Master Settlement Agreement (MSA) spending and tobacco control efforts

Jayani Jayawardhana, W. David Bradford, Walter Jones, Paul J. Nietert, Gerard Silvestri

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


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.

Original languageEnglish
Article numbere114706
JournalPLoS ONE
Issue number12
StatePublished - Dec 15 2014

Bibliographical note

Publisher Copyright:
© 2014 Jayawardhana et al.

ASJC Scopus subject areas

  • General


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