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首页> 外文期刊>Frontiers in Public Health >A Corporate Wellness Program and Nursing Home Employees' Health
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A Corporate Wellness Program and Nursing Home Employees' Health

机译：企业健康计划和护理家庭员工的健康

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Background: Many employed Americans suffer from chronic conditions like obesity, diabetes, and cardiovascular diseases. Worksite wellness programs provide opportunities to introduce health promotion strategies. While there is evidence of the effectiveness of workplace health promotion, this is tempered by concern that benefits may be less available to low-wage workers with inflexible working conditions. Objective: The aim was to evaluate a workplace health promotion (WHP) in the long-term care sector (skilled nursing facilities). Methods: Nursing home employees from 18 facilities within a single company were surveyed by a standardized, self-administered questionnaire. A company-sponsored WHP program was offered to the facilities, which were free to take it up or not. We categorized the facilities by level of program adoption. Cross-sectional associations were estimated between program category and prevalence of individual-level worker health indicators, adjusting for center-level working conditions. Results: A total of 1,589 workers in 5 job categories completed the survey. Average levels of psychological demands and social support at work were relatively high. Supervisor support stood out as higher in centers with well-developed WHP programs, compared to centers with no programs. There were no differences among program levels for most health outcomes. Workers in centers with well-developed programs had slightly lower average body mass index and (unexpectedly) slightly lower prevalence of non-smoking and regular aerobic exercise. Conclusions: Only small health benefits were observed from well-developed programs and working conditions did not appear to confound the negative results. This low-intensity, low-resourced workplace health promotion program may have benefited a few individuals but seems to have had only modest influence on average levels of the measured health indicators. Many nursing home employees experience obstacles to health behaviors; approaches that provide more environmental and economic supports for healthy behaviors, such as Total Worker Health ?, may yield larger health benefits.
机译：背景：许多雇用的美国人患有肥胖，糖尿病和心血管疾病等慢性条件。工地健康计划提供了引入健康促进策略的机会。虽然有证据表明工作场所健康促进的有效性，但这是通过担心的努力来锻炼，低工资工人可能较低的工作条件不稳定。目的：目的是在长期护理部门（技术护理设施）中评估工作场所健康促进（WHP）。方法：通过标准化，自适应的问卷调查，从18家设施中获得来自18个设施的养老院员工。公司赞助的WHP计划提供给设施，可以自由地拿起或不接受。我们按计划采用水平分类设施。计划类别与个人级工人健康指标的普遍存在之间估计横截面关联，调整中心级工作条件。结果：共有1,589名工作人员完成了调查。工作的平均心理需求和社会支持的水平相对较高。与没有节目的中心相比，主管支持在具有良好开发的WHP计划的中心突出。对于大多数健康结果，方案水平没有差异。具有良好开发的计划的中心的工人平均体重指数略低于平均较低，（意外）略微较低的禁烟和常规有氧运动。结论：从发达的方案中只观察到少量的健康效益，工作条件似乎并未混淆负面结果。这种低强度，低资源的工作场所健康促销计划可能会受益一些人，但似乎只对测量健康指标的平均水平影响较大。许多护理家庭员工会对健康行为体验障碍;为健康行为提供更多环境和经济支持的方法，例如总工作人员健康？，可能会产生更大的健康益处。

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