{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:55:27Z","timestamp":1790751327418,"version":"4.1.0"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R37262011"],"award-info":[{"award-number":["R37262011"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P50CA244431"],"award-info":[{"award-number":["P50CA244431"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["P30DK092950"],"award-info":[{"award-number":["P30DK092950"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Health equity is a core function of public health practice, yet most public health agencies lack tools to assess their internal capacity to advance it. Existing measurement efforts have focused primarily on community-level health disparities rather than the organizational infrastructure, leadership, and practices needed to address them. This study aimed to develop a reliable survey for measuring organizational equity capacity within public health agencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We used a two-phase, mixed-methods approach. First, we identified priority organizational domains through concept mapping with 73 state and local practitioners. Findings informed the development of a 47-item survey administered to a national sample of practitioners (\n                      <jats:italic>n<\/jats:italic>\n                      = 234). We conducted psychometric analyses and confirmatory factor analysis (CFA) to refine the instrument and evaluate model fit.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Concept mapping identified eight domains: Funding, Agency Practices, Communication, Data Practices, Organizational Partnerships, Community Representation, Leadership, and Staff Development. Through CFA, we identified a 32-item, eight-factor survey with strong model fit (CFI = 0.908; RMSEA = 0.066). All subscale domains showed good to excellent internal consistency (Cronbach's alpha = 0.79\u20130.91).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Organizational health equity capacity is multidimensional rather than a single undifferentiated construct. This pragmatic and reliable 32-item instrument provides a rigorous tool for agencies to assess internal equity infrastructure. Agencies can use this tool to benchmark organizational capacity and track systemic progress toward institutionalizing health equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1913380","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:00:41Z","timestamp":1790748041000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Operationalizing health equity: a mixed-methods approach to measuring organizational capacity in public health practice"],"prefix":"10.3389","volume":"14","author":[{"given":"Stephanie","family":"Mazzucca-Ragan","sequence":"first","affiliation":[{"name":"Prevention Research Center, Bursky School of Public Health, Washington University in St. Louis","place":["St. Louis, MO, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebekah R.","family":"Jacob","sequence":"additional","affiliation":[{"name":"Prevention Research Center, Bursky School of Public Health, Washington University in St. Louis","place":["St. Louis, MO, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas A.","family":"Luke","sequence":"additional","affiliation":[{"name":"Bursky School of Public Health, Washington University in St. Louis","place":["St. Louis, MO, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Malone","sequence":"additional","affiliation":[{"name":"Bursky School of Public Health, Washington University in St. Louis","place":["St. Louis, MO, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl A.","family":"Valko","sequence":"additional","affiliation":[{"name":"Prevention Research Center, Bursky School of Public Health, Washington University in St. Louis","place":["St. Louis, MO, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross C.","family":"Brownson","sequence":"additional","affiliation":[{"name":"Prevention Research Center, Bursky School of Public Health, Washington University in St. Louis","place":["St. Louis, MO, United States"]},{"name":"Alvin J. 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