TABLE 2—
Number and Percentage of Full-Time-Equivalent Workers by Size of State Population, Region, and Governance Structure: ASTHO and NACCHO Profile Surveys, United States, 2010–2013
| State Health Agencies |
LHDs, 2010 |
LHDs, 2013 |
|||||||
| Category | No. | 2010, No. Workers (%) | 2012, No. Workers (%) | % Changea | No. | No. Workers (%) | No. | No. Workers (%) | % Point Differenceb |
| Population sizec | |||||||||
| Small | 14 | 13 174 (13) | 12 047 (12) | −9 | 1 171 | 18 404 (13) | 1120 | 15 882 (13) | 0 |
| Medium | 17 | 34 760 (33) | 32 890 (33) | −5 | 708 | 53 343 (38) | 706 | 50 090 (40) | 2 |
| Large | 16 | 56 588 (54) | 55 127 (55) | −3 | 126 | 69 075 (49) | 127 | 59 716 (48) | −1 |
| Total | 47 | 104 522 (100) | 100 064 (100) | … | 2 005 | 140 822 (100) | 1953 | 125 688 (100) | … |
| Geographic regiond | |||||||||
| New England | 7 | 10 812 (10) | 9 531 (10) | −13 | 344 | 17 177 (12) | 320 | 15 629 (12) | 0 |
| South | 13 | 54 489 (52) | 52 503 (52) | −4 | 565 | 48 924 (35) | 534 | 39 420 (31) | −4 |
| Mid-Atlantic and Great Lakes | 11 | 20 067 (19) | 19 848 (20) | −1 | 546 | 31 398 (22) | 520 | 31 806 (25) | 3 |
| Mountain and Midwest | 9 | 7 735 (7) | 7 691 (8) | −1 | 414 | 10 229 (7) | 448 | 13 536 (11) | 4 |
| West | 7 | 11 420 (11) | 10 490 (10) | −8 | 136 | 33 094 (24) | 131 | 25 297 (20) | −4 |
| Total | 47 | 104 522 (100) | 100 064 (100) | … | 2 005 | 140 822 (100) | 1953 | 125 688 (100) | … |
| Governance structure | |||||||||
| Centralized or largely centralized | 13 | 27 708 (27) | 25 703 (26) | −7 | 223 | 15 270 (11) | 221 | 12 534 (10) | −1 |
| Shared, largely shared, or mixed | 10 | 34 299 (33) | 33 313 (33) | −3 | 346 | 33 698 (24) | 370 | 32 165 (26) | 2 |
| Decentralized or largely decentralized | 24 | 42 515 (41) | 41 048 (41) | −3 | 1 436 | 91 854 (65) | 1362 | 80 989 (64) | −1 |
| Total | 47 | 104 522 (100) | 100 064 (100) | … | 2 005 | 140 822 (100) | 1953 | 125 688 (100) | … |
Note. ASTHO = Association of State and Territorial Health Officials; FTE = full-time equivalent; LHD = local health department; NACCHO = National Association of County and City Health Officials.
Percentage of change reflects the change in the size of the state health workforce by occupational category from 2010 to 2012.
Percentage point difference reflects the proportional difference in the number of FTE workers by occupational category from 2010 to 2013. Direct comparison was not possible because fewer or different respondents completed the workforce section of the survey in 2010 and 2013.
For ASTHO data, small indicates a population of ≤ 2 750 000, medium indicates 2 750 001–6 250 000, and large indicates > 6 250 000. For NACCHO data, small indicates a population of < 50 000, medium indicates 50 000–499 000, and large indicates ≥ 500 000.
New England included the following states: ME, NH, VT, NY, MA, RI, CT, and NJ; the South included: KY, NC, SC, TN, GA, AL, FL, MS, LA, AR, OK, TX, and NM; the Mid-Atlantic and Great Lakes regions included: DE, MD, DC, VA, WV, PA, OH, IN, IL, MI, WI, and MN; the Mountain and Midwest regions included: IA, MO, ND, SD, NE, KS, MT, WY, CO, and UT; the West included AK, WA, OR, ID, NV, CA, AZ, and HI.