LAUSR

Key Points Question Is the legislation raising the minimum legal age to purchase tobacco to 21 years in Cleveland, Ohio, associated with equitable outcomes among the adolescent population? Findings In this survey study including 12 616 high school students from Cleveland and its first-ring suburbs, prevalence of the most common form of current tobacco use among youth, cigars, declined in the postlegislation period, and there was a substantial reduction in the disparities among racial and ethnic populations across all tobacco product use types. Meaning These findings suggest that reduction in youth tobacco product use overall and tobacco use disparities may be associated with diminishing tobacco-related health disparities.