Format

Send to

Choose Destination
See comment in PubMed Commons below
Am J Public Health. 2011 Apr;101(4):609-15. doi: 10.2105/AJPH.2009.177451. Epub 2010 Jun 17.

The association of changes in local health department resources with changes in state-level health outcomes.

Author information

  • 1Center for Public Health, University of Tennessee, Knoxville, TN 37996, USA. perwin@utk.edu

Abstract

We explored the association between changes in local health department (LHD) resource levels with changes in health outcomes via a retrospective cohort study. We measured changes in expenditures and staffing reported by LHDs on the 1997 and 2005 National Association of County and City Health Officials surveys and assessed changes in state-level health outcomes with the America's Health Rankings reports for those years. We used pairwise correlation and multivariate regression to analyze the association of changes in LHD resources with changes in health outcomes. Increases in LHD expenditures were significantly associated with decreases in infectious disease morbidity at the state level (P = .037), and increases in staffing were significantly associated with decreases in cardiovascular disease mortality (P = .014), controlling for other factors.

[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Atypon Icon for PubMed Central
    Loading ...
    Write to the Help Desk