Leff Maija S, Martini Marisa, Baron Sherry, Hannon Peggy A, Walton AnnMarie, Linnan Laura A
From the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (Ms Leff and Dr Linnan); Gillings School for Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (Ms Leff, Ms Martini, and Dr Linnan); Barry Commoner Center for Health and the Environment, Queens College, Flushing, New York (Dr Baron); Health Promotion Research Center, Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, Washington (Dr Hannon); and Health Systems and Analytics Division, School of Nursing, Duke University, Durham, North Carolina (Dr Walton).
J Occup Environ Med. 2023 Jan 1;65(1):53-59. doi: 10.1097/JOM.0000000000002674. Epub 2022 Aug 16.
To document the extent to which state and territorial health departments (SHDs) integrate their occupational safety and health (OSH) and workplace health promotion (WHP) activities consistent with a Total Worker Health (TWH) approach.
Nationally representative survey of OSH and WHP practitioners at 56 SHDs followed by in-depth interviews.
Despite reporting limited awareness of the TWH initiative and TWH resources, most respondents (57% OSH, 64% WHP) reported collaboration between OSH and WHP staff in their departments. Collaborations were described in-depth. Barriers to OSH-WHP collaborations included resource insufficiencies, organizational structure in the SHD, and conflicting practices. Facilitators included knowledge of TWH approaches, proximity to TWH Centers of Excellence, proximity between OSH/WHP programs, and leadership initiative. Motivations for collaboration were enumerated.
Strategies for building TWH capacity and activity among SHDs are discussed.
记录州和地区卫生部门（SHDs）在何种程度上按照全职工人健康（TWH）方法整合其职业安全与健康（OSH）及工作场所健康促进（WHP）活动。
对56个SHDs的职业安全与健康及工作场所健康促进从业者进行全国代表性调查，随后进行深入访谈。
尽管报告称对TWH倡议和TWH资源的认识有限，但大多数受访者（57%的职业安全与健康人员、64%的工作场所健康促进人员）报告其所在部门的职业安全与健康及工作场所健康促进工作人员之间存在合作。对合作进行了深入描述。职业安全与健康 - 工作场所健康促进合作的障碍包括资源不足、SHD的组织结构以及相互冲突的做法。促进因素包括对TWH方法的了解、与TWH卓越中心的接近程度、职业安全与健康/工作场所健康促进项目之间的接近程度以及领导倡议。列举了合作的动机。
讨论了在SHDs中建立TWH能力和活动的策略。
