Characteristics of Participants and Nonparticipants in Worksite Health Promotion

Lewis, Robert A.; Huebner, Wendy W.; Yarborough, Charles M.

doi:10.4278/0890-1171-11.2.99

Cited by 67 publications

(55 citation statements)

References 23 publications

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“…Second, the participation rate was relatively low (41%), which might limit the generalization of the findings; yet, this participation rate is comparable with the Vitamin or dietary supplement users in Switzerland P Marques-Vidal et al MONICA surveys conducted in Switzerland and in France (Wolf et al, 1998). Further, subjects who agreed to participate might be more health conscious and at a lower risk than those who refuse (Lewis et al, 1996;Wall and Teeland, 2004;Chinn et al, 2006), which would lead to an overestimation of the true prevalence of VMS and DS use. Still, it should be noted that the distribution of age groups 35-54 and 55-75 years in the CoLaus study was comparable to the source population and there was no gender or zip code distribution difference between the source population and the CoLaus participants (data not shown).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of vitamin or dietary supplement users in Lausanne, Switzerland: the CoLaus study

et al. 2007

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Background and objectives: Vitamin þ mineral supplement (VMS) and dietary supplement (DS) use is widespread in the general population, but the motivations for such use are poorly known. The prevalence and characteristics of VMS and DS users in Lausanne, Switzerland, were thus assessed. Method: Cross-sectional study was performed including 3249 women and 2937 men (CoLaus study). VMS were defined as single or multivitamin-multimineral preparations. DS included omega-3 or omega-6 fatty acids, herbal teas, plant or animal extracts and bacterial (Lactobacillus) preparations. Calcium and iron supplements were assessed separately. Results: Twenty-six percent of the subjects reported using VMS or DS. VMS were the most frequently consumed item (16.8%), followed by DS (10%), calcium (6.6%) and iron (1.8%). Women reported a higher consumption than men. In women, VMS, DS and calcium use increased and iron use decreased with age, whereas in men only VMS and calcium intake increased with age. Multivariate analysis showed female gender, being born in Switzerland, increased age, higher education and increased physical activity to be positively related with VMS and DS. On bivariate analysis, VMS and DS users presented more frequently with arthritis, anxiety, depression and osteoporosis, but on multivariate analysis only positive relationships between DS use and anxiety/depression (odds ratio (OR) ¼ 1.40; 95% confidence interval (CI): [1.16-1.70]) and calcium and osteoporosis (OR ¼ 10.6;.4]) were found. Conclusion: VMS and DS use is common in the population of Lausanne and associated with a better health profile. Calcium supplements are taken to prevent osteoporosis, whereas the rationale for taking other VMS and DS is unclear.

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Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of vitamin or dietary supplement users in Lausanne, Switzerland: the CoLaus study

et al. 2007

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“…71,140 These factors underscore the need to specifically target employees with lower income and less education in worksite wellness programs. 141,142 Blue collar workers and lower-paid workers are, for example, more likely to smoke than those who are white collar or higher paid 143 and are less likely to participate in worksite fitness programs. 144 The combining of efforts at worksite health promotion with improved worksite protection appears to overcome some of these obstacles.…”

Section: Blue Collar/service Workersmentioning

confidence: 99%

“…Often, the most disadvantaged workers, who have the greatest need for preventive screenings, health promotion, and/or worksite wellness programs, have the least access and are the most reluctant to participate in these programs. 142,151 The fundamental causes of vulnerability are rooted in employees' daily lives and are most often beyond the scope of public health. 152 It would be beneficial for employers to engage with nontraditional partners to consider ways to reduce health disparities in communities and improve employee well-being overall.…”

Section: Additional Researchmentioning

confidence: 99%

Worksite Wellness Programs for Cardiovascular Disease Prevention

Carnethon¹,

Whitsel²,

Franklin³

et al. 2009

Circulation

221

137

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W ith Ͼ130 million Americans employed across the United States, workplaces provide a large audience for cardiovascular disease (CVD) and stroke prevention activities. Experience has shown that workplace wellness programs are an important strategy to prevent the major shared risk factors for CVD and stroke, including cigarette smoking, obesity, hypertension, dyslipidemia, physical inactivity, and diabetes. An estimated 25% to 30% of companies' medical costs per year are spent on employees with the major risk factors listed above. 1 Employees and their families share the financial burden through higher contributions to insurance, higher copayments and deductibles, reduction or elimination of coverage, and trade-offs of insurance benefits against wage or salary increases. When programs are successful, their influence extends beyond the individual workers to immediate family members, who are often exposed to their favorable lifestyle changes. Worksite wellness programs that can reduce these risk factors can ultimately decrease the physical and economic burden of chronic diseases, including CVD, stroke, and certain cancers.The societal benefits of a healthy employed population extend well beyond the workplace. As such, comprehensive, culturally sensitive health promotion within the workplace can improve the nation's health. The Healthy People 2010 goal is for 75% of all worksites, regardless of size, to develop comprehensive wellness programming. 2 However, the development of comprehensive programs takes time and resources, especially for smaller employers. Because program development and initiation can be resource intensive, the American Heart Association (AHA) supports incremental efforts to achieve a comprehensive worksite wellness program to address CVD and stroke prevention and makes the following recommendations. Summary of Recommendations Components of Wellness Programs• A comprehensive program aimed at improving employees' cardiovascular and general health should include the following: Tobacco cessation and prevention, regular physical activity, stress management/ reduction, early detection/screening, nutrition education and promotion, weight management, disease management, CVD education that includes cardiopulmonary resuscitation and automated external defibrillator training, and changes in the work environment to encourage healthy behaviors and promote occupational safety and health.• Programming should be integrated into the organizational structure of the workplace by use of the following proven strategies: Health education that relies on existing valid sources and is focused on skill development that is consistent with employees' readiness to make behavior changes; initiatives that are incorporated into existing employee assistance programs; and voluntary worksite screening linkedThe American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the ...

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“…Often, the most disadvantaged members of the population have the greatest need for preventive screenings, health promotion, or programming and have the least access to or are the most reluctant to participate in these opportunities. 108 The fundamental causes of vulnerability are rooted in issues of daily life, most often beyond the scope of traditional public health. Thus, it will be important for the public health community to consider engaging with nontraditional partners to promote increased prevention strategies and to reduce health disparities in communities.…”

Section: Addressing Disparitiesmentioning

confidence: 99%

Value of Primordial and Primary Prevention for Cardiovascular Disease

Weintraub¹,

Daniels²,

Burke³

et al. 2011

Circulation

467

265

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Abstract-The process of atherosclerosis may begin in youth and continue for decades, leading to both nonfatal and fatal cardiovascular events, including myocardial infarction, stroke, and sudden death. With primordial and primary prevention, cardiovascular disease is largely preventable. Clinical trial evidence has shown convincingly that pharmacological treatment of risk factors can prevent events. The data are less definitive but also highly suggestive that appropriate public policy and lifestyle interventions aimed at eliminating tobacco use, limiting salt consumption, encouraging physical exercise, and improving diet can prevent events. There has been concern about whether efforts aimed at primordial and primary prevention provide value (ie, whether such interventions are worth what we pay for them). Although questions about the value of therapeutics for acute disease may be addressed by cost-effectiveness analysis, the long time frames involved in evaluating preventive interventions make cost-effectiveness analysis difficult and necessarily flawed. Nonetheless, cost-effectiveness analyses reviewed in this policy statement largely suggest that public policy, community efforts, and pharmacological intervention are all likely to be cost-effective and often cost saving compared with common benchmarks. The high direct medical care and indirect costs of cardiovascular disease-approaching $450 billion a year in 2010 and projected to rise to over $1 trillion a year by 2030 -make this a critical medical and societal issue. Prevention of cardiovascular disease will also provide great value in developing a healthier, more productive society. (Circulation. 2011;124:967-990.)

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Characteristics of Participants and Nonparticipants in Worksite Health Promotion

Abstract: Efforts to increase participation by all company employees, especially among those with high-risk behaviors, would benefit all health promotion programs, particularly the on-site fitness center.

Cited by 67 publications

References 23 publications

Prevalence and characteristics of vitamin or dietary supplement users in Lausanne, Switzerland: the CoLaus study

Prevalence and characteristics of vitamin or dietary supplement users in Lausanne, Switzerland: the CoLaus study

Worksite Wellness Programs for Cardiovascular Disease Prevention

Value of Primordial and Primary Prevention for Cardiovascular Disease

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