What s a good salary in public health? A cross-section of 23,000 public health workers salary and wages in 2014

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1 What s a good salary in public health? A cross-section of 23,000 public health workers salary and wages in 2014 Presentation at Keeneland, 2015 JP Leider, PhD de Beaumont Foundation Rivka Liss-Levinson, PhD ASTHO Brian Castrucci, MA de Beaumont Foundation Katie Sellers, DrPH CPH ASTHO Kiran Bharthapudi, PhD ASTHO

Presentation at Keeneland, 2015 JP Leider, PhD de Beaumont Foundation Rivka

2 Overview for today s talk Describe salary ranges at state and local level Examine correlates of earnings

3 Background Workforce shortages have been predicted for decades Salary shown as important in recruitment and retention efforts Relatively fewer graduates are joining state and local public health 1 Especially challenging competition with better-paying clinical sectors Limited salary information is available, except for by position type at state level (ASTHO Profiles) Questions remain what drives a good salary? 1- ASPPH Alumni surveys

challenging competition with better-paying clinical sectors Limited salary information is available, except

4 Methods Nationally-representative sample of State Health Agency central office staff Stratified by 5 regions (paired HHS region) ~10,250 respondents (46% response rate) Advanced statistical weighting used to account for complex sampling Large pilot of staff, including members of the Big Cities Health Coalition ~13,000 respondents Used a variety of fielding/sampling approaches to gather information for a future iteration of PH WINS

for complex sampling Large pilot of staff, including members of the Big Cities Health Coalition ~13,000

5 Methods In demographics section, respondents were asked about: Earnings Part-time vs full-time Race/ethnicity Gender Supervisory status Program area and role Educational attainment Tenure in public health We present descriptive statistics and results of a linear regression

status Program area and role Educational attainment Tenure in public

6 Approximate, average earnings among fulltime employees (unweighted) SHA Central Office sd /RHD sd Nonsupervisor $52,000 $17,000 $47,000 $16,000 Team leader $59,000 $18,000 $53,000 $17,000 Supervisor $66,000 $20,000 $54,000 $19,000 Manager $78,000 $19,000 $64,000 $19,000 Executive $99,000 $22,000 $79,000 $23,000

leader $59,000 $18,000 $53,000 $17,000 Supervisor $66,000 $20,000 $54,000

7 Quick tangent: Comparing state to local SHA employees 100% Percent of full-time staff earning above $55,000, by state and setting 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 1* * 6* 7 8* 9 10* 11* 12* 13* 14* 15* 16 17* 18* * * Difference is statistically significant at p<.05

60% 50% 40% 30% 20% 10% 0% 1* 2 3 4 5* 6* 7 8* 9 10* 11* 12* 13* 14*

8 National results

9 Results Annualized earnings among full-time employees of SHA central offices Less than $25,000 $25,000 - $35,000 $35, $45,000 $45, $55,000 $55, $65,000 $65, $75,000 $75, $85,000 $85, $95,000 $95, $105,000 $105, $115,000 $115, $125,000 $125, $135,000 $135, $145,000 More than $145,000 Mean 0% 5% 10% 15% 20% 25% 30%

01 - $75,000 $75,000.01 - $85,000 $85,000.01 - $95,000 $95,000.01 - $105,000 $105,000.

10 Results New England & Atlantic (HHS 1 & 2) Less than $25,000 $25,000 - $35,000 $35, $45,000 $45, $55,000 $55, $65,000 $65, $75,000 $75, $85,000 $85, $95,000 $95, $105,000 $105, $115,000 $115, $125,000 $125, $135,000 $135, $145,000 More than $145,000 Mean 0% 5% 10% 15% 20% 25% 30%

01 - $85,000 $85,000.01 - $95,000 $95,000.01 - $105,000 $105,000.01 - $115,000 $115,000.

11 Results South (HHS 4 & 6) Less than $25,000 $25,000 - $35,000 $35, $45,000 $45, $55,000 $55, $65,000 $65, $75,000 $75, $85,000 $85, $95,000 $95, $105,000 $105, $115,000 $115, $125,000 $125, $135,000 $135, $145,000 More than $145,000 Mean 0% 5% 10% 15% 20% 25% 30%

12 Results New England & Atlantic (HHS 1 & 2) South (HHS 4 & 6) Less than $25,000 $25,000 - $35,000 $35, $45,000 $45, $55,000 $55, $65,000 $65, $75,000 $75, $85,000 $85, $95,000 $95, $105,000 $105, $115,000 $115, $125,000 $125, $135,000 $135, $145,000 More than $145,000 Mean Mean 0% 5% 10% 15% 20% 25% 30%

13 Results Average earning by area Chronic Disease and Injury Communicable Disease Environmental Health Maternal and Child Health All Hazards Assessment Communications Org Competencies Other Other Health Care $- $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000

All Hazards Assessment Communications Org Competencies Other Other

14 Linear regression results

16 Disparities Further examination of salary differences between individuals of different genders and race/ethnicity show significant salary disparities cents on the dollar Disparities worsen at higher levels of education and supervisory status Gaps appear less than private industry, but still significant

95 cents on the dollar Disparities worsen at higher levels of education and

17 Discussion and implications Women account for three quarters of the workforce, but make less than men with the same experience and education Similar issues faced by people of color compared to non-hispanic White staff Value of masters vs. bachelors attainment is unclear from an earnings perspective Degree may be needed for position type, but earnings differentials are small compared to bachelors Clear financial benefit from doctoral degrees

18 Questions? Data will become available to the public in April

19 Average earning by position type Communicable Disease - HIV Communicable Disease - STD Communicable Disease - Tuberculo Other Communicable Disease Non-Communicable Disease Injury Environmental Health Maternal and Child Health Maternal and Child Health - WIC Clinical Services (excluding TB, Clinical Services - Immunization Oral Health/Clinical Dental Serv Administration/Administrative Su Mental Health Substance Abuse, including tobac Public Health Genetics Vital Records Medical Examiner Emergency Preparedness Epidemiology Surveillance Program Evaluation Health Education Health Promotion/Wellness Community Health Assessment/Plan Training/Workforce Development Global Health $- $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000

Administration/Administrative Su Mental Health Substance Abuse, including tobac Public Health Genetics Vital Records Medical Examiner Emergency Preparedness Epidemiology Surveillance

Public Health Workforce Interests and Needs Survey Presentation at Keeneland, 2015

Public Health Workforce Interests and Needs Survey Presentation at Keeneland, 2015 Katie Sellers, DrPH CPH ASTHO JP Leider, PhD de Beaumont Foundation Kiran Bharthapudi, PhD ASTHO Rivka Liss Levinson,