A Corporate Wellness Program and Nursing Home Employees' Health.
A Corporate Wellness Program and Nursing Home Employees' Health.
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DOI：
10.3389/fpubh.2020.531116
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发表时间：
2020
影响因子：
5.2
通讯作者：
Punnett L
中科院分区：
文献类型：
--
作者：
Kernan G;Cifuentes M;Gore R;Kriebel D;Punnett L
背景：许多有工作的美国人患有肥胖、糖尿病和心血管疾病等慢性疾病。工作场所健康计划提供了介绍健康促进战略的机会。虽然有证据表明促进工作场所健康是有效的，但人们担心，工作条件僵化的低薪工人获得的福利可能会减少。目的：评估长期护理部门(熟练护理设施)的工作场所健康促进(WHP)。方法：采用标准化的自填式问卷对同一公司18个机构的养老院员工进行调查。公司赞助的WHP项目被提供给这些设施，这些设施可以自由地使用或不使用它。我们根据程序采用的级别对这些设施进行了分类。根据中央水平的工作条件进行调整，估计了项目类别和个人水平工人健康指标流行率之间的横截面关联。结果：共有5个工种的1589名工人完成了调查。工作中的心理需求和社会支持的平均水平较高。与没有计划的中心相比，拥有完善的WHP计划的中心的主管支持率更高。在大多数健康结果方面，项目水平之间没有差异。计划完善的中心的工作人员平均体重指数略低，不吸烟和定期有氧运动的患病率(出人意料地)略低。结论：良好发展的项目只带来了很小的健康益处，工作条件似乎没有混淆负面结果。这种低强度、低资源的工作场所健康促进计划可能让少数人受益，但似乎对衡量的健康指标的平均水平影响不大。许多养老院员工在健康行为方面遇到障碍；为健康行为提供更多环境和经济支持的方法，如Total Worker Health®，可能会产生更大的健康益处。
Background: Many employed Americans suffer from chronic conditions like obesity, diabetes, and cardiovascular diseases. Worksite wellness programs provide opportunities to introduce health promotion strategies. While there is evidence of the effectiveness of workplace health promotion, this is tempered by concern that benefits may be less available to low-wage workers with inflexible working conditions. Objective: The aim was to evaluate a workplace health promotion (WHP) in the long-term care sector (skilled nursing facilities). Methods: Nursing home employees from 18 facilities within a single company were surveyed by a standardized, self-administered questionnaire. A company-sponsored WHP program was offered to the facilities, which were free to take it up or not. We categorized the facilities by level of program adoption. Cross-sectional associations were estimated between program category and prevalence of individual-level worker health indicators, adjusting for center-level working conditions. Results: A total of 1,589 workers in 5 job categories completed the survey. Average levels of psychological demands and social support at work were relatively high. Supervisor support stood out as higher in centers with well-developed WHP programs, compared to centers with no programs. There were no differences among program levels for most health outcomes. Workers in centers with well-developed programs had slightly lower average body mass index and (unexpectedly) slightly lower prevalence of non-smoking and regular aerobic exercise. Conclusions: Only small health benefits were observed from well-developed programs and working conditions did not appear to confound the negative results. This low-intensity, low-resourced workplace health promotion program may have benefited a few individuals but seems to have had only modest influence on average levels of the measured health indicators. Many nursing home employees experience obstacles to health behaviors; approaches that provide more environmental and economic supports for healthy behaviors, such as Total Worker Health®, may yield larger health benefits.
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影响因子：
3.7
作者：
Heikkilä K;Nyberg ST;Fransson EI;Alfredsson L;De Bacquer D;Bjorner JB;Bonenfant S;Borritz M;Burr H;Clays E;Casini A;Dragano N;Erbel R;Geuskens GA;Goldberg M;Hooftman WE;Houtman IL;Joensuu M;Jöckel KH;Kittel F;Knutsson A;Koskenvuo M;Koskinen A;Kouvonen A;Leineweber C;Lunau T;Madsen IE;Magnusson Hanson LL;Marmot MG;Nielsen ML;Nordin M;Pentti J;Salo P;Rugulies R;Steptoe A;Siegrist J;Suominen S;Vahtera J;Virtanen M;Väänänen A;Westerholm P;Westerlund H;Zins M;Theorell T;Hamer M;Ferrie JE;Singh-Manoux A;Batty GD;Kivimäki M;IPD-Work Consortium
通讯作者：
IPD-Work Consortium
影响因子：
2.7
作者：
Linnan, Laura A.;Cluff, Laurie;Leff, Maija S.
通讯作者：
Leff, Maija S.
影响因子：
6.1
作者：
Bussing, A
通讯作者：
Bussing, A
影响因子：
13.7
作者：
Jones, Damon;Molitor, David;Reif, Julian
通讯作者：
Reif, Julian
影响因子：
9.7
作者：
Claxton, Gary;Rae, Matthew;Whitmore, Heidi
通讯作者：
Whitmore, Heidi