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J Occup Environ Med. 2017 Mar;59(3):289-294. doi: 10.1097/JOM.0000000000000949.

Key Organizational Characteristics for Integrated Approaches to Protect and Promote Worker Health in Smaller Enterprises.

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Dana-Farber Cancer Institute (Drs McLellan, Williams, Sorensen), Harvard T.H. Chan School of Public Health, Boston, Massachusetts (Drs McLellan, Katz, Pronk, Wagner, Cabán-Martinez, Sorensen), University of Kansas, School of Medicine, Kansas City, Kansas (Dr Williams), Brigham and Women's Hospital, Boston, Massachusetts (Dr Katz), HealthPartners, Inc., Minneapolis, Minnesota (Dr Pronk), National Institute for Occupational Safety and Health (NIOSH/CDC), Washington, District of Columbia (Dr Wagner), University of Miami, Miller School of Medicine Medical School, Miami, Florida (Dr Cabán-Martinez), and Massachusetts Department of Public Health, Boston, Massachusetts (Ms Nelson).



The aim of this study was to investigate relationships between worksite organizational characteristics (size, industrial sector, leadership commitment, and organizational supports) and integrated approaches to protecting and promoting worker health implemented in smaller enterprises.


We analyzed web-based survey data of Human Resource Managers at 114 smaller enterprises (<750 employees) to identify organizational factors associated with levels of integrated approaches among their worksites.


The companies' mean integration score was 13.6 (SD = 9.6) of a possible 44. In multivariate analyses, having a safety committee (P = 0.035) and top leadership support for health promotion (HP) (P = 0.004) were positively associated with higher integration scores.


Smaller enterprises in one U.S. region have relatively low levels of implementing integrated safety and promotion approaches. Having a safety committee and leadership support for HP may be important contributors to implementing integrated approaches in smaller enterprises.

[Indexed for MEDLINE]

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