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Health in the Workplace

Health in the Workplace. Transforming Healthcare Delivery: Advancing Multidisciplinary Research at Purdue University Healthy Lifestyles and Healthy Workplaces. James D. McGlothlin, M.P.H., Ph.D., C.P.E Balmatee Bidassie, MS, MA Irene Mena, MS School of Health Science, Purdue University

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Health in the Workplace

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  1. Health in the Workplace Transforming Healthcare Delivery: Advancing Multidisciplinary Research at Purdue University Healthy Lifestyles and Healthy Workplaces James D. McGlothlin, M.P.H., Ph.D., C.P.E Balmatee Bidassie, MS, MA Irene Mena, MS School of Health Science, Purdue University 550 Stadium Mall Drive, West Lafayette, IN 47906 Julie Huetteman Ph.D WorkLife Programs Purdue West 1402 West State Street, West Lafayette, IN 47907

  2. Outline for Presentation • Motivation for Study of Relationship between Healthy Workplaces and Healthy Lifestyles at Purdue University • Healthy Workplaces: Background Statistics Musculoskeletal Injuries and Worker’s Compensation at Purdue • Healthy Lifestyles: Description of Purdue Wellness Program and Incentives to Participants • Study Approach/Methods • Results/Discussion • On-going and Future Research 2

  3. Synergies between Healthy Workplaces and Healthy Lifestyles Ergonomics Program for Intervention and Control of Musculoskeletal Disorders among Employees Healthy Lifestyles and Healthy Workplaces • Datasets: • Aggregate data from Vendor • OSHA 300 • Variables: • Lifestyle risk factors and risk scores • Number of reported back injuries • Datasets: • OSHA 300 • Worker’s Compensation • Variables: • Injury count and injury rate • Severity rate • Cost per injury Goal: To determine if selected lifestyle risk factors affect the risk of work-related back injuries. Goal:To implement ergonomic measures in workplaces and quantify injury and economic outcomes from these measures. • Integrated Outcomes: • Best work and lifestyle practices. • Reduced injury and severity rates (on and off the job). • Improved quality of work and family life. • Reduced cost to the university, and to individual supplemental health plans. • Increased worker’s satisfaction, morale, less turn over, and absenteeism. • Develop best strategies for exercise, fitness, and well being. 4

  4. HEALTHY WORKPLACES THROUGH IMPLEMENTATION OF ERGONOMICS CONTROL PROGRAMS 5

  5. Back Injuries • Nearly 80% of the U.S. population has suffered or will suffer from back injuries. 6

  6. 2005 Back Injuries at Purdue • At Purdue University, back injuries have been in the top 5 medical conditions throughout the years. 7

  7. Motivation • Back injuries and their causes have been studied by many researchers over time. • Besides the much-studied occupational causes, there are non-occupational causes as well. • Purdue pays approximately $100 Million annually on Medical Cost. • Purdue recognizes there may be a relationship between occupational and non-occupational risk factor and back injuries • Because of this Purdue is offering incentives to reduce workplace risk factors and improve healthylifestyles 8

  8. Some Occupational Causes of Back Pain • Heavy manual work • Exposure to vibration • Trunk rotation • Lifting 9

  9. Some Non-Occupational Causes of Back Pain • Tobacco use • Weight • Alcohol use • Exercise and physical activity *BOTH occupational and non-occupational factors should be considered. 10

  10. Background Statistics for Medical Cost among Purdue University Employees(Based on 2004 Data) 1. Medical Cost 2. Workers’ Compensation 3. OSHA 300 Logs 11

  11. 1. MEDICAL COSTS Table 1: Total and Per Person Expense of Low Back Injuries: Gender and Employee Groups Table 2: Total and Per Person Units of Low Back Injuries: Gender and Employee Groups 12

  12. 2. WORKERS’ COMPENSATION • Data is analyzed for clearly evident musculoskeletal diseases only. • Part of body (excluding head): • Neck • Upper extremities (i.e. shoulders, arms, hands, wrist, fingers) • Trunk, except back (i.e. chest, ribs, abdomen, pelvic) • Back • Lower extremities (i.e. legs, ankles, feet, toes) • Others (i.e. multiple body parts) • Nature of injury, for example: • Carpal tunnel syndrome • Strains/sprains • Numbness/tingling 13

  13. 2. WORKERS’ COMPENSATION(Musculoskeletal Disease in Different Parts of the Body) % Musculoskeletal Disease Cost Incurred* % Musculoskeletal Disease Count* *Percentage is take out of total count of musculoskeletal diseases only. *Percentage is take out of total count of musculoskeletal diseases only. 14

  14. 2. WORKERS’ COMPENSATION Top Locations for Worker’s Compensation Claims (by % Total Cost Incurred) 15

  15. 3. OSHA 300 LOGS • 239 cases related to musculoskeletal diseases, of which 175 are recordable cases. 16

  16. COMPARISON OF MEDICAL COST, WORKERS’ COMPENSATION, & OSHA 300 LOGS, AS IT RELATES TO MUSCULOSKELETAL INJURIES AND ILLINESSES, GENERALLY TEND TO AGREE WITH EACH OTHER. 17

  17. The Healthy Purdue initiative was designed to support the partnership between Purdue University and its benefit-eligible faculty, staff, long term disability participants, and their spouses or same-sex domestic partners, working together to promote health and contain health care costs. Official Purdue retirees and their spouses or same-sex domestic partners may take part, but will not receive financial incentives. Participation is voluntary. http://www.purdue.edu/hr/WorkLife/healthySynopsis.htm 18

  18. Study Approach • Preliminary Study: Foundation for Study • Use aggregate data to determine lifestyle risk factors associated with back injuries • Data Source: 2000 – 2005 OSHA logs and Workers’ Compensation claims • Core Study: Phases 1-3: Achieve more detailed and accurate results (Based on Preliminary Study) 19

  19. Core Study: Phase 1Participants (All 4 Campuses) • 8,991 people participated in Healthy Purdue. • 6,451 were employees, • 2,438 spouses and domestic partners, and • 102 Purdue retirees and spouses. • 93% filled out their health risk assessment online – only 7% filled out the paper version. 20

  20. Core Study: Phase 1Participants (All 4 Campuses) • Average age =46.5 • 56% were female • 44% were male. 21

  21. HEALTHY PURDUE WELLNESS PARTICIPANTS INCENTIVE PROGRAM • Wellness screening • Height, weight, blood pressure, total cholesterol, HDL, and glucose (blood sugar). • HRA Questionnaire (Health Risk Assessment). • Participant’s values are needed from their wellness screening to complete the questionnaire. • Coaching and resources. • Participants qualify for health coaching based on HRA • www.purdue.edu/healthypurdue. • Wellness criteria. • Additional opportunity to promote health (i.e., losing weight, smoking cessation, etc) • Incentive strategy • Financial incentive for screenings, questionnaire and wellness criteria. 22

  22. Core Study Data Sets • Use risk factors and biometric data from the Health Risk Assessment performed by Purdue’s WorkLife Programs. • Dataset included information on nearly 9,000 participants. • Data was Filtered (6,052 Purdue University’s West Lafayette employees*) • Remove participants with missing information, • Remove those who were not employees at the West Lafayette campus. • OSHA 300 logs and Workers’ Compensation claims for the year 2006. *Purdue University (West Lafayette) Faculty and staff pop = 10,751 23

  23. Scoring Lifestyle Risk Factors Questions • Private healthcare contractor, used the HRA data to calculate health risk scores, which were calculated based on a combination of factors. • Risk categories were obtained in order to see how participants were distributed. • Scores: low (1), moderate (2), or high (3) 24

  24. Risk Factors • Body Mass Index • Well-being • Self-Care* • Cholesterol • Blood Pressure • Alcohol • Back • Exercise • Smoking • Stress * Likelihood to visit a health professional (Ability to decide when to call or visit a health professional) 25

  25. Hypotheses • Selected lifestyle risk factors, • job status and • corresponding occupational risk factors are associated with higher reporting of back injuries among employees at Purdue University. 26

  26. Demographic & Biometrics Data • Gender • Age • Campus • Job status • Weight • Body mass index • Cholesterol • Systolic and diastolic blood pressure 27

  27. Method • Perform analyses on lifestyle aggregate data to determine how the different aspects of lifestyle influence the risk of developing back injuries and to determine the most important lifestyle risk factors for each job status. 28

  28. Method • Incidence and severity rates of back injuries will be determined from OSHA 300 logs and Workers’ Compensation, as well as the proportion of back injuries for each job status. 29

  29. High Risk Scores for Each of the Risk Factors 30

  30. Personal Risk Factors for Back Pain • Obesity • Exercise and physical activity • Can help prevent and treat back pain • Fatigue, depression, difficulties in sleeping 31

  31. Multiple Regression 32

  32. Preliminary Results – Regression Tree 33 A description of the regression results is on the next slide

  33. 34

  34. On-going and Future Research 35

  35. Stress Risk More than 60% have moderate or high stress risk • 36.7% Low Risk (n=2221) • perceive life not very stressful, and handle stress effectively • 46.8% Moderate Risk (n=2830) • perceive life not very stressful, and not handle stress effectively • perceive life very stressful, and handle stress effectively • 16.6% High Risk (n=1002) • perceive life as very stressful, and not handle stress effectively 36

  36. Effect of Social Support on Risk Factors 37

  37. Conclusion • Results provide a glimpse of how closely related workplace and lifestyle activities are in the development of musculoskeletal injuries. • Top 3 contributors to risk of back injuries come from both the occupational and non-occupational aspects of a person’s life: exercise, type of job and body mass index • These findings need to be considered when developing strategies for reducing and preventing back injuries at work, at home, and at play. • Future research is being conducted on relationship between stress and social support network and the prevention of back injuries. 38

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