There is evidence of a causal link between smoking and cancer, and its effects on cancer survivorship. Smoking is common among the lesbian, gay, bisexual, trans (LGBT) population, but data on cancer rates, and engagement with smoking cessation services, are poor. This article describes, and reports results of, a survey of smoking and electronic cigarette use (vaping) among attendees of the annual Manchester LGBT Pride festival. Results suggest that smoking triggers include social situations, partners/friends smoking, stress, drinking alcohol, needing to take a break/move away from difficult situations and relieving boredom. There was also reported use of vaping, combining smoking and vaping, and slipping back to smoking in social situations.

‘Trans’ and ‘in another way’ are used in the article as inclusive terms to embrace transgender, gender non-conforming, gender variant, gender queer, non-binary and non-gender people.