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Measuring the impact of state and local Tobacco 21 policies in the United States: A longitudinal study of youth and young adults ages 15–21

Abstract Introduction Tobacco 21 (T21) policies, which prohibit tobacco sales to individuals under 21, aim to reduce youth tobacco use by limiting youth access to these products. Little, however, is known about the longitudinal effect of T21 policies on youth tobacco use behaviors at the national le...

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Bibliographic Details
Published in:Nicotine & tobacco research 2023-03, Vol.25 (4), p.631-638
Main Authors: Patel, Minal, Simard, Bethany J, Benson, Adam F, Donovan, Emily M, Pitzer, Lindsay
Format: Article
Language:English
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Summary:Abstract Introduction Tobacco 21 (T21) policies, which prohibit tobacco sales to individuals under 21, aim to reduce youth tobacco use by limiting youth access to these products. Little, however, is known about the longitudinal effect of T21 policies on youth tobacco use behaviors at the national level. Methods Participants aged 15–21 years from a longitudinal study conducted between May 2014 and May 2019 (n = 13,990) were matched to geocoded T21 policies. Generalized linear mixed models examined the association of direct and bordering T21 policy exposure and cigarette and e-cigarette use and intention to use, accounting for individual characteristics. Results Controlling for sociodemographic and psychosocial covariates, there were statistically significant positive associations between T21 exposure and e-cigarette use (OR = 1.45 [1.03,2.06], p 
ISSN:1469-994X
1469-994X
DOI:10.1093/ntr/ntac248