JAMA : the journal of the American Medical Association
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JAMA
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To examine the effects of a community education and law enforcement intervention on illegal tobacco sales to minors. ⋯ Education alone had a limited effect on reducing illegal tobacco sales to minors. It did promote community support for more aggressive enforcement strategies. Education plus enforcement decreased significantly over-the-counter sales; vending machine sales were unaffected by these interventions. The lack of support at the judicial level may temper the effectiveness of enforcement. Legislative remedies addressing judicial obstacles and vending machine sales are needed.