Mulder Laura, Belay Brook, Mukhtar Qaiser, Lang Jason E, Harris Diane, Onufrak Stephen
Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Am J Health Promot. 2020 Nov;34(8):867-875. doi: 10.1177/0890117120905232. Epub 2020 Feb 20.
To provide a nationally representative description on the prevalences of policies, practices, programs, and supports relating to worksite wellness in US hospitals.
Cross-sectional, self-report of hospitals participating in Workplace Health in America (WHA) survey from November 2016 through September 2017.
Hospitals across the United States.
Random sample of 338 eligible hospitals participating in the WHA survey.
We used previous items from the 2004 National Worksite Health Promotion survey. Key measures included presence of Worksite Health Promotion programs, evidence-based strategies, health screenings, disease management programs, incentives, work-life policies, barriers to health promotion program implementation, and occupational safety and health.
Independent variables included hospital characteristics (eg, size). Dependent characteristics included worksite health promotion components. Descriptive statistics and χ analyses were used.
Eighty-two percent of hospitals offered a wellness programs during the previous year with larger hospitals more likely than smaller hospitals to offer programs ( < .01). Among hospitals with wellness programs, 69% offered nutrition programs, 74% offered physical activity (PA) programs, and 84% had a policy to restrict all tobacco use. Among those with cafeterias or vending machines, 40% had a policy for healthier foods. Only 47% and 25% of hospitals offered lactation support or healthy sleep programs, respectively.
Most hospitals offer wellness programs. However, there remain hospitals that do not offer wellness programs. Among those that have wellness programs, most offer supports for nutrition, PA, and tobacco control. Few hospitals offered programs on healthy sleep or lactation support.
提供一份关于美国医院工作场所健康相关政策、实践、项目及支持措施普及率的全国代表性描述。
横断面研究，对2016年11月至2017年9月参与“美国工作场所健康”（WHA）调查的医院进行自我报告。
美国各地的医院。
参与WHA调查的338家符合条件医院的随机样本。
我们使用了2004年全国工作场所健康促进调查中的先前项目。关键测量指标包括工作场所健康促进项目的存在情况、循证策略、健康筛查、疾病管理项目、激励措施、工作与生活政策、健康促进项目实施的障碍以及职业安全与健康。
自变量包括医院特征（如规模）。因变量特征包括工作场所健康促进的组成部分。采用描述性统计和χ分析。
82%的医院在前一年提供了健康项目，大型医院比小型医院更有可能提供此类项目（P<0.01）。在有健康项目的医院中，69%提供营养项目，74%提供体育活动（PA）项目，84%有一项限制所有烟草使用的政策。在有自助餐厅或自动售货机的医院中，40%有更健康食品的政策。分别只有47%和25%的医院提供哺乳支持或健康睡眠项目。
大多数医院提供健康项目。然而，仍有一些医院未提供健康项目。在有健康项目的医院中，大多数提供营养、体育活动和烟草控制方面的支持。很少有医院提供健康睡眠或哺乳支持项目。
