THE HEALTHY WORKER PROJECT - A WORK-SITE INTERVENTION FOR WEIGHT CONTROL AND SMOKING CESSATION
THE HEALTHY WORKER PROJECT - A WORK-SITE INTERVENTION FOR WEIGHT CONTROL AND SMOKING CESSATION
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DOI：
10.2105/ajph.83.3.395
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发表时间：
1993-03-01
影响因子：
12.7
通讯作者：
BAXTER, JE
中科院分区：
文献类型：
--
作者：
JEFFERY, RW;FORSTER, JL;BAXTER, JE
目标。本研究进行了一项随机试验，以评估工作场所健康促进计划在减少肥胖和吸烟率方面的有效性。32个工作地点随机分为治疗组和不治疗组，为期2年。治疗包括健康教育课程和基于工资的激励制度。评估是基于队列和横断面调查。在治疗工作场所的1万名员工中，分别有2041人和270人参加了体重控制和戒烟计划。平均体重减轻4.8磅，43%的吸烟参与者戒了烟。在横断面和队列调查中，治疗工作场所与对照工作场所的2年吸烟率净下降率分别为4.0%和2.1%。没有发现治疗体重的效果。吸烟患病率和体重的治疗效果均与干预方案的参与率呈正相关（吸烟的r = 0.45，体重的r = 0.55）。这一工作场所健康促进方案在降低吸烟率方面取得了成效，据信其成本使投资物有所值。
Objectives. A randomized trial was conducted to evaluate the effectiveness of a work-site health promotion program in reducing obesity and the prevalence of cigarette smoking.Methods. Thirty-two work sites were randomized to treatment or no treatment for 2 years. Treatment consisted of health education classes combined with a payroll-based incentive system. Evaluation was based on cohort and cross-sectional surveys.Results. Of 10 000 total employees in treatment work sites, 2041 and 270 participated in weight control and smoking cessation programs, respectively. Weight losses averaged 4.8 lbs, and 43% of smoking participants quit. Net 2-year reductions in smoking prevalence in treatment vs control work sites were 4.0% and 2.1% in cross-sectional and cohort surveys, respectively. No treatment effect was found for weight. Treatment effects for smoking prevalence and weight were both positively correlated with participation rates in the intervention programs (r = .45 for smoking and r = .55 for weight).Conclusions. This work-site health promotion program was effective in reducing smoking prevalence at a cost that is believed to make the investment worthwhile.