Abstract:
OBJECTIVES:We assessed state and local public health workforce characteristics by occupational category from 2010 to 2013. We also examined health department characteristics to determine whether workforce size and composition varied across these domains. METHODS:We analyzed Association of State and Territorial Health Officials (2010, 2012) and National Association of County and City Health Officials (2010, 2013) profile study data, including 47 state health departments and 2005 and 1953 local health departments (LHDs) in 2010 and 2013, respectively. We determined number of workers and percentage of change by occupation, population size, geographic region, and governance structure. RESULTS:The LHD workforce remained stable between 2010 and 2013. In states, the workforce decreased by 4%, with notable decreases in public information (-33%) and public health informatics (-29%); state health departments in small (-9%), New England (-13%), and centralized (-7%) states reported the largest decrease in number of workers. CONCLUSIONS:Study findings provide evidence of a shifting public health workforce profile, primarily at the state level. Future research should seek to explain changing workforce patterns and determine whether they are planned or forced responses to changing budgets and service priorities.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Beck AJ,Boulton MLdoi
10.2105/AJPH.2014.302353subject
Has Abstractpub_date
2015-04-01 00:00:00pages
S303-10eissn
0090-0036issn
1541-0048journal_volume
105 Suppl 2pub_type
杂志文章abstract:OBJECTIVES:We used a community-based research approach to test a culturally based breast cancer screening program among low-income Hmong women in central and southern California. METHODS:We designed a culturally informed educational program with measures at baseline and 1-year follow-up in 2 intervention cities and 1 ...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2008.143974
更新日期:2009-10-01 00:00:00
abstract::Childhood immunization constitutes one of the great success stories of American public health in the 20th century. This essay provides a historical examination of this topic through 4 particularly important examples: diphtheria, pertussis, polio, and measles. Each case study illustrates how new vaccines have posed uni...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.90.2.199
更新日期:2000-02-01 00:00:00
abstract::Historically, quality assurance studies have received scant ethical attention. The advent of information systems capable of supporting research-grade continuous quality improvement projects demands that we clearly define how these projects differ from research and when they require external review. The ethical obligat...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.91.9.1512
更新日期:2001-09-01 00:00:00
abstract::Homeless children in New York City had an extremely high asthma prevalence-40%-in a cross-sectional study at 3 shelters (n=740) during 1998 to 1999. We used the same protocol to summarize subsequent data through December 2002. Asthma prevalence was 33% (n=1636); only 15% of the children previously diagnosed were takin...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.070482
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:Little population-based information is available on the use of chiropractic services. METHODS:We analyzed data from the RAND Health Insurance Experiment (HIE), a community-based study of the use of health services. Insurance claim forms for all fee-for-service patients who completed the study were examined ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.4.439
更新日期:1991-04-01 00:00:00
abstract::This study was designed to assess the effects of the North Carolina Improved Pregnancy Outcome (IPO) Project on use of prenatal care and incidence of low birthweight among its primarily Black registrants . Weighted least squares and stratified analysis procedures were used to scrutinize vital statistics data for subpo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.6.549
更新日期:1984-06-01 00:00:00
abstract::From 1978 to 1983, researchers at the University of North Carolina conducted a National Evaluation of Rural Primary Care Programs. Thirty years later, many of the programs they studied have closed, but the challenges of providing rural health care have persisted. I explored the histories of 4 surviving rural primary c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.146050
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:This study evaluated a nurse-managed smoking cessation program for smokers hospitalized for a variety of conditions. METHODS:Hospitalized patients who smoked prior to hospitalization and who were motivated to quit (n = 660) were randomized to intervention or usual-care groups and followed for the next year....
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.86.11.1557
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVES:The purpose of this study is to analyze the smoking changes that have occurred among pregnant Black teenagers in Missouri. The study also examines changes in Black teenage pregnancy outcomes in relation to smoking behavior changes. METHODS:This analysis used computerized data files from the 1978 to 1990 Mis...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.8.1121
更新日期:1993-08-01 00:00:00
abstract::To determine whether sexual minorities have an earlier mortality than do heterosexuals, we investigated associations between sexual orientation assessed in the 2001 to 2010 National Health and Nutrition Examination Surveys (NHANES) and mortality in the 2011 NHANES-linked mortality file. Mortality follow-up time averag...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303052
更新日期:2016-05-01 00:00:00
abstract::The Disablement Process model explicates the transition from health conditions to disability and specifically emphasizes the role of intervening factors that speed up or slow down the pathway between pathology and disability. We used hierarchical Poisson regression analyses with data on older adults from central North...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.054494
更新日期:2005-11-01 00:00:00
abstract::This paper reports register data concerning somatic and psychiatric hospital care on 117 battered women who were identified in a surgical emergency department and offered a treatment program. Data were collected during a period of 10 years before to 5 years after the battering in question. It was concluded that the ba...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.11.1486
更新日期:1991-11-01 00:00:00
abstract:OBJECTIVES:This study assessed trends in HIV risk behaviors among injection drug users in New York City from 1990 to 1997. METHODS:Injection drug users were recruited continuously from a large drug detoxification treatment program (N = 2588) and a research storefront located in a high-drug-use area (N = 2701). Informe...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.90.7.1112
更新日期:2000-07-01 00:00:00
abstract::Federal government policy in the United States lacks uniformity, as is indicated by the fact that the Dept. of Defense permits the performance of abortion for medical and mental health reasons, the Office of Economic Opportunity states that no project funds may be used for any surgical procedure intended to result in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.61.5.1038
更新日期:1971-05-01 00:00:00
abstract::We estimated the extent to which time spent watching television is associated with obesity and super-obesity among 6,138 employed adult males. After adjustment for age, smoking status, length of work week, measured physical fitness, and reported weekly hours of exercise, people who viewed TV more than three hours/day ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.4.516
更新日期:1989-04-01 00:00:00
abstract:OBJECTIVES:This population-based study examined the effect of all major congenital anomalies on the mortality of White and Black infants by infant sex, birthweight, gestational age, and lethality of the anomaly. The study also determined the total contribution of anomalies to infant mortality. METHODS:California Birth...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.6.887
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVES:The association between carbonated beverage consumption and bone mineral density was examined in a community-based cohort of older White women. METHODS:One thousand women 44 to 98 years of age had bone mineral density measured at four sites and provided medical and behavioral histories, including type and q...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.2.276
更新日期:1997-02-01 00:00:00
abstract::Systematic reviews are generating valuable scientific knowledge about the impact of public health laws, but this knowledge is not readily accessible to policy makers. We identified 65 systematic reviews of studies on the effectiveness of 52 public health laws: 27 of those laws were found effective, 23 had insufficient...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.130278
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVES:This article reports findings from a peer-delivered intervention designed to increase use of breast and cervical cancer screening. METHODS:Twenty-six worksites were randomly assigned to the intervention or comparison group. The 16-month intervention consisted of group discussions, outreach, and educational ...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2105/ajph.91.4.584
更新日期:2001-04-01 00:00:00
abstract::We examined the ability of MedisGroups, a severity measure based on clinical data abstracted from the medical record, to predict mortality 30 days following admission. MedisGroups measures severity both on admission and approximately one week into the hospital stay. The data base was a random sample of 20,985 admissio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.1.74
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVES:This study examined absence rates among US Department of Energy workers who had beryllium sensitization (BeS) or were diagnosed with chronic beryllium disease (CBD) compared with those of other workers. METHODS:We used the lymphocyte proliferation test to determine beryllium sensitivity. In addition, we app...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302132
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:In a large heterogeneous sample of adults with mental illnesses, we examined the 6-month prevalence and nature of community violence perpetration and victimization, as well as associations between these outcomes. METHODS:Baseline data were pooled from 5 studies of adults with mental illnesses from across th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301680
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVES:We assessed background characteristics, health status, and prevalence rates of mental health disorders in 2 studies of homeless mothers conducted in Worcester, Mass, one in 1993 and the other in 2003. METHODS:We compared the women taking part in the 2 studies, which involved similar methodologies, on the ke...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.069310
更新日期:2006-08-01 00:00:00
abstract::The history of consumer protection against household poisons presents a key case study of the uniquely American struggle to balance public health and safety with the interests of business. By the late 19th century, package designs, warning labels, and state statutes had formed an uneven patchwork of protective mechani...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2012.301066
更新日期:2013-05-01 00:00:00
abstract::Patterns of environmental and biological monitoring for lead exposure were surveyed in lead-using industries in California. Employer self-reporting indicates a large proportion of potentially lead-exposed workers have never participated in a monitoring program. Only 2.6 percent of facilities have done environmental mo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.8.921
更新日期:1990-08-01 00:00:00
abstract::Members of the Reorganized Church of Jesus Christ of Latter-Day Saints (RLDS) are dissuaded from the use of tobacco, alcohol, and hot drinks. A well-balanced diet is also stressed. This study compares the 1972-78 mortality experience of the Missouri RLDS with three other population groups. The findings show Missouri R...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.12.1350
更新日期:1981-12-01 00:00:00
abstract::Given the public health importance of law modernization, we undertook a comparative analysis of policy efforts in 4 states (Alaska, South Carolina, Wisconsin, and Nebraska) that have considered public health law reform based on the Turning Point Model State Public Health Act. Through national legislative tracking and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.140913
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVES:To evaluate the effectiveness of an evidence-based, parent-centered intervention, Familias Unidas, delivered by nonresearch personnel, in preventing substance use (alcohol, illicit drugs) and sex without a condom among Hispanic adolescents. METHODS:A randomized controlled trial (n = 746) evaluated the effec...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2017.303653
更新日期:2017-04-01 00:00:00
abstract::Potable drinking water is essential to public health; however, few studies have investigated income or racial disparities in water infrastructure or drinking water quality. There were many case reports documenting a lack of piped water or serious water quality problems in low income and minority communities, including...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2011.300189
更新日期:2011-12-01 00:00:00
abstract::Thanks to the Affordable Care Act, thousands of people living with HIV who have received Ryan White HIV/AIDS Program-funded care are now eligible for Medicaid or subsidized insurance. The protection against insurance discrimination on the basis of preexisting conditions is increasing health care access for many, but t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302442
更新日期:2015-06-01 00:00:00