TABLE 4. Awareness of and Confidence in Addressing Public Health Concepts Among the Big Cities Health Coalition Governmental Public Health Workforce, 2021^a.

	Overall Awareness			Overall Confidence
Health equity
Not at all	2	2-2	I do not know this concept	1	1-2
Not much	4	4-5	Not confident	9	8-9
A little	14	13-15	A little confident	36	34-37
Very aware	80	79-81	Very confident	55	53-56
Social determinants of equity
Not at all	6	5-7	I do not know this concept	3	3-4
Not much	13	12-14	Not confident	18	17-19
A little	28	27-29	A little confident	41	40-43
Very aware	54	52-55	Very confident	38	36-39
Social determinants of health
Not at all	3	3-4	I do not know this concept	2	1-2
Not much	7	7-8	Not confident	11	11-12
A little	18	17-19	A little confident	34	33-35
Very aware	71	70-72	Very confident	53	51-54
Structural racism
Not at all	5	4-5	I do not know this concept	2	2-3
Not much	8	7-9	Not confident	15	14-16
A little	21	20-22	A little confident	39	38-40
Very aware	66	65-68	Very confident	44	42-45
Environmental justice
Not at all	6	5-6	I do not know this concept	4	3-4
Not much	13	12-14	Not confident	22	20-23
A little	29	28-30	A little confident	42	40-43
Very aware	53	51-54	Very confident	33	32-35

^aEstimates shown as estimate (95% confidence interval) by year.