Evidence map›Paper›PMID 40775706›Full record

ArticleBMC health services research2025

A cross-sectional survey of community health workers and their roles in Indiana.

Michael Scanlon, Melissa R Thomas, Qing Tang, Jasmine D Gonzalvo, Yumary Ruiz, Margarita Hart, Jasmine Jackson, Debra K Litzelman

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Michael ScanlonCenter for Global Health, Indiana University, Indianapolis, IN, 46202, USA. mscanlon@iu.edu.
Melissa R ThomasCenter for Health Services Research, Regenstrief Institute, Indianapolis, IN, USA.
Qing TangDepartment of Biostatistics, Indiana University, Indianapolis, IN, USA.
Jasmine D GonzalvoCenter for Health Excellence, Quality, and Innovation, Purdue University, Indianapolis, IN, USA.
Yumary RuizDepartment of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, IN, USA.
Margarita HartIndiana Community Health Worker Association, Indianapolis, IN, USA.
Jasmine JacksonCenter for Health Services Research, Regenstrief Institute, Indianapolis, IN, USA.
Debra K LitzelmanCenter for Global Health, Indiana University, Indianapolis, IN, 46202, USA.

Funding

Indiana Department of Health 4781014
6 · The paper itself

Abstract

backgroundIn the US, there is a lack of information about the community health worker (CHW) workforce, which is critical to inform workforce policy, development, and training initiatives. In this manuscript, we report the results of a cross-sectional workforce survey of CHWs in Indiana.

methodsWe conducted a statewide electronic survey of CHWs in Indiana. Eligible participants were self-reported CHWs and over the age of 18. The survey was adapted from an existing tool and included questions about CHWs' demographics, employer, compensation, and roles and responsibilities. The survey was pilot-tested and distributed in partnership with the state's CHW professional association. Data were collected anonymously using REDCap. Bivariate correlations were examined between salary and demographics, employer type, training, and length of employment. Analyses were conducted using SAS version 9.4.

resultsAmong 282 participants that met eligibility, a majority were female (92%) with 39% identifying as Black/African American, 38% as White, and 13% as Hispanic/Latino. Over 40% held at least a Bachelor's degree, and 20% were multilingual. CHWs worked under various job titles - only half reported that their official job title was as a CHW - and for a variety of organizations with about half working for either a health system or academic employer. Respondents had a median of 2 years of experience as a CHW. The majority of CHWs were employed full-time (85%) and had completed a training program (83%). Their scopes of practice varied but CHWs were most engaged in activities related to culturally relevant communication, care coordination, coaching, and social support. Lower salary was significantly associated with less education and working as a CHW for less than one year, but not with other demographic characteristics, employer type, or having completed a training program.

conclusionThis study offers a snapshot of Indiana's CHW workforce, highlighting that it is predominantly female but diverse demographically, in employment setting, job title, and roles played. The findings provide insights to guide workforce development and planning efforts by employers, professional associations, health departments, and policymakers to strengthen and expand this essential workforce in Indiana and beyond.

Indexed as

Community Health WorkersProfessional RoleAdultCross-Sectional StudiesFemaleHumansIndianaMaleMiddle AgedSalaries and Fringe BenefitsSurveys and QuestionnairesCommunity health workersHealth workforce surveyIndianaUnited States

Identifiers

PMID40775706
PMCPMC12329865

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.