Health Promotion Interventions in Occupational Settings: Fact-finding Survey among Italian Occupational Physicians

Main Article Content

Veruscka Leso
Maurizio Coggiola
Enrico Pira
Alberto Pollone
Silvia Simonini
Donatella Talini
Giovanna Spatari
Ivo Iavicoli

Keywords

health promotion, occupational well being, total worker health, occupational medicine, occupational physician, workplace preventive figures, healthy life-styles, sustainable workplaces, education, participation

Abstract


Background: Occupational Physicians (OPs) are essential for health promotion (HP) at the workplace, although their HP knowledge and perception are still under-searched. Methods: Between September and December 2022, the Italian Society of Occupational Medicine (SIML) – HP working group performed a cross-sectional survey on SIML-OPs aimed to address their approach, experience, strategies, and needs concerning HP plans.Results: A total of 336 OPs completed the questionnaire. Regarding HP’s OP perception, this was reported as a social investment (34.45%) and shared responsibility for all the company’s preventive figures (30.18%). Over half of the enrolled OPs declared to have been involved as HP plans’ organizers (57.30%) or collaborators (54.80%) in the previous 5 years. The greatest percentage of organizers were in the younger age groups (40-59 years; 50%). Additionally, following a more limited number of companies, prevalently of medium-high dimensions, and more than 500 workers were positively associated with greater OP participation in HP initiatives. Promoting healthy lifestyles was the main target of the HP plans (88.64%). Interdisciplinary collaboration, OP training on HP procedures and information on the targeted population have been reported as effective issues to support an active engagement of OPs in HP. Conclusions: A general interest of the Italian OPs with respect to HP was demonstrated, however, information on the potential benefits of HP in workplace aligned with OP perceptions and needs seem necessary to successfully implement HP interventions.


Abstract 612 | Supplementary file Downloads 204 PDF Downloads 291

References

1. WHO, World Health Organization. Constitution of The World Health Organization. 1946 Available at https://apps.who.int/gb/bd/PDF/bd47/EN/constitution-en.pdf?ua=1 (Ac-cessed on 16 February 2023).

2. WHO, World Health Organization. Ottawa charter for health promotion. 1986. https://www.who.int/publications/i/item/ottawa-charter-for-health-promotion (Accessed on 16 February 2023).

3. NIOSH, National Institute for Occupational Safety and Health. History of Total Worker Health®. 2011. Available online at https://www.cdc.gov/niosh/twh/history.html (Ac-cessed on 16 February 2023).

4. Lee MP, Hudson H, Richards R, Chang CC, Chosewood LC, Schill AL, on behalf of the NIOSH Office for Total Worker Health. Fundamentals of total worker health approaches: essential elements for advancing worker safety, health, and well-being. US Department of Health and Hu-man Services, Centers for Disease Control and Pre-vention, National Institute for Occupational Safety and Health. DHHS (NIOSH) Publication No. 2017-112, December 2016. (Accessed on 24 Febru-ary 2023).

5. Regione Lombardia. Luoghi di lavoro che Promuovono Salute – Rete WHP Lombardia. 2022. Available at https://www.promozionesalute.regione.lombardia.it/wps/portal/site/promozione-salute/dettaglioredazionale/setting/luoghi-di-lavoro/programma-whp-lombardia (Accessed on 16 February 2023).

6. Ministero della Salute. Direzione Generale della Pre-venzione Sanitaria. Pia-no Nazionale della Prevenzione 2020-2025. Available online at: https://www.salute.gov.it/imgs/C_17_notizie_5029_0_file.pdf (Accessed on 16 february 2023).

7. Iavicoli I, Spatari G, Chosewood LC, Schulte PA. Occupational Medicine and Total Worker Health®: from preventing health and safety risks in the workplace to promoting health for the total well-being of the worker. Med Lav. 2022;113(6):e2022054. Published 2022 Dec 7. doi:10.23749/mdl.v113i6.13891

8. Decree Law 9 April 2008 no. 81. Implementation of Article 1 of the Law 3 august 2007 no. 123, concerning the protection of health and safety in the workplace.

9. Andersen LL, Proper KI, Punnett L, Wynne R, Persson R, Wiezer N. Workplace Health Promo-tion and Wellbeing. ScientificWorldJournal. 2015;2015:606875. doi:10.1155/2015/606875

10. WHO, World Health Organization. Workers’ health: global plan of action. 2007. Sixtieth World Health Assembly. Ottawa, World Health Organization Regional Office for Europe. Available online at https://apps.who.int/gb/ebwha/pdf_files/WHA60/A60_R26-en.pdf (ac-cessed on 16 February 2023).

11. Sargent GM, Banwell C, Strazdins L, Dixon J. Time and participation in workplace health pro-motion: Australian qualitative study. Health Promot Int. 2018;33(3):436-447. doi:10.1093/heapro/daw078.

12. Pescud M, Teal R, Shilton T, et al. Employers' views on the promotion of workplace health and wellbeing: a qualitative study. BMC Public Health. 2015;15:642. Published 2015 Jul 11. doi:10.1186/s12889-015-2029-2

13. Hymel PA, Loeppke RR, Baase CM, et al. Workplace health protection and promotion: a new pathway for a healthier--and safer--workforce. J Occup Environ Med. 2011;53(6):695-702. doi:10.1097/JOM.0b013e31822005d0.

14. Proper KI, van Oostrom SH. The effectiveness of workplace health promotion interventions on physical and mental health outcomes - a systematic review of reviews. Scand J Work Envi-ron Health. 2019;45(6):546-559. doi:10.5271/sjweh.3833.

15. Pham CT, Phung D, Nguyen TV, Chu C. The effectiveness of workplace health promotion in low- and middle-income countries. Health Promot Int. 2020;35(5):1220-1229. doi:10.1093/heapro/daz091.

16. Rongen A, Robroek SJW, van Lenthe FJ, Burdorf A. Workplace health promotion: a me-ta-analysis of effectiveness. Am J Prev Med. 2013;44(4):406-415. doi:10.1016/j.amepre.2012.12.007

17. Sponselee HCS, Kroeze W, Robroek SJW, Renders CM, Steenhuis IHM. Perceptions of em-ployees with a low and medium level of education towards workplace health promotion pro-grammes: a mixed-methods study. BMC Public Health. 2022;22(1):1617. Published 2022 Aug 25. doi:10.1186/s12889-022-13976-2

18. Osilla KC, Van Busum K, Schnyer C, Larkin JW, Eibner C, Mattke S. Systematic review of the impact of worksite wellness programs. Am J Manag Care. 2012;18(2):e68-e81. Published 2012 Feb 1..

19. Mache S, Vitzthum K, Groneberg DA, Harth V. Effects of a multi-behavioral health promotion program at worksite on smoking patterns and quit behavior. Work. 2019;62(4):543-551. doi:10.3233/WOR-192889.

20. Kim SK, Lee J, Lee J, Ahn J, Kim H. Health and economic impact of a smoking cessation pro-gram in Korean workplaces. Health Promot Int. 2022;37(3):daac063. doi:10.1093/heapro/daac063

21. Conn VS, Hafdahl AR, Cooper PS, Brown LM, Lusk SL. Meta-analysis of workplace physical ac-tivity interventions. Am J Prev Med. 2009;37(4):330-339. doi:10.1016/j.amepre.2009.06.008.

22. Goetzel RZ, Henke RM, Head MA, Benevent R, Calitz C. Workplace Programs, Policies, And En-vironmental Supports To Prevent Cardiovascular Disease. Health Aff (Millwood). 2017;36(2):229-236. doi:10.1377/hlthaff.2016.1273.

23. Korre M, Tsoukas MA, Frantzeskou E, Yang J, Kales SN. Mediterranean Diet and Workplace Health Promotion. Curr Cardiovasc Risk Rep. 2014;8(12):416. doi:10.1007/s12170-014-0416-3.

24. Cancelliere C, Cassidy JD, Ammendolia C, Côté P. Are workplace health promotion programs effective at improving presenteeism in workers? A systematic review and best evidence syn-thesis of the literature. BMC Public Health. 2011;11:395. Published 2011 May 26. doi:10.1186/1471-2458-11-395.

25. Gasevic D, Okenwa Emegwa L. Editorial: Workplace health promotion. Front Public Health. 2022;10:1090333. Published 2022 Dec 6. doi:10.3389/fpubh.2022.1090333.