Abstract

The objective of this study was to identify and describe the number of sexual minority and heterosexual young adults who will be impacted by the new “Tobacco 21” law signed by President Trump in December 2019. Data came from the 2015 to 2018 National Health Interview Survey. We used descriptive statistics and multivariable logistic regression to identify key risk factors for tobacco use among adults aged 18–20 years by sexual orientation. Sexual minority tobacco users were more likely to be women, have a high school degree or less, and not living with a parent. Sexual minority tobacco users share similarities with heterosexual tobacco users, but they may remain a hard-to-reach population for tobacco cessation interventions.

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