Balio Casey P, Leslie Haleigh, Meit Michael B
Author Affiliations: Center for Rural Health and Research, College of Public Health, East Tennessee State University (Dr Balio and Ms Leslie and Mr Meit); and Department of Health Services Management and Policy, College of Public Health, East Tennessee State University, Johnson City, Tennessee (Dr Balio and Ms Leslie and Mr Meit).
J Public Health Manag Pract. 2025;31(4):E214-E221. doi: 10.1097/PHH.0000000000002115. Epub 2025 Apr 4.
Describe the public health and job experience of the local public health workforce at the agency level and based on the characteristics of the jurisdictions they serve.
Cross-sectional design of US public health workforce at the agency level using 2019 National Association of County and City Health Officials (NACCHO) Profile and 2021 Public Health Workforce Interests and Needs Survey (PH WINS) data.
Local health departments across the United States.
The sample comprised 248 Local Health Departments (LHDs).
The percent of the workforce with formal training in public health, percent of the workforce that identifies as women, percent of the workforce with 6 or more years of experience in public health practice, and percent of the workforce with 6 or more years of experience in their current agency.
Rural-serving LHDs had a greater staffing proportion of women, less formal public health training, and a smaller proportion of staff with 6 or more years of public health practice experience. Gender identity and formal public health training of the top executive of the LHD are correlated with staffing proportions on these measures.
The local public health workforce composition varies by geography, agency characteristics, and characteristics of the jurisdiction served. Rurality and characteristics of the top executive of the LHD are correlated with the composition of the public health workforce.
根据当地公共卫生工作人员所服务辖区的特点，在机构层面描述其公共卫生和工作经历。
利用2019年全国县市卫生官员协会（NACCHO）概况以及2021年公共卫生劳动力兴趣与需求调查（PH WINS）数据，对美国公共卫生工作人员在机构层面进行横断面设计。
美国各地的地方卫生部门。
样本包括248个地方卫生部门（LHD）。
接受过公共卫生正规培训的工作人员百分比、女性工作人员百分比、有6年或以上公共卫生实践经验的工作人员百分比以及在其当前机构有6年或以上工作经验的工作人员百分比。
服务农村地区的地方卫生部门女性工作人员比例更高，接受正规公共卫生培训的人员更少，且有6年或以上公共卫生实践经验的工作人员比例更小。地方卫生部门最高行政长官的性别认同和正规公共卫生培训与这些指标的人员配备比例相关。
当地公共卫生工作人员的构成因地理位置、机构特点以及所服务辖区的特点而异。农村地区和地方卫生部门最高行政长官的特点与公共卫生工作人员的构成相关。
