University at Buffalo, The State University of New York, Social and Preventive Medicine, Buffalo, NY 14214, USA.
Am J Health Promot. 2012 May-Jun;26(5):301-4. doi: 10.4278/ajhp.101118-ARB-381.
Recognition regarding the importance of health culture in the worksite health promotion literature is growing; however, little empirical evidence exists to guide programmatic or research efforts. The purpose of this study is to examine the relationship between the health supporting structural features of the workplace and perceived health culture.
Cross-sectional.
Twenty-one worksites with culture data from 2467 employees from Western New York.
The Heart Check (HC) and Lifegain Health Culture Audit (LHCA) were used to assess worksite environment and worksite health culture, respectively.
Pearson r was used to examine the associations between HC factors and LHCA mean scores. Multiple linear regression was used to predict LHCA mean scores from selected HC factors.
Adjusting for age and gender, several significant correlations between HC and LHCA scores were identified, ranging from r = .54 (p < .05) to r = .72 (p < .001). The HC Environmental Structure factor (HCES) and HC Communication factor (HCC) were significantly correlated to LHCA scores (r = .55 and r = .72, respectively; p < .01) but not to each other. A regression model combining HCES and HCC was found to be predictive of LHCA score (R(2) = .69, p < .001).
Modifiable components of the worksite environment are strongly and positively related to employee perceptions of the worksite health culture.
越来越多的人认识到健康文化在工作场所健康促进文献中的重要性；然而，几乎没有实证证据可以指导计划或研究工作。本研究的目的是检验工作场所支持健康的结构特征与感知健康文化之间的关系。
横断面研究。
来自纽约西部的 21 个工作场所，共有 2467 名员工提供了文化数据。
使用 Heart Check（HC）和 Lifegain Health Culture Audit（LHCA）分别评估工作场所环境和工作场所健康文化。
采用 Pearson r 检验 HC 因素与 LHCA 平均得分之间的相关性。采用多元线性回归预测从选定的 HC 因素到 LHCA 平均得分。
调整年龄和性别后，发现 HC 和 LHCA 评分之间存在几个显著的相关性，相关系数范围从 r =.54（p <.05）到 r =.72（p <.001）。HC 环境结构因素（HCES）和 HC 沟通因素（HCC）与 LHCA 评分显著相关（r =.55 和 r =.72，分别为 p <.01），但彼此之间不相关。结合 HCES 和 HCC 的回归模型被发现可以预测 LHCA 评分（R² =.69，p <.001）。
工作场所环境的可改变部分与员工对工作场所健康文化的感知密切相关，呈正相关。
