The turnover challenge in centers for disease control and prevention
Role of salaries, job satisfaction and burnout—a cross-sectional study in a province of China
Bibliographic Data
Introduction As a core pillar in China's public health system, Centers for Disease Control and Prevention (CDCs) face significant workforce turnover. Using data from a certain province in China, our study addresses two gaps: the structural relationships and the combined effect on CDC turnover of salary, job satisfaction, and burnout, and, second, the inter-relationship of marital status and these factors. Methods From March to April 2024, a cross-sectional survey was conducted in the study province of China among CDC staff, collecting data on salary, job satisfaction, burnout, turnover intention, and sociodemographic information. Chained mediation models analyzed the multiple mediating effects of job satisfaction and burnout between salary and turnover intention. Results Lower salary was directly associated with higher turnover intention (β = −0.059, P < 0.05), accounting for 42.14% of the total effect. Job satisfaction and burnout demonstrated significant chained mediation between salary and turnover intention. Job satisfaction also exerted an independent mediating effect (β = −0.058, P < 0.01), while burnout did not. The total indirect effect coefficient was −0.081, constituting 57.86% of the total effect. The indirect chain-link effect pathways for married staff were similar to the full-sample pathways, though effect sizes differed. Unmarried staff reported significantly higher burnout than married staff (6.94 vs. 6.31, P < 0.01), but showed no significant associations between salary and job satisfaction, burnout, or turnover intention. Discussion Job satisfaction and burnout served as chained mediators between salaries and turnover intentions, with job satisfaction exerting an additional independent mediating effect. Internal heterogeneity was revealed within the marriage subgroups. Interventions should prioritize reviewing and improving the compensation system, enhancing job satisfaction, reducing burnout, and implementing differentiated measures to reduce workforce turnover
Burnout · Job satisfaction · Marital status · Mediation · Psychological intervention · Salary · Turnover · Workforce · Employment and Welfare Studies · Healthcare professionals’ stress and burnout · Workplace Health and Well-being
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| Citation velocity | historical |
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| Highly cited | No |