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Transgender individuals, including trans women, are reported to have higher rates of smoking compared to cisgender adults.

Some individuals describe smoking as a way to feel more feminine or to embrace a particular aesthetic, such as holding a cigarette while wearing heels. smoken how shemales

Some studies suggest that for some transgender, non-binary, and gender non-conforming (TGNC) youth, smoking—particularly cannabis—is used to access moments of gender euphoria and affirmation, helping them feel more perceptive to their gender identity. including trans women

Nicotine is known to interfere with the function of hormones, potentially reducing the effects of female puberty and feminization. and gender non-conforming (TGNC) youth