Job Preferences of Centers for Disease Control and Prevention Workers: A Discrete Choice Experiment in China.

Yan GUO; Han Lin NIE; Hao CHEN; Stephen NICHOLAS; Elizabeth MAITLAND; Si Si CHEN; Lie Yu HUANG; Xiu Min ZHANG; Xue Feng SHI

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Job Preferences of Centers for Disease Control and Prevention Workers: A Discrete Choice Experiment in China.

Author: Yan GUO ¹ ; Han Lin NIE ² ; Hao CHEN ³ ; Stephen NICHOLAS ⁴ ; Elizabeth MAITLAND ⁵ ; Si Si CHEN ⁶ ; Lie Yu HUANG ³ ; Xiu Min ZHANG ⁷ ; Xue Feng SHI ⁸
Author Information

1. School of Public Health, Jilin University, Changchun 130021, Jilin, China;Chinese Centre for Disease Control and Prevention, Beijing 102206, China.
2. Beijing University of Chinese Medicine, Beijing 100029, China.
3. Chinese Centre for Disease Control and Prevention, Beijing 102206, China.
4. Health Services Research and Workforce Innovation Centre, Newcastle Business School, University of Newcastle, Newcastle 2308, NSW, Australia;Australian National Institute of Management and Commerce, Sydney 2015, NSW, Australia.
5. School of Management, University of Liverpool, Liverpool L69 7ZH, England, United Kingdom.
6. Beijing University of Chinese Medicine, Beijing 100029, China;Beijing Jingmei Group General Hospital, Beijing 102300, China.
7. School of Public Health, Jilin University, Changchun 130021, Jilin, China.
8. Beijing University of Chinese Medicine, Beijing 100029, China;National Institute of Traditional Chinese Medicine Strategy and Development, Beijing University of Chinese Medicine, Beijing 100029, China.
Publication Type:Journal Article
Keywords: CDC workers; China; Discrete choice experiment; Job preferences
MeSH: China; Humans; Male; Female; Adult; Centers for Disease Control and Prevention, U.S.; Middle Aged; Choice Behavior; Career Choice; Motivation
From: Biomedical and Environmental Sciences 2025;38(6):740-750
CountryChina
Language:English
Abstract: OBJECTIVE:This study explored the job choice preferences of Center for Disease Prevention and Control (CDC) workers to provide CDC management information and recommendations for optimizing employee retention and motivation policies.
METHODS:A discrete choice experiment was conducted in nine provinces across China. Seven key attributes were identified to analyze the job preferences of CDC workers. Mixed logit models, latent class models, and policy simulation tools were used.
RESULTS:A valid sample of 5,944 cases was included in the analysis. All seven attributes significantly influenced the job choices of CDC workers. Heterogeneity analyses identified two main groups based on different levels of preference for attribute utility. Income-prioritizers were concerned with income and opportunities for career development, whereas bianzhi-prioritizers were concerned with bianzhi and welfare benefits. The policy simulation analysis revealed that income-prioritizers had a relatively higher sensitivity to multiple job preference incentives.
CONCLUSION:Income and bianzhi were the two key attributes influencing the job choices and retention preferences of CDC workers. Heterogeneity in job preferences was also identified. Based on the preference characteristics of different subgroups, policy content should be skewed to differentiate the importance of incentives.