: National studies in the US have found smoking prevalence among transgender adults ranging from approximately 27.2% to 35.5% .

: This is a term primarily used in the adult industry to describe transgender women or individuals with male genitalia and female secondary sex characteristics.

: In the context of adult content involving transgender women, "big" typically refers to the size of male genitalia, often a focal point of fetishization in pornography. Smoking : This can have two primary meanings:

: Studies indicate that transgender adults, particularly female-to-male (FTM) individuals, are significantly more likely to be current cigarette smokers compared to male-to-female (MTF) individuals.

: Some transgender individuals report using substances like cannabis to manage gender dysphoria or to access feelings of gender euphoria and affirmation. Preferred Terminology

: "Smoking" is US slang for someone who is exceptionally attractive or "hot".