Department of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905. Email:
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
Prev Chronic Dis. 2020 Oct 15;17:E125. doi: 10.5888/pcd17.200111.
We examined health insurance benefits, workplace policies, and health promotion programs in small to midsize businesses in Alaska whose workforces were at least 20% Alaska Native. Participating businesses were enrolled in a randomized trial to improve health promotion efforts.
Twenty-six Alaska businesses completed from January 2009 through October 2010 a 30-item survey on health benefits, policies, and programs in the workplace. We generated frequency statistics to describe overall insurance coverage, and to detail insurance coverage, company policies, and workplace programs in 3 domains: tobacco use, physical activity and nutrition, and disease screening and management.
Businesses varied in the number of employees (mean, 250; median, 121; range, 41-1,200). Most businesses offered at least partial health insurance for full-time employees and their dependents. Businesses completely banned tobacco in the workplace, and insurance coverage for tobacco cessation was limited. Eighteen had onsite food vendors, yet fewer than 6 businesses offered healthy food options, and even fewer offered them at competitive prices. Cancer screening and treatment were the health benefits most commonly covered by insurance.
Although insurance coverage and workplace policies for chronic disease screening and management were widely available, significant opportunities remain for Alaska businesses to collaborate with federal, state, and community organizations on health promotion efforts to reduce the risk of chronic illness among their employees.
我们研究了阿拉斯加至少有 20%的阿拉斯加原住民的小型到中型企业的医疗保险福利、工作场所政策和健康促进计划。参与的企业参加了一项旨在改善健康促进工作的随机试验。
26 家阿拉斯加企业于 2009 年 1 月至 2010 年 10 月完成了一项关于工作场所健康福利、政策和计划的 30 项调查。我们生成了频率统计数据，以描述总体保险覆盖范围，并详细说明 3 个领域的保险覆盖范围、公司政策和工作场所计划：烟草使用、体力活动和营养以及疾病筛查和管理。
企业在员工人数（平均 250 人；中位数 121 人；范围 41-1200 人）上存在差异。大多数企业为全职员工及其家属提供至少部分医疗保险。企业完全禁止在工作场所使用烟草，且对戒烟的保险覆盖范围有限。有 18 家企业设有现场食品供应商，但不到 6 家企业提供健康食品选择，甚至更少的企业以有竞争力的价格提供这些选择。癌症筛查和治疗是最常见的保险涵盖的健康福利。
尽管慢性病筛查和管理的保险覆盖范围和工作场所政策广泛存在，但阿拉斯加企业仍有很大机会与联邦、州和社区组织合作，开展健康促进工作，降低员工慢性病的风险。
