Top

Journal of Occupational Medicine and Toxicology

Published in:

Open Access 01-12-2020 | Research

Do working characteristics influence the participation at health measures? Findings from a trial phase of workplace health promotion

Authors: Annika Reinhardt, Johanna Adams, Klaus Schöne, Dirk-Matthias Rose, Stefan Sammito

Published in: Journal of Occupational Medicine and Toxicology | Issue 1/2020

Abstract

Background

Health behavior is presumed to be influenced by organizational factors. This study analyzes how workplace characteristics influence health behavior in terms of participation at health measures.

Methods

Employees of the German Federal Ministry of Defense were surveyed at the beginning (January / February 2015) and at the end (June 2015) of the trial phase of workplace health promotion (WHP). Differences in participation of characteristic groups were calculated using Pearson’s Chi²-Test and T-Test, chances of participation were estimated using multilevel logistic regression.

Results

Employees who reported higher satisfaction with work demand participated more often in health measures (aOR: 1.02, 95%-CI = 1.01, 1.04, p < 0.001). Large amount of variance in participation can be attributed to department level.

Conclusion

Participation at WHP varies significantly between settings after controlling for individuals’ characteristics. Thus, working characteristics should be considered as a decisive factor for WHP effectiveness. There is consensus that behavioral prevention is most effective when conditional prevention is granted as behavior is presumed to be influenced by individuals´ environmental conditions. Though objective working conditions may seem similar further context characteristics which remain unconsidered may lead to different behavior patterns. This article shows that more attention must be payed to setting specific characteristics with regard to effective Occupational Health Promotion.

This project is registered by the Federal Ministry of Defense (research number: E/U2AD/ED003/EF555).

For more details of the study design see Sammito et al. (2015) [23].

As measure of internal consistency we estimated Cronbach’s Alpha (α) which is calculated as the mean item inter-correlation [24].

World Health Organization. Ottawa Charta for health promotion. Ottawa: WHO; 1986. http://www.euro.who.int/__data/assets/pdf_file/0004/129532/Ottawa_Charter.pdf. Accessed 31 Jan 2017.

World Health Organization. Health Promotion Glossary. Geneva. http://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf. Published 1998. Accessed 20 Jan 2017.

Engelmann F, Halkow A. Der Setting-Ansatz in der Gesundheitsförderung: Genealogie, Konzeption, Praxis, Evidenzbasierung. WZB Discussion Paper. No. SP I 2008-302. http://hdl.handle.net/10419/47403. Accessed 11 Nov 2016.

Wynd CA, Ryan-Wenger NA. Factors predicting health behaviors among Army reserve, active duty Army, and civilian hospital employees. Mil Med. 2004;169(12):942–7. https://doi.org/10.7205/MILMED.169.12.942.CrossRefPubMed

Sallis JF, Bauman A, Pratt M. Environmental and policy interventions to promote physical activity. Am J Prev Med. 1998;15(4):379–97.CrossRef

Dooris M. Holistic and sustainable health improvement: the contribution of the settings-based approach to health promotion. Perspectives in Public Health. 2009;129(1):29–36. https://doi.org/10.1177/1757913908098881.CrossRefPubMed

Bundeszentrale für gesundheitliche Aufklärung. Fehr R. Ökologische und humanökologische Perspektive. http://www.leitbegriffe.bzga.de/systematisches-verzeichnis/strategien-handlungsansaetze-und-methoden/oekologische-und-humanoekologische-perspektive/. Accessed 28 Nov 2016.

Engbers LH, van Poppel MNM, Chin A, Paw MJM, van Mechelen W. Worksite health promotion programs with environmental changes: a systematic review. Am J Prev Med. 2005;29(1):61–70. https://doi.org/10.1016/j.amepre.2005.03.001.CrossRefPubMed

Robroek SJW, van Lenthe FJ, van Empelen P, Burdorf A. Determinants of participation in worksite health promotion programmes: a systematic review. Int J Behav Nutr Phys Act. 2009;6:26. https://doi.org/10.1186/1479-5868-6-26.CrossRefPubMedPubMedCentral

10.

Sorensen G, Stoddard A, Ockene JK, Hunt MK, Youngstrom R. Worker participation in an integrated health promotion/health protection program: results from the WellWorks project. Health Educ Behav. 1996;23(2):191–203. https://doi.org/10.1177/109019819602300205.CrossRef

11.

Lewis RJ, Huebner WW, Yarborough CM. Characteristics of participants and nonparticipants in worksite health promotion. Am J Health Promot. 1996;11(2):99–106. https://doi.org/10.4278/0890-1171-11.2.99.CrossRefPubMed

12.

Lerman Y, Shemer J. Epidemiologic characteristics of participants and nonparticipants in health-promotion programs. J Occup Environ Med. 1996;35(8):535–8 ISSN: 1076-2752.CrossRef

13.

Lassen A, Bruselius-Jensen M, Sommer HM, Thorsen AV, Trolle E. Factors influencing participation rates and employees' attitudes toward promoting healthy eating at blue-collar worksites. Health Educ Res. 2007;22(5):727–36. https://doi.org/10.1093/her/cyl153.CrossRefPubMed

14.

Wittig P, Nöllenheidt C, Brenscheidt S; Bundesanstalt für Arbeitsschutz und Arbeitsmedizin. Grundauswertung der BIBB/BAuA-Erwerbstätigenbefragung 2012 - Männer/Frauen in Vollzeit mit den Schwerpunkten Arbeitsbedingungen, Arbeitsbelastungen und gesundheitliche Beschwerden . http://www.baua.de/de/Publikationen/Fachbeitraege/Gd73.html Published 2013. Accessed 6 Dec 2016.

15.

Köper B, Siefer A, Beerman B. Geschlechtsspezifische Differenzierung von BGF-Konzepten. In: Bandura B, Schröder H, Klose J, Macco K, editors. Fehlzeiten-Report 2010 Vielfalt managen: Gesundheit fördern – Potenziale nutzen. Berlin: Springer; 2010. p. 215–24.CrossRef

16.

Nader M. Bindung und Dropout in betrieblichen Gesundheitsförderungsprogrammen. Eine empirische Untersuchung aus der Perspektive der Dienstnehmer/innen am Beispiel des Programms „Aktiv gesund im Betreib” der ASKÖ, Masterarbeit. Wien, Universität: http://othes.univie.ac.at/29847/. Published 2013, Accessed 11 Nov 2016.

17.

Cocker KA, Bourdeaudhuij IM, Cardon GM. The effect of a multi-strategy workplace physical activity intervention promoting pedometer use and step count increase. Health Educ Res. 2010;25(4):608–19. https://doi.org/10.1093/her/cyp052.CrossRefPubMed

18.

Nöhammer E, Schusterschitz C, Stummer H. Nutzenpotenziale und Effekte betrieblicher Gesundheitsförderung. Gruppendyn Organisationsberat. 2009;40:425–39. https://doi.org/10.1007/s11612-009-0091-x.CrossRef

19.

Rojatz D, Merchant A, Nitsch M. Zentrale Einflussfaktoren der betrieblichen Gesundheitsförderung: Ein systematischer Literaturreview. Präv Gesundheitsf. 2015;2(10):134–46. https://doi.org/10.1007/s11553-015-0488-z.CrossRef

20.

Robroek SJW, Lindeboom DEM, Burdorf A. Initial and sustained participation in an internet-delivered long-term worksite health promotion program on physical activity and nutrition. J Med Internet Res. 2012;14(2). https://doi.org/10.2196/jmir.1788.CrossRef

21.

Beck D, Lenhardt U. Betriebliche Gesundheitsförderung in Deutschland: Verbreitung und Inanspruchnahme. Ergebnisse der BIBB/BAuA-Erwerbstätigenbefragungen 2006 und 2012. Gesundheitswesen. 2014;78(01):56–62. https://doi.org/10.1055/s-0034-1387744.CrossRefPubMed

22.

van Berkel J, Boot CRL, Proper KI, Bongers PM, van der Beek AJ. Process evaluation of a workplace health promotion intervention aimed at improving work engagement and energy balance. J Occup Environ Med. 2013;55(1):19–26. https://doi.org/10.1097/JOM.0b013e318269e5a6.CrossRefPubMed

23.

Sammito S, Schlattmann A, Felfe J, et al. Betriebliches Gesundheitsmanagement im Geschäftsbereich des Bundesministeriums der Verteidigung – Wissenschaftliche Begleitung eines ehrgeizigen Projektes. Wehrmed. 2015;59(8):230–5 http://www.wehrmed.de/article/2762-betriebliches-gesundheitsmanagement-im-geschaeftsbereich-des-bundesministeriums-der-verteidigung-wissenschaftliche-begleitung-eines-ehrgeizigen-projektes.html. Accessed 1 Feb 2017.

24.

Kopp J, Lois D. Sozialwissenschaftliche Datenanalyse. Eine Einführung. Wiesbaden: Springer-Verlag; 2014.CrossRef

25.

Philainen K, Santtila M, Häkkinen K, Lindholm H, Kyröläinen H. Cardiorespiratory responses induced by various military field tasks. Mil Med. 2014;179(2):218–24.CrossRef

26.

Jonas WB, O'Connor FG, Deuster P, et al. Why Total force fitness? Mil Med. 2010;175(1):6–13.CrossRef

27.

Bergmann BP, Mackay DF, Pell JP. Long-term consequences of alcohol misuse in Scottish military veterans. Occup Environ Med. 2015;72:28–32. https://doi.org/10.1136/oemed-2014-102234.CrossRef

28.

McDowell MA, van Hubbard S. Adherence to national diet and physical activity objectives among active duty military personnel: what are the implications? J Acad Nutr Dietetics. 2013;113(7):903–6. https://doi.org/10.1016/j.jand.2013.03.003.CrossRef

29.

Naghii MR. The importance of body weight Management for Military Personnel. Mil Med. 2006;171(6):550–5. https://doi.org/10.7205/MILMED.171.6.550.CrossRefPubMed

30.

Plat MJ, Frings-Dresen MHW, Sluiter JK. A systematic review of job-specific workers’ health surveillance activities for fire-fighting, ambulance, police and military personnel. Int Arch Occup Environ Health. 2011;84(8):839–57. https://doi.org/10.1007/s00420-011-0614-y.CrossRefPubMed

31.

Bahadori M, Sanaeinasab H, Ghanei M, Tavana AM, Ravangard R, Karamali M. The social determinants of health in military forces of Iran: a qualitative study. J Environ Public Health. 2015. https://doi.org/10.1155/2015/524341.CrossRef

Title: Do working characteristics influence the participation at health measures? Findings from a trial phase of workplace health promotion
Authors: Annika Reinhardt
Johanna Adams
Klaus Schöne
Dirk-Matthias Rose
Stefan Sammito
Publication date: 01-12-2020
Publisher: BioMed Central
Published in: Journal of Occupational Medicine and Toxicology / Issue 1/2020
Electronic ISSN: 1745-6673
DOI: https://doi.org/10.1186/s12995-020-00262-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Do working characteristics influence the participation at health measures? Findings from a trial phase of workplace health promotion

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2020

Research trends and scientific analysis of publications on burnout and compassion fatigue among healthcare providers

Heart rate variability and cardiac repolarization after exposure to zinc oxide nanoparticles in healthy adults

Ultrafine particles in scanning sprays: a standardized examination of five powders used for dental reconstruction

Vibration-induced injuries in workers exposed to transient and high frequency vibrations

Promoting factors and barriers to participation in working life for people with spinal cord injury

Correction to: Risk of lymphoma subtypes by occupational exposure in southern Italy