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Improving the health of male, blue collar construction workers: a social ecological perspective

机译：改善男性蓝领建筑工人的健康：社会生态学的观点

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Construction workers are a high risk group for poor health and occupational disability. A participatory action research (PAR) project was undertaken at construction sites in Queensland, Australia. Using the PAR framework, a needs-based health promotion planning model was implemented. Health promotion measures were designed to address the 'SNAPO' health risk factors (i.e. smoking, nutrition, alcohol consumption, insufficient physical exercise and overweight/obesity). At the largest site participating in the research, preliminary health assessments revealed levels of physical health that were comparable with those of the general Australian population. The construction workers' mental health was poorer than that of the general Australian population. A consultation workshop with a representative group of workers at the site identified healthy eating, smoking cessation and physical exercise as priority areas for intervention. Several health promotion measures addressing these issues were implemented, including a quit smoking programme, a 'healthy options' menu in the site canteen, healthy eating and cooking workshops and onsite yoga and stretching sessions. A subset of workers at the site reported their health behaviour in weekly 'logs'. The log data revealed fluctuations in health behaviour over a 14-week period. Evaluation interviews and a focus group revealed environmental impediments to the adoption of healthy lifestyle behaviours. Workers identified the need to provide a work environment that is supportive of healthy behaviour as critical to the effectiveness of specific health promotion measures.
机译：建筑工人是健康不良和职业残疾的高风险人群。在澳大利亚昆士兰州的建筑工地进行了一项参与性行动研究（PAR）项目。使用PAR框架，实施了基于需求的健康促进计划模型。健康促进措施旨在解决“ SNAPO”健康风险因素（即吸烟，营养，饮酒，体育锻炼不足和超重/肥胖）。在参与研究的最大场所，初步健康评估显示，身体健康水平可与澳大利亚普通人群相媲美。建筑工人的心理健康状况较澳大利亚普通民众差。在现场与代表工人小组举行的一次咨询研讨会将健康饮食，戒烟和体育锻炼确定为干预的重点领域。实施了针对这些问题的多项健康促进措施，包括戒烟计划，现场食堂的“健康选择”菜单，健康饮食培训班以及现场瑜伽和伸展运动。现场的一部分工人在每周的“日志”中报告了他们的健康行为。日志数据显示了14周内健康行为的波动。评估访谈和一个焦点小组揭示了采用健康生活方式的环境障碍。工人认为有必要提供一种支持健康行为的工作环境，这对于特定健康促进措施的有效性至关重要。

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