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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

Characteristic

Overall N = 376a

%

Reported programs END that should have continued

Reported programs CONTINUE that should have ended

Often or Always (n = 106, 30.0%)

%

Sometimes, Rarely, or Never (n = 247, 70.0%)

%

Chi-square P-Value

Often 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 leadership

46.4

46.2

48.6

 

43.9

49.0

 

  Program manager

45.6

47.2

44.1

 

45.6

44.5

 

  Technical or other

8.0

6.6

7.3

 

10.5

6.6

 

 Graduate degree in any field

58.2

51.9

62.0

0.08

68.4

57.9

0.14

 Public health graduate degree

31.8

28.3

34.3

0.27

43.9

31.2

0.07

 Nursing degree or license

29.1

34.9

26.4

0.11

21.1

29.5

0.20

 Female

83.2

84.8

83.2

0.72

87.5

82.6

0.36

 Age ≥ 50 years

43.7

41.5

45.1

0.53

31.6

45.3

0.06

 Years worked in current position

   

0.76

  

0.94

   < 5 years

54.0

50.9

52.8

 

54.4

52.9

 

  5–9 years

23.3

22.6

24.4

 

24.6

23.9

 

   ≥ 10 years

22.7

26.4

22.8

 

21.1

23.2

 

 Years worked in public health

   

0.16

  

0.15

   < 10 years

28.6

32.1

23.6

 

35.1

25.6

 

  10–19 years

31.6

33.0

32.1

 

35.1

31.5

 

   ≥ 20 years

39.8

34.9

44.3

 

29.8

42.9

 

Local health departments

 Jurisdiction population size

   

0.05

  

0.64

   < 50,000

31.6

40.6

27.5

 

28.1

31.0

 

  50,000-199,000

34.3

30.2

36.8

 

40.4

33.8

 

   ≥ 200,000

34.0

29.2

35.6

 

31.6

35.2

 

 Accreditedb

28.0

23.6

30.0

0.22

29.8

29.0

0.90

 Has a Local Board of Health

72.6

80.0

69.4

0.04d

73.7

72.2

0.82

 Governance structure

   

0.09

  

0.26

  Locally governed

76.3

76.2

76.1

 

75.4

76.1

 

  State governed

13.9

9.5

15.8

 

19.3

13.1

 

  Shared state/local governance

9.9

14.3

8.1

 

5.3

10.7

 

 Rural jurisdiction

45.6

51.4

42.5

0.12

40.4

44.6

0.55

 Community Guidec use to support decision-making in past year

   

0.73

  

0.87

  Used consistently across all relevant program areas

6.0%

4.8%

6.5%

 

6.7%

6.4%

 

  Used in some program areas

63.5%

62.7%

65.1%

 

66.7%

63.0%

 

  Not used

30.5%

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)