Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
J Occup Health. 2021 Jan;63(1):e12302. doi: 10.1002/1348-9585.12302.
Many companies in Japan have been increasingly interested in "health and productivity management (H&PM)." In terms of H&PM, we hypothesized that companies can enhance their employees' perceived workplace health support (PWHS) by supporting workers' lively working and healthy living. This could then improve their health-related quality of life (HRQOL) by increasing PWHS. Consequently, this study explored the relationship between PWHS and HRQOL.
In December 2020, during the COVID-19 pandemic, we conducted an Internet-based nationwide health survey of Japanese workers (CORoNaWork study). A database of 27 036 participants was created. The intensity of PWHS was measured using a four-point Likert scale. We used multilevel ordered logistic regression to analyze the relationship between PWHS intensity and the four domains of the Centers for Disease Control's HRQOL-4 (self-rated health, number of poor physical health days, number of poor mental health days, and activity limitation days during the past 30 days).
In the sex- and age-adjusted and multivariate models, the intensity of PWHS significantly affected self-rated health and the three domains of unhealthy days (physical, mental, and activity limitation). There was also a trend toward worse HRQOL scores as the PWHS decreased.
We found that the higher the PWHS of Japanese workers, the higher their self-rated health and the fewer their unhealthy days. Companies need to assess workers' PWHS and HRQOL and promote H&PM. H&PM is also necessary to maintain and promote the health of workers during the COVID-19 pandemic.
日本许多公司对“健康与生产力管理（H&PM）”越来越感兴趣。在 H&PM 方面，我们假设公司可以通过支持员工积极的工作和健康的生活，提高员工感知的工作场所健康支持（PWHS）。这可以通过增加 PWHS 来提高他们的健康相关生活质量（HRQOL）。因此，本研究探讨了 PWHS 与 HRQOL 之间的关系。
在 2020 年 12 月 COVID-19 大流行期间，我们对日本工人进行了一项基于互联网的全国性健康调查（CORoNaWork 研究）。创建了一个包含 27036 名参与者的数据库。使用四点 Likert 量表衡量 PWHS 的强度。我们使用多层次有序逻辑回归分析 PWHS 强度与疾病控制中心 HRQOL-4（自我报告的健康状况、身体不健康天数、精神不健康天数和过去 30 天活动受限天数）四个领域之间的关系。
在性别和年龄调整后的多变量模型中，PWHS 的强度显著影响自我报告的健康状况以及不健康天数的三个领域（身体、精神和活动受限）。随着 PWHS 的降低，HRQOL 评分也呈现出恶化的趋势。
我们发现日本工人的 PWHS 越高，他们的自我报告的健康状况越好，不健康的天数越少。公司需要评估员工的 PWHS 和 HRQOL，并促进 H&PM。在 COVID-19 大流行期间，H&PM 也是维持和促进工人健康所必需的。
