Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Division of Public Health, Nebraska Department of Health and Human Services, Lincoln, NE 68509, USA.
Int J Environ Res Public Health. 2019 Jul 11;16(14):2475. doi: 10.3390/ijerph16142475.
Chronic diseases have added to the economic burden of the U.S. healthcare system. Most Americans spend most of their waking time at work, thereby, presenting employers with an opportunity to protect and promote health. The purpose of this study was to assess the implementation of workplace health governance and safety strategies among worksites in the State of Nebraska, over time and by industry sector using a randomized survey. Weighted percentages were compared by year, industry sector, and worksite size. Over the three study periods, 4784 responses were collected from worksite representatives. Adoption of workplace health governance and planning strategies increased over time and significantly varied across industry sector groups. Organizational safety policies varied by industry sector and were more commonly reported than workplace health governance and planning strategies. Time constraints were the most common barrier among worksites of all sizes, and stress was reported as the leading employee health issue that negatively impacts business. Results suggest that opportunities exist to integrate workplace health and safety initiatives, especially in blue-collar industry sectors and small businesses.
慢性疾病增加了美国医疗保健系统的经济负担。大多数美国人在工作中度过大部分清醒时间，因此为雇主提供了保护和促进健康的机会。本研究的目的是使用随机调查评估内布拉斯加州工作场所的工作场所健康治理和安全策略的实施情况，随着时间的推移和按行业部门进行评估。按年份、行业部门和工作场所规模比较了加权百分比。在三个研究期间，从工作场所代表那里收集了 4784 份回复。随着时间的推移，工作场所健康治理和规划策略的采用有所增加，并且在各个行业部门之间存在显著差异。组织安全政策因行业部门而异，比工作场所健康治理和规划策略更常被报告。时间限制是所有规模工作场所的最常见障碍，压力被报告为对业务产生负面影响的主要员工健康问题。结果表明，存在整合工作场所健康和安全计划的机会，特别是在蓝领行业部门和小企业中。
