This study examines worksite health promotion (WHP) and occupational health and safety (OHS) activities by Massachusetts employers, and the extent to which workplaces with programming in one domain were more likely to have the other as well.
Design.
In 2008, the Massachusetts Department of Public Health surveyed a stratified sample of Massachusetts worksites.
Setting.
A mailed questionnaire to be completed by workplace representatives.
Subjects.
Massachusetts worksites returning the questionnaire.
Measures.
Questionnaire items about worksite characteristics, WHP, and some OHS practices.
Analysis.
We scored levels of WHP and OHS activity; examined the relationship between activities in the two domains by employer characteristics; and assessed self-reported coordination between them.
Results.
The 890 responding worksites had higher scores for OHS (mean = 48% of practices, SD = 24%) than WHP (mean = 20%, SD = 12%). The difference between these scores varied by a factor of two across industry sectors and was smallest for workforces of 100+ employees (p = .001). Employers with no unionized workers reported fewer activities in both domains (p < .0001). Only 28% of respondents reported always/often coordinating OHS and WHP efforts; these organizations had more activities overall in both domains.
Conclusion.
Larger and unionized workplaces in Massachusetts were more likely to offer both WHP and OHS programming. Self-reported coordination was somewhat associated with more activity in both domains, although levels of WHP activity varied widely.
GoetzelRZOzminkowskiRJ. The health and cost benefits of work site health-promotion programs. Annu Rev Public Health. 2008;29:303–323.
6.
LinnanLA. The business case for employee health: What we know and what we need to do. N C Med J.2010;71:69–74.
7.
DavisLSouzaK. Integrating occupational health with mainstream public health in Massachusetts: An approach to intervention. Public Health Rep.2009;124(suppl 1):5–15.
8.
DeJoyDMSouthernD. An integrative perspective on worksite health promotion. J Occup Med.1993;35:1221–1230.
9.
LaMontagneADKeegelTVallanceD. Protecting and promoting mental health in the workplace: Developing a systems approach to job stress. Health Promot J Austr. 2007;18:221–228.
10.
PunnettLCherniackMGHenningRA. CPH-NEW Research Team. A conceptual framework for integrating workplace health promotion and occupational ergonomics programs. Public Health Rep.2009;124(suppl 1):16–25.
11.
LevyBSWegmanDHBaronSLSokasR, eds. Occupational and Environmental Health: Recognizing and Preventing Disease and Injury. 6th ed.New York, NY: Oxford University Press; 2011.
12.
BelkicKLLandsbergisPASchnallPLBakerD. Is job strain a major source of cardiovascular disease risk?Scand J Work Environ Health. 2004;30:85–128.
13.
LaMontagneAKeegelTVallanceD. Job strain–attributable depression in a sample of working Australians: Assessing the contribution to health inequalities. BMC Public Health. 2008;8:181.
14.
AlbertsenKBorgVOldenburgB. A systematic review of the impact of work environment on smoking cessation, relapse and amount smoked. Prev Med.2006;43:291–305.
15.
KouvonenAKivimakiM. Job strain and adverse health behaviors: The Finnish Public Sector Study. J Occup Environ Med.2007;49:68–74.
16.
LallukkaTChandolaTRoosE. Work-family conflicts and health behaviors among British, Finnish, and Japanese employees. Int J Behav Med.2009;17:134–142.
17.
LallukkaTLahelmaERahkonenO. Associations of job strain and working overtime with adverse health behaviors and obesity: Evidence from the Whitehall II Study, Helsinki Health Study, and the Japanese Civil Servants Study. Soc Sci Med.2008;66:1681–1698.
18.
FriedenTR. A framework for public health action: The health impact pyramid. Am J Public Health. 2010;100:590–595.
19.
CherniackMGHenningRAMerchantJA. Statement on national worklife priorities. Am J Ind Med.2011;54:10–20.
20.
CherniackMGLahiriS. Barriers to implementation of workplace health interventions: An economic perspective. J Occup Environ Med.2010;52:934–942.
21.
CherniackMGMorseTHenningRA. Health promotion site selection blues: Barriers to participation and implementation. J Occup Environ Med.2010;52:626–634.
22.
AzaroffLSChampagneNJNobregaS. Getting to know you: Occupational health researchers investigate employee assistance professionals' approaches to workplace stress. J Workplace Behav Health. 2010;25:296–319.
23.
NobregaSChampagneNJAzaroffLS. Barriers to workplace stress interventions in employee assistance practice: EAP perspectives. J Workplace Behav Health. 2010;25:282–295.
24.
Massachusetts Dept of Public Health.Creating a Culture of Health: Organizational Approaches to Promoting and Protecting Employee Health: Results from the 2008 Worksite Health Improvement Survey. Boston, Mass: Massachusetts Dept of Public Health; 2009.
AddyCWilsonDKirtlandK. Associations of perceived social and physical environmental supports with physical activity and walking behavior. Am J Public Health. 2004;94:440–443.
28.
BarnettEAndersonTBlosnichJ. Heart-Healthy and Smoke Free: A Social Environment Handbook. Atlanta, Ga: US Dept of Health and Human Services, Centers for Disease Control and Prevention; 2007.
29.
BienerLGlanzKMcLerranD. Impact of the Working Well Trial on the worksite smoking and nutrition environment. Health Educ Behav. 1999;26:478–494.
30.
ChapmanLS. Guidelines for health promotion in worksite settings. Am J Health Promot. 2004;18:6–9.
31.
ChapmanLS. Meta-evaluation of worksite health promotion economic return studies: 2005 update. Am J Health Promot. 2005;19:1–11.
32.
Diabetes Prevention Program Research Group.The Diabetes Prevention Program (DPP) diabetes care. 2002;25:2165–2171.
33.
GoetzelRZGuindonAMTurshenIJOzminkowskiRJ. Health and productivity; establishing key performance measures, benchmarks, and best practices. J Occup Environ Med.2001;43:10–17.
34.
Matson-KoffmanDMGoetzelRZAnwuriW. Heart healthy and stroke free: A successful business strategies to prevent cardiovascular disease. Am J Prev Med.2005;29(5suppl 1):113–121.
35.
PelletierKR. A review and analysis of the clinical and cost effectiveness studies of comprehensive health promotion and disease management programs at the worksite: 1995–1998 update (IV). Am J Health Promot. 1999;13:333–345.
36.
Task Force on Community Preventive Services.Recommendations to increase physical activity in communities. Am J Prev Med.2002;22(4 suppl):67–72.
37.
FaghriPDKotejoshyerRCherniackMG. Assessment of worksite health promotion readiness checklist. J Occup Environ Med.2010;52:893–899.
38.
GolaszewskiTBarrDPronkN. Development of assessment tools to measure organizational support for employee health. Am J Health Behav. 2003;27:43–54.
39.
LernerDAmickBCIIIRogersWH. The Work Limitations Questionnaire. Med Care. 2001;39:72–85.
40.
OldenburgBSallisJFHarrisDOwenN. Checklist of Health Promotion Environments at Worksite (CHEW): Development and measurement characteristics. Am J Health Promot. 2002;16:288–299.
AzaroffLSLevensteinCWegmanDH. Occupational injury and illness surveillance: Conceptual filters explain underreporting. Am J Public Health. 2002;92:1421–1429.
44.
Government Accountability Office.Enhancing OSHA's Records Audit Process Could Improve the Accuracy of Worker Injury and Illness Data. Washington, DC: United States Government Accountability Office; 2009.
45.
National Institute for Occupational Safety and Health.Essential elements of effective workplace programs and policies for improving worker health and wellbeing. National Institute for Occupational Safety and Health; 2008. Available at: http://www.cdc.gov/niosh/worklife/essentials.html. Accessed August 15, 2010.
46.
SorensenGBarbeauE. Steps to a healthier US workforce. Integrating occupational health and safety and worksite health promotion: State of the science. Paper commissioned for: National Institute of Occupational Safety and Health Steps to a Healthier US Workforce Symposium; October 26–28, 2004; Washington, DC.
47.
US Dept of Labor.Workplace Injuries and Illness. Washington, DC: Bureau of Labor Statistics; 2010.
48.
WilsonMGDeJoyDMJorgensenCMCrumpCJ. Health promotion programs in small worksites: Results of a national survey. Am J Health Promot. 1999;13:358–365.
49.
StantonMWRutherfordMK. Employer-Sponsored Health Insurance: Trends in Cost and Access. Rockville, MD: Agency for Healthcare Research and Quality; 2004. Research in Action 17.
CarnethonMWhitselLPFranklinBA. Worksite wellness programs for cardiovascular disease prevention: A policy statement from the American Heart Association. Circulation. 2009;120:1725–1741.
52.
DeJoyDMWilsonMG. Organizational health promotion: Broadening the horizon of workplace health promotion. Am J Health Promot. 2003;17:337–341.
53.
SchultePAWagnerGROstryA. Work, obesity, and occupational safety and health. Am J Public Health. 2007;97:428–436.
54.
SorensenGBarbeauEHuntMEmmonsK. Reducing social disparities in tobacco use: A social-contextual model for reducing tobacco use among blue-collar workers. Am J Public Health. 2004 Feb;9(2):230–239.
World Health Organization.Healthy Workplaces: A Model for Action. Geneva, Switzerland: World Health Organization; 2010.
57.
Mass Acts ch 288, 2010.An act to promote cost containment, transparency and efficiency in the provision of quality health insurance for individuals and small businesses.
