Tobacco-Related Disparities: People Who Identify as Transgender or Non-Binary

Individuals who self-identify as trans women, trans men, or non-binary are especially at risk for commercial tobacco use more than the general population due to higher rates of poverty and lack of access to insurance and reliable medical care. In addition, individuals who use estrogen or testosterone and who also use tobacco have an increased cardiovascular disease (CVD) risk.

Black trans women are impacted at a higher rate by all these risks, which puts them at even greater risk if they use tobacco, further widening the health disparities gap.

The MDHHS Tobacco Control program is dedicated to working with national, state, and community-based organizations to gather information on commercial tobacco use among transgender and non-binary individuals to help make culturally appropriate tobacco services that meet the diverse needs of these communities and improve health disparities.

If you are interested in participating in future collaborative efforts to reduce commercial tobacco use among Michigan residents who self-identify as trans women, trans men, or non-binary, please contact us at 517-335-8376.


The Michigan Tobacco Quitline (1-800-QUIT-NOW) can provide support for individuals who want to quit smoking.

For additional resources and webinars, please visit our MDHHS Tobacco Control Program Online Tobacco Resource Library page.

More data and reports related to commercial tobacco use and quitting rates can be found on our Data & Statistics About Tobacco in Michigan webpage.

Return to main page for Tobacco-Related Disparities
Return to Tobacco Section home page