Student Loan Debt Burden in the Public Health Workforce.

Objectives. To characterize the national landscape of student loan debt for state and local public health staff and consider the potential roles of loan forgiveness and repayment in workforce development. Methods. This study analyzed data from the nationally representative 2024 Public Health Workfor...

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Published in:American Journal of Public Health Vol. 116; no. 4; pp. 485 - 492
Main Authors: Leider, Jonathon P., Robins, Moriah, McDaniel, Nicole, Hare Bork, Rachel, Doyle, Hunter, Castrucci, Brian C.
Format: Article
Published: American Public Health Association Apr2026
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Apr2026
      vid: 116
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      pub: American Public Health Association
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        10.2105/AJPH.2025.308290
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        atl: Student Loan Debt Burden in the Public Health Workforce.
      aug:
        au:
          Leider, Jonathon P.
          Robins, Moriah
          McDaniel, Nicole
          Hare Bork, Rachel
          Doyle, Hunter
          Castrucci, Brian C.
        affil:
          Center for Public Health Systems, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis.
          de Beaumont Foundation, Bethesda, MD.
      su:
        United States
        Cross-sectional method
        Debt
        Sex distribution
        Age distribution
        Academic achievement
        Public health
        Labor supply
        Psychosocial factors
        Medical personnel -- United States
        Forgiveness
        Scholarships
        Research funding
        Descriptive statistics
        Eligibility (Social aspects)
        Inferential statistics
        Data analysis software
        Regression analysis
      sug:
        subj:
          Cross-sectional method
          Debt
          Sex distribution
          Age distribution
          Academic achievement
          Public health
          Labor supply
          Psychosocial factors
          United States
          Temporary Help Services
          Health and Welfare Funds
          Grantmaking Foundations
          Medical personnel -- United States
          Forgiveness
          Scholarships
          Research funding
          Descriptive statistics
          Eligibility (Social aspects)
          Inferential statistics
          Data analysis software
          Regression analysis
      ab: Objectives. To characterize the national landscape of student loan debt for state and local public health staff and consider the potential roles of loan forgiveness and repayment in workforce development. Methods. This study analyzed data from the nationally representative 2024 Public Health Workforce Interests and Needs Survey, which had 57 000 respondents in the United States. We calculated descriptive statistics and performed an interval regression to assess correlates of student loan balance. Results. More than 40% of the workforce has a student loan balance: $48 000 on average, among those with any debt. Differences are observed by age, race/ethnicity, and level of academic degree. Conclusions. As in other fields, governmental public health is experiencing high rates of turnover while having difficulty with recruitment. Lack of competitive pay and benefits makes it difficult to find and retain staff who may have a public service inclination but also have bills to pay. High on that list of bills, for many, are student loans. Public Health Implications. Loan forgiveness and repayment represent important policy tools to address the ongoing workforce shortage and may be adversely affected by recent federal legislation.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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