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. Author manuscript; available in PMC: 2016 May 1.
Published in final edited form as: Am J Prev Med. 2015 May;48(5):543–551. doi: 10.1016/j.amepre.2014.11.015

Table 2.

Perceived frequencya of program mis-implementation, U.S. 2013-2014

% of Respondents reporting
programs ending that should have
continued		 % of Respondents reporting
programs continuing that should
have ended
Variable State
health
departmen
t
n = 277
% (95%
CI)		 Local
health
departmen
t
n = 398
% (95%
CI)		 Other
agencies
combine
d
n = 269
% (95%
CI)		 State
health
departmen
t
n = 277
% (95%
CI)		 Local
health
departmen
t
n = 398
% (95%
CI)		 Other
agencies
combine
d
n=269
% (95%
CI)
Overall 36.5 (30.8-
42.3)		 42.0 (37.1-
46.8)		 38.3
(32.3-
44.3)		 24.7 (19.6-
29.9)		 29.4 (24.9-
33.9)		 25.0
(19.7-
30.3)
  Program area
  Obesity, physical
  activity, nutrition		 31.4 (15.3-
47.6)		 N/A 41.0
(24.9-
57.2)		 28.6 (12.8-
44.3)		 N/A 23.1
(9.2-
36.9)
  Tobacco 36.0 (15.8-
56.2)		 N/A 50.0
(32.3-
67.7)		 16.0 (0.6-
31.4)		 N/A 32.4
(15.8-
48.9)
  Cancer 18.8 (4.5-
33.1)		 N/A 37.9
(19.2-
56.7)		 18.8 (4.5-
33.1)		 N/A 17.2
(2.6-
31.9)
  Diabetes/cardiovascula
  r disease		 47.4 (22.6-
72.1)		 N/A 35.7
(7.0-
64.4)		 26.3 (4.5-
48.1)		 N/A 50.0
(20.0-
80.0)
  Other single primary
  program areab 		33.8 (23.2-
44.3)		 N/A 28.6
(17.1-
40.0)		 22.5 (13.2-
31.9)		 N/A 15.9
(6.6-
25.2)
  Multiple program areasc 46.2 (35.1-
57.4)		 NA 40.3
(29.1-
51.5)		 30.0 (19.7-
40.3)		 N/A 28.6
(18.3-
38.9)
  Population of jurisdiction
  of local health
  departments
  <25,000 (n=34) N/A 32.4 (15.8-
48.9)		 N/A N/A 17.7 (4.2-
31.2)		 N/A
  25,000 to 49,999
  (n=72)		 N/A 49.3 (37.4-
61.2)		 N/A N/A 29.6 (18.7-
40.5)		 N/A
  50,000 to 99,999
  (n=62)		 N/A 50.8 (38.1-
63.5)		 N/A N/A 33.3 (21.4-
45.3)		 N/A
  100,000 to 499,999
  (n=111)		 N/A 34.2 (25.5-
42.9)		 N/A N/A 33.3 (24.7-
42.0)		 N/A
  500,000 or larger
  (n=28)		 N/A 24.2 (8.8-
39.7)		 N/A N/A 36.4 (19.0-
53.7)		 N/A
  Governance structure of
  local health departments
  State governed (n=7) N/A 14.3 (0.0-
49.2)d 		N/A N/A 28.6 (0.0-
73.7)d 		N/A
  Locally governed
  (n=385)		 N/A 42.3 (37.4-
47.3)		 N/A N/A 29.4 (24.8-
33.9)		 N/A
  Shared governance
  (n=6)		 N/A 50.0 (0.0-
100.0)d 		N/A N/A 33.3 (0.0-
87.5)d 		N/A
a

Percentage reporting “often” or “always” for valid non-missing cases.

b

Other single primary program areas examples are maternal and child health, communicable diseases, and injury and violence prevention.

c

Multiple program areas represents respondents who selected that they primarily worked across several program areas.

d

Very few local health department respondents represented states where local public health governance is shared or state governed, which resulted in wide confidence intervals.