The LGBT+ community has historically suffered from higher levels of substance abuse than non-LGBT+ individuals. As of 2013, LGBT+ youth struggle with higher levels of alcohol usage than their non-LGBT+ peers, a pattern previously seen in 1998, 2003, and 2008 data. In a 2016 study, 49.5% of LGBT+ respondents reported current cigarette smoking, while 70.2% recognized smoking endangered one's health. In 2009-2010 data from the National Adult Tobacco Survey, gay and bisexual smokers were less likely to be aware of cessation helplines than straight smokers.