Linnan L A, Sorensen G, Colditz G, Klar D N, Emmons K M
University of North Carolina at Chapel Hill, School of Public Health, 27599, USA.
Health Educ Behav. 2001 Oct;28(5):591-607. doi: 10.1177/109019810102800506.
Low participation at the employee or worksite level limits the potential public health impact of worksite-based interventions. Ecological models suggest that multiple levels of influence operate to determine participation patterns in worksite health promotion programs. Most investigations into the determinants of low participation study the intrapersonal, interpersonal, and institutional influences on employee participation. Community- and policy-level influences have not received attention, nor has consideration been given to worksite-level participation issues. The purpose of this article is to discuss one macrosocial theoretical perspective--political economy of health--that may guide practitioners and researchers interested in addressing the community- and policy-level determinants of participation in worksite health promotion programs. The authors argue that using theory to investigate the full spectrum of determinants offers a more complete range of intervention and research options for maximizing employee and worksite levels of participation.
员工层面或工作场所层面的低参与度限制了基于工作场所的干预措施对公众健康的潜在影响。生态模型表明，多种影响层面共同作用，决定了工作场所健康促进项目的参与模式。大多数关于低参与度决定因素的调查研究的是个人、人际和机构层面因素对员工参与的影响。社区和政策层面的影响尚未得到关注，工作场所层面的参与问题也未得到考虑。本文旨在探讨一种宏观社会理论视角——健康政治经济学，它可能为关注工作场所健康促进项目参与的社区和政策层面决定因素的从业者和研究人员提供指导。作者认为，运用理论来研究所有决定因素，可为最大限度提高员工和工作场所层面的参与度提供更全面的干预和研究选择。
