Awareness of and Confidence to Address Equity-Related Concepts Across the US Governmental Public Health Workforce.
J Public Health Manag Pract
; 29(Suppl 1): S87-S97, 2023.
Article
em En
| MEDLINE
| ID: mdl-36223509
ABSTRACT
OBJECTIVE:
To assess the governmental public health (GPH) workforce's awareness of and confidence to address health equity , social determinants of health ( SDoH ), and social determinants of equity ( SDoE ) in their work. DESIGN, SETTING, ANDPARTICIPANTS:
A nationally representative population of US local and state GPH employees (n = 41 890) were surveyed through the 2021 Public Health Workforce Interests and Needs Survey (PH WINS 2021). MAIN OUTCOMEMEASURES:
Self-reported awareness and confidence were explored by self-identified racial and ethnic group identity, public health degree attainment, and supervisory status.RESULTS:
GPH employees reported higher levels of awareness across concepts ( health equity -71%, 95% confidence interval [CI] 70.5-71.6; SDoH -62%, 95% CI 62.3-63.5; SDoE -48%, 95% CI 47.2-48.4) than confidence ( health equity -48%, 95% CI 47.8-49.0; SDoH -46%, 95% CI 45.4-46.7; SDoE -34%, 95% CI 33.4-34.6). Self-identified Black or African American employees reported higher confidence across all concepts ( health equity -56%, 95% CI 54.3-57.6; SDoH -52%, 95% CI 50.8-54.1; SDoE -43%, 95% CI 41.3-44.6) compared to other self-identified racial groups. Employees with a PH degree reported higher confidence across all concepts ( health equity -65%, 95% CI 63.8-68.8; SDoH -73%, 95% CI 71.3-74.1; SDoE -39%, 95% CI 36.9-40.1) compared with employees without a PH degree ( health equity -45%, 95% CI 44.8-46.1; SDoH -41%, 95% CI 40.6-41.9; SDoE -33%, 95% CI 32.6-33.8). We found an inverse relationship between supervisory status and confidence to address SDoE Nonsupervisors reported higher confidence (35%, 95% CI 29.2-31.9) than supervisors (31%, 95% CI 29.2-31.9), managers (31%, 95% CI 28.8-32.6), and executives (32%, 95% CI 27.5-34.4).CONCLUSION:
PH WINS 2021 reveals that GPH employees are aware of equity-related concepts but lack confidence to address them. Public health agencies should build employees' confidence by prioritizing and operationalizing equity internally and externally in collaboration with communities and partners.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Saúde Pública
/
Equidade em Saúde
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
J Public Health Manag Pract
Assunto da revista:
SAUDE PUBLICA
/
SERVICOS DE SAUDE
Ano de publicação:
2023
Tipo de documento:
Article