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

Research indicates that a high percentage (85.7%) of trans women who are smokers or ex-smokers reported that the pitch of their voice was too low, suggesting a negative impact on vocal self-perception. smoken how shemales

For some transgender women, smoking can be an act of self-expression, femininity, or a way to navigate complex emotions. including trans women

Smoking poses significant, specific risks for trans women, particularly those on Hormone Replacement Therapy (HRT). specific risks for trans women

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.