Leadership Disparities in State Governmental Public Health Workforce: Examining the Influence of Gender
| Autor: | Jocelyn Wilder, Zipatly V Mendoza, Elizabeth Gould, Brian C. Castrucci, Theresa Chapple-McGruder, Leila Heidari, Renata Hilson, Gandarvaka Miles, Jacqueline Wiltshire |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male governmental public health workforce leadership medicine.medical_specialty education salary Gender Role Odds 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires mental disorders Agency (sociology) medicine Humans gender disparities Health Workforce 030212 general & internal medicine Salary Gender role health care economics and organizations Multinomial logistic regression 030505 public health Health Policy Public health Public Health Environmental and Occupational Health Research Reports Middle Aged Leadership Cross-Sectional Studies Workforce Income Female Demographic economics Public Health 0305 other medical science Psychology State Government Diversity (business) |
| Zdroj: | Journal of Public Health Management and Practice |
| ISSN: | 1078-4659 |
| Popis: | Objective To determine the extent to which gender disparities exist in either obtaining a leadership position or pay equity among those with leadership positions in state governmental public health agencies. Design Utilizing the 2014 Public Health Workforce Interests and Needs Survey, a nationally representative cross-sectional study of state governmental public health agency employees, the characteristics of the state governmental public health agency leadership were described. We estimated the odds of being a manager or an executive leader and the odds of leaders earning greater than $95 000 annually for women compared with men using polytomous multinomial regression and logistic regression models, respectively. Setting and participants The Public Health Workforce Interests and Needs Survey was conducted via electronic survey at 37 state health departments. This study utilized only those respondents who listed their current position as a supervisory position (n = 3237). Main outcome measures Leadership position and high-earning leadership were the 2 main outcome measures explored. Leadership position was defined as a 3-level ordinal variable: supervisor, manager, or executive leader. High-earning leadership was defined as a member of leadership earning $95 000 or greater. Results Women accounted for 72.0% of the overall state governmental public health agency workforce and 67.1% of leadership positions. Women experienced lower odds (odds ratio = 0.55, 95% confidence interval: 0.39-0.78) of holding executive leadership positions than men and lower odds (odds ratio = 0.64, 95% confidence interval: 0.50-0.81) of earning an annual salary greater than $95 000. Conclusion While women were represented in similar proportions in the general workforce as in leadership positions, gender disparities still existed within leadership positions. Increased effort is needed to ensure that opportunities exist for women in executive leadership positions and in pay equity. With public health's commitment to social justice and the benefits of diversity to an agency's policies and programs, it is important to ensure that women's voices are equally represented at all levels of leadership. |
| Databáze: | OpenAIRE |
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