Moy Foongming, Sallam Atiya A B, Wong Meelian
Department of Social and Preventive Medicine Faculty of Medicine University of Malaya 50603 Kuala Lumpur, Malaysia.
Health Promot Int. 2006 Dec;21(4):301-10. doi: 10.1093/heapro/dal031. Epub 2006 Sep 8.
The worksite is one of the key channels for the delivery of interventions to reduce chronic diseases among adult populations. It provides easy and regular access to a relatively stable population and it encourages sustained peer support. This paper reports a 2-year follow-up of the impact of a worksite health promotion programme on serum cholesterol and dietary changes among employees in a city in Malaysia. A quasi-experimental study was conducted among Malay-Muslim male security guards, with those working in a public university in Kuala Lumpur comprising the intervention group, and those working in the teaching hospital of the same university as the comparison group. They were comparable in socio-demographic characteristics. The intervention group received intensive individual and group counselling on diet, physical activity and quitting smoking. The comparison group was given minimal education on the same lifestyle changes through mail and group counselling. The intervention group showed a statistically significant reduction in their mean total cholesterol levels as compared with the comparison group, with an intervention effect of -0.38 (95% CI = -0.63, -0.14) mmol/l. The intervention group also reported a reduction in the amount of cigarettes smoked. The worksite was shown to be an effective channel for health promotion. The adoption of the new lifestyle behaviours should be supported and sustained through modification of work policies.
工作场所是向成年人群体提供干预措施以减少慢性病的关键渠道之一。它为接触相对稳定的人群提供了便利且常规的途径，并且鼓励持续的同伴支持。本文报告了一项针对马来西亚某城市一家工作场所健康促进项目对员工血清胆固醇和饮食变化影响的为期两年的随访研究。在马来族穆斯林男性保安中开展了一项准实验研究，其中在吉隆坡一所公立大学工作的保安组成干预组，在同一所大学的教学医院工作的保安作为对照组。他们在社会人口学特征方面具有可比性。干预组接受了关于饮食、体育活动和戒烟的强化个体及团体咨询。对照组通过邮件和团体咨询接受了关于相同生活方式改变的最低限度教育。与对照组相比，干预组的平均总胆固醇水平有统计学意义的降低，干预效果为-0.38（95%可信区间=-0.63，-0.14）mmol/L。干预组还报告吸烟量有所减少。工作场所被证明是健康促进的有效渠道。应通过工作政策的调整来支持并维持新的生活方式行为的采用。
