Wu Kimberly, Setiono Felicia, Lambert W Marcus, Ramirez Shokufeh, Arcari Christine M, Theall Katherine P, Vilda Dovile
Department of Social, Behavioral, and Population Sciences, Celia Scott Weatherhead School of Public Health and Tropical Medicine, New Orleans, LA, 70112, USA.
SUNY Downstate Health Sciences University, Brooklyn, NY, 11203, USA.
J Community Health. 2025 Sep 11. doi: 10.1007/s10900-025-01513-2.
Investing in a diverse public health workforce has implications for strengthening cultural humility and addressing health inequities within minoritized populations. First-generation (FG) students pursuing graduate level degrees are an important population with the potential to strengthen such efforts in their transition into the public health workforce. However, research on the factors influencing job satisfaction and job decisions is limited. The main objective of this study was to examine how personal, social, and economic resources influence job satisfaction among public health master's and doctoral level graduates, and to explore differences across education generation and racial/ethnic background. Drawing on Conservation of Resource and Intersectionality theories, we conducted secondary analysis using a recent national survey investigating factors that are associated with public health career choices (n = 751). Adjusted and weighted linear regression models, both with and without interaction terms, were analyzed to examine the associations between resource domains and job satisfaction. Our findings revealed significant moderating effects of FG status across personal, social, and economic resource domains in shaping job satisfaction, both within the full sample and among specific racial and ethnic subgroups. Further analysis revealed stronger influence of these resources among Black FG, White FG and total FG groups compared to non-FG groups, suggesting these resources may play a role in influencing job satisfaction among first-generation individuals. Therefore, public health graduate level academic programs and employers should consider strategies that improve access to resources to better support first-generation individuals' completion of degrees and transition into the workforce.
投资建立一支多元化的公共卫生工作队伍，对于加强文化谦逊以及解决少数族裔群体中的健康不平等问题具有重要意义。攻读研究生学位的第一代学生是一个重要群体，他们在向公共卫生工作队伍过渡的过程中，有潜力加强这方面的努力。然而，关于影响工作满意度和工作决策的因素的研究有限。本研究的主要目的是探讨个人、社会和经济资源如何影响公共卫生硕士和博士学位毕业生的工作满意度，并探讨不同教育代际和种族/族裔背景之间的差异。借鉴资源守恒理论和交叉性理论，我们使用最近一项关于与公共卫生职业选择相关因素的全国性调查（n = 751）进行了二次分析。分析了带有和不带有交互项的调整加权线性回归模型，以检验资源领域与工作满意度之间的关联。我们的研究结果显示，在整个样本以及特定种族和族裔亚组中，第一代身份在塑造工作满意度方面，在个人、社会和经济资源领域都具有显著的调节作用。进一步分析表明，与非第一代群体相比，这些资源对黑人第一代、白人第一代和全体第一代群体的影响更大，这表明这些资源可能在影响第一代个体的工作满意度方面发挥作用。因此，公共卫生研究生层次的学术项目和雇主应考虑采取策略，改善资源获取途径，以更好地支持第一代个体完成学业并过渡到工作岗位。
