Graduate School of Medical Science, Kitasato University, Sagamihara, Japan.
Tohoku J Exp Med. 2009 Nov;219(3):231-41. doi: 10.1620/tjem.219.231.
Japanese law stipulates that workers undergo worksite health checkups. If workers do not use their results of those checkups in their daily health management, the merit of this law will not be realized. Therefore, it is important to identify the predictors to improve their motivation to use the results of health checkups. We investigated those predictors by using a questionnaire survey. Multiple linear regression analysis was conducted for 1,791 subjects (1,530 males and 261 females) at a Japanese manufacturing plant. The average age of enrolled subjects was 42.0 years (standard deviation [S.D.], 13.4 years). The average age of male subjects was 42.3 (S.D., 13.8) years and that of the female subjects was 39.9 (S.D., 10.4) years. The results revealed that as workers advanced in age, they maintained their motivation more to use those results. Women maintained their motivation more than men. Workers who believe that their health depends on the influence from physicians and healthcare providers in hospitals felt motivated. Workers who realized the effectiveness of those checkups to maintain good health, who knew how to adopt an appropriate lifestyle, and who were given consultations with physicians when they received their health checkups, felt motivated. Regarding the healthcare organizations' and occupational health staffs' responsibilities, only detecting illness early is not sufficient. Those healthcare providers must value more primary prevention. Our findings can be applied to various occupational health activities, including health consultations, health education seminars, and providing appropriate instruction on how to interpret the results of the worksite health checkups.
日本法律规定，工人要进行工作场所健康检查。如果工人在日常健康管理中不使用这些检查结果，那么这项法律的意义就无法体现。因此，确定提高工人使用健康检查结果的动机的预测因素非常重要。我们通过问卷调查来研究这些预测因素。我们对一家日本制造工厂的 1791 名员工（1530 名男性和 261 名女性）进行了多元线性回归分析。纳入研究的员工平均年龄为 42.0 岁（标准差[SD]为 13.4 岁）。男性员工的平均年龄为 42.3 岁（SD，13.8 岁），女性员工的平均年龄为 39.9 岁（SD，10.4 岁）。结果表明，随着工人年龄的增长，他们保持使用这些结果的动机越强。女性比男性更能保持使用的动力。认为自己的健康取决于医生和医院医疗保健提供者的影响的工人感到有动力。认识到这些检查对保持健康有效性、知道如何采用适当生活方式、并在接受健康检查时获得医生咨询的工人感到有动力。关于医疗保健组织和职业健康工作人员的责任，仅仅早期发现疾病是不够的。这些医疗保健提供者必须更加重视初级预防。我们的研究结果可以应用于各种职业健康活动，包括健康咨询、健康教育研讨会以及提供如何解释工作场所健康检查结果的适当指导。
