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Workplace health promotion and employee health in Swedish municipal social care organizations

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Abstract

Aim

The aim of this explorative study was to investigate the employers’ management characteristics, their provision of workplace health promotion (WHP) measures, and employee satisfaction with WHP in relation to employee health in Swedish municipal social care organizations.

Subjects and methods

A cross-sectional design was used, and questionnaires were sent to top managers (representing the employer) and employees in a nationwide random sample of 60 of the 290 municipal organizations for the social care of elderly and disabled people in Sweden. The questionnaire data from the 60 managers were linked to aggregated employee data concerning self-rated health and satisfaction with WHP from a representative sample of 8,082 employees in the same organizations. All analyses were performed at the organizational level using independent t-test, Spearman’s rank correlation and multiple linear regression analysis.

Results

In the multivariate analysis, the organizational WHP index (i.e. local WHP projects and WHP coordinators), individual WHP index (i.e. health profile assessment, fitness activities and medical check-up), and the level of employees’ satisfied with WHP were associated with employee health (F = 9.64, p < 0.001, adjusted R 2 = 0.48). General organizational and management characteristics were, however, not statistically related to employee health.

Conclusion

The results suggest that the provision of individual-directed and organizational-directed health-specific measures were related to employee health in Swedish municipal social care organizations and, therefore, can be part of a comprehensive approach to address WHP.

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References

  • Arnetz B, Blomkvist V (2007) Leadership, mental health, and organizational efficacy in health care organizations: psychosocial predictors of healthy organizational development based on prospective data from four different organizations. Psychother Psychosom 76:242–248

    Article  PubMed  Google Scholar 

  • Bond FW (2004) Getting the balance right: the need for a comprehensive approach to occupational health. Work Stress 18:146–148

    Article  Google Scholar 

  • Burström B, Fredlund P (2001) Self rated health: is it as good a predictor of subsequent mortality among adults in lower as well as in higher social classes? J Epidemiol Community Health 55:836–840

    Article  PubMed Central  PubMed  Google Scholar 

  • DeJoy DM, Wilson MG (2003) Organizational health promotion: broadening the horizon of workplace health promotion. Am J Health Promot 17:337–341

    Article  PubMed  Google Scholar 

  • Dellve L, Skagert K, Eklöf M (2008) The impact of systematic occupational health and safety management for occupational disorders and long-term work attendance. Soc Sci Med 67:965–970

    Article  PubMed  Google Scholar 

  • DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P (2006) Mortality prediction with single general self-rated health question: a meta-analysis. J Gen Intern Med 21:267–275

    Article  PubMed Central  PubMed  Google Scholar 

  • DeVellis RF (2003) Scale development: theory and applications, 2nd edn. Sage, Thousand Oaks, CA

    Google Scholar 

  • Diez-Roux AV (1998) Bringing context back into epidemiology: variables and fallacies in multilevel analysis. Am J Public Health 88:216–222

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Eriksson I, Undén AL, Elofsson S (2001) Self-rated health: comparisons between three different measures. Results from a population study. Int J Epidemiol 30:326–333

    Article  CAS  PubMed  Google Scholar 

  • European Network for Workplace Health Promotion ENWHP (1999) Healthy employees in healthy organizations. Good practice in workplace health promotion (WHP) in Europe:quality criteria of workplace health promotion. http://www.enwhp.org/fileadmin/downloads/quality_criteria_03-pdf. Accessed 27 November 2013

  • European Network for Workplace Health Promotion ENWHP (2007) The Luxembourg declaration on workplace health promotion in the European Union. http://www.enwhp.org/fileadmin/rs-dokumente/dateien/Luxembourg_Declaration.pdf. Accessed 2 September 2013

  • Goldgruber J, Ahrens D (2010) Effectiveness of workplace health promotion and primary prevention interventions: a review. J Public Health 18:75–88

    Article  Google Scholar 

  • Harden A, Peersman G, Oliver S, Mauthner M, Oakley A (1999) A systematic review of effectiveness of health promotion interventions in the workplace. Occup Med (Lond) 49:540–548

    Article  CAS  Google Scholar 

  • Hochberg Y (1988) A sharper Bonferroni procedure for multiple tests of significance. Biometrika 75:800–802

    Article  Google Scholar 

  • Jung J, Nitzsche A, Neumann M, Wirtz M, Kowalski C, Wasem J, Stieler-Lorenz B, Pfaff H (2010) The worksite health promotion capacity instrument (WHPCI): development, validation and approaches for determining companies’ levels of health promotion capacity. BMC Public Health 10:550

    Article  PubMed Central  PubMed  Google Scholar 

  • Kalleberg AL (1994) Studying employers and their employees: comparative approaches. Acta Sociol 37:223–229

    Article  Google Scholar 

  • Kuoppala J, Lamminpää A, Husman P (2008) Work health promotion, job well-being, and sickness absences: a systematic review and meta-analysis. J Occup Environ Med 50:1216–1227

    Article  PubMed  Google Scholar 

  • Lidwall U, Marklund S (2010) Trends in long-term sickness absence in Sweden 1992–2008: the role of economic conditions, legislation, demography, work environment, and alcohol consumption. Int J Soc Welf 20:167–179

    Article  Google Scholar 

  • Linnan L, Bowling M, Childress J, Lindsay G, Blakey C, Pronk S, Wieker S, Royall P (2008) Results of the 2004 national worksite health promotion survey. Am J Public Health 98:1503–1509

    Article  PubMed Central  PubMed  Google Scholar 

  • Ljungblad C, Granström F, Dellve L, Åkerlind I (2014) Workplace health promotion and working conditions as determinants of employee health. Int J Workplace Health Manag 7(2) (in press)

  • Pelletier KR (2011) A review and analysis of the clinical and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: update VIII 2008 to 2010. J Occup Environ Med 53:1310–1331

    Article  PubMed  Google Scholar 

  • Plath S-C, Köhler T, Krause H, Pfaff H (2008) Prevention, health promotion and workplace health management in German banks: results from a nationwide representative survey. J Public Health 16:195–203

    Article  Google Scholar 

  • Podsakoff PM, MacKenzie SB, Lee J-Y, Podsakoff NP (2003) Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol 88:879–903

    Article  PubMed  Google Scholar 

  • Polanyi MF, Frank JW, Shannon HS, Sullivan TJ, Lavis JN (2000) Promoting the determinants of good health in the workplace. In: Poland BD, Green LW, Rootman I (eds) Settings for health promotion: linking theory and practice. Sage, Thousand Oaks, CA, pp 138–160

    Chapter  Google Scholar 

  • Schnittker J, Bacak V (2014) The increasing predictive validity of self-rated health. PLoS One 9:e84933

    Article  PubMed Central  PubMed  Google Scholar 

  • Shain M, Kramer DM (2004) Health promotion in the workplace: framing the concept; reviewing the evidence. Occup Environ Med 61:643–648

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Sockoll I, Kramer I, Bödeker W (2009) Effectiveness and economic benefits of workplace health promotion and prevention: summary of the scientific evidence 2000 to 2006. IGA - Initiative Gesundheit & Arbeit. http://www.iga-info.de/fileadmin/Veroeffentlichungen/iga-Reporte_Projektberichte/iga-Report_13e_effectiveness_workplace_prevention.pdf. Accessed 2 September 2013

  • Soler RE, Leeks KD, Razi S, Hopkins DP, Griffith M, Aten A, Chattopadhyay SK, Smith SC (2010) A systematic review of selected interventions for worksite health promotion: the assessment of health risks with feedback. Am J Prev Med 38:237–262

    Article  Google Scholar 

  • Stoetzer U, Bergman P, Åborg C, Johansson G, Ahlberg G, Parmsund M, Svartengren M (2012) Organizational factors related to low levels of sickness absence in a representative set of Swedish companies. Work 13:2012. doi:10.3233/WOR-2012-1472

    Google Scholar 

  • Stokols D, Pelletier KR, Fielding JE (1996) The ecology of work and health: research and policy directions for the promotion of employee health. Health Educ Q 23:137–158

    Article  CAS  PubMed  Google Scholar 

  • Swedish Association of Local Authorities and Regions SALAR (2005) Classification of municipalities, 1 January 2005. http://www.skl.se/kommuner_och_landsting/om_kommuner/kommungruppsindelning. Accessed 4 September 2013

  • Swedish Association of Local Authorities and Regions SALAR (2008) Aktuellt på äldreområdet 2008. Swedish Association of Local Authorities and Regions, Stockholm

    Google Scholar 

  • Torp S, Riise T, Moen BE (2000) Systematic health, environment and safety activities: do they influence occupational environment, behaviour and health? Occup Med (Lond) 50:326–333

    Article  CAS  Google Scholar 

  • Torp S, Moen BE (2006) The effects of occupational health and safety management on work environment and health: a prospective study. Appl Ergon 37:775–783

    Article  CAS  PubMed  Google Scholar 

  • Torp S, Eklund S, Thorpenberg S (2011) Research on workplace health promotion in the Nordic countries: a literature review 1986–2008. Glob Health Promot 18:15–22

    Article  PubMed  Google Scholar 

  • Ulmer J, Groeben F (2005) Work place health promotion: a longitudinal study in companies placed in Hessen and Thueringen. J Public Health 13:144–152

    Google Scholar 

  • World Health Organization (1986) Ottawa charter for health promotion. WHO, Geneva

    Google Scholar 

Download references

Acknowledgements

We would like to thank Fredrik Granström for qualified support with the statistical analyses and Camilla Ramsten for valuable help with the collection of employer data. This work was supported by the Swedish Research Council for Health, Working Life and Welfare (grant No. 2003-0260).

Conflict of interest

The authors declare that they have no conflict of interest.

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Correspondence to Robert Larsson.

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Larsson, R., Ljungblad, C., Sandmark, H. et al. Workplace health promotion and employee health in Swedish municipal social care organizations. J Public Health 22, 235–244 (2014). https://doi.org/10.1007/s10389-014-0616-9

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  • DOI: https://doi.org/10.1007/s10389-014-0616-9

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