Journal of Korean Society of Occupational and Environmental Hygiene (한국산업보건학회지)

Korean Industrial Hygiene Association (한국산업보건학회)
권호 표지

Effects of Cerebrovascular Disease Prevention Program Designed for Workers in Small Scale Workplaces

소규모 사업장 근로자에 대한 뇌.심혈관질환 예방 프로그램 적용 효과

  • Kang, Hea-Jeoung (Busan Health Safety Center, Korean Association of Occupational Health Nurses) ;
  • Moon, Deog Hwan (Graduate School of Public Health, Inje University)
  • 강혜정 ((사)한국산업간호협회 부산보건안전센터) ;
  • 문덕환 (인제대학교 보건대학원)
  • Published : 2013.09.30
⟨ Previous Next ⟩

Abstract

Objectives: This study was conducted in order to prepare fundamental data and assess the short-term effects of applying cerebrovascular disease prevention programs by the Ministry of Employment and Labor and the Korea Occupational Safety and Health Agency (KOSHA) in Korea. Methods: The number of study subjects was 2,676 workers (58.5%) who were able to evaluate the level of incidence risk at pre- and post-applications of the program, among the 4,576 total workers who were enrolled in the cerebrovascular disease prevention program during 2011. The guidelines for this prevention program were adopted from KOSHA GUIDE H-1-2010. To determine the program' effectiveness, the workers'risks for cerebrovascular disease were assessed pre- and post-application of the program. Results: The blood pressure level was significantly reduced by 4.09 mmHg for the mean systolic blood pressures and 5.47 mmHg for diastolic blood pressures, respectively. The mean level of total cholesterol and BMI were also reduced significantly by 2.07 g/dl and 0.1 $0.1kg/m^2$. The rate of smoking was decreased by 4.0% and the percentage of workers engaging in regular exercise was increased by 29.8%. The level of overall cerebrovascular disease risk was reduced among 1,451 (70.7%) of 2,052 workers at low risk and above. The level of cerebrovascular disease risk was lower in the improved group for health behavior than the unimproved group (odds ratio =1.7, p < 0.001). Conclusions: The author considers that the application of the cerebrovascular disease prevention program by the Korea Occupational Safety and Health Agency reduced cerebrovascular diseases risks among workers who were enrolled in the cerebrovascular disease prevention program and it must be accompanied by an improvement in health behavior for prevention of cerebrovascular disease.

Keywords

References

  1. Chapman LS. Meta-evaluation of worksite health promotion economic return studies: 2005 update. Am J Health Promot 2005; 19(6) : p. 1-11.
  2. Emmons KM, Linnan LA, Shadel WG, et al. The working healthy project : a worksite health-promotion trial targeting physical activity, diet, and smoking. J Occup Environ Med 1999; 41(7) : p. 545-555. https://doi.org/10.1097/00043764-199907000-00003
  3. Eriksen L. Cancer prevention in workplace health promotion. AAOHN Journal 1988; 36(6) : p. 266-271.
  4. Hollander RB, Lengermann JJ. Corporate characteristics and worksite health promotion program : Survey findings from Fortune 500 companies. Soc. Sci. Med. 1988; 26(5): p. 491-501. https://doi.org/10.1016/0277-9536(88)90382-6
  5. Jacobson MI, Yenny SL, Bigard JC, et al. An organizational perpective on worksite health promotion. Occup Med: state of the art review 1990; 5(4) : p. 653-664.
  6. Jang, JP. A Study of Cerebrovascular Disease Evaluation in Group Health Practice. Master's Thesis, Graduate School of Public Health, Seoul University, Korea, 2006.
  7. Kwak WS, Won JU, Rhie JB, Lee MS, Kang EJ, Roh JH. A Workplace Cardiovascular Health Promotion Program and its Short-term Health Effects. Korean J Occup Environ Med, 2009; 21(1) : p. 46-52.
  8. Kim KY. Effectiveness of Health Promotion Program for Reducing Cardiovascular Risk Factors among Research Workers in an Electronics Research and Development Company. Master's Thesis, Graduate School of Public Health, Catholic University, Korea, 2010.
  9. Korea Occupational Safety and Health Agency 2008; Research on Causes of Industrial Accidents 2010, http//www. kosha .or.kr/ board
  10. Korea Occupational Safety and Health Agency 2010; KOSHA GUIDE, H-1-2010: Gukdelines for Assessment and Management of Cardiovascular Risk at Workplace, http//www. kosha.or.kr/ board
  11. Lee SY. Effectiveness of a tailored health promotion program for cardiovascular risk factors in subway workers. master's thesis, Graduate School of Public Health, Catholic University, Korea, 2005.
  12. Linnan L, Bowling M, Childress J, et al. Results of the 2004 national worksite health promotion survey. Am J Public Health 2008; 98(8) : p. 1503-1509. https://doi.org/10.2105/AJPH.2006.100313
  13. Muto T, Yamauchi K. Evaluation of a multi-component workplace health promotion program conducted in Japan for improving employees' cardiovascular disease risk factors. Prev Med 2001; 33(6) : p. 571-577. https://doi.org/10.1006/pmed.2001.0923
  14. Mahon A, Kelleher CC, Helly G, et al. Evaluation of a workplace cardiovascular health promotion programme in the Republic of Ireland. Health Promot Int 2002; 17(4) : p. 297-308. https://doi.org/10.1093/heapro/17.4.297
  15. Ministry of Health & Welfare Korea Centers for Disease Control and Prevention. In-depth Analyses of the 5th Korea National Health and Nutrition Examination Survey. 2011, http//knhanes.cdc.go.kr/
  16. Prior JO, Melle G, Crisinel A, et al. Evluation of a multicomponent worksite health promotion program for cardiovascular risk factors-correcting for the regression towards the mean effect. Prev Med 2005; 40(3) : p. 259-267. https://doi.org/10.1016/j.ypmed.2004.05.032
  17. Park HJ. The effects of lifestyle modification education program on the workers' knowledge, attitude and behavior to prevent cerebrocardiovascular disease in middle and small-sized industries. master's thesis, Graduate School of Dongguk University, korea, 2008.
  18. Rose G. Sick individuals and sick populations. Int J Epidemiol 2001; 30(3) : p. 427-432. https://doi.org/10.1093/ije/30.3.427
  19. Statistics Korea Social Statistics 2010; Causes of Death Statics 2010, http//kostat.go.kr/
  20. Statistics Korea Social Statistics 2011; Causes of Death Statics 2011, http//kostat.go.kr/