ArticleJournal of public health management and practice : JPHMP
Small but Essential: Understanding Rural Public Health Workforce Challenges and Strengths From the 2024 Public Health Workforce Interests and Needs Survey.
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. Not yet cited in PubMed.
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Abstract
objectiveDescribe key characteristics of the rural local public health workforce on a national level, including in comparison to both the overall and urban local public health workforce.
designCross-sectional analysis of the 2024 Public Health Workforce Interests and Needs Survey (PH WINS) data.
settingLocal health departments (LHDs) serving rural and urban jurisdictions across the United States.
participantsThe study sample included 172 679 weighted responses from individuals working in LHDs, and 33 214 of them were from rural-serving LHDs.
main outcome measuresDescriptive and bivariate statistics for measures across 4 areas, both overall and by rurality: demographic characteristics, educational background, position information, and intentions to stay or leave.
resultsGreater portions of the rural local public health workforce were female and White relative to their urban counterparts. Compared to the urban workforce, the portions of the rural workforce without a public health degree and with clinical training were both greater. Tenure in position, agency, and public health practice also differed by rurality, with 19.6% of the rural workforce reporting the greatest tenure in public health practice (21 years or above) compared to 17.8% of the urban workforce. Intentions to stay, leave, or retire also differed by rurality, with 15.4% of the rural workforce reporting intentions to leave in the next year for reasons outside of retirement, compared to 21.6% of the urban workforce.
conclusionsCharacteristics of the local public health workforce vary by rurality, extending prior research demonstrating differences between rural- and urban-serving LHDs across the nation. Findings should guide rural-focused strategies aimed at strengthening and sustaining the public health workforce.
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