Authors
Haley L Cash McGinley, Mindy S Sugiyama, Heather S Pangelinan, Rachel Hare Bork
Published in
American journal of public health. Volume 116. Issue S5. Pages S446-S452.
Abstract
Objectives. To compare turnover intentions, reasons for leaving, and desired benefits among public health workers aged 35 years and younger in the US-Affiliated Pacific Islands (USAPIs) and the United States. Methods. Data from the 2024 Public Health Workforce Interests and Needs Survey were analyzed. Weighted estimates and Rao-Scott χ2 tests assessed differences; logistic regression examined predictors of intending to leave for non-job-related reasons. Results. Intent to leave within the next year did not differ significantly between USAPI and US respondents aged 35 years and younger (25.6% vs 28.6%; P = .15). Pay was the leading reason for intending to leave in both groups (58.8% vs 66.5%; P = .08). However, USAPI respondents were more likely to cite non-job-related reasons (41.6% vs 16.6%; P < .01). Female staff (adjusted odds ratio [AOR] = 3.84), those dissatisfied with benefits (AOR = 5.42), and those without public health training (AOR = 3.49) had higher odds of intending to leave for non-job-related reasons. Conclusions. Retaining young USAPI public health staff may require strengthening benefits, training pathways, and nonwork supports alongside pay. Public Health Implications. Family supportive benefits, competitive compensation, and expanded training opportunities may improve retention. (Am J Public Health. 2026;116(S5):S446-S452. https://doi.org/10.2105/AJPH.2026.308737).
PMID:
42777223
Bibliographic data and abstract were imported from PubMed on 24 Sep 2026.
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