Cargando…

Are workplace health promotion programmes effective for all socioeconomic groups? A systematic review

Decreasing socioeconomic health inequalities is considered an important policy priority in many countries. Workplace health promotion programmes (WHPPs) have shown modest improvements in health behaviour. This systematic review aims to determine the presence and magnitude of socioeconomic difference...

Descripción completa

Detalles Bibliográficos
Autores principales: van de Ven, David, Robroek, Suzan J W, Burdorf, Alex
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7547856/
https://www.ncbi.nlm.nih.gov/pubmed/32217755
http://dx.doi.org/10.1136/oemed-2019-106311
_version_ 1783592507747074048
author van de Ven, David
Robroek, Suzan J W
Burdorf, Alex
author_facet van de Ven, David
Robroek, Suzan J W
Burdorf, Alex
author_sort van de Ven, David
collection PubMed
description Decreasing socioeconomic health inequalities is considered an important policy priority in many countries. Workplace health promotion programmes (WHPPs) have shown modest improvements in health behaviour. This systematic review aims to determine the presence and magnitude of socioeconomic differences in effectiveness and the influence of programme characteristics on differential effectiveness of WHPPs. Three electronic databases were searched for systematic reviews published from 2013 onwards and for original studies published from 2015 onwards. We synthesised the reported socioeconomic differences in effectiveness of WHPPs on health behaviours, and calculated effectiveness ratios by dividing the programme effects in the lowest socioeconomic group by the programme effects in the highest socioeconomic group. Thirteen studies with 75 comparisons provided information on the effectiveness of WHPPs across socioeconomic groups. Ten studies with 54 comparisons reported equal effectiveness and one study with 3 comparisons reported higher effectiveness for lower socioeconomic groups. Quantitative information on programme effects was available for six studies with 18 comparisons, of which 13 comparisons showed equal effectiveness and 5 comparisons showed significantly higher effect sizes among workers in low socioeconomic position. The differential effectiveness of WHPPs did not vary across programme characteristics. In this study no indications are found that WHPPs increase socioeconomic inequalities in health behaviour. The limited quantitative information available suggests that WHPPs may contribute to reducing socioeconomic inequalities. Better insight is needed on socioeconomic differences in effectiveness of WHPPs to develop strategies to decrease socioeconomic inequalities in health in the workforce.
format Online
Article
Text
id pubmed-7547856
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-75478562020-10-22 Are workplace health promotion programmes effective for all socioeconomic groups? A systematic review van de Ven, David Robroek, Suzan J W Burdorf, Alex Occup Environ Med Systematic Review Decreasing socioeconomic health inequalities is considered an important policy priority in many countries. Workplace health promotion programmes (WHPPs) have shown modest improvements in health behaviour. This systematic review aims to determine the presence and magnitude of socioeconomic differences in effectiveness and the influence of programme characteristics on differential effectiveness of WHPPs. Three electronic databases were searched for systematic reviews published from 2013 onwards and for original studies published from 2015 onwards. We synthesised the reported socioeconomic differences in effectiveness of WHPPs on health behaviours, and calculated effectiveness ratios by dividing the programme effects in the lowest socioeconomic group by the programme effects in the highest socioeconomic group. Thirteen studies with 75 comparisons provided information on the effectiveness of WHPPs across socioeconomic groups. Ten studies with 54 comparisons reported equal effectiveness and one study with 3 comparisons reported higher effectiveness for lower socioeconomic groups. Quantitative information on programme effects was available for six studies with 18 comparisons, of which 13 comparisons showed equal effectiveness and 5 comparisons showed significantly higher effect sizes among workers in low socioeconomic position. The differential effectiveness of WHPPs did not vary across programme characteristics. In this study no indications are found that WHPPs increase socioeconomic inequalities in health behaviour. The limited quantitative information available suggests that WHPPs may contribute to reducing socioeconomic inequalities. Better insight is needed on socioeconomic differences in effectiveness of WHPPs to develop strategies to decrease socioeconomic inequalities in health in the workforce. BMJ Publishing Group 2020-09 2020-03-26 /pmc/articles/PMC7547856/ /pubmed/32217755 http://dx.doi.org/10.1136/oemed-2019-106311 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Systematic Review
van de Ven, David
Robroek, Suzan J W
Burdorf, Alex
Are workplace health promotion programmes effective for all socioeconomic groups? A systematic review
title Are workplace health promotion programmes effective for all socioeconomic groups? A systematic review
title_full Are workplace health promotion programmes effective for all socioeconomic groups? A systematic review
title_fullStr Are workplace health promotion programmes effective for all socioeconomic groups? A systematic review
title_full_unstemmed Are workplace health promotion programmes effective for all socioeconomic groups? A systematic review
title_short Are workplace health promotion programmes effective for all socioeconomic groups? A systematic review
title_sort are workplace health promotion programmes effective for all socioeconomic groups? a systematic review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7547856/
https://www.ncbi.nlm.nih.gov/pubmed/32217755
http://dx.doi.org/10.1136/oemed-2019-106311
work_keys_str_mv AT vandevendavid areworkplacehealthpromotionprogrammeseffectiveforallsocioeconomicgroupsasystematicreview
AT robroeksuzanjw areworkplacehealthpromotionprogrammeseffectiveforallsocioeconomicgroupsasystematicreview
AT burdorfalex areworkplacehealthpromotionprogrammeseffectiveforallsocioeconomicgroupsasystematicreview