Schilling J, Lee C Y, Faisst K, Dixon M, von Mühlinen I, Itten E, Gutzwiller F
Institute of Social and Preventive Medicine, University of Zurich.
Soz Praventivmed. 2001;46(3):195-206. doi: 10.1007/BF01324256.
Prevention at the worksite is considered increasingly important. This paper describes the methods used in a nationwide prevention campaign performed at a large Swiss bank and a Swiss industrial company. The aim of this project was to encourage general health awareness among company employees. We also aimed to provide the companies with general health analyses of their staff as a basis for future health promotion. Furthermore, new screening methods were evaluated in the field of research.
Participation in the programme was voluntary and free of charge. The programme targeted all 25,243 employees of the two companies in all regions of Switzerland. A mobile unit was available on site. The programme included a written health questionnaire and medical examinations (e.g., blood pressure, blood tests, ultrasound of the common carotid artery, osteodensitometry, examinations of the eye, etc). Analysis of individual test results, information brochures, and a telephone information service were also provided. Based on the data of the individuals, the "health status" of the employees of the two companies was analysed. The companies did not have access to the data of the individuals. The programme ran from August 1996 to August 1998.
With a total of 10,321 persons taking part in the project, the participation rate was 41%. For the different examinations offered, patterns of participation were identifiable that varied with age, hierarchical status within the concern, body mass index, and number of physical complaints of the employee. Some of the variables showed the same trend for different tests, while others showed opposite trends.
Participation in worksite health promotion programmes is dependent on a complex system of individual and structural variables that need to be considered when planning worksite health promotion programmes. Consideration of specific target population characteristics, including motivations and incentives as well as structural constraints is likely to improve participation rates in worksite health promotion programmes among employees.
工作场所的预防措施日益受到重视。本文描述了在一家大型瑞士银行和一家瑞士工业公司开展的全国性预防运动中所采用的方法。该项目的目的是提高公司员工的总体健康意识。我们还旨在为公司提供员工的总体健康分析，作为未来健康促进的基础。此外，还在研究领域对新的筛查方法进行了评估。
该项目参与是自愿且免费的。该项目针对瑞士所有地区这两家公司的25243名员工。现场设有一个移动单位。该项目包括一份书面健康问卷和医学检查（如血压、血液检测、颈总动脉超声、骨密度测定、眼部检查等）。还提供了个体检测结果分析、信息手册和电话信息服务。根据个体数据，对两家公司员工的“健康状况”进行了分析。公司无法获取个体数据。该项目从1996年8月持续至1998年8月。
共有10321人参与该项目，参与率为41%。对于所提供的不同检查，可识别出参与模式，其随年龄、公司内部层级地位、体重指数以及员工身体不适数量而有所不同。一些变量在不同检查中呈现相同趋势，而另一些则呈现相反趋势。
参与工作场所健康促进项目取决于一个复杂的个体和结构变量系统，在规划工作场所健康促进项目时需要考虑这些变量。考虑特定目标人群的特征，包括动机和激励因素以及结构限制，可能会提高员工参与工作场所健康促进项目的比率。
