“…Accumulating evidence suggests that lesbians and bisexual women may represent a subpopulation at especially elevated risk for the harmful health effects from alcohol and tobacco use (Bradford et al, 1994;Cochran, 2001;Cochran et al, 2000;Diamant et al, 2000;Fifield et al, 1975;Gruskin et al, 2001;Hughes and Eliason, 2002;Israelstam and Lambert, 1983;Peterson, 1989a, 1989b;Nardi, 1982;Roberts and Sorensen, 1999;Skinner, 1994;Skinner and Otis, 1996). Although findings observed across surveys of lesbians and bisexual women have not been entirely consistent (Bloomfield, 1993;Cochran et al, 2003;Roberts and Sorensen, 1999), typically women classified as lesbian or bisexual, as compared to heterosexual women, more commonly report being a current or former tobacco smoker (Bradford and Ryan, 1988;Cochran et al, 2001;Diamant and Wold, 2003;Diamant et al, 2000;Gruskin et al, 2001), appear less likely to abstain from alcohol consumption (Cochran et al, 2000;Diamant et al, 2000;Roberts and Sorensen, 1999), evidence a pattern of alcohol use that includes more frequent consumption as well as greater amounts drunk, though typically still within a moderate range (Diamant et al, 2000;Hughes and Eliason, 2002;Roberts and Sorensen, 1999), and perhaps fail to show normative age-related declines in alcohol use (Abbott, 1998;Bradford et al, 1994;Gruskin et al, 2001;Hughes and Wilsnack, 1997;Peterson, 1989a, 1989b).…”