
Research Objective: To examine: (a) the level of public health agency employees’ perceived desirability for impacting health equity and SDoH, and (b) the impact of employee characteristics such as public health degree and awareness of Health in All Policies on such desirability. Study Design: Observational, quantitative, cross-sectional, based on a large-scale survey. Population Studied: The study population included a nationally-representative sample of state health agency (SHA) central office staff, as well as local health department (LHD) staff from 47 SHAs, 26 large LHDs, and 71 mid-sized LHDs. The data are extracted from the 2017 Public Health Workforce Needs and Interest Survey. All employees of the SHAs in the sample were included, using a census approach. A total of 47,604 public health employees participated in the 2017 PH WINS, representing a response rate of 48%. Principal Findings: Fifty-seven percent of health agency employees believed their agencies should be very involved in affecting health equity in their jurisdictions. A smaller proportions of employees believed in desirability of affecting SDoH with proportions believing agency should be very involvedin affecting specific SDoH was 17.8% for affecting the quality of transportation, 18.5% for affecting economy, 22.2% for quality of housing, 22.4% for quality of built environment, 25.4% K-12 education system, and 34.5% for impacting the quality of social support systems. Agency employees without a public health degree had significantly lower odds (p, Conclusions: With increasing efforts to reduce health inequities and leverage SDoH for improved population health, gaps exist in public health workforce’s perceived desirability for their agencies to be involved in such efforts. These gaps exist among employees regardless of their demographic characteristics, length of tenure, or agency setting. Policy and practice initiatives aimed to improve health equity might benefit from our findings positing a need for education regarding SDoH and health ...
Environmental Public Health, Epidemiology, Public Health, Biostatistics
Environmental Public Health, Epidemiology, Public Health, Biostatistics
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