Employee Perceptions About Public Health Agencies' Desired Involvement in Impacting Health Equity and Other Social Determinants of Health
| Autor: | Kristie Cason Waterfield, Jingjing Yin, Gulzar H. Shah, Jessica L. Young |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Social Determinants of Health Policy Implications and Trends local health departments Population health social support network state health departments 03 medical and health sciences 0302 clinical medicine Health care medicine public health agencies Humans 030212 general & internal medicine Social determinants of health Health policy 030505 public health Health Equity business.industry Health Policy Public health Public Health Environmental and Occupational Health Research Reports Middle Aged Public relations Health equity Cross-Sectional Studies Health promotion Health in All Policies Female Perception Health education Public Health 0305 other medical science business |
| Zdroj: | Journal of Public Health Management and Practice |
| ISSN: | 1078-4659 |
| DOI: | 10.1097/phh.0000000000000908 |
| Popis: | Context: Despite a growing consensus in public health to address health inequities and leverage social determinants of health (SDoH), the level of public health practitioners' readiness to become the agents of change in promoting health equity and shaping SDoH is not well researched. Objectives: To examine (1) the level of public health agency employees' perceived desirability for impacting health equity and SDoH, and (2) the impact of employee characteristics such as a (PH WINS) public health degree and awareness of health in all policies on such desirability. Methods: Data from the 2017 Public Health Workforce Interests and Needs Survey were used in examining the sense of desirability among agency employees for affecting health equity and SDoH in the agency jurisdictions. Results: Fifty-seven percent of health agency employees believed that their agencies should be very involved in affecting health equity in their jurisdictions. Fairly smaller proportions of employees believed in the desirability of affecting SDoH, and the proportions who believed that the agency should be very involved in affecting specific SDoH were 17.8% for affecting the quality of transportation, 18.5% for affecting the economy, 22.2% for quality of housing, 22.4% for quality of the built environment, 25.4% for K-12 education system, and 34.5% for impacting the quality of social support systems. Agency employees without a public health degree had significantly lower odds (P < .05) of believing that the agency should be very involved in affecting health equity. Conclusions: With increasing efforts to reduce health inequities and leverage SDoH for improved population health, gaps exist in the public health workforce's perceived desirability for their agencies to be involved in such efforts. These gaps exist among employees regardless of their demographic characteristics, length of tenure, or agency setting. Policy and practice initiatives aimed to improve health equity might benefit from our findings positing a need for education regarding SDoH and health equity. Our study findings imply the need for interventions for improving alignment between employee beliefs and organizational priorities for an effective transformation to Public Health 3.0. Fostering cross-sector partnerships with a focus on Health in All Policies (HiAP), SDoH, and health equity must be a high priority for public health agencies, which can be formalized through organizational strategic plans. |
| Databáze: | OpenAIRE |
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