新冠疫情带来的压力可能会进一步鼓励女同性恋、男同性恋、双性恋、跨性别、酷儿和间性人（LGBTQI+）癌症幸存者吸烟。本研究旨在调查疫情期间LGBTQI+癌症幸存者吸烟的相关因素。我们采用OUT：全国癌症调查的二次数据分析。我们进行了逻辑回归分析，以检查心理困扰、暴饮暴食和社会人口因素与使用烟草、其他烟草和尼古丁产品的情况之间的联系。在我们的样本中的1629位参与者中，有53%在其一生中吸烟，其中13%报告了目前使用。增加一生中吸烟行为的相关因素包括年龄较大（AOR = 1.02；95% CI：1.01，1.03）和暴饮暴食（AOR = 2.47；95% CI：1.17，5.20），而减少一生中吸烟行为的相关因素包括具有研究生或专业学位的人（AOR = 0.40；95% CI：0.23，0.71）。目前吸烟的相关因素包括拉丁血统（AOR = 1.89；95% CI：1.07，3.36）、暴饮暴食（AOR = 3.18；95% CI：1.56，6.48）、没有健康保险（AOR = 2.37；95% CI：1.10，5.10）和残疾（AOR = 1.64；95% CI：1.19，2.26），减少目前吸烟的相关因素包括女性（AOR = 0.30；95% CI：0.12，0.77）、年龄较小（AOR = 0.98；95% CI：0.96，0.99）和具有研究生或专业学位的人（AOR = 0.33；95％CI：0.15，0.70）。我们的研究结果表明，尽管存在吸烟导致的风险增加，但一部分LGBTQI+癌症幸存者在疫情期间仍会继续吸烟。此外，具有交叉边缘身份的人们体验到的附加压力可能因疫情的条件而进一步加剧，其促使他们吸烟。在癌症诊断后戒烟可以降低复发和发生新的原发性恶性肿瘤的机会。此外，临床医生和研究人员应倡导研究和解决LGBTQI+癌症幸存者在疫情期间面临的制度形式的压迫。© 2023. 作者（独家授权给Springer Science+Business Media，LLC，属于Springer Nature）。

Stressors brought on by the pandemic may have further encouraged lesbian, gay, bisexual, transgender, queer, and intersex plus (LGBTQI +) cancer survivors to smoke. The purpose of this study is to examine factors associated with smoking among LGBTQI + cancer survivors during the pandemic.We used a secondary data analysis of OUT: The National Cancer Survey. We conducted logistic regression analysis to examine the associations between psychological distress, binge drinking, and socio-demographic factors with ever use and current use of cigarettes, other tobacco, and nicotine products.Of the 1629 participants in our sample, 53% used in their lifetime and 13% reported current use. Correlates of increased ever use included being of older age (AOR = 1.02; 95% CI: 1.01, 1.03) and binge drinking (AOR = 2.47; 95% CI: 1.17, 5.20) while correlates of decreased ever use were among those with a graduate or professional degree (AOR = 0.40; 95% CI: 0.23, 0.71). Correlates of increased current use included being of Latine descent (AOR = 1.89; 95% CI: 1.07, 3.36), binge drinking (AOR = 3.18; 95% CI: 1.56, 6.48), without health insurance (AOR = 2.37; 95% CI: 1.10, 5.10), and being disabled (AOR = 1.64; 95% CI: 1.19, 2.26) while correlates of decreased current use were among cisgender women (AOR = 0.30; 95% CI: 0.12, 0.77), being of younger age (AOR = 0.98; 95% CI: 0.96, 0.99), and having a graduate or professional degree (AOR = 0.33; 95% CI: 0.15, 0.70).Our findings demonstrate that a proportion of LGBTQI + cancer survivors continue to smoke during the pandemic despite the increased risk involved with smoking. Furthermore, individuals with intersecting marginalized identities experience additional stressors that may have been further exacerbated by the conditions of the pandemic that encourage them to smoke.Quitting smoking after a cancer diagnosis can decrease the chances of recurrence and a new primary malignancy. In addition, practitioners and researchers should advocate towards examining and addressing systemic forms of oppression in institutions that LGBTQI + cancer survivors navigate during the pandemic.© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.