The Tobacco 21 Movement and Electronic Nicotine Delivery System Use Among Youth

“Tobacco 21 laws that include ENDS should reduce initiation of these products among youth, similar to the suggested impact MLSA laws will have on initiation patterns for cigarettes.Reduced initiation of ENDS through MLSA laws may result in reduced initiation of cigarettes, and it may also result in delayed initiation of cigarette use, because the evidence for ENDS serving as a gateway to cigarette use is increasing. 4, 14 Regardless, it is plausible to predict that local, state, or federal MLSA laws would have a critical role in substantially reducing nicotine exposure among adolescents and young adults, particularly those aged 15 to 17 years.”