"Unnatural" is a wonderfully loaded word. Sometimes it means the same thing as "not found in nature or man-made", other times it means "immoral". Most people use the words interchangeably. And no, not all "unnatural acts" have horrific consequence -- building skyscrapers are "unnatural", but is not immoral, nor has particular bad consequences. Giving CPR to a victim of drowning is "unnatural", but can be appreciated as especially moral, more preferable than the alternative of "allowing nature to take its course" resulting in the death of the victim.
I guarantee you, more straight couples are having anal sex than gay couples, its not particularly immoral. And I guarantee you that gay couples are intimate with one another in ways outside of anal sex. People's sexual activity can and does affect their lives, leading to unwanted pregnancies or sexually transmitted diseases -- consequences which are in no way unique to people of any one sexual orientation or another. But safe sexual practices seem to mitigate the horrific consequences.
There are some interesting cultural phenomena to consider as well. There's nothing in particular about one's gay or transgender status crave cigarettes more than the average person, but they have higher rates of smoking than other groups. LGBT are subject to cultural disapproval, making their lives more stressful. Compound that with the fact that safe spaces and communities for LGBT people consist predominately of bars, and you have a culture which puts undue pressure on LGBT people to smoke and drink.
Trans people, particularly transwomen, have it especially bad. Social costs are very high, many people struggle for approval with their parents, spouses, children, church, and careers; some people don't get that support, many suffer horrific levels of violence. About 40% of trans people will attempt suicide at least once in their lives. Financial costs are very high: about 35% of them are unemployed, 65% earn less than $15K/yr, a significant burden when transitioning costs about $75-100K out of pocket from start to finish. No surprise there are so many transgender prostitutes, what other choice do they have? Suicide? No surprise "pumping parties" are gaining mainstream media coverage, which can be very dangerous. No surprise people obtain hormones on the street without having an endocrinologist supervise their health. The situation is even worse for black and hispanic trans people. Trans people who have support from their families and communities live ordinary, healthy lives.
Cultural disapproval weighs down LGBT people in way that you could probably never relate. The health problems above are cultural phenomenon related to heterosexism, not a genital phenomenon. Social disapproval and discrimination against people in our community are harmful. Laws that discriminate against gay and lesbian couples who wish to marry attack gay couples and their children on the most emotionally personal level possible.
Your picture of "common sense" is false and oversimplified to the point of being completely useless. Perhaps you shouldn't be trying to speak authoritatively on a subject like LGBT health without having any actual perspective on the subject.
0 for 6. If facts were a stock market, short sellers would be making a killing by now.
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