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Determinants of state tobacco-control expenditures

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  • Michael Marlow

Abstract

While Centers for Disease Control and Prevention believe that most state governments under-fund tobacco-control programs, little is known about why large variation in spending exists between state governments. This study explores reasons for spending variation through an econometric model of per capita spending on tobacco-control programs that explores the effects of smoking prevalence while holding constant tobacco settlement funds, state budget deficits, and other factors that might also be expected to influence spending variation. Empirical evidence indicates no support for the hypothesis that states with high smoking prevalence spend more on tobacco-control than other states. This finding may be quite surprising to those working in areas of public health and clearly leads to many important policy questions regarding why the data indicate that funding does not appear to bear any relation to perceived public health problems as would be predicted if policymakers were following a 'rational needs' approach to funding.

Suggested Citation

  • Michael Marlow, 2008. "Determinants of state tobacco-control expenditures," Applied Economics, Taylor & Francis Journals, vol. 40(7), pages 831-839.
    • Handle: RePEc:taf:applec:v:40:y:2008:i:7:p:831-839
    DOI: 10.1080/00036840600771098
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    Cited by:

    1. Eva Deuchert & Conny Wunsch, 2010. "Evaluating Nationwide Health Interventions When Standard Before-After Doesn't Work: Malawi's ITN Distribution Program," University of St. Gallen Department of Economics working paper series 2010 2010-12, Department of Economics, University of St. Gallen.
    2. James Lightwood & Stanton A Glantz, 2013. "The Effect of the California Tobacco Control Program on Smoking Prevalence, Cigarette Consumption, and Healthcare Costs: 1989–2008," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-11, February.
    3. Michael Marlow, 2011. "Why does tobacco-control spending vary so much across states?," Applied Economics Letters, Taylor & Francis Journals, vol. 18(8), pages 723-728.
    4. Johanna Catherine Maclean & Melissa Oney & Joachim Marti & Jody Sindelar, 2018. "What factors predict the passage of state‐level e‐cigarette regulations?," Health Economics, John Wiley & Sons, Ltd., vol. 27(5), pages 897-907, May.
    5. Lightwood, James & Glantz, Stanton, 2011. "Effect of the Arizona tobacco control program on cigarette consumption and healthcare expenditures," Social Science & Medicine, Elsevier, vol. 72(2), pages 166-172, January.
    6. Gallet Craig A, 2011. "Determinants of Tobacco Control Funding: Evidence from U.S. States," Forum for Health Economics & Policy, De Gruyter, vol. 14(2), pages 1-12, July.

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