ArticleFrontiers in public health2026
The turnover challenge in centers for disease control and prevention: role of salaries, job satisfaction and burnout-a cross-sectional study in a province of China.
Article in Frontiers in public health, 2026. 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
Introduction: As a core pillar in China's public health system, Centers for Disease Control and Prevention (CDCs) face significant workforce turnover. Using data from a certain province in China, our study addresses two gaps: the structural relationships and the combined effect on CDC turnover of salary, job satisfaction, and burnout, and, second, the inter-relationship of marital status and these factors. Methods: From March to April 2024, a cross-sectional survey was conducted in the study province of China among CDC staff, collecting data on salary, job satisfaction, burnout, turnover intention, and sociodemographic information. Chained mediation models analyzed the multiple mediating effects of job satisfaction and burnout between salary and turnover intention. Results: Lower salary was directly associated with higher turnover intention (β = -0.059, Discussion: Job satisfaction and burnout served as chained mediators between salaries and turnover intentions, with job satisfaction exerting an additional independent mediating effect. Internal heterogeneity was revealed within the marriage subgroups. Interventions should prioritize reviewing and improving the compensation system, enhancing job satisfaction, reducing burnout, and implementing differentiated measures to reduce workforce turnover.
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