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Table 2 Participant and local health department characteristics, by perceived mis-implementation, 2017 national survey

From: Perspectives on program mis-implementation among U.S. local public health departments

CharacteristicOverall N = 376a
%
Reported programs END that should have continuedReported programs CONTINUE that should have ended
Often or Always (n = 106, 30.0%)
%
Sometimes, Rarely, or Never (n = 247, 70.0%)
%
Chi-square P-ValueOften or Always (n = 57, 16.4%)
%
Sometimes, Rarely, or Never (n = 290, 83.6%)
%
Chi-square P-Value
Participants
 Position   0.87  0.52
  Agency leadership46.446.248.6 43.949.0 
  Program manager45.647.244.1 45.644.5 
  Technical or other8.06.67.3 10.56.6 
 Graduate degree in any field58.251.962.00.0868.457.90.14
 Public health graduate degree31.828.334.30.2743.931.20.07
 Nursing degree or license29.134.926.40.1121.129.50.20
 Female83.284.883.20.7287.582.60.36
 Age ≥ 50 years43.741.545.10.5331.645.30.06
 Years worked in current position   0.76  0.94
   < 5 years54.050.952.8 54.452.9 
  5–9 years23.322.624.4 24.623.9 
   ≥ 10 years22.726.422.8 21.123.2 
 Years worked in public health   0.16  0.15
   < 10 years28.632.123.6 35.125.6 
  10–19 years31.633.032.1 35.131.5 
   ≥ 20 years39.834.944.3 29.842.9 
Local health departments
 Jurisdiction population size   0.05  0.64
   < 50,00031.640.627.5 28.131.0 
  50,000-199,00034.330.236.8 40.433.8 
   ≥ 200,00034.029.235.6 31.635.2 
 Accreditedb28.023.630.00.2229.829.00.90
 Has a Local Board of Health72.680.069.40.04d73.772.20.82
 Governance structure   0.09  0.26
  Locally governed76.376.276.1 75.476.1 
  State governed13.99.515.8 19.313.1 
  Shared state/local governance9.914.38.1 5.310.7 
 Rural jurisdiction45.651.442.50.1240.444.60.55
 Community Guidec use to support decision-making in past year   0.73  0.87
  Used consistently across all relevant program areas6.0%4.8%6.5% 6.7%6.4% 
  Used in some program areas63.5%62.7%65.1% 66.7%63.0% 
  Not used30.5%32.5%28.5% 25.7%30.6% 
  1. aMis-implementation n’s vary slightly because different numbers of survey participants answered “I do not know” or “not applicable”. N = 353 reported a frequency for programs end that should have continued. N = 347 reported a frequency for programs continue that should have ended
  2. bAccredited by the Public Health Accreditation Board (PHAB), confirmed per PHAB list of accredited health departments
  3. cCommunity Guide: Guide to Community Preventive Services, www.thecommunityguide.org/
  4. dBoldface indicates statistical signifance (p < 0.05)