A Qualitative Study of Post-Settlement Influences on State Tobacco Control Funding

State settlements with the tobacco industry increased the availability of funds that might be used for improving health outcomes and increased scrutiny of tobacco control funding overall. This research identified potential explanatory factors for state tobacco control funding and developed a concept...

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Bibliographic Details
Published in:Health promotion practice 2004-07, Vol.5 (3), p.46S-56S
Main Authors: Austin-Lane, Joy, Girasek, Deborah C., Barbour, Galen L.
Format: Article
Language:English
Subjects:
ADVOCATING FOR DOLLARS: UNANTICIPATED LESSONS IN ALLOCATING MASTER SETTLEMENT AGREEMENT FUNDS
Delphi Technique
Health Policy
Health Promotion - economics
Humans
Interviews as Topic
Qualitative Research
Smoking Prevention
Social Control, Formal
State Government
Tobacco Industry - economics
Tobacco Industry - legislation & jurisprudence
United States
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Summary:State settlements with the tobacco industry increased the availability of funds that might be used for improving health outcomes and increased scrutiny of tobacco control funding overall. This research identified potential explanatory factors for state tobacco control funding and developed a conceptual framework to guide further exploration. Key informant interviews with 14 tobacco policy professionals were conducted to augment the information available in the scientific literature on funding influences. Interviews yielded a comprehensive list of 26 factors that were returned to key informants for ratings of importance using a modified Delphi process. Results indicate that the top funding influences are budgetary constraints, lobbying, advocacy, tobacco economy, legislative priorities, public opinion, and leadership by the governor or state legislators. A conceptual diagram is presented of all factors clustered into three categories. Further research is planned to quantify these factors and assess their explanatory value
ISSN:1524-8399
1552-6372
DOI:10.1177/1524839904264632