ArticleJournal of public health management and practice : JPHMP
Addressing Health Disparities: The Health Department Nurse Lead Executive's Relationship to Improved Community Health.
Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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Who cites it
6 citing papers in PubMed.
- Individual and organizational factors associated with public health workforce competencies to advance health equity.PLOS global public health · 2025Article
- Nurses' perception about their role in reducing health inequalities in community contexts.Revista latino-americana de enfermagem · 2024Article
- Competencies, Training Needs, and Turnover Among Rural Compared With Urban Local Public Health Practitioners: 2021 Public Health Workforce Interests and Needs Survey.American journal of public health · 2023Article
- Public health nurses' perceptions and experiences of emergency preparedness, responsiveness, and burnout during the COVID-19 pandemic.Public health nursing (Boston, Mass.) · 2023Article
- Mobilizing Support for the Future of Advanced Public Health Nursing Education.American journal of public health · 2022Article
- Characteristics of Governmental Public Health Nurses With Recommendations for Public Health Nurse Workforce Planning.Public health nursing (Boston, Mass.)Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
contextThe nurse-trained local health department (LHD) lead executive has been shown to be positively associated with LHD performance; however, no other research has explored whether this association translates to improved community health.
objectiveTo investigate the relationship between the type of LHD leadership-whether or not the lead executive is a nurse-and changes in health outcomes.
designThis study used a multivariate panel time series design. Each model was estimated as a pooled time series and using time and unit fixed effects, with a 1-year lag used for all covariates and the main predictor.
settingA national, county-level data set was compiled containing variables pertaining to the LHD, community demographics, and health outcomes for the years 2010-2018.
participantsThe unit of analysis was the LHD. The data set was restricted to those counties with measurable mortality rates during at least 8 of the 9 time periods of the study, resulting in a total of 626 LHDs.
main outcome measuresThe outcomes of interest were changes in 15- to 44-year-old all-cause mortality, infant mortality, and entry into prenatal care.
resultsIn models with combined time and unit fixed effects, a significant relationship exists between a nurse-led LHD and reduced mortality in the 15- to 44-year-old Black population (-5.2%, P < .05) and a reduction in the Black-White mortality ratio (-6%, P < .05). In addition, there is a relationship between the nurse-led LHD and a reduction in the percentage of the population with late or no entry to prenatal care.
conclusionsThe evidence presented here helps connect the known positive association between nurse lead executives and LHD performance to improvements in community health. It suggests that nurse leaders are associated with health improvements in line with addressing health inequities.
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