TABLE 4. Reasons for Considering Leaving, by Supervisory Status Among State Health Agency Central Office Staff.

Reason for Considering Leaving	Nonsupervisor	Supervisor	Manager	Executive	Total
Lack of acknowledgment/recognition	26% (25%-28%)	24% (21%-27%)	20% (16%-25%)	15% (7%-24%)	25% (24%-27%)
Job satisfaction	30% (28%-32%)	27% (23%-31%)	23% (20%-26%)	15% (6%-24%)	29% (27%-30%)
Lack of opportunities for advancement	46% (44%-48%)	36% (33%-39%)	26% (21%-31%)	22% (12%-31%)	42% (40%-44%)
Lack of training	16% (14%-17%)	10% (8%-12%)	10% (7%-13%)	6% (2%-10%)	14% (13%-15%)
Leadership changeover	15% (14%-16%)	17% (12%-21%)	21% (15%-26%)	23% (6%-39%)	16% (15%-17%)
Other opportunities outside agency	18% (17%-19%)	18% (15%-20%)	16% (11%-22%)	14% (7%-22%)	18% (17%-19%)
Pay	49% (48%-50%)	43% (38%-47%)	36% (32%-40%)	26% (19%-33%)	46% (45%-47%)
Retirement	3% (2%-3%)	3% (2%-3%)	5% (3%-7%)	4% (0%-8%)	3% (2%-3%)
Satisfaction with supervisor	20% (19%-21%)	21% (17%-24%)	18% (14%-23%)	22% (12%-31%)	20% (19%-21%)
Stress	21% (20%-22%)	28% (22%-33%)	31% (25%-37%)	23% (14%-33%)	23% (22%-24%)
Lack of flexibility (flex hours/telework)	15% (14%-16%)	14% (12%-17%)	12% (9%-15%)	10% (4%-16%)	15% (13%-16%)
Weakening of benefits	13% (11%-14%)	13% (10%-17%)	12% (9%-15%)	4% (1%-7%)	12% (12%-13%)
Work overload/burnout	21% (20%-22%)	27% (25%-30%)	32% (28%-35%)	24% (14%-34%)	23% (22%-24%)
Workplace environment	34% (32%-36%)	35% (31%-39%)	29% (25%-32%)	23% (13%-33%)	33% (32%-35%)
Lack of support	27% (25%-29%)	31% (28%-34%)	25% (19%-31%)	31% (15%-47%)	27% (25%-30%)
Other	19% (17%-20%)	17% (14%-20%)	11% (8%-13%)	18% (10%-27%)	17% (16%-19%)