The purpose of the current study was to determine if social integration differed among smokers and nonsmokers in an LGBT population in Oklahoma, a Midwest state that is predominantly conservative, does not offer any government-supported services to the LGBT population, does not recognize same-sex couples, and does not provide basic civil rights such as same-sex partner benefits or protection through antidiscrimination laws. Based on prior work, we hypothesized that smokers in the LGBT population would have lower levels of social integration and higher levels of psychological distress than nonsmokers.