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Objective: To study to what extent the work environment influences the use of worksite health promotion (WHP). Methods: Data came from the European Sustainable Workforce survey, with data from employees and managers in 259 organizations. We analyze use of three types of WHP (healthy menus, sports facilities, and health checks) using multilevel logistic models. Results: Employees are more likely to use each type of WHP when a larger share of their direct colleagues do so. Use of healthy menus is more likely among employees who work more hours, have more autonomy, and work in organizations with less work-oriented culture. Autonomy is also associated with more use of sports facilities, while work-oriented culture is negatively related to use of health checks. Conclusions: Our results suggest the work environment should be included when studying WHP use.

Objective:To study whether workplace social relations explain use of worksite health promotion (WHP), by examining colleagues’ and team managers’ WHP encouragement of a healthy lifestyle, and colleague WHP uptake.Methods:Multilevel data came from the second wave of the European Sustainable Workforce Survey (4345 employees of 402 team in 9 countries). Linear probability models were used to test use of two types of WHP: healthy menus and sport facilities.Results:Employees are more likely to use healthy menus and sport facilities when more colleagues do so too and when colleagues encourage a healthy lifestyle. Surprisingly, encouragement by one's manager plays no role.Conclusions:Social contact among colleagues can facilitate WHP use, and WHP initiatives should pay attention to the influential role of colleagues.