Secondary Logo

Institutional members access full text with Ovid®

Key Organizational Characteristics for Integrated Approaches to Protect and Promote Worker Health in Smaller Enterprises

McLellan, Deborah L. PhD, MHS; Williams, Jessica A. PhD; Katz, Jeffrey N. MD, MSc; Pronk, Nicolaas P. PhD; Wagner, Gregory R. MD; Cabán-Martinez, Alberto J. PhD, DO; Nelson, Candace C. ScD; Sorensen, Glorian PhD, MPH

Journal of Occupational and Environmental Medicine: March 2017 - Volume 59 - Issue 3 - p 289–294
doi: 10.1097/JOM.0000000000000949

Objective: The aim of this study was to investigate relationships between worksite organizational characteristics (size, industrial sector, leadership commitment, and organizational supports) and integrated approaches to protecting and promoting worker health implemented in smaller enterprises.

Methods: We analyzed web-based survey data of Human Resource Managers at 114 smaller enterprises (<750 employees) to identify organizational factors associated with levels of integrated approaches among their worksites.

Results: The companies’ mean integration score was 13.6 (SD = 9.6) of a possible 44. In multivariate analyses, having a safety committee (P = 0.035) and top leadership support for health promotion (HP) (P = 0.004) were positively associated with higher integration scores.

Conclusions: Smaller enterprises in one U.S. region have relatively low levels of implementing integrated safety and promotion approaches. Having a safety committee and leadership support for HP may be important contributors to implementing integrated approaches in smaller enterprises.

Dana-Farber Cancer Institute (Drs McLellan, Williams, Sorensen), Harvard T.H. Chan School of Public Health, Boston, Massachusetts (Drs McLellan, Katz, Pronk, Wagner, Cabán-Martinez, Sorensen), University of Kansas, School of Medicine, Kansas City, Kansas (Dr Williams), Brigham and Women's Hospital, Boston, Massachusetts (Dr Katz), HealthPartners, Inc., Minneapolis, Minnesota (Dr Pronk), National Institute for Occupational Safety and Health (NIOSH/CDC), Washington, District of Columbia (Dr Wagner), University of Miami, Miller School of Medicine Medical School, Miami, Florida (Dr Cabán-Martinez), and Massachusetts Department of Public Health, Boston, Massachusetts (Ms Nelson).

Address correspondence to: Deborah L. McLellan, PhD, MHS, Center for Community-Based Research, Dana-Farber Cancer Institute, 450 Brookline Avenue, LW715, Boston, MA 02215 (

This work was supported by a grant from the National Institute for Occupational Safety and Health (U19 OH008861) for the Harvard School of Public Health Center for Work, Health and Well-being.

The views expressed are those of the authors and not necessarily those of the National Institute for Occupational Safety and Health.

The authors declare no conflict of interest.

Copyright © 2017 by the American College of Occupational and Environmental Medicine