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Loving and Leaving Public Health: Predictors of Intentions to Quit Among State Health Agency Workers.
J Public Health Manag Pract. 2015 Nov-Dec; 21 Suppl 6:S91-101.JP

Abstract

CONTEXT

State health agencies play a critical role in protecting and promoting the health and well-being of the people they serve. To be effective, they must maintain a highly skilled, diverse workforce of sufficient size and with proper training.

OBJECTIVE

The goal of this study was to examine demographics, job and workplace environment characteristics, job satisfaction, and reasons for initially joining the public health workforce as predictors of an employee's intentions to leave an organization within the next year.

DESIGN

This study used a cross-sectional design. Respondents were selected on the basis of a stratified sampling approach, with 5 geographic (paired Health and Human Services [HHS] regions) as the primary strata. Balanced repeated replication was used as a resampling method for variance estimation. A logistic regression model was used to examine the correlates of intentions to leave one's organization within the next year. The independent variables included several measures of satisfaction, perceptions about the workplace environment, initial reasons for joining public health, gender, age, education, salary, supervisory status, program area, and paired HHS region.

SETTING AND PARTICIPANTS

The sample for this study consisted of 10,246 permanently employed state health agency central office employees who responded to the Public Health Workforce Interests and Needs Survey (PH WINS).

MAIN OUTCOME MEASURE

Considering leaving one's organization within the next year.

RESULTS

Being a person of color, living in the West (HHS regions 9 and 10), and shorter tenure in one's current position were all associated with higher odds of intentions to leave an organization within the next year. Conversely, greater employee engagement, organizational support, job satisfaction, organization satisfaction, and pay satisfaction were all significant predictors of lower intentions to leave one's organization within the next year.

CONCLUSIONS

Results from this study suggest several variables related to demographics, job characteristics, workplace environment, and job satisfaction that are predictive of intentions to leave. Future researchers and state health agencies should explore how these findings can be used to help with retention of employees in the state health agency workforce.

Authors+Show Affiliations

Association of State and Territorial Health Officials, Arlington, Virginia (Drs Liss-Levinson, Bharthapudi, and Sellers); and de Beaumont Foundation, Bethesda, Maryland (Dr Leider).No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26422500

Citation

Liss-Levinson, Rivka, et al. "Loving and Leaving Public Health: Predictors of Intentions to Quit Among State Health Agency Workers." Journal of Public Health Management and Practice : JPHMP, vol. 21 Suppl 6, 2015, pp. S91-101.
Liss-Levinson R, Bharthapudi K, Leider JP, et al. Loving and Leaving Public Health: Predictors of Intentions to Quit Among State Health Agency Workers. J Public Health Manag Pract. 2015;21 Suppl 6:S91-101.
Liss-Levinson, R., Bharthapudi, K., Leider, J. P., & Sellers, K. (2015). Loving and Leaving Public Health: Predictors of Intentions to Quit Among State Health Agency Workers. Journal of Public Health Management and Practice : JPHMP, 21 Suppl 6, S91-101. https://doi.org/10.1097/PHH.0000000000000317
Liss-Levinson R, et al. Loving and Leaving Public Health: Predictors of Intentions to Quit Among State Health Agency Workers. J Public Health Manag Pract. 2015 Nov-Dec;21 Suppl 6:S91-101. PubMed PMID: 26422500.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Loving and Leaving Public Health: Predictors of Intentions to Quit Among State Health Agency Workers. AU - Liss-Levinson,Rivka, AU - Bharthapudi,Kiran, AU - Leider,Jonathon P, AU - Sellers,Katie, PY - 2015/10/1/entrez PY - 2015/10/1/pubmed PY - 2017/2/7/medline SP - S91 EP - 101 JF - Journal of public health management and practice : JPHMP JO - J Public Health Manag Pract VL - 21 Suppl 6 N2 - CONTEXT: State health agencies play a critical role in protecting and promoting the health and well-being of the people they serve. To be effective, they must maintain a highly skilled, diverse workforce of sufficient size and with proper training. OBJECTIVE: The goal of this study was to examine demographics, job and workplace environment characteristics, job satisfaction, and reasons for initially joining the public health workforce as predictors of an employee's intentions to leave an organization within the next year. DESIGN: This study used a cross-sectional design. Respondents were selected on the basis of a stratified sampling approach, with 5 geographic (paired Health and Human Services [HHS] regions) as the primary strata. Balanced repeated replication was used as a resampling method for variance estimation. A logistic regression model was used to examine the correlates of intentions to leave one's organization within the next year. The independent variables included several measures of satisfaction, perceptions about the workplace environment, initial reasons for joining public health, gender, age, education, salary, supervisory status, program area, and paired HHS region. SETTING AND PARTICIPANTS: The sample for this study consisted of 10,246 permanently employed state health agency central office employees who responded to the Public Health Workforce Interests and Needs Survey (PH WINS). MAIN OUTCOME MEASURE: Considering leaving one's organization within the next year. RESULTS: Being a person of color, living in the West (HHS regions 9 and 10), and shorter tenure in one's current position were all associated with higher odds of intentions to leave an organization within the next year. Conversely, greater employee engagement, organizational support, job satisfaction, organization satisfaction, and pay satisfaction were all significant predictors of lower intentions to leave one's organization within the next year. CONCLUSIONS: Results from this study suggest several variables related to demographics, job characteristics, workplace environment, and job satisfaction that are predictive of intentions to leave. Future researchers and state health agencies should explore how these findings can be used to help with retention of employees in the state health agency workforce. SN - 1550-5022 UR - https://www.unboundmedicine.com/medline/citation/26422500/Loving_and_Leaving_Public_Health:_Predictors_of_Intentions_to_Quit_Among_State_Health_Agency_Workers_ DB - PRIME DP - Unbound Medicine ER -