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Availability of and Participation in Workplace Health Promotion Programs by Sociodemographic, Occupation, and Work Organization Characteristics in US Workers.
Am J Health Promot. 2019 09; 33(7):1028-1038.AJ

Abstract

PURPOSE

To examine how the availability of and participation in workplace health promotion programs (WHPPs) vary as a function of sociodemographic, occupation, and work organization characteristics.

DESIGN

Cross-sectional study.

SETTING

2015 National Health Interview Survey and Occupational Health Supplement.

PARTICIPANTS

The study sample included 17 469 employed adults who completed the WHPP questions.

MEASURES

The 2 dependent outcome measures were availability of WHPPs and participation in these programs when available. Independent variables included occupation and 8 work organization and employment characteristics: company size, hours worked, supervisory responsibility, hourly pay, paid sick leave, health insurance offered by employer, work schedule, and work arrangement.

ANALYSIS

Poisson regression analyses were conducted with SUDAAN 11.0.1.

RESULTS

Overall, 57.8% of 46.6% employees who have WHPPs available reported participating in these programs. This study found that adults who worked ≤20 h/wk, worked regular night shifts, were paid by the hour, or worked for temporary agencies were less likely to participate in WHPPs. Workers who supervised others were 13% more likely to participate than nonsupervisors. Borderline associations were seen for having access to employer-sponsored health insurance and working at a site with <10 employees.

CONCLUSION

Despite the potential for improving physical and mental health, only 58% of US workers participated in WHPPs. Since barriers to WHPP participation (eg, time constraints, lack of awareness, and no perceived need) may vary across occupations and work organization characteristics, employers should tailor WHPPs based on their specific work organization characteristics to maximize participation.

Authors+Show Affiliations

1 Division of Surveillance, Hazard Evaluation and Field Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, OH, USA.1 Division of Surveillance, Hazard Evaluation and Field Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, OH, USA.2 Division of Applied Research and Technology, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH, USA.1 Division of Surveillance, Hazard Evaluation and Field Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, OH, USA.

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

31014070

Citation

Tsai, Rebecca, et al. "Availability of and Participation in Workplace Health Promotion Programs By Sociodemographic, Occupation, and Work Organization Characteristics in US Workers." American Journal of Health Promotion : AJHP, vol. 33, no. 7, 2019, pp. 1028-1038.
Tsai R, Alterman T, Grosch JW, et al. Availability of and Participation in Workplace Health Promotion Programs by Sociodemographic, Occupation, and Work Organization Characteristics in US Workers. Am J Health Promot. 2019;33(7):1028-1038.
Tsai, R., Alterman, T., Grosch, J. W., & Luckhaupt, S. E. (2019). Availability of and Participation in Workplace Health Promotion Programs by Sociodemographic, Occupation, and Work Organization Characteristics in US Workers. American Journal of Health Promotion : AJHP, 33(7), 1028-1038. https://doi.org/10.1177/0890117119844478
Tsai R, et al. Availability of and Participation in Workplace Health Promotion Programs By Sociodemographic, Occupation, and Work Organization Characteristics in US Workers. Am J Health Promot. 2019;33(7):1028-1038. PubMed PMID: 31014070.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Availability of and Participation in Workplace Health Promotion Programs by Sociodemographic, Occupation, and Work Organization Characteristics in US Workers. AU - Tsai,Rebecca, AU - Alterman,Toni, AU - Grosch,James W, AU - Luckhaupt,Sara E, Y1 - 2019/04/23/ PY - 2019/4/25/pubmed PY - 2020/7/11/medline PY - 2019/4/25/entrez KW - National Health Interview Survey KW - occupation KW - surveillance KW - work organization KW - workplace health promotion SP - 1028 EP - 1038 JF - American journal of health promotion : AJHP JO - Am J Health Promot VL - 33 IS - 7 N2 - PURPOSE: To examine how the availability of and participation in workplace health promotion programs (WHPPs) vary as a function of sociodemographic, occupation, and work organization characteristics. DESIGN: Cross-sectional study. SETTING: 2015 National Health Interview Survey and Occupational Health Supplement. PARTICIPANTS: The study sample included 17 469 employed adults who completed the WHPP questions. MEASURES: The 2 dependent outcome measures were availability of WHPPs and participation in these programs when available. Independent variables included occupation and 8 work organization and employment characteristics: company size, hours worked, supervisory responsibility, hourly pay, paid sick leave, health insurance offered by employer, work schedule, and work arrangement. ANALYSIS: Poisson regression analyses were conducted with SUDAAN 11.0.1. RESULTS: Overall, 57.8% of 46.6% employees who have WHPPs available reported participating in these programs. This study found that adults who worked ≤20 h/wk, worked regular night shifts, were paid by the hour, or worked for temporary agencies were less likely to participate in WHPPs. Workers who supervised others were 13% more likely to participate than nonsupervisors. Borderline associations were seen for having access to employer-sponsored health insurance and working at a site with <10 employees. CONCLUSION: Despite the potential for improving physical and mental health, only 58% of US workers participated in WHPPs. Since barriers to WHPP participation (eg, time constraints, lack of awareness, and no perceived need) may vary across occupations and work organization characteristics, employers should tailor WHPPs based on their specific work organization characteristics to maximize participation. SN - 2168-6602 UR - https://www.unboundmedicine.com/medline/citation/31014070/Availability_of_and_Participation_in_Workplace_Health_Promotion_Programs_by_Sociodemographic,_Occupation,_and_Work_Organization_Characteristics_in_US_Workers L2 - https://journals.sagepub.com/doi/10.1177/0890117119844478?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -