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Arkansas, Utah and Washington now join California, Maine, Massachusetts, New Jersey, Oregon, Virginia and Hawaii, which passed the first statewide Tobacco 21 law in 2015

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In order to adjust for biases that could be introduced by stratifying on smoking status, marginal structural models were used to estimate controlled direct effects of an index of socioeconomic disadvantage (incorporating household education, occupation and income) on vaping by smoking status (among adults and youth), adjusting for relevant confounders and for selection into smoking states

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