“…Few investigations examine how socially based stressors may also associate with health risk behaviors, such as smoking (Hamilton & Mahalik, 2009). Among a probability-based sample of adolescent school students, Bontempo and D'Augelli (2002) found that lesbian, gay, and bisexual students' elevated risk behaviors, which included smoking, were attributable to at-school victimization, which was defined as having their property vandalized or being threatened or injured with a weapon in the past 12 months; discrimination was not assessed. Furthermore, at least two qualitative studies with sexual minorities reported emergent themes of stress management cited by participants as reasons for their smoking (Gruskin, Byrne, Altschuler, & Dibble, 2008;Remafedi, 2007), but quantitative investigations are needed to empirically investigate these associated risk factors.…”