Nienke P Dosa, Yakob S Ahmed, Ann Alriksson-Schmidt, Heidi Castillo, Silvana Contepomi, Mary M Locastro, Jan Koning, George Koutsouras, Elly Kutwa, Anjali Mahorta, Shade MacFarland, Ann-Marie Öhrvall, Patricia O'Neill, Anneloes Overvelde, Marie Peny-Dahlstrand, Andrea Shaw, Jessica Stockman, Zulma Tovar-Spinoza, Jonathan Castillo
Spina Bifida Global Learning Collaborative: Educating the next generation of clinicians, researchers, and advocates
Journal of pediatric rehabilitation medicine
2016 california enacted law t21 prohibiting tobacco product sales individuals 21 years age given tobacco use disparities among sexual minority sm youth study investigated whether californias t21 law differentially associated changes tobacco use sm nonsm adolescents secondary analyses california healthy kids survey data 20132014 20182019 7th 9th 11th graders n 2 229 401 multilevel mixedeffects logistic regression analyses showed sm students likely nonsm students report past30day lifetime cigarette odds ratio 247 237 ecigarette 121 110 smokeless tobacco use 195 156 use tobacco product 194 161 among sm youth t21 associated significant reductions lifetime ecigarette use 066 lifetime use tobacco products 075 decreases generally greater equivalent observed nonsm youth 30day ecigarette tobacco use sm youth showed significant increases whereas nonsm youth showed significant increases 106 111 following t21 t21 associated smaller increases lifetime cigarette use 134 larger increases past30day lifetime smokeless tobacco use 134 128 among sm students observed nonsm students californias t21 policy may help reduce tobacco use disparities among sm students risk tobacco use nonsm peers research associations t21 laws tobacco use among sexual minority sm adolescents lacking potential unintended consequences t21 adolescents raises concerns increased health disparities importantly study generally found californias t21 associated reductions tobacco use among sm students equivalent greater nonsm students future research investigate whether t21 laws similar policies differential effects marginalized groups identify mechanisms targeted prevention efforts