State tobacco control expenditures and tax paid cigarette sales

This research is the first nationally representative study to examine the relationship between actual state-level tobacco control spending in each of the 5 CDC's Best Practices for Comprehensive Tobacco Control Program categories and cigarette sales. We employed several alternative two-way fixe...

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Bibliographic Details
Published in:PloS one 2018-04, Vol.13 (4), p.e0194914
Main Authors: Tauras, John A, Xu, Xin, Huang, Jidong, King, Brian, Lavinghouze, S Rene, Sneegas, Karla S, Chaloupka, Frank J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biology and Life Sciences
Capital Expenditures
Census of Population
Child
Child, Preschool
Cigarettes
Commerce
Comparative analysis
Consumption
Control programs
Disease control
Disease prevention
Economic aspects
Excise taxes
Expenditures
Health economics
Health services
Health surveillance
Humans
Infrastructure
Medicine and Health Sciences
Middle Aged
Minors
Models, Economic
People and places
Public expenditures
Public health
Public health administration
Sales
Science Policy
Smoking
Social Sciences
Tax increases
Tax revenues
Taxation
Taxes
Tobacco
Tobacco products
Tobacco Products - economics
United States
Young Adult
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Summary:This research is the first nationally representative study to examine the relationship between actual state-level tobacco control spending in each of the 5 CDC's Best Practices for Comprehensive Tobacco Control Program categories and cigarette sales. We employed several alternative two-way fixed-effects regression techniques to estimate the determinants of cigarette sales in the United States for the years 2008-2012. State spending on tobacco control was found to have a negative and significant impact on cigarette sales in all models that were estimated. Spending in the areas of cessation interventions, health communication interventions, and state and community interventions were found to have a negative impact on cigarette sales in all models that were estimated, whereas spending in the areas of surveillance and evaluation, and administration and management were found to have negative effects on cigarette sales in only some models. Our models predict that states that spend up to seven times their current levels could still see significant reductions in cigarette sales. The findings from this research could help inform further investments in state tobacco control programs.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0194914