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Research Letter
August 26, 2019

Association of No Promotion of Homosexuality Laws and Electronic Cigarette Use Disparities for Sexual Minority Youth

Author Affiliations
  • 1Department of Educational Psychology, University of Texas at Austin
JAMA Pediatr. 2019;173(10):991-993. doi:10.1001/jamapediatrics.2019.2729

Although US laws regarding sexual minorities have advanced in recent years, many state laws may still foster environments that can promote health disparities. As of March 2019, 7 US states (Texas, Arizona, South Carolina, Oklahoma, Louisiana, Alabama, and Mississippi) with nearly 9 million public school students1 have laws explicitly prohibiting positive portrayals of sexual minority individuals or nonheterosexual activities in public school education (no promotion of homosexuality [NPH] laws). Recent school climate studies have demonstrated that the presence of NPH laws in a state is associated with a greater likelihood that students with sexual minority status will experience harassment or assault at school.1 Thus, NPH laws may reflect and support school environments that exacerbate stress for these adolescents.2