Non-participation in initial and repeated health risk appraisals : a drop-out analysis based on a health project
| Autor: | Katarina Kjellberg, Björn O. Äng, Wilhelmus Johannes Andreas Grooten, Magnus Svartengren, Amanda Hansson, Mikael Forsman, Mira Müller, Allan Toomingas |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Gerontology
Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi Adult Male Sickness prevention medicine.medical_specialty Health Personnel Health Behavior Risk Assessment Occupational safety and health Health administration 03 medical and health sciences Young Adult 0302 clinical medicine Health care medicine Health Status Indicators Humans Occupational health services 030212 general & internal medicine HRAS Aged business.industry Physical activity 030503 health policy & services Health Policy Nursing research Public health lcsh:Public aspects of medicine Participation lcsh:RA1-1270 Public Health Global Health Social Medicine and Epidemiology Health Care Service and Management Health Policy and Services and Health Economy Middle Aged Work Engagement Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Health promotion Lifestyle changes Sick leave Female 0305 other medical science business Research Article |
| Zdroj: | BMC Health Services Research, Vol 19, Iss 1, Pp 1-11 (2019) BMC Health Services Research |
| Popis: | Background Health risk assessment (HRAs) are commonly used by occupational health services (OHS) to aid workplaces in keeping their employees healthy, but for unknown reasons, many employees choose not to participate in the HRAs. The aim of the study was to explore whether demographic, lifestyle and health-related factors in employees are associated with non-participation in initial and repeated HRAs. Methods In an OHS-based health project, 2022 municipal employees were asked to participate in three repeated HRAs. Multiple logistic regression analyses were used so as to determine associations between non-participating and demographic, lifestyle and health-related factors (e.g. biomarkers). Results Among the employees who were asked to participate in the health project, more than half did not participate in any HRA and among those who did, more than one third did not participate in repeated HRAs. Young age, male sex and being employed in the Technical department or Health and Social Care department in comparison with being employed in the department for Childcare and Education were factors significantly associated with non-participation in the initial HRA. These factors, together with being on sick leave and having unhealthy dietary habits, were factors associated with non-participation in repeated HRAs. Conclusions Among the non-participators in initial HRAs and in repeated HRAs younger men and those already related to ill-health were overrepresented. This implicates that health care providers to a higher extent should focus on “those most needed” and that employers should be more engaged in results of repeated HRA’s. Future studies should focus on modifiable variables that could make the HRAs more attractive and inclusive. |
| Databáze: | OpenAIRE |
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