The Methods of PH WINS 2017: Approaches to Refreshing Nationally Representative State-Level Estimates and Creating Nationally Representative Local-Level Estimates of Public Health Workforce Interests and Needs

Abstract

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Public Health Employees’ Perceptions about the Impact of Emerging Public Health Trends on Their Day-to-Day Work: Effects of Organizational Climate and Culture

“…The 2017 PH WINS was conducted by the Association of State and Territorial Health Officials (ASTHO) and de Beaumont Foundation and it is the only nationally-representative survey of the United States public health workforce, at both state and local levels [ 29 , 30 , 31 ]. The aims of the survey were: to inform the public health workforce regarding future development initiatives; create a key workforce development metrics baseline; and explore the attitudes, morale, and climate of the public health workforce [ 29 , 30 ]. The 2017 PH WINS utilized two distinctive sampling frames, a state sampling frame, and a local sampling frame.…”

“…The 2017 PH WINS utilized two distinctive sampling frames, a state sampling frame, and a local sampling frame. This allowed for major considerations regarding jurisdiction population size, governing classification, and geographic location of the jurisdiction [ 30 , 31 ]. Additionally, the local frame only included medium and large local health departments; which meant that local health departments with a jurisdiction population smaller than 25,000 and that employ less than 25 staff members were not included [ 30 ].…”

“…The de Beaumont Foundation and ASTHO utilized an identified workforce champion and information technology contact in order to ensure the staff listings were up to date and that there would be no technical issues [ 30 ]. The survey was completed by 47,756 governmental public health workers at both the state and local levels and achieved a 48% overall response rate (state sampling frame 35% and local sampling frame 59%) [ 30 , 31 ]. For this analysis, we used balanced repeated replication weights for the estimates of means, frequencies, and regression coefficients.…”

“…The purpose of the weights was to account for any subsampling of state-level staff, for disproportionate nonresponse by known agency staffing levels, and any poststratification nonresponse adjustments for known staffing levels at the state and national levels. Additional details about the 2017 PH WINS sampling design and size are discussed by Leider et al [ 30 ].…”

Using Public Health Workforce Surveillance Data to Prioritize Retention Efforts for Younger Staff

“…This manuscript used data from the Public Health Workforce Interests and Needs Survey (PH WINS). 12 In the fall and winter of 2017, all 50 state health agencies (SHAs), the 30 large local health departments (LHDs) that are members of the Big Cities Health Coalition (BCHC), and a random sample of mid-sized LHDs were invited to participate in PH WINS. A total of 47 state agencies, 26 BCHC health agencies, and 71 mid-sized LHDs participated by fielding the survey to all of their public health agency employees.…”