Worksite Health Promotion for Low-Wage Workers: A Scoping Literature Review

Objective: To determine: (1) What research has been done on health promotion interventions for low-wage workers and (2) what factors are associated with effective low-wage workers’ health promotion programs. Data Source: This review includes articles from PubMed and PsychINFO published in or before July 2016. Study Inclusion/Exclusion Criteria: The search yielded 130 unique articles, 35 met the inclusion criteria: (1) being conducted in the United States, (2) including an intervention or empirical data around health promotion among adult low-wage workers, and (3) measuring changes in low-wage worker health. Data Extraction: Central features of the selected studies were extracted, including the theoretical foundation; study design; health promotion intervention content and delivery format; intervention-targeted outcomes; sample characteristics; and work, occupational, and industry characteristics. Data Analysis: Consistent with a scoping review, we used a descriptive, content analysis approach to analyze extracted data. All authors agreed upon emergent themes and 2 authors independently coded data extracted from each article. Results: The results suggest that the research on low-wage workers’ health promotion is limited, but increasing, and that low-wage workers have limited access to and utilization of worksite health promotion programs. Conclusion: Workplace health promotion programs could have a positive effect on low-wage workers, but more work is needed to understand how to expand access, what drives participation, and which delivery mechanisms are most effective.

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Empirical Work on Workforce Participation in Workplace Health Promotion Programs in Indian Corporate Sector

International Journal of Recent Technology and Engineering - 2 ◽

10.35940/ijrte.f7885.059120 ◽

2020 ◽

Vol 9 (1) ◽

pp. 518-526

Keyword(s):

Health Promotion ◽

Workplace Health Promotion ◽

Empirical Work ◽

Worksite Health Promotion ◽

Least Square ◽

Workplace Health ◽

Corporate Sector ◽

Health Promotion Programs ◽

Worksite Health ◽

Indian Industries

The present study tries to investigate and analyze the key determinants that influence an employee’s intention regarding participation in Worksite Health Promotion programs in Indian Corporate Sector. The study also tries to find out the applicability and validity of theory of planned behavior (Ajzen, 1991) in explaining the behavior of employees in terms of participation in Worksite health promotion programs in the Indian Corporate Sector. The study adopts the primary survey to collect the responses of 256 sample respondents collected through online questionnaire survey from Indian industries. After assessing the reliability of the variables followed by variable extraction using principle component analysis, the responses are analyzed using ordinary least square method. The findings of the study suggest that three factors such as environment at workplace, influence of peers and personal beliefs play a significant role in affecting the employee’s participation in workplace health programs.

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Worksite health promotion programs in the United States: progress, lessons and challenges

Health Promotion International ◽

10.1093/heapro/5.1.75 ◽

1990 ◽

Vol 5 (1) ◽

pp. 75-84 ◽

Cited By ~ 25

Author(s):

JONATHAN E. FIELDING

Keyword(s):

United States ◽

Health Promotion ◽

The United States ◽

Worksite Health Promotion ◽

Health Promotion Programs ◽

Worksite Health

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Dissemination and Implementation Research in Worksites

10.1093/oso/9780190683214.003.0025 ◽

2017 ◽

Author(s):

Peggy A. Hannon ◽

Jeffrey R. Harris

Keyword(s):

Health Promotion ◽

Implementation Research ◽

Workplace Health Promotion ◽

The United States ◽

Dissemination And Implementation ◽

Workplace Health ◽

For Profit ◽

Health Promotion Programs ◽

Dissemination And Implementation Research ◽

Workplace Health Promotion Programs

The workplace provides an opportunity to reach more than 60% of adults in the United States with evidence-based health promotion. There is substantial research on the effectiveness of specific workplace health promotion programs, but comparatively little research on disseminating and implementing effective programs. Most of the for-profit vendors are focused on working with large employers and with good reason—they can reach large numbers of people more efficiently. Unfortunately, this focus on large employers leaves almost half of the workforce out, and that half is disproportionately at risk for health disparities. There are unique opportunities in workplace health promotion dissemination and implementation research for partnerships between academic researchers, employers, and both for-profit and not-for-profit vendors to identify (and create) effective workplace health promotion programs, tailor them to meet the needs and capacities of employers, and evaluate impact and use the results to improve the programs and increase their reach.

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Adoption and Implementation Barriers for Worksite Health Programs in the United States

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182212030 ◽

2021 ◽

Vol 18 (22) ◽

pp. 12030

Author(s):

Marc Weinstein ◽

Kalila Cheddie

Keyword(s):

Health Promotion ◽

Workplace Health Promotion ◽

The United States ◽

Management Support ◽

Workplace Health ◽

Implementation Barriers ◽

Policy Makers ◽

Adoption And Implementation ◽

Qualified Personnel ◽

Worksite Health

Worksite health promotion programs have been identified as having the potential to mitigate chronic health risks. In the most recent 2017 U.S. CDC survey of workplace health promotion, respondents identified several perceived barriers related to program adoption and implementation. The analysis indicates that challenges negatively associated with having worksite program were lack of senior management support (OR = 0.50, 95% CI: 0.32–0.78), lack of qualified vendors (OR = 0.56, 95% CI: 0.4–0.79), lack of qualified personnel (OR = 0.56, 95% CI: 0.35–0.73), and cost (OR = 0.58, 95% CI: 0.39–0.88). Challenges associated with having a program were lack of employee interest (OR = 2.09, 95% CI = 1.44–3.03), lack of space (OR = 1.76, 95% CI: 1.26–2.48), and demonstrating program results (OR = 2.09, 95% CI = 1.44–3.03). These findings can provide insights to policy makers, insurers, and employers seeking to implement workplace-based health promotion initiatives.

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Prevalence of Workplace Health Practices and Policies in Hospitals: Results From the Workplace Health in America Study

American Journal of Health Promotion ◽

10.1177/0890117120905232 ◽

2020 ◽

Vol 34 (8) ◽

pp. 867-875

Author(s):

Laura Mulder ◽

Brook Belay ◽

Qaiser Mukhtar ◽

Jason E. Lang ◽

Diane Harris ◽

...

Keyword(s):

Health Promotion ◽

Occupational Safety ◽

Wellness Programs ◽

The United States ◽

Worksite Health Promotion ◽

Self Report ◽

Health Promotion Program ◽

Workplace Health ◽

Cross Sectional ◽

Worksite Health

Purpose: To provide a nationally representative description on the prevalences of policies, practices, programs, and supports relating to worksite wellness in US hospitals. Design: Cross-sectional, self-report of hospitals participating in Workplace Health in America (WHA) survey from November 2016 through September 2017. Setting: Hospitals across the United States. Participants: Random sample of 338 eligible hospitals participating in the WHA survey. Measures: We used previous items from the 2004 National Worksite Health Promotion survey. Key measures included presence of Worksite Health Promotion programs, evidence-based strategies, health screenings, disease management programs, incentives, work-life policies, barriers to health promotion program implementation, and occupational safety and health. Analysis: Independent variables included hospital characteristics (eg, size). Dependent characteristics included worksite health promotion components. Descriptive statistics and χ2 analyses were used. Results: Eighty-two percent of hospitals offered a wellness programs during the previous year with larger hospitals more likely than smaller hospitals to offer programs ( P < .01). Among hospitals with wellness programs, 69% offered nutrition programs, 74% offered physical activity (PA) programs, and 84% had a policy to restrict all tobacco use. Among those with cafeterias or vending machines, 40% had a policy for healthier foods. Only 47% and 25% of hospitals offered lactation support or healthy sleep programs, respectively. Conclusion: Most hospitals offer wellness programs. However, there remain hospitals that do not offer wellness programs. Among those that have wellness programs, most offer supports for nutrition, PA, and tobacco control. Few hospitals offered programs on healthy sleep or lactation support.

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Truckies and the Australian transport industry: Managers’ perspectives about enablers and inhibitors to workplace health promotion

Work ◽

10.3233/wor-203365 ◽

2021 ◽

pp. 1-9

Author(s):

Marguerite C. Sendall ◽

Alison Brodie ◽

Laura K. McCosker ◽

Phil Crane ◽

Marylou Fleming ◽

...

Keyword(s):

Health Promotion ◽

Action Research ◽

Participatory Action Research ◽

Workplace Health Promotion ◽

Road Transport ◽

Successful Implementation ◽

Workplace Health ◽

Participatory Action ◽

Transport Industry ◽

Health Promotion Interventions

BACKGROUND: There is little published research about managers’ views on implementing and embedding workplace health promotion interventions. OBJECTIVE: To shed light on research-to-practice challenges in implementing workplace health promotion interventions in the Australian road transport industry. METHODS: In this Participatory Action Research project, managers from small-to-midsized companies in the Australian road transport industry were asked their views about enablers and barriers to implementing nutrition and physical activity interventions in their workplace. RESULTS: Managers identified practical assistance with resources, ideas, and staffing as being key enablers to implementation. Barriers included time restraints, worker age and lack of interest, and workplace issues relating to costs and resources. CONCLUSION: Manager perspectives add new insights about successful implementation of workplace health promotion. A Participatory Action Research approach allows managers to develop their own ideas for adapting interventions to suit their workplace. These findings add to a small body of knowledge of managers’ views about implementing workplace health promotion in small-to-midsized road transport companies - a relatively unexplored group. Managers highlight the importance of time constraints and worker availability when designing interventions for the road transport industry. Managers require a good understanding of the workplaces’ socio-cultural context for successful health promotion and health behaviour change.

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Identifying Health and Safety Risks for Childcare Workers

AAOHN Journal ◽

10.1177/216507990705500804 ◽

2007 ◽

Vol 55 (8) ◽

pp. 321-325 ◽

Cited By ~ 8

Author(s):

Belinda J. McGrath

Keyword(s):

Health Promotion ◽

Occupational Health ◽

Workplace Health Promotion ◽

Health And Safety ◽

Workplace Health ◽

Safety Issues ◽

Safety Risks ◽

Health Promotion Programs ◽

Childcare Workers ◽

Health And Safety Risks

Childcare workers are exposed to several health and safety risks in their work environment, the most common being infectious diseases, musculoskeletal injuries, accidents, and occupational stress. Pregnant childcare workers have an additional risk of potential harm to the fetus. Occupational health nurses can work collaboratively with childcare workers to reduce these risks and provide workplace health promotion programs. This article explores the occupational health and safety issues for childcare workers and suggests health promotion strategies that could be implemented by occupational health nurses working in this arena.

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