The overall percentage of 6th to 12th graders perceiving that it was easy to buy tobacco products from a store decreased from 2019 (67.2%) to 2020 (58.9%). To explore equity of state T21 policies among youths and young adults, the associations with tobacco use were explored separately for race and ethnicity by using data from the 2019 Behavioral Risk Factor Surveillance System (for persons aged 18 to 20 years) and the 2019 Youth Risk Behavior Survey (for high school students).
We examined shifts in tobacco access among 6th through 12th graders using the National Youth Tobacco Survey. We also compared states with versus without T21 policies during 2019 to explore potential equity impacts of T21 policies. We evaluated this law (Tobacco 21 ) 1 year after implementation. On December 20, 2019, the minimum age for purchasing tobacco in the US was raised nationally to 21 years. What are the implications for public health practice?Ĭomprehensive implementation of evidence-based tobacco use prevention and control programs through an equity lens can benefit public health. Examination of state T21 policies that had existed before the federal T21 law suggested that the policies appeared to benefit non-Hispanic White students and young adults more than racial and ethnic minority students and young adults. One year after the federal law went into effect, the percentage of US middle and high school students who perceived it was easy to buy tobacco products from a store dropped by 8 percentage points, yet no change was seen for perceived ease of buying tobacco products online. On December 20, 2019, the minimum age for purchasing tobacco was raised nationally to 21 years.
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