Local health department workers, public policy, and willingness to respond during emergencies.
Identifieur interne : 001C65 ( Main/Exploration ); précédent : 001C64; suivant : 001C66Local health department workers, public policy, and willingness to respond during emergencies.
Auteurs : Lainie Rutkow [États-Unis] ; Jon S. Vernick [États-Unis] ; Carol B. Thompson [États-Unis] ; Robert Hudson [États-Unis] ; Daniel J. Barnett [États-Unis]Source :
- American journal of disaster medicine [ 1932-149X ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
Abstract
OBJECTIVES
To determine whether an association exists between a state's authority to declare a public health emergency and local public health workers' response willingness.
DESIGN
The 2009-2010 Johns Hopkins~Public Health Infrastructure Response Survey Tool included questions about demographics and attitudes/beliefs regarding local public health workers' response willingness during public health emergencies. Survey data were merged with data about presence/absence of a law granting states the authority to declare a public health emergency. Logistic regression analyses were performed with the presence/absence of the law and were adjusted for individuals' demographic and locale characteristics.
SETTING
Data were collected from eight clusters of local health department workers in nine states.
PARTICIPANTS
Two thousand nine hundred ninety-three local health department workers.
MAIN OUTCOME MEASURE
Willingness to respond to four different public health emergency scenarios.
RESULTS
For naturally occurring and human-caused disasters, in unadjusted analyses, there was no statistically significant difference in willingness to respond between individuals living in states with a law that allowed for a governmental declaration of public health emergency and those living in states without such a law. Adjusted analyses yielded similar results.
CONCLUSIONS
While laws giving the state the authority to declare a public health emergency are not associated with response willingness, findings may reflect the fact that states rarely declare public health emergencies, giving local public health workers few opportunities to become familiar with the implementation of these laws. In light of this, local health departments should consider altering their own internal policies to promote response willingness among their employees.
DOI: 10.5055/ajdm.2015.0187
PubMed: 26102044
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Vernick</name><affiliation wicri:level="2"><nlm:affiliation>Professor, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Professor, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Thompson, Carol B" sort="Thompson, Carol B" uniqKey="Thompson C" first="Carol B" last="Thompson">Carol B. Thompson</name><affiliation wicri:level="2"><nlm:affiliation>Assistant Scientist, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Assistant Scientist, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Hudson, Robert" sort="Hudson, Robert" uniqKey="Hudson R" first="Robert" last="Hudson">Robert Hudson</name><affiliation wicri:level="2"><nlm:affiliation>Administrator, Butler County Health Department, Poplar Bluff, Missouri.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Administrator, Butler County Health Department, Poplar Bluff</wicri:cityArea></affiliation></author><author><name sortKey="Barnett, Daniel J" sort="Barnett, Daniel J" uniqKey="Barnett D" first="Daniel J" last="Barnett">Daniel J. 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Vernick</name><affiliation wicri:level="2"><nlm:affiliation>Professor, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Professor, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Thompson, Carol B" sort="Thompson, Carol B" uniqKey="Thompson C" first="Carol B" last="Thompson">Carol B. Thompson</name><affiliation wicri:level="2"><nlm:affiliation>Assistant Scientist, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Assistant Scientist, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Hudson, Robert" sort="Hudson, Robert" uniqKey="Hudson R" first="Robert" last="Hudson">Robert Hudson</name><affiliation wicri:level="2"><nlm:affiliation>Administrator, Butler County Health Department, Poplar Bluff, Missouri.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Administrator, Butler County Health Department, Poplar Bluff</wicri:cityArea></affiliation></author><author><name sortKey="Barnett, Daniel J" sort="Barnett, Daniel J" uniqKey="Barnett D" first="Daniel J" last="Barnett">Daniel J. Barnett</name><affiliation wicri:level="2"><nlm:affiliation>Associate Professor, Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Associate Professor, Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author></analytic><series><title level="j">American journal of disaster medicine</title><idno type="ISSN">1932-149X</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Disasters (MeSH)</term><term>Emergencies (MeSH)</term><term>Emergency Responders (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Public Health Practice (MeSH)</term><term>Public Policy (MeSH)</term><term>Rescue Work (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Catastrophes (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Intervenants d'urgence (MeSH)</term><term>Intervention de sauvetage (MeSH)</term><term>Mâle (MeSH)</term><term>Politique publique (MeSH)</term><term>Pratiques en santé publique (MeSH)</term><term>Urgences (MeSH)</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Disasters</term><term>Emergencies</term><term>Emergency Responders</term><term>Female</term><term>Humans</term><term>Male</term><term>Public Health Practice</term><term>Public Policy</term><term>Rescue Work</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Catastrophes</term><term>Femelle</term><term>Humains</term><term>Intervenants d'urgence</term><term>Intervention de sauvetage</term><term>Mâle</term><term>Politique publique</term><term>Pratiques en santé publique</term><term>Urgences</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To determine whether an association exists between a state's authority to declare a public health emergency and local public health workers' response willingness.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>The 2009-2010 Johns Hopkins~Public Health Infrastructure Response Survey Tool included questions about demographics and attitudes/beliefs regarding local public health workers' response willingness during public health emergencies. Survey data were merged with data about presence/absence of a law granting states the authority to declare a public health emergency. Logistic regression analyses were performed with the presence/absence of the law and were adjusted for individuals' demographic and locale characteristics.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Data were collected from eight clusters of local health department workers in nine states.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>Two thousand nine hundred ninety-three local health department workers.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURE</b></p><p>Willingness to respond to four different public health emergency scenarios.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>For naturally occurring and human-caused disasters, in unadjusted analyses, there was no statistically significant difference in willingness to respond between individuals living in states with a law that allowed for a governmental declaration of public health emergency and those living in states without such a law. Adjusted analyses yielded similar results.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>While laws giving the state the authority to declare a public health emergency are not associated with response willingness, findings may reflect the fact that states rarely declare public health emergencies, giving local public health workers few opportunities to become familiar with the implementation of these laws. In light of this, local health departments should consider altering their own internal policies to promote response willingness among their employees.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26102044</PMID><DateCompleted><Year>2015</Year><Month>08</Month><Day>06</Day></DateCompleted><DateRevised><Year>2015</Year><Month>06</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1932-149X</ISSN><JournalIssue CitedMedium="Print"><Volume>10</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Season>Winter</Season></PubDate></JournalIssue><Title>American journal of disaster medicine</Title><ISOAbbreviation>Am J Disaster Med</ISOAbbreviation></Journal><ArticleTitle>Local health department workers, public policy, and willingness to respond during emergencies.</ArticleTitle><Pagination><MedlinePgn>41-50</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5055/ajdm.2015.0187</ELocationID><ELocationID EIdType="pii" ValidYN="Y">ajdm.2015.0187</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To determine whether an association exists between a state's authority to declare a public health emergency and local public health workers' response willingness.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">The 2009-2010 Johns Hopkins~Public Health Infrastructure Response Survey Tool included questions about demographics and attitudes/beliefs regarding local public health workers' response willingness during public health emergencies. Survey data were merged with data about presence/absence of a law granting states the authority to declare a public health emergency. Logistic regression analyses were performed with the presence/absence of the law and were adjusted for individuals' demographic and locale characteristics.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Data were collected from eight clusters of local health department workers in nine states.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Two thousand nine hundred ninety-three local health department workers.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURE" NlmCategory="METHODS">Willingness to respond to four different public health emergency scenarios.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">For naturally occurring and human-caused disasters, in unadjusted analyses, there was no statistically significant difference in willingness to respond between individuals living in states with a law that allowed for a governmental declaration of public health emergency and those living in states without such a law. Adjusted analyses yielded similar results.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">While laws giving the state the authority to declare a public health emergency are not associated with response willingness, findings may reflect the fact that states rarely declare public health emergencies, giving local public health workers few opportunities to become familiar with the implementation of these laws. In light of this, local health departments should consider altering their own internal policies to promote response willingness among their employees.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rutkow</LastName><ForeName>Lainie</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Associate Professor, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vernick</LastName><ForeName>Jon S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Professor, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thompson</LastName><ForeName>Carol B</ForeName><Initials>CB</Initials><AffiliationInfo><Affiliation>Assistant Scientist, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hudson</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Administrator, Butler County Health Department, Poplar Bluff, Missouri.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barnett</LastName><ForeName>Daniel J</ForeName><Initials>DJ</Initials><AffiliationInfo><Affiliation>Associate Professor, Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>5P01TP00288</GrantID><Acronym>TP</Acronym><Agency>OPHPR CDC HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Disaster Med</MedlineTA><NlmUniqueID>101291100</NlmUniqueID><ISSNLinking>1932-149X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004190" MajorTopicYN="N">Disasters</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004630" MajorTopicYN="Y">Emergencies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D060731" MajorTopicYN="N">Emergency Responders</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015980" MajorTopicYN="Y">Public Health Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011640" MajorTopicYN="N">Public Policy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018635" MajorTopicYN="Y">Rescue Work</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>6</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>6</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>8</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26102044</ArticleId><ArticleId IdType="pii">ajdm.2015.0187</ArticleId><ArticleId IdType="doi">10.5055/ajdm.2015.0187</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li><li>Missouri (État)</li></region></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Rutkow, Lainie" sort="Rutkow, Lainie" uniqKey="Rutkow L" first="Lainie" last="Rutkow">Lainie Rutkow</name></region><name sortKey="Barnett, Daniel J" sort="Barnett, Daniel J" uniqKey="Barnett D" first="Daniel J" last="Barnett">Daniel J. Barnett</name><name sortKey="Hudson, Robert" sort="Hudson, Robert" uniqKey="Hudson R" first="Robert" last="Hudson">Robert Hudson</name><name sortKey="Thompson, Carol B" sort="Thompson, Carol B" uniqKey="Thompson C" first="Carol B" last="Thompson">Carol B. Thompson</name><name sortKey="Vernick, Jon S" sort="Vernick, Jon S" uniqKey="Vernick J" first="Jon S" last="Vernick">Jon S. Vernick</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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