21 Reasons

2019 Tobacco 21 Video Contest is now OPEN TO THE PUBLIC! :)

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Tobacco 21 Video Contest: Click on the provided link for Rules, Entry Forms, and Participant/Release Forms. 

The top videos will be uploaded to our Facebook. Vote for your favorite by clicking the "like" button! 

Email for any questions regarding the Tobacco 21 Video Contest

Take our survey!

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What is Tobacco 21?

Many people favor increasing the minimum legal age to purchase tobacco products from 18 years of age to 21 years of age.

Why Tobacco 21?

1. 95% of current adult smokers began before age 21 (Surgeon General, 2015) 

2. 90% of tobacco for minors is purchased by those age 18-20 year olds (Difranza, 2011) 

3. Youth are more likely to be in social settings with 18 year olds, not 21 year olds (Ahmad, 2005)

4. Tobacco impairs youths developing brain (Surgeon General)

5. 15.1% of Ohio High School students admit use of tobacco and this is only expected to rise due to e-cigarettes

6. E-Cigarette use among high school students increased 900% from 2011-2015 (Surgeon General, 2016) 

7. Tobacco may lead to opioid addiction (National Center for Biotechnology Information)

8. An estimated 259,000 kids now under the age of 18 and alive in Ohio will ultimately die prematurely from smoking (American Heart Association) 

9. BEST REASON! Future and Current Youth of Washington County

10. 3 out of 4 adults favor raising the minimum age (King, 2015) 

11. Needham, Massachusetts raised the tobacco sale age to 21 in 2005 and the smoking rate of high school students declined 50% (Winickoff J. P., 2011) 

12. 13 States and 450 Localities have implemented Tobacco 21 (Tobacco Twenty-One

13. 14 cities in Ohio have implemented Tobacco 21 (Tobacco Twenty-One

14. It's a simple ordinance change

15. It's easy for retailers to check ID, since they are already required to

16. Limited retail impact (Winickoff J., 2014) 

17. Reduce health costs by as much as $170,000,000,000 (Tobacco Free Kids

18. Tobacco remains the leading cause of preventable disease and premature death in the U.S.

19. Cancer (Surgeon General, 2016) 

20. COPD

21. Heart Disease and Stroke (Mozaffarian, 2015) 


Ahmad, S. (2005). Closing the Youth Access Gap: The Projected Health Benefits and Cost Savings of a National Policy to Raise the Legal Age to 21 in the United States. Health Policy, 74-84.

Difranza, J. C. (2011). Sources of Tobacco for Youths in Communities With Strong Enforcement of Youth Access Laws. Tobacco Control.

King, B. A. (October 2015). Attitudes Toward Raising the Minimum Age of Sale for Tobacco Among U.S Adults. American Journal of Preventive Medicine, 583-588.

Mozaffarian, D. (2015). Heart Disease and Stroke Statistics 2015 Update. American Heart Association.

Surgeon General (2014). Let's Make the Next Generation Tobacco-Free. U.S. Department of Health and Human Services.

Surgeon General (2015). Increasing the Minimum Legal Sale Age for Tobacco Products to 21. US Department of Health and Human Services.

Surgeon General (2016). E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General. U.S. Department of Health and Human Services.

Winickoff, J. (2014). Minimal Retail Impact of Raising Tobacco Sales Age to 21. American Journal of Public Health.

Winickoff, J. P. (2011). Analysis of 2011 Youth Risk Behavior Surveillance System. Harvard Medical School.