ArticleAmerican journal of public health2015
Building the evidence for decision-making: the relationship between local public health capacity and community mortality.
Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- No Two Workforces Are the Same: A Systematic Review of Enumerations and Definitions of Public Health Workforces.Frontiers in public health · 2020Pooled it
- Examining the association between public health unit spending and adolescent substance use.Heliyon · 2025Article
- Evidence that collaborative action between local health departments and nonprofit hospitals helps foster healthy behaviors in communities: a multilevel study.BMC health services research · 2021Article
- Performance and Priorities: A Cross-sectional Study of Local Health Department Approaches to Essential Public Health Services.Public health reports (Washington, D.C. : 1974) · 2020Article
- Building Capacity for Evidence-Based Public Health: Reconciling the Pulls of Practice and the Push of Research.Annual review of public health · 2018Review
- Value of Public Health Funding in Preventing Hospital Bloodstream Infections in the United States.American journal of public health · 2017Article
- Addressing Health Disparities: The Health Department Nurse Lead Executive's Relationship to Improved Community Health.Journal of public health management and practice : JPHMPArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe examined associations between local health department (LHD) spending, staffing, and services and community health outcomes in North Carolina.
methodsWe analyzed LHD investments and community mortality in North Carolina from 2005 through 2010. We obtained LHD spending, staffing, and services data from the National Association of City and County Health Officials 2005 and 2008 profile surveys. Five mortality rates were constructed using Centers for Disease Control and Prevention mortality files, North Carolina vital statistics data, and census data for LHD service jurisdictions: heart disease, cancer, diabetes, pneumonia and influenza, and infant mortality.
resultsSpending, staffing, and services varied widely by location and over time in the 85 North Carolina LHDs. A 1% increase in full-time-equivalent staffing (per 1000 population) was associated with decrease of 0.01 infant deaths per 1000 live births (P < .05). Provision of women and children's services was associated with a reduction of 1 to 2 infant deaths per 1000 live births (P < .05).
conclusionsOur findings, in the context of other studies, provide support for investment in local public health services to improve community health.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.