van Heijster Hanneke, Boot Cécile R L, Robroek Suzan J W, Oude Hengel Karen, van Berkel Jantien, de Vet Emely, Coenen Pieter
Department of Social Sciences, Chair Group Consumption & Healthy Lifestyles, Wageningen University & Research, Hollandseweg 1, 6706 KN, Wageningen, the Netherlands.
Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
SSM Popul Health. 2021 Jan 26;13:100743. doi: 10.1016/j.ssmph.2021.100743. eCollection 2021 Mar.
The aim of the current study was to evaluate whether workplace health promotion programs improve self-perceived health of employees with a low socioeconomic position (SEP), and whether differential effects exist between individuals with a low SEP for gender, marital status or age. Individual participant data from six Dutch intervention studies aiming at promoting healthy behavior and preventing obesity in the work setting, with a total of 1906 participants, were used. The overall intervention effect and interaction effects for gender, marital status and age were evaluated using two-stage meta-analyses with linear mixed regression models. In the first stage effect sizes of each study were estimated, which were pooled in the second stage. Compared to control conditions, workplace health promotion programs did not show an overall improvement in self-perceived health of employees with a low SEP (β0.03 (95%CI: -0.03 to 0.09)). Effects did not differ across gender, marital status and age. Future research could be focused on the determinants of self-perceived health next to health behavior to improve the health of employees with a low SEP.
本研究的目的是评估职场健康促进项目是否能改善社会经济地位较低(SEP)员工的自我感知健康状况,以及社会经济地位较低的个体在性别、婚姻状况或年龄方面是否存在差异效应。我们使用了来自荷兰六项干预研究的个体参与者数据,这些研究旨在促进工作场所的健康行为和预防肥胖,共有1906名参与者。使用线性混合回归模型的两阶段荟萃分析评估了总体干预效果以及性别、婚姻状况和年龄的交互效应。在第一阶段,估计每项研究的效应量,并在第二阶段进行汇总。与对照条件相比,职场健康促进项目并未显示出社会经济地位较低员工的自我感知健康有总体改善(β0.03(95%置信区间:-0.03至0.09))。不同性别、婚姻状况和年龄的效应没有差异。未来的研究可以关注除健康行为之外自我感知健康的决定因素,以改善社会经济地位较低员工的健康状况。