Results of the Workplace Health in America Survey
Results of the Workplace Health in America Survey
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DOI：
10.1177/0890117119842047
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发表时间：
2019-06-01
影响因子：
2.7
通讯作者：
Leff, Maija S.
中科院分区：
文献类型：
--
作者：
Linnan, Laura A.;Cluff, Laurie;Leff, Maija S.
目的：提供美国工作场所健康促进(WHP)和保护做法的全国代表性快照。设计：2016年11月至2017年9月间美国工作场所健康横断面、自我报告调查(WHA)。设置：国家。参与者：随机抽样的美国工作场所，有10名员工，按地区、规模和北美行业分类系统部门分层。措施：工作场所健康促进计划、计划管理、循证战略、健康筛查、疾病管理、激励、工作-生活政策、实施障碍和职业安全与健康(OSH)。分析：描述性统计、t检验、结果：在符合条件的工作场所中，10.1%(n=3109)的人回答，2843人保留在最终样本中，46.1%的人提供了某种类型的WHP计划。拥有全面计划的可比工作地点的比例(根据2010年《健康人》的定义)从2004年的6.9%上升到2017年的17.1%(P<；.001)。职业安全和健康计划比WHP计划更普遍，83.5%的工作场所有个人负责员工安全，而有WHP计划的工作场所中只有72.2%有个人负责。较小的工作场所比较大的工作场所提供大多数计划的可能性较小。结论：WHP计划的流行率有所增加，但在大多数卫生计划中保持较低水平；很少有工作场所有全面的计划。规模较小的工作场所持续存在赤字，需要有针对性的方法；职业安全健康和水资源保护计划的综合努力可能会有所帮助。使用WHA调查的持续监测对美国工作场所的OSH和WHP进行基准，更新以前调查的估计，并确定研究和实践中的差距。
Purpose: To provide a nationally representative snapshot of workplace health promotion (WHP) and protection practices among United States worksites.Design: Cross-sectional, self-report Workplace Health in America (WHA) Survey between November 2016 and September 2017.Setting: National.Participants: Random sample of US worksites with 10 employees, stratified by region, size, and North American Industrial Classification System sector.Measures: Workplace health promotion programs, program administration, evidence-based strategies, health screenings, disease management, incentives, work-life policies, implementation barriers, and occupational safety and health (OSH).Analysis: Descriptive statistics, t tests, and logistic regression.Results: Among eligible worksites, 10.1% (n = 3109) responded, 2843 retained in final sample, and 46.1% offered some type of WHP program. The proportion of comparable worksites with comprehensive programs (as defined in Healthy People 2010) rose from 6.9% in 2004 to 17.1% in 2017 (P < .001). Occupational safety and health programs were more prevalent than WHP programs, and 83.5% of all worksites had an individual responsible for employee safety, while only 72.2% of those with a WHP program had an individual responsible for it. Smaller worksites were less likely than larger to offer most programs.Conclusion: The prevalence of WHP programs has increased but remains low across most health programs; few worksites have comprehensive programs. Smaller worksites have persistent deficits and require targeted approaches; integrated OSH and WHP efforts may help. Ongoing monitoring using the WHA Survey benchmarks OSH and WHP in US worksites, updates estimates from previous surveys, and identifies gaps in research and practice.