056545"},{"key":"2025101814271216000_13.4.e065738.4","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.06.039073"},{"key":"2025101814271216000_13.4.e065738.5","unstructured":"Instituto Brasileiro de Geografia e Estat\u00edstica . 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