To explore combinations of worksite supports (WSS) for physical activity (PA) that may assist employees in meeting PA recommendations and to investigate how availability of WSS differs across industries and occupations.
Design:
Cross-sectional.
Setting:
Several Missouri metropolitan areas.
Participants:
Adults employed >20 h/wk outside the home.
Measures:
Survey utilized existing self-reported measures (eg, presence of WSS for PA) and the International Physical Activity Questionnaire.
Analysis:
Logistic regression was conducted for 2 outcome variables: leisure and transportation PA. Independent variables included 16 WSS. Of particular interest were interaction effects between WSS variables. Analyses were stratified by 5 occupation and 7 industry types.
Results:
Overall, 2013 people completed the survey (46% response rate). Often, availability of 1 WSS did not increase the likelihood of meeting PA recommendations, but several pairs of WSS did. For example, in business occupations, the odds of meeting PA recommendations through transportation PA increased when employees had access to showers and incentives to bike/walk (odds ratio [OR] = 1.6; 95% confidence interval [CI] = 1.16-2.22); showers and maps (OR = 1.25; 1.02-1.55); maps and incentives to bike/walk (OR = 1.48; 1.04-2.12).
Conclusion:
Various combinations of WSS may increase the likelihood that employees will meet PA recommendations. Many are of low or no cost, including flexible time for exercise and maps of worksite-adjacent walk/bike routes. Findings may be instructive for employers seeking to improve employee health through worksite PA.
Centers for Disease Control and Prevention. Physical Activity and Health: The Benefits of Physical Activity. Atlanta, Georgia: US Department of Health and Human Services; 2015. Web site. http://www.cdc.gov/physicalactivity/basics/pa-health/. Accessed July 12, 2015.
2.
Centers for Disease Control and Prevention, National Center for Health Statistics. Early release of selected estimates based on data from the National Health Interview Survey, 2014. Web site. http://www.cdc.gov/nchs/data/nhis/earlyrelease/earlyrelease201506_07.pdf. Accessed July 12, 2015.
3.
SchmidTPrattMWitmerL. A framework for physical activity policy research. J Phys Activ Health. 2006;3(suppl 1):S20–S29.
4.
DodsonEALovegreenSLElliottMBHaire-JoshuDBrownsonRC. Worksite policies and environments supporting physical activity in midwestern communities. Am J Health Promot. 2008;23(1):51–55.
5.
United States Department of Labor, Bureau of Labor Statistics. American Time Use Survey Summary, 2014 Results. Web site. http://www.bls.gov/news.release/atus.nr0.htm. Accessed August 12, 2015.
6.
LucoveJCHustonSLEvensonKR. Workers’ perceptions about worksite policies and environments and their association with leisure-time physical activity. Am J Health Promot. 2007;21(3):196–200.
7.
Community Preventive Services Task Force. The Guide to Community Preventive Services: Increasing Physical Activity, 2013. Web site. http://thecommunityguide.org/pa/index.html. Accessed August 12, 2015.
8.
PalmerKTHarrisECCoggonD. Carpal tunnel syndrome and its relation to occupation: a systematic literature review. Occup Med (Lond). 2007;57(1):57–66.
9.
CotePvan der VeldeGCassidyJD. The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976). 2008;33(suppl 4):S60–S74.
10.
BellichaAKieusseianAFontvieilleAMTataranniACharreireHOppertJM. Stair-use interventions in worksites and public settings—a systematic review of effectiveness and external validity. Prev Med. 2015;70:3–13.
11.
Neil-SztramkoSEPahwaMDemersPAGotayCC. Health-related interventions among night shift workers: a critical review of the literature. Scand J Work Environ Health. 2014;40(6):543–556.
12.
TorquatiLPaveyTKolbe-AlexanderTLeverittM. Promoting diet and physical activity in nurses: a systematic review [Published online September 21, 2015]. Am J Health Promot. 2015.
13.
EckhardtMRKerrJTaylorWC. Point-of-decision signs and stair use in a University Worksite Setting: General Versus Specific Messages. Am J Health Promot. 2015;29(5):291–293.
14.
CrespoNCSallisJFConwayTLSaelensBEFrankLD. Worksite physical activity policies and environments in relation to employee physical activity. Am J Health Promot. 2011;25(4):264–271.
15.
TsigaEPanagopoulouENiakasD. Health promotion across occupational groups: one size does not fit all. Occup Med (Lond). 2015;65(7):552–557.
16.
ShaikhRASikoraASiahpushMSinghGK. Occupational variations in obesity, smoking, heavy drinking, and non-adherence to physical activity recommendations: findings from the 2010 National Health Interview Survey. Am J Ind Med. 2015;58(1):77–87.
17.
GansKMSalkeldJRisicaPM. Occupation is related to weight and lifestyle factors among employees at worksites involved in a Weight Gain Prevention Study. J Occup Environ Med. 2015;57(10):e114–e120.
18.
CabanAJLeeDJFlemingLEGomez-MarinOLeBlancWPitmanT. Obesity in US workers: The National Health Interview Survey, 1986 to 2002. Am J Public Health. 2005;95(9):1614–1622.
19.
SchultePAWagnerGROstryA. Work, obesity, and occupational safety and health. Am J Public Health. 2007;97(3):428–436.
20.
HoehnerCMBuddELMarxCMDodsonEABrownsonRC. Development and reliability testing of the Worksite and Energy Balance Survey. J Public Health Manag Pract. 2013;19(3 suppl 1): S105–S113.
21.
YangLHippJAMarxCMBrownsonRC. Occupational sitting and weight status in a diverse sample of employees in Midwest metropolitan cities, 2012-2013. Prev Chronic Dis. 2014;11:E203.
22.
FrankLDSallisJFSaelensBE. The development of a walkability index: application to the Neighborhood Quality of Life Study. Br J Sports Med. 2010;44(13):924–933.
CraigCLMarshallALSjostromM. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–1395.
25.
US Department of Health and Human Services. Physical activity guidelines advisory committee report. Washington, D.C.: Office of Disease Prevention and Health Promotion. 2008. Web site. http://www.health.gov/paguidelines/pdf/paguide.pdf. Accessed March 12, 2015.
26.
SallisJFSaelensBEFrankLD. Neighborhood built environment and income: examining multiple health outcomes. Soc Sci Med. 2009;68(7):1285–1293.
27.
DejoyDMWilsonMGGoetzelRZ. Development of the Environmental Assessment Tool (EAT) to measure organizational physical and social support for worksite obesity prevention programs. J Occup Environ Med. 2008;50(2):126–137.
28.
OldenburgBSallisJFHarrisDOwenN. Checklist of Health Promotion Environments at Worksites (CHEW): development and measurement characteristics. Am J Health Promot. 2002;16(5):288–299.
29.
US Department of Labor, Employment and Training Administration, North Carolina Department of Commerce. O*Net Resource Center. 1998. Web site. https://www.onetonline.org/. Accessed September 12, 2015.
30.
United states Office of Management and Budget. North American Industry Classification System (NAICS). 2012.
31.
R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. 2014. Web site. http://www.R-project.org/. Accessed September 12, 2015.
32.
TabakAGHippJAMarxCMYangLBrownsonRC. Which worksite supports for healthy weight do employees use?Environ Behav. 2016;48(1):131–149.
33.
PelletierKR. A review and analysis of the clinical and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: update VI 2000-2004. J Occup Environ Med. 2005;47(10):1051–1058.
34.
AldanaSG. Financial impact of health promotion programs: a comprehensive review of the literature. Am J Health Promot. 2001;15(5):296–320.
35.
GoetzelRZOzminkowskiRJ. The health and cost benefits of work site health-promotion programs. Annu Rev Public Health. 2008;29:303–323.
36.
BaickerKCutlerDSongZ. Workplace wellness programs can generate savings. Health Aff (Millwood). 2010;29(2):304–311.
37.
Consulting MHR. National survey of employer-sponsored health plans: 2006 survey report. New York, NY: Consulting MHR. 2007.
38.
McPeckWRyanMChapmanLS. Bringing wellness to the small employer. Am J Health Promot. 2009;23(5):1–10, iii.
39.
NelsonCCAllenJDMcLellanDPronkNDavisKL. Integrating health promotion and occupational safety and health in manufacturing worksites: perspectives of leaders in small-to-medium sized businesses. Work. 2015;52(1):169–176.
40.
HarrisJRHannonPABeresfordSALinnanLAMcLellanDL. Health promotion in smaller workplaces in the United States. Annu Rev Public Health. 2014;35:327–342.
41.
YanceyAK. Instant Recess: Building a Fit Nation 10 Minutes at a Time. Berkeley, CA: University of California Press; 2010.
KreuterMWFarrellDOlevitchLBrennanL. Tailoring Health Messages: Customizing Communication with Computer Technology. New York, NY: Routledge Taylor & Francis Group; 2012.
44.
HeaneyCAGoetzelRZ. A review of health-related outcomes of multi-component worksite health promotion programs. Am J Health Promot. 1997;11(4):290–307.
45.
HardenAPeersmanGOliverSMauthnerMOakleyA. A systematic review of the effectiveness of health promotion interventions in the workplace. Occup Med (Lond). 1999;49(8):540–548.
