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Am J Public Health. 1990 September; 80(9): 1101–1105. | PMCID: PMC1404872 |
The effects of workplace health promotion on absenteeism and employment costs in a large industrial population. R L Bertera Employee Relations Department, Du Pont Company, Wilmington, DE 19898. Abstract We evaluated the impact of a comprehensive workplace health promotion program on absences among full-time employees in a large, multi-location, diversified industrial company. A pretest-posttest control group design was used to study 41 intervention sites and 19 control sites with 29,315 and 14,573 hourly employees, respectively. Blue-collar employees at intervention sites experienced an 14.0 percent decline in disability days over two years versus a 5.8 percent decline at control sites. This resulted in a net difference of 11,726 fewer disability days over two years at program sites compared with non-program sites. Savings due to lower disability costs at intervention sites offset program costs in the first year, and provided a return of $2.05 for every dollar invested in the program by the end of the second year. These results suggest that comprehensive workplace health promotion programs can reduce disability days among blue collar employees and provide a good return on investment. Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.0M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References. These references are in PubMed. This may not be the complete list of references from this article. - Neubauer D, Pratt R. The second public health revolution: a critical appraisal. J Health Polit Policy Law. 1981 Summer;6(2):205–228. [PubMed]
- Pell S, Fayerweather WE. Trends in the incidence of myocardial infarction and in associated mortality and morbidity in a large employed population, 1957-1983. N Engl J Med. 1985 Apr 18;312(16):1005–1011. [PubMed]
- Martin MJ, Hulley SB, Browner WS, Kuller LH, Wentworth D. Serum cholesterol, blood pressure, and mortality: implications from a cohort of 361,662 men. Lancet. 1986 Oct 25;2(8513):933–936. [PubMed]
- Seidell JC, Bakx KC, Deurenberg P, van den Hoogen HJ, Hautvast JG, Stijnen T. Overweight and chronic illness--a retrospective cohort study, with a follow-up of 6-17 years, in men and women of initially 20-50 years of age. J Chronic Dis. 1986;39(8):585–593. [PubMed]
- Stamler J. Primary prevention of coronary heart disease: the last 20 years. Am J Cardiol. 1981 Mar;47(3):722–735. [PubMed]
- Sturmans F, Mulder PG, Valkenburg HA. Estimation of the possible effect of interventive measures in the area of ischemic heart diseases by the attributable risk percentage. Am J Epidemiol. 1977 Mar;105(3):281–289. [PubMed]
- Erfurt JC, Foote A. Cost-effectiveness of work-site blood pressure control programs. J Occup Med. 1984 Dec;26(12):892–900. [PubMed]
- Ruchlin HS, Melcher LA, Alderman MH. A comparative economic analysis of work-related hypertension care programs. J Occup Med. 1984 Jan;26(1):45–49. [PubMed]
- Cooper KH, Pollock ML, Martin RP, White SR, Linnerud AC, Jackson A. Physical fitness levels vs selected coronary risk factors. A cross-sectional study. JAMA. 1976 Jul 12;236(2):166–169. [PubMed]
- Paffenbarger RS, Jr, Hyde RT, Wing AL, Hsieh CC. Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med. 1986 Mar 6;314(10):605–613. [PubMed]
- Powell KE, Thompson PD, Caspersen CJ, Kendrick JS. Physical activity and the incidence of coronary heart disease. Annu Rev Public Health. 1987;8:253–287. [PubMed]
- Wingard DL, Berkman LF, Brand RJ. A multivariate analysis of health-related practices: a nine-year mortality follow-up of the Alameda County Study. Am J Epidemiol. 1982 Nov;116(5):765–775. [PubMed]
- Zapka JG, Mullen PD. Financing health promotion and education programs in HMOs. Health Care Manage Rev. 1985 Fall;10(4):63–71. [PubMed]
- Brownell KD, Cohen RY, Stunkard AJ, Felix MR, Cooley NB. Weight loss competitions at the work site: impact on weight, morale and cost-effectiveness. Am J Public Health. 1984 Nov;74(11):1283–1285. [PMC free article] [PubMed]
- Seidman LS, Sevelius GG, Ewald P. A cost-effective weight loss program at the worksite. J Occup Med. 1984 Oct;26(10):725–730. [PubMed]
- Oster G, Epstein AM. Primary prevention and coronary heart disease: the economic benefits of lowering serum cholesterol. Am J Public Health. 1986 Jun;76(6):647–656. [PMC free article] [PubMed]
- Shephard RJ. Employee health and fitness: the state of the art. Prev Med. 1983 Sep;12(5):644–653. [PubMed]
- Simons-Morton BG, Brink S, Bates D. Effectiveness and cost effectiveness of persuasive communications and incentives in increasing safety belt use. Health Educ Q. 1987 Summer;14(2):167–179. [PubMed]
- Brennan AJ. Health promotion: what's in it for business and industry? Health Educ Q. 1982 Fall;9 SPEC:9–19. [PubMed]
- Spilman MA, Goetz A, Schultz J, Bellingham R, Johnson D. Effects of a corporate health promotion program. J Occup Med. 1986 Apr;28(4):285–289. [PubMed]
- Kristein MM. The economics of health promotion at the worksite. Health Educ Q. 1982 Fall;9 SPEC:27–36. [PubMed]
- Warner KE, Wickizer TM, Wolfe RA, Schildroth JE, Samuelson MH. Economic implications of workplace health promotion programs: review of the literature. J Occup Med. 1988 Feb;30(2):106–112. [PubMed]
- Wilbur CS. The Johnson & Johnson program. Prev Med. 1983 Sep;12(5):672–681. [PubMed]
- Wright CC. Cost containment through health promotion programs. J Occup Med. 1982 Dec;24(12):965–968. [PubMed]
- Banta HD, Luce BR. Assessing the cost-effectiveness of prevention. J Community Health. 1983 Winter;9(2):145–165. [PubMed]
- Bly JL, Jones RC, Richardson JE. Impact of worksite health promotion on health care costs and utilization. Evaluation of Johnson & Johnson's Live for Life program. JAMA. 1986 Dec 19;256(23):3235–3240. [PubMed]
- Gibbs JO, Mulvaney D, Henes C, Reed RW. Work-site health promotion. Five-year trend in employee health care costs. J Occup Med. 1985 Nov;27(11):826–830. [PubMed]
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