National Profile of Local Health Departments, 2010 (ICPSR 32922)

Published: Jul 3, 2014

Principal Investigator(s):
Carolyn J. Leep, National Association of County and City Health Officials

Version V1

Conducted by the National Association of County and City Health Officials (NACCHO), the purpose of this survey of local health departments (LHDs) was to advance and support the development of a database for LHDs to describe and understand their structure, function, and capacities. A core set of questions was submitted to every LHD. In addition, some LHDs received one of two randomly assigned modules of supplemental questions. The core questions covered governance, funding, workforce (staffing levels, occupations employed, top executive education and licensure, and percentages of staff by race and Hispanic origin), LHD activities, and community health assessment and health improvement planning. The surveyed LHD activities include immunization, screening for diseases and conditions, treatment for communicable diseases, maternal and child health, epidemiology and surveillance activities, population-based primary prevention activities, and regulation, inspection and/or licensing activities. Topics covered by Module 1 included quality improvement, familiarity with a voluntary national accreditation program for state and local health departments, sharing of resources with other LHDs, emergency preparedness, and information technology. Module 2 examined human resources, policy-making and advocacy, access to health care services, practice-based research, health impact assessments, public health and law, and use of public health reports.

Leep, Carolyn J. National Profile of Local Health Departments, 2010. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2014-07-03.

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Robert Wood Johnson Foundation (61911)

United States Department of Health and Human Services. Centers for Disease Control and Prevention (U38/HM000449-03)

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More information about this study can be found on the NACCHO Web site,

This is the sixth National Profile of Local Health Departments conducted by NACCHO. The previous rounds were conducted in 1989-1990, 1992-1993, 1996-1997, 2005, and 2008. ICPSR also houses the 2008 Profile (ICPSR 26962) but not the earlier rounds.

The survey attempted to interview all of the LHDs in the United States. Stratified random sampling was used to select the LHDs that were assigned one of the two modules of supplementary questions. Altogether, 1,316 LHDs received the core questions only, 624 the core questions plus Module 1, and 625 the core questions plus Module 2.

All LHDs in the United States. LHDs were defined as administrative or service units of local or state government concerned with health and carrying some responsibility for the health of a jurisdiction smaller than the state. The study excluded Hawaii and Rhode Island because their state health departments operate on behalf of local public health and have no sub-state units.

census/enumeration data

survey data

Overall, the study had a response rate of 82 percent: 2,107 of 2,565 LHDs.



2014-07-03 The Public-Use Data Agreement has been revised.

2012-05-02 A minor change was made to the metadata.

2012-05-01 ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection:

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  • The citation of this study may have changed due to the new version control system that has been implemented.
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This study is maintained and distributed by the Health and Medical Care Archive (HMCA). HMCA is the official data archive of the Robert Wood Johnson Foundation.