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This would mean eliminating purchase, use, and possession (PUP) penalties where they exist in current tobacco sales laws or policies Establish a civil penalty structure for violations rather than a criminal penalty structure to avoid unintended consequences that disproportionately impact marginalized communities and undermine the public health benefits of the policy Where state legislation is pursued, ensure that local jurisdictions have the authority to enact more stringent regulations for tobacco products than state or federal law Learn about equitable enforcement practices here Colorado passed an exemplary, comprehensive Tobacco 21 bill in July 2020

Its commonly used in urban and street culture

There is an increased consumer awareness and experimentation with reduced-risk products

A structured questionnaire with 21 indicators was administered, and data were analyzed using Partial Least Square-Structural Equation Modeling (PLS-SEM)