Federal, state, and local policies aimed at reducing youth access to tobacco have been successful at increasing retail compliance, but they have had limited impact on actual youth smoking rates. One of the reasons that retail-based policies have failed to significantly reduce youth smoking rates is attributable in part to youths, substituting social or non-retail sources of cigarettes for retail supply. The widespread availability of cigarettes through social sources, such as borrowing, stealing, or buying cigarettes from parents, older siblings, and peers, and requesting older strangers to purchase them, highlights the difficulty of eliminating all supplies of youth cigarettes. Strategies should be implemented that are developed specifically to reduce access from social sources. More generally, a comprehensive approach to tobacco-control policies that targets the entire population is necessary to curb youth smoking.
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