The 130th Annual Meeting of APHA

4070.0: Tuesday, November 12, 2002 - 8:30 AM

Abstract #43153

Political economy and the determinants of low participation in worksite health promotion programs: Considering new theories to understand old problems

Laura Linnan, ScD, Dept. of Health Behavior and Health Education, University of North Carolina - Chapel Hill, CB #7440, Chapel Hill, NC 27599-7440, 919-843-8044, linnan@email.unc.edu

Low participation limits the potential impact of worksite-based interventions. Participation may be defined at the employee level (e.g. individual attendance) or at the worksite level (e.g. to what extent (if at all) programs are offered at the worksite). Ecological models suggest that multiple levels of influence (e.g. intrapersonal, interpersonal, institutional, community, and policy) operate to determine participation patterns in worksite health promotion programs. However, investigations into the determinants of low participation over the past three decades have focused almost exclusively on intrapersonal, interpersonal and organizational influences on employee-level participation. This presentation will challenge the audience to stretch beyond conventional thinking, and consider both commmunity and policy-levels of influence on participation patterns both at the employee and worksite levels. New ways of thinking are logically driven by theory. This presentation will offer one macrosocial theoretical perspective – political economy of health (PEH) – which may help guide both researchers and practitioners interested in addressing the community and policy level determinants of participation in worksite health promotion program. Using theory to investigate the full spectrum of determinants, from individual to policy, offers a more complete range of intervention and research options for maximizing participation. To that end, the potential for improving the public health impact of worksite health promotion programs in the future is greatly enhanced.

Learning Objectives:

Keywords: Worksite, Physical Activity

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Physical Activity and Worksite Health Promotion: National, Statewide and Local Initiatives

The 130th Annual Meeting of APHA