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Within this context, race and ethnicity should not be considered a cause of health disparities but as a socially constructed proxy for structural determinants such as degree of disadvantage, marginalization, colonization and the pervasive effects of racism.86 Discrimination, racism and the social and environmental context may pose additional barriers to smoking cessation.8789 Reviews published over the past decade have emphasised the need for more research exploring how to change smoking behaviours among high prevalence subgroups and communities.16 17 19 Lee and colleagues review18 called for research into the best strategies for messaging to LGBT populations, pointing out that some cessation determinants may be unique or more common among LGBT individuals