US local public health department spending between 2008 and 2016 did not increase for communities in need.

ABSTRACT:

Background

Greater US local public health department (LPHD) spending has been associated with decreases in population-wide mortality. We examined the association between changes in LPHD spending between 2008 and 2016 and county-level sociodemographic indicators of public health need.

Methods

Multivariable linear regression was used to estimate the association between changes in county-level per-capita LPHD spending and 2008 sociodemographic indicators of interest: percent of population that was over 65 years old, Black, Hispanic, in poverty, unemployed, and uninsured. A second model assessed the relationship between changes in LPHD spending and sociodemographic shifts between 2008 and 2016.

Results

LPHD spending increases were associated with higher percentage points

SUBMITTER: Reszczynski O 

PROVIDER: S-EPMC8860251 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature