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一项关于工作场所综合干预及其对生活方式、健康和病假影响的研究:AHA研究

A comprehensive workplace intervention and its outcome with regard to lifestyle, health and sick leave: the AHA study.

作者信息

Bergström Gunnar, Björklund Christina, Fried Ingegärd, Lisspers Jan, Nathell Lennart, Hermansson Ulric, Helander Anders, Bodin Lennart, Jensen Irene B

机构信息

Section for Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.

出版信息

Work. 2008;31(2):167-80.

Abstract

This study is a prospective multicentre cohort study entitled Work and Health in the Processing and Engineering Industries, the AHA Study (AHA is the Swedish abbreviation for the study). Four large workplaces in Sweden participated during the years from 2000 to 2003. The present report has two objectives: (1) to present a comprehensive occupational health intervention programme and (2) to evaluate this programme with a focus on lifestyle (smoking and exercise), health related quality of life (HRQoL) and sick leave. Interventions were provided on an individual and group level, including evidence-based methods for four health/focus areas (individual level) and a group intervention based on a survey-feedback methodology. The analyses in this report were exclusively employed at an organizational level. The proportion of smokers decreased at three companies and the course of the HRQoL was advantageous at two of the companies as compared to a gainfully employed reference group. A significant decrease in sick leave was revealed at one company, whereas a break in an ascending sick-leave trend appeared at a second company as compared to their respective corporate groups. This comprehensive workplace intervention programme appears to have had positive effects on smoking habits, HRQoL and sick leave.

摘要

本研究是一项前瞻性多中心队列研究,名为“加工与工程行业的工作与健康:AHA研究”(AHA是该研究的瑞典语缩写)。2000年至2003年期间,瑞典的四个大型工作场所参与了研究。本报告有两个目标:(1)介绍一项全面的职业健康干预计划;(2)以生活方式(吸烟和运动)、健康相关生活质量(HRQoL)和病假为重点评估该计划。干预措施在个人和团体层面提供,包括针对四个健康/重点领域的循证方法(个人层面)以及基于调查反馈方法的团体干预。本报告中的分析仅在组织层面进行。与有酬就业参考组相比,三家公司的吸烟者比例下降,两家公司的HRQoL状况有利。一家公司的病假显著减少,而另一家公司与其各自的公司组相比,病假上升趋势出现中断。这项全面的工作场所干预计划似乎对吸烟习惯、HRQoL和病假产生了积极影响。

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