Reducing Health Risk Factors in Workplaces of Low and Middle-Income Countries

Public Health Nurs. 2015 Sep-Oct;32(5):478-87. doi: 10.1111/phn.12189. Epub 2015 Mar 19.

Abstract

Objective: To reduce risk factors in workplace settings in low- and middle-income countries.

Design and sample: Workplace interventions were utilized as part of the Community Interventions for Health program, a nonrandomized, controlled study undertaken in three communities in China, India, and Mexico. Exactly, 45 industrial, 82 health and 101 school workplace settings with a target population of 15,726. Two independent cross-sectional surveys of workers were conducted at baseline and follow-up, after 18-24 months of intervention activities.

Measures: Culturally appropriate interventions to reduce tobacco use, increase physical activity, and improve dietary intake were delivered in the intervention areas.

Results: Exactly, 12,136 adults completed surveys at baseline, and 9,786 at follow-up. In the intervention group, the prevalence of tobacco use reduced significantly in men (-6.0%, p < .001) and the proportion eating five portions of fruit and vegetables daily increased (+6.9%, p < .001) compared with the control group. There were no significant differences between the groups for changes in physical activity or prevalence of overweight.

Conclusions: Workplace interventions improved risk factors in China, India, and Mexico.

Keywords: community interventions; diet; noncommunicable disease; obesity; physical activity; tobacco; workplace.

Publication types

  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • China / epidemiology
  • Cross-Sectional Studies
  • Cultural Competency*
  • Diet / statistics & numerical data*
  • Female
  • Follow-Up Studies
  • Fruit
  • Health Promotion / methods*
  • Health Surveys
  • Humans
  • India / epidemiology
  • Male
  • Mexico / epidemiology
  • Middle Aged
  • Motor Activity*
  • Occupational Health*
  • Overweight / epidemiology
  • Overweight / prevention & control
  • Prevalence
  • Risk Factors
  • Tobacco Use / epidemiology
  • Tobacco Use / prevention & control*
  • Vegetables
  • Workplace / statistics & numerical data
  • Young Adult