Reductions in smoking have not been experienced equitably.

So in essence, one goal is to make tobacco use, particularly smoking, socially unacceptable. Since California implemented these priorities in tobacco control, the prevalence of smoking at the population level has decreased substantially.3, 16

However, those reductions haven’t been experienced equitably. In California, where denormalization has defined the tobacco control agenda for almost three decades, smoking is now concentrated among groups who are among the most marginalized in our society.

Sexual and gender minorities make up one such group—though let’s not forget how diverse this so-called group is and that this group is made up of people with multiple and intersecting identities.6, 14, 15

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