Master Settlement Agreement (MSA) spending and tobacco control efforts.

Journal Article (Journal Article)

We investigate whether the distributions to the states from the Tobacco Master Settlement Agreement (MSA) in 1998 is associated with stronger tobacco control efforts. We use state level data from 50 states and the District of Columbia from four time periods post MSA (1999, 2002, 2004, and 2006) for the analysis. Using fixed effect regression models, we estimate the relationship between MSA disbursements and a new aggregate measure of strength of state tobacco control known as the Strength of Tobacco Control (SoTC) Index. Results show an increase of $1 in the annual per capita MSA disbursement to a state is associated with a decrease of -0.316 in the SoTC mean value, indicating higher MSA payments were associated with weaker tobacco control measures within states. In order to achieve the initial objectives of the MSA payments, policy makers should focus on utilizing MSA payments strictly on tobacco control activities across states.

Full Text

Duke Authors

Cited Authors

  • Jayawardhana, J; Bradford, WD; Jones, W; Nietert, PJ; Silvestri, G

Published Date

  • 2014

Published In

Volume / Issue

  • 9 / 12

Start / End Page

  • e114706 -

PubMed ID

  • 25506827

Pubmed Central ID

  • PMC4266515

Electronic International Standard Serial Number (EISSN)

  • 1932-6203

Digital Object Identifier (DOI)

  • 10.1371/journal.pone.0114706


  • eng

Conference Location

  • United States