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Workplace health promotion and working conditions as determinants of employee health
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
Centre for Clinical Research, Sörmland County Council, Uppsala University, Eskilstuna, Sweden .
School of Health and Technology, KTH Royal Institute of Technology, Huddinge, Sweden .
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-8256-4437
2014 (English)In: International Journal of Workplace Health Management, ISSN 1753-836X, Vol. 7, no 2, p. 89-104Article in journal (Refereed) Published
Abstract [en]

Purpose - The purpose of this paper is to investigate general psychosocial work conditions and specific workplace health promotion (WHP) measures in relation to employee health and sickness absence in Swedish municipal social care organizations. Design/methodology/approach - In a random sample of 60 out of the 290 municipalities in Sweden, 15,871 municipal social care employees working with elderly and disabled clients were sent a questionnaire concerning psychosocial work environment, WHP, and self-rated health. The responses (response rate 58.4 per cent) were complemented by register data on sickness absence (>14 days). All data were aggregated to employer level. Findings - A structural equation modelling analysis using employer-level data demonstrated that employers with more favourable employee ratings of the psychosocial work conditions, as well as of specific health-promoting measures, had better self-rated health and lower sickness absence level among employees. Practical implications - The results from this representative nationwide sample of employers within one sector indicate that employers can promote employee health both by offering various health-specific programmes and activities, such as work environment education, fitness activities, and lifestyle guidance, as well as by forming a high-quality work environment in general including developmental and supportive leadership styles, prevention of role conflicts, and a supportive and comfortable social climate. Originality/value - This study with a representative nationwide sample demonstrates: results in line with earlier studies and explanations to the challenges in comparing effects from specific and general WHP interventions on health.

Place, publisher, year, edition, pages
2014. Vol. 7, no 2, p. 89-104
Keywords [en]
Leadership, Organization, Psychosocial work environment, Self-rated health, Sick leave, Worksite health promotion
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:mdh:diva-25674DOI: 10.1108/IJWHM-02-2013-0003Scopus ID: 2-s2.0-84903141271OAI: oai:DiVA.org:mdh-25674DiVA, id: diva2:734060
Available from: 2014-07-14 Created: 2014-07-14 Last updated: 2015-12-10Bibliographically approved

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Åkerlind, Ingemar

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