Evidence map›Paper›PMID 39787091›Full record

ArticlePLOS global public health2025

Individual and organizational factors associated with public health workforce competencies to advance health equity.

Paula M Kett, Shahida Shahrir, Betty Bekemeier, Kay Schaffer, Danielle J Zemmel, Davis G Patterson

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Paula M KettCenter for Health Workforce Studies, University of Washington School of Medicine, Seattle, Washington, United States of America.ORCID https://orcid.org/0000-0002-8524-6493
Shahida ShahrirCenter for Health Workforce Studies, University of Washington School of Medicine, Seattle, Washington, United States of America.ORCID https://orcid.org/0000-0002-5578-854X
Betty BekemeierDepartment of Child, Family and Population Health, University of Washington School of Nursing, Seattle, Washington, United States of America.ORCID https://orcid.org/0000-0002-9034-2746
Kay SchafferDe Beaumont Foundation, Bethesda, Maryland, United States of America.ORCID https://orcid.org/0000-0003-0025-0336
Danielle J ZemmelRegion V Public Health Training Center, University of Michigan School of Public Health, Ann Arbor, Michigan, United States of America.ORCID https://orcid.org/0000-0002-7411-7805
Davis G PattersonCenter for Health Workforce Studies, University of Washington School of Medicine, Seattle, Washington, United States of America.ORCID https://orcid.org/0000-0002-1795-0956

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Little is known about how to develop public health workforce capacity for health equity work. We explored associations of individual and organizational characteristics of local public health departments (LHDs) with competencies essential for advancing health equity. Data included responses of 29,751 staff from 742 LHDs in 48 states to the 2021 Public Health Workforce Interests and Needs Survey, plus LHD characteristics and county demographics. Logistic regression assessed associations between key factors and staff-reported "knowledge of" and "confidence in addressing" structural racism, health equity, social determinants of equity (SDoE), social determinants of health (SDOH), and environmental justice, as well as belief and involvement in addressing racism through one's work. Staff with a master's degree or higher compared to others had greater odds of reporting confidence in addressing structural racism (adjusted odds ratio [AOR] = 1.23) and health equity (AOR = 1.56), agreeing that addressing racism should be a part of their work (AOR = 2.45) and being involved in such efforts (AOR = 1.57). Staff identifying as Black, compared to white, had greater odds of reporting confidence in addressing all concepts: structural racism (AOR = 1.98), health equity (AOR = 1.34), SDoE (AOR = 1.53), SDOH (AOR = 1.21), and environmental justice (AOR = 1.72) and agreeing that addressing racism should be a part of their work (AOR = 2.11). Patterns were similar among staff identifying as Hispanic/Latino and other persons of color. Black (AOR = 0.68) and Hispanic/Latino (AOR = 0.83) staff had lower odds, however, of reporting engagement in activities to address racism. Finally, competencies positively associated with nearly all outcomes included cross-sector collaboration, ability to incorporate health equity into programming, and policy advocacy. LHD workforce development should include training that involves explicitly naming structural racism's effects and complementary skills, such as policy development and cross-sector partnership building. Further exploration is needed into how best to grow commitment among white staff and to support staff of color in health equity work.

Identifiers

PMID39787091
PMCPMC11717272

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.