Sorensen G, Barbeau Elizabeth M
Harvard School of Public Health, Department of Society, Human Development and Health, Dana-Farber Cancer Institute, Center for Community-based Research, USA.
Med Lav. 2006 Mar-Apr;97(2):240-57.
There is emerging evidence that coordinating and integrating worksite health promotion and occupational health and safety enhances the effectiveness of efforts to promote and protect worker health, and growing attention internationally to the importance of integrating worksite health promotion and occupational health and safety.
(1) To present the rationale and scientific evidence for coordinating and integrating worksite health promotion and occupational health and safety as a means of enhancing the effectiveness of efforts to promote and protect worker health; and (2) to discuss recommendations for research priorities and future directions.
Review of the literature, drawing mainly on studies from the United States and Europe.
The strongest evidence available supports the efficacy of this intervention model in promoting smoking cessation, particularly among blue-collar workers; some evidence additionally indicates significant effects for other health behaviors. Little evidence is available to date documenting the impact of these programs on occupational health and safety outcomes.
Priority research directions include: social epidemiological research to identify key work-related factors associated with hazardous occupational exposures and risk-related behaviors, and to identify the underlying causes of social disparities in worker health; methods development research aimed at developing both appropriate measurement tools and new intervention approaches; efficacy and effectiveness studies to examine the effects of integrated interventions on both occupational health and safety outcomes as well as health behavior changes; assessments of the process of intervention implementation, including intervention implementation evaluation, cost assessments, and process-to-outcome assessments; and dissemination and durability studies, to identify strategies to promote the sustainability and dissemination of evidence-based programs.
越来越多的证据表明，协调和整合工作场所健康促进与职业健康及安全能提高促进和保护工人健康工作的成效，并且国际上对整合工作场所健康促进与职业健康及安全的重要性的关注度也在不断提高。
（1）阐述将工作场所健康促进与职业健康及安全进行协调和整合作为提高促进和保护工人健康工作成效的一种手段的基本原理和科学证据；（2）讨论研究重点和未来方向的建议。
主要基于美国和欧洲的研究进行文献综述。
现有最有力的证据支持这种干预模式在促进戒烟方面的效果，尤其是在蓝领工人中；一些证据还表明对其他健康行为有显著影响。迄今为止，几乎没有证据记录这些项目对职业健康和安全结果的影响。
优先研究方向包括：社会流行病学研究，以确定与危险职业暴露和风险相关行为有关的关键工作相关因素，并确定工人健康方面社会差异的根本原因；方法开发研究，旨在开发合适的测量工具和新的干预方法；效果和有效性研究，以检验综合干预对职业健康和安全结果以及健康行为改变的影响；干预实施过程评估，包括干预实施评价、成本评估和过程到结果评估；以及传播和持续性研究，以确定促进循证项目可持续性和传播的策略。
