The well as gum disease, tooth loss, and

             The smoking use rate transgender striking –  estimated to  twice that of  heterosexual population.(1)Transgender community smoke three times  rate of  general community. facts about tobacco use  transgender population  reading the transgender fact Sheet. Stress, patronage  bars and clubs,  higher instances of smoking and alcohol  among the Transgender community  to higher smoking rates.  to these factors, direct marketing by the tobacco industry fortifies the high rates, trapping thousands of Transgender in  deadly eight-billion dollar advertising campaign.  (2) segments of  Transgender community  “area of opportunity” by Philip Morris, over the last fifteen years it and other tobacco companies have openly , aggressively targeting  transgender. The study evaluates  effectiveness of smoking cessation course tailored to meet the needs of  transgender community. (3)The study found an increase in importance to having cessation classes in transgender -identified contexts, high ratings of the cultural appropriateness of the course content, decreasing anxiety across  classes. Participants’ assessment of their health shifted differentially based on whether they were successful to quit(4)To investigate change  development in two smoking outcomes (smoking status and rate), describe demographic differences in smoking, and longitudinally examine the effects  psychosocial variables on smoking psychological distress, victimisation of transgender. Smoking shortens the life of the people of 12years and  female around 11 years. poisons in tobacco that affect peoples’ health are (5) Carbon monoxide is found in car e fumes and is fatal in large replaces oxygen in the blood and starves organs of oxygen and stops them  to function properly.Tar is a sticky, brown substance that affects the lungs and it’s breathing.most obvious part of the body affected by smoking is the lungs .smoking can impact the lungs in a number of different ways.Primarily, smoking damages the airways and air sacs (known as alveoli) in the lungs. lung disease due to smoking can take years to  be noticed ,  often can’t  be diagnosed until it is quite advanced.There are many lung and respiratory problems caused by smoking. (6) Smoking can cause bad breath and stained teeth, as well as gum disease, tooth loss, and damage to the sense of taste.(7)Women who smoke can find it more difficult to become pregnant. Women who smoke when pregnant increase a number of risks for the baby, Tobacco smoke has around 7,000 chemicals in it, (8) around 70 of thoseare directly linked to causing cancer.Quitting smoking reduces health risks.(9)The chances of having a stroke reduces to half of that of a non-smoker in 2 years, and the same as a non-smoker in 5 years.Risks for cancers in the  mouth, throat, oesophagus, and bladder drop  within 5 years. (10)The risk for lung cancer drops by  after 10 years. Smokers of cigarettes increase smoking intensity, smoking rate, or inhalation to maintain levels of nicotine, as measured by plasma levels of nicotine in both ad libitum and laboratory smoking settings ( 43 – 46 ). (11)Measured nicotine levels in the arterial and venous circulation indicate that individual smokers can obtain plasma nicotine levels of 20-50 ng/mL ( 46 – 48 ).(12) This concentration range (?100-300 n M ) is one order of magnitude less than the equilibrium binding and activation concentration of l -nicotine to the ?4?2 receptor, the predominant nAChR in the brain, but is nearly equal to the effective concentration for inactivation and accumulation of the ?4?2 receptor (13,14)Cigarette smoking is the largest preventable risk factor for morbidity and mortality in developed countries. Dramatic changes in the prevalence of cigarette smoking .(14,15)  Daily smoke cigarettes to maintain