hopital genera hle montreal the mont hahl general … · paradis, martin comeae anu louisd...

HOPITAL GENERAL HE MONTREAL THE MONTH HAL GENERAL HOSPITAL

, S A N T É C O M

4 / / I -

0 O

i

THE WORKSITE HEALTH PROMOTION SURVEY TECHNICAL REPORT

Heart Health Program Department of Community Health

Montreal General Hospital

Jennifer O'Loughlin Maureen Thompson

July 1987

Institut national de santé publique du Québec 4835, avenue Christophe-Colomb, bureau 200

Montréal (Québec) H2J3G8

Tél.: (514)597-0606

Cîùrfrr* 'Je ^cnt^îonLife^

osdsuD ub eupilduq è îm ?,b tenoiten fulitenl DOS usauid , cf rfioloO - s rlqo > si D dunovs

G9E LSH (DBdèuÛ) IsàiinoM 8030-TGS ;.iàT

noîfeînsmusob eb oiîrtoS U3U2Hjif, tu* h m r v . g a - ï f f ï J i M ^

•T\ ' : ù^o (osdèuD/L.. AuM'ViJ'i-naali-iS

ID r A£L . ' i

/

Jennifer O'LOUGHLIN and Maureen THOMPSON. The Worksite Health Promotion Survey. Technical report. Department of Community Health of the Montreal General Hospital. July, 1987.

ABSTRACT

As part of its Heart Health Program, the Department of Community Health

of the Montreal General Hospital conducted a telephone survey of all

worksites with 50 or more employees located on its territory. The

objectives were to describe activities, programs, services or policies at

the worksite which were related to heart health, and to assess the level of

interest in having new or more heart health activities. From January to

March 1987, trained interviewers contacted 197 of 220 eligible worksites

(90%) to complete a questionnaire on the characteristics of the worksite,

and on the existence of sports and fitness activities, health services,

health education activities and smoking policies. Most worksites (80%) had

at least one activity, program, service or policy related to heart health.

The most frequently reported was the existence of a smoking policy (53%).

Many policies (40%) had been initiated in the past year, and there was a

wide variety between companies in the extent of restriction. Half of

companies with smoking policies expressed interest in increasing the extent

of restriction, and one third of companies currently without policies showed

interest in implementing one. Other frequently reported heart health

activities included sports activities (51%) and employee assistance programs

(27%). There were few heart health activités in Industry and Manufacturing

enterprises, and in non-union companies. The number of activities per

worksite increased with increasing number of employees, age of the company,

proportion of female employees, and proportion of employees with post-

secondary school education. Worksites which already had heart health

activities were much more likely to express interest in having more

activities, than companies which had. no heart health activities.

Dépôt légal: 3e trimestre 1987 Bibliothèque nationale du Québec Bibliothèque nationale du Canada.

Dans le cadre de son programme "Le coeur en santé", le Département de

santé communautaire de l'Hôpital général de Montréal a mené une enquête

téléphonique auprès de toutes les entreprises situées sur son territoire

embauchant plus de 50 employés. LS premier objectif était de décrire ce que

le milieu de travail offrait comme activités, programmes, services ou

politiques reliés à la santé cardio-vasculaire. Le deuxième objectif était

d'évaluer l'intérêt de développer de nouvelles activités reliées à la santé

cardio-vasculaire• De janvier à mars 1987, des interviewers formés ont

rejoint 197 des 220 milieux de travail éligiblés pour compléter un question-

naire sur les caractéristiques de l'entreprise, sur 11 existence des acti-

vités sportives, des services de santé, des activités d'éducation sanitaire

et des politiques sur l'usage du tabac. La plupart des milieux de travail

(80%) offraient au moins une activité, programme, service ou politique relié

à la santé cardio-vasculaire. L'implantation d'une politique sur l'usage du

tabac était l'activité la plus répandue (53%). Dans plusieurs cas (40%),

les politiques avaient été implantées l'année dernière et le contenu variait

selon les entreprises. La moitié des entreprises qui réglementaient déjà

1 'usage du tabac affirmaient qu'elles étaient intéressées à élargir la

restriction et le tiers des entreprises qui n'avaient pas encore implanté de

telles politiques manifestaient leur intérêt à en implanter une. Les autres

activités les plus répandues étaient les activités sportives (51%) et les

programmes d'assistance aux employés (27%). Il y avait peu d'activités

reliées à la prévention des maladies cardio-vasculaires dans les industries

et râanufactures ainsi que dans les compagnies où il n'y avait pas de

syndicat. Le nombre d'activités par milieu de travail augmentait avec le

iv

nombre d'employés, l'ancienneté de la compagnie et le pourcentage d'employés

féminins ou ayant une éducation post-secondaire. . Les milieux de travail qui

offraient déjà des activités reliées à la santé cardio-vasculaire étaient

plus ouvertes à implanter d'autres activités que celles qui n'en offraient

aucune•

s

V

ACKMOWLKDGKMKMTS

The authors thank Martine Le Comte, Patricia Dray, and Claude Valiquette

for conducting the' interviews and coding the questionnaires. Mireille

Paradis, Martine Comeau and Louise Francoeur provided excellent technical

and secretarial support. We thank Marie Jacques for translating the

abstract. Joyce Gordon of Fitness Ontario, Helen Survali of the Addiction

Research Foundation and Terence Dalton of the Health Promotion Directorate

of Health and Welfare Canada provided very helpful information and advice on

worksite surveys. We thank Marcel Chénier from the Commission de santé et

sécurité au travail, for providing the list of worksites on the DSC-MGH

territory. Wè also thank Michel Kane from the Department of Community

Health of St-Luc Hospital, for providing the list of worksites for the

pretest. We express our appreciation to Jean-François Boivin, John Hoey and

Russell Wilkins for their comments and suggestions on the text. Finally,

the authors thank the many respondents from the worksites surveyed for their

time, cooperation, and eagerness to respond to the questionnaire. The

information which they provided is invaluable to DSC-MGH Heart Health

Program.

vi >

TABLE OF CONTENTS

Page

ABSTRACT i

RESUME i i i

ACKNOWLEDGEMENTS iv

LIST OF TABLES v i i

LIST OF FIGURES . v i i i

/

INTRODUCTION ; 1

BACKGROUND 4

OBJECTIVES 9

METHOD 10

Study design 10 Data collection . . . 10 Questionnaire 11 Variables 12 Data analysis . 17

RESULTS . , 18

Survey response • 18 Characteristics of worksites . . 22 Heart health activities . . . . 25 Characteristics of existing activities 32 Interest in nev heart health activities 42

DISCUSSION . 55

Response 55 Validity of findings 56 Implications of results 57 Future research 61

REFERENCES . 62

APPENDICES A - QUESTIONNAIRES

B - LIST OF WORKSITES CLASSIFIED BY SECTOR OF ECONOMIC ACTIVITY AND CSST CATEGORY

C - DETAILED TABLES OF DATA

vii

LIST OF TABLES

Page

1 - Classification of CSST categories into sectors of economic

activity 13

2 - Characteristics of worksites .. 23

3 - Percent of worksites by number of heart health activities ....... 27

4 - Mean and median number of heart health activities 'per worksite by worksite characteristics 29

5 - Proportion of worksites with specific heart health activities by

worksite characteristics 34

6 - Characteristics of heart health activities • ••• 35

7 - Reasons for no plans to develop new sports/fitness activities in companies with and without existing sports/fitness activity 51

8 - Reasons for no plans for new, health education activities in companies with and without existing health education ............ 52

9 - Reasons for no plans to implement/modify a smoking policy in companies with and without existing smoking policies ....... 53

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

1

viii

LIST OF FIGURES

Page

Survey response 19

Occupation of respondent 20

Occupation of respondent by size of worksite .... 21

Characteristics of worksites by economic sector 24

Characteristics of worksites by number of employees 26

Percent of worksites by number of heart health activities 28

Worksites with no heart health activities by worksite characteristics 30

Worksites with 3 or more heart health activities by worksite characteristics 31

Percentage of worksites with specific heart health activities ... 33

Interest in new heart health activities 43

Interest in new heart health activities by worksite characteristics 44

High level of interest in new heart health activities by worksite characteristics 45

Interest in new sports/fitness activities by worksite characteristics 46

Interest in new health education activities by worksite characteristics 47

Interest in implementing/modifying a smoking policy by worksite

characteristics 48

Interest in new heart health activities in worksites with and without already existing activity 50

LIST OF MAPS

Location of DSCs on the Island of Montreal and Laval 2

INTRODUCTION

The Department of Community Health of the Montreal General Hospital

(DSC-MGH) is one of 32 similar public health .-institutions across the

province of Quebec. Its principal mandates are to identify priority health

problems in its target population, and to design and evaluate preventive

health programs to reduce the prevalence of these health problems. The DSC-

MGH is located in west-central Montreal and serves a population of

approximately 200,000 persons (Map 1).

The reduction of cardiovascular disease is a priority concern of the

DSC-MGH. The long term objective of its Heart Health Program is to reduce

the prevalence of the four major risk factors associated with cardiovascular

disease. Specifically, over the next five years, the Heart Health Program

will introduce a series of interventions into the population to reduce the

prevalence of smoking, physical inactivity, hypercholesteremia and high

blood pressure. Because smoking is the number one avoidable health hazard

(WHO, 1982), and because the prevalence of smoking is higher in the DSC-MGH

population compared to the national average, the Heart Health Program will

begin its five-year program with the introduction of interventions to reduce,

the prevalence of smoking. Its short term objective is to promote the

implementation of smoking policies at 50% of worksites in the DSC-MGH

territory which do not currently have a smoking policy.

In North America the workplace, has become increasingly accepted as an

appropriate channel for the delivery of health promotion interventions. It

is a convenient, cost-effective location to approach large numbers of adults

MAP 1

LOCATION OF DSCs ON THE ISLAND OF MONTREAL AND LAVAL, 1986

grouped at a single location (Pelletier, 1984). In the DSC-MGH territory

approximately two thirds of the population over the age of 15 is employed

(Wilkins, 1983), and most workers spend about one third of the day in the

workplace. In addition there is some evidence in the literature that

workplace interventions such as onsite fitness programs can retain more

participants than interventions delivered through other community channels

(Fielding, 1982). For these reasons the Heart Health Program selected the

workplace as the primary channel for delivery of its interventions. Efforts

will be focused in larger worksites with 50 or more employees because more

persons can be reached with a single effort, and because the literature

suggests that the chances of implementation of programs are greater in

larger worksites (Davis et al., 1984; Fielding and Breslow, 1983; Kierans et

al., 1985; Ontario Ministry of Tourism, 1984; Sallis et al., 1986;

Weinstein, 1983).

As a first step in its five-year plan, the Heart Health Program

conducted the Worksite Health Promotion Survey to collect baseline data on

the existence of heart health activities and on the interest in developing

new heart health activities in worksites located in the DSC-MGH territory.

These data will identify and characterize those worksites which are most

likely to respond favourably to the Heart Health five-year Program. This

report presents the results of the Worksite Health Promotion Survey.

BACKGROUND

Surveys show that there has been a marked increase in the number and

variety of "workplace health promotion activities in the last 15 years (Davis

et al., 1984; Felix et al., 1985; Fielding and Breslow, 1983). Among the

more common activities are safety and accident prevention, cardiopulmonary

resuscitation c o u r s e s , alcohol/drug abuse p r o g r a m s , m e n t a l h e a l t h

counseling^ stress management, fitness/aerobic/exercise classes, hyper-

tension screening, smoking cessation programs^ diet/nutrition/weight control

counseling, and cancer risk reduction.

In the 1986 Canadian Health Promotion Survey (Health and Welfare Canada,

1987) 68% of Canadians felt that the workplace was an appropriate place to

promote health, 24% thought not, and 8%- had no opinion. According to the

report of the survey,

Support (for worksite health promotion activities) varied widely according to the occupation of the respondent, the size of the organization, and the particular economic sector in which they worked. Business people and those in managerial positions in larger companies were most likely to support the idea. Moreover support was quite strongly related to current health promotion* programming: employees of organizations that already provided health-related information are more likely to perceive, their workplace as appropriate for health promotion. Canadians working in lower-paid, blue-collar jobs were the least likely to have received health information at work and the least likely to feel that the workplace is an appropriate place for health promotion. (Health and We1fare, Canada. Active Health Report, p. 41).

There are many reasons why the workplace is regarded as a good location

for health promotion. Employers believe that provision of such activities

may reduce employee turnover and absenteeism, while improving their morale

and health. This may, in turn, improve their work performance (Davis et

al., 1984; Iverson et al., 1985). Weinstein (1983) suggests that because of

its policies and the attention paid to the provision of a safe and healthy

work environment, the workplace can have a strong positive influence on the

attitudes of employees towards health. Pelletier (1984) notes that the

workplace provides a "convenient, cost-effective11 location for the delivery

of health promotion activities. Finally, reduction of health care costs is

frequently cited as a justification for the development of workplace health

promotion, and insurance carriers in the United States are actively

recommending that employers cons i de r the adoption of employee health

promotion programs (Fielding and Breslow, 1983).

Reports on the availability of workplace health promotion activities

vary considerably, and- comparison between reports is difficult because there

is no commonly accepted definition of workplace health promotion activity

(Davis et al., 1984; Fielding and Breslow, 1983; Weinstein, 1983). Such

activity could be a single sporadic occurrence such as a "Quit-Smoking Day"

once a year, or it could be a comprehensive in-house program offered on a

continual basis. Also reports are usually limited to large employers and

they are based on low response rates (Fielding and Breslow, 1983).

A 1984 survey of 2,000 businesses in Ontario with 50 or more employees

(70% of the companies contacted) showed that about one third of all firms

had some kind of sports and recreation program, 10% had employee fitness

programs, and 12% offered some kind of health or lifestyle program such as

stress management, nutrition/weight control' counseling, smoking cessation

program, etc. (Ontario Ministry of Tourism, 1984). A survey in 1985 of

1,000 worksites in British Columbia with 20 or more employees (63% of

worksites contacted) showed, that about 45% of companies had sports and

recreation programs, 26% had fitness activities and 53% had health education

activities (Kierans et al., 1985; Summary report on the British Columbia

workplace fitness and health promotion survey, 1986). Fielding and Breslow

(1983) surveyed 424 worksites in California with more than 100 employees

(83% of worksites contacted), and showed that 78% offered one or more health

promotion activities• Companies with at least one activity had an average

of 2.8 activities per worksite and 15% had exercise/fitness programs.

In general larger companies were more likely to provide health promotion

activities (Davis et al., 1984; Fielding and Breslow, 1983; Kierans et al.,

1985; Ontario Ministry of Tourism, 1984; Sallis et al., 1986; Weinstein,

1983), but the level of interest for workplace health promotion did not

appear to differ according to the size of the enterprise (Davis et al.,

1984). Availability also varied with the sector of economic activity (Davis

et al., 1984; Fielding, 1984; Fielding and Breslow, 1983). Chovil et al.

(1983) in a survey of occupational health services in South Carolina

manufacturing plants, found that companies in the lumber and textile

industries were consistently the least likely to offer any form of health

promotion activity. In British Columbia, companies that already had health

promotion activities were far more likely to show interest in developing new

ones than those without (Kierans et al., 1985).

Employers who did not offer health promotion activities indicated that

lack of funds, space, information about community resources, and employee

motivation were the most important reasons for not developing activities

(Fielding and Breslow, 1983; Kierans et al., 1985; Ontario Ministry of

Tourism, 1984).

Although larger enterprises were more iikely to have on-site resources

for health promotion activities, many worksites relied: on community and

other external resources for the organization, leadership, or facilities for

health promotion activities (Davis et al., 1984; Fielding and Breslow, 1983;

Kierans et al., 1985 ; Ontario Ministry of Tourism, 1984). Community

agencies used to complement or implement health promotion programs included

the Red Cross, local hospitals, the Heart Association, local fire or police

departments, insurance carriers, the Cancer Society, public health agencies,

the Safety Council, and the Lung Association. A survey of hospitals in

Chicago showed that 30% of hospitals offered health promotion consulting

services (Ross et al., 1985). However businesses were generally unaware of

the assistance hospitals, could provide (Community and Industry Ready for

Health Promotion, 1980). Further, many hospitals have not thought of

marketing their programs to business.

There have been very few evaluations of the health effects or cost-

effectiveness of worksite health promotion (Fielding, 1982). A survey of

Colorado workplaces showed that employee participation rates were the most

common evaluation measures (Davis et al., 1984). In the California survey,

two thirds of companies with health promotion activities reported that they

routinely evaluated the effectiveness of their health programs. One half of

the programs were judged "very effective" and one third were "somewhat

effective". However there were no details reported on the criteria used to

evaluate effectiveness. Employers expressed relunctance to evaluate such

activities because it was too costly and disruptive, and because partici-

pation is affected by many unmeasurable or unrelated factors such as

absenteeism and turnover • In general, both employers and employees

considered such programs a benefit whether or not certain outcomes could be

demonstrated.

OBJECTIVES

The overall aim of the Worksite Health Promotion Survey was to collect

baseline data on activities related to heart health at worksites located on

the territory served by the DSC-MGH. The data will be used to identify and

characterize worksites which are more likely to respond favourably to the

Heart Health five-year Program. Also the data will provide baseline

information for comparison with future surveys. The specific objectives

were :

• To describe existing heart health activities in worksites with 50 or

more employees located on the territory served by the Department of

Community Health of the Montreal General Hospital.

• To determine the characteristics of worksites with existing heart health

activities.

• To determine the level of interest in having new or more heart health

activities.

• To describe the characteristics of worksites by level of interest.

METHOD

This section describes the study design, the methods of data collection,

the questionnaire, the variables, and the method of data analysis.

Study design

The study design was a cross-sectional telephone survey of all worksites

with 50 or more employees located on the territory served by the DSC-MGH.

The Commission de santé et sécurité au travail (CSST) provided a list of 324

such worksites including the name, address, telephone number, number of

employees, and the sector of economic activity. The CSST defined worksite

or establishment as a collection of installations and equipment grouped

together at the same location and organized under the authority of a single

individual or group of individuals, for the purpose of production or

distribution of goods or services.

Data collection

The primary method of data collection was the telephone interview. This

was supplemented by mailed questionnaires in worksites where there was a

policy against telephone interviews or when the respondent did not have time

to complete the interview over the telephone. Trained bilingual (French/

English) interviewers contacted each worksite on the CSST list from January

to March 1987, to complete a series of screening questions to verify that

the enterprise was located on the DSC-MGH territory and that it employed 50

or more persons • Worksites which did not meet these two criteria were

excluded.

In worksites which were eligible for inclusion, the interviewer asked to

speak to the person most knowledgeable about health promotion activities at

the workplace. If the respondent was unavailable or unable to complete the

interview at that time, the interviewer made an appointment to call back at

a specified time to complete the interview. Interviews were conducted in

French or English depending on the respondent1 s preference. In worksites

where it was not possible to complete the telephone interview, question-

naires were mailed with stamped, self-addressed return envelopes to the

person identified as most knowledgeable about health promotion activities at

the workplace.

Questionnaire

The que s tionnaire was based on two previous Canadian surveys - the

British Columbia Workplace Fitness and Health Promotion Survey (1986) and

the Ontario Employee Fitness and Lifestyle Program Study (1984). It

collected data on the existence of heart health activities and on the

interest in having (more) heart health activities(l). For each existing

activity, data were collected on who organizes and participates in the

activity, when and where the activity takes place, and the length of time

the activity has been available.

(1) At the resquest of the Santé au travail and the Maternal and Child Health Programs of the DSC-MGH, data were also collected on health services and daycare facilities.

The questionnaire was pretested in 33 worksites with 50 or more

employees randomly selected from the CSST list of worksites located in the

territory served by the Department of Community Health of the St-Luc

Hospital (a territory adjacent to the DSC-MGH territory). The final version

of the questionnaire contained 75 questions and took approximately one half

hour to administer. Appendix A contains a copy of the French and English

versions of the questionnaire.

Variables

Data were collected on worksite characteristics including economic

sector, number of employees, age of worksite, proportion of male employees,-

proportion of employees with more than high school education, and proportion

of employees over 50 years of age.

Economic sector

Worksites were categorized into one of three broad categories of econo-

mic activity (Table 1). Industry and Manufacturing included worksites

classified under 14 CSST categories. Trade and Commerce included three

categories of worksites, and Finance and Services included five categories

of worksites.

\

Number of employees

The number of employees was the summation of the number of full- and

part-time employees • Worksites were categorized into one of three size

groups —• 50-99 employees, 100-249 employees and 250 or more employees.

TABLE 1

CLASSIFICATION OF CSST CATEGORIES INTO SECTORS OF ECONOMIC ACTIVITY

SECTORS

INDUSTRY AND TRADE AND COMMERCE FINANCE AND SERVICES MANUFACTURING

CSST category

1. Construction and Public Works

5. Fabrication of Metal Products

7. Rubber and Plastics 10. Fabrication of

Mineral Non-Metallic Products

12. Food and Beverage Industry

14. Paper (and Associat-ed) Industries

17. Leather Industry 18. Fabrication of

Machines 19. Tobacco Industry 20. Textile Industry 23. Printing, Publishing

and Connected 25. Fabrication of

Electrical Products 27. Clothing 32. Diverse Manufactur-

ing Industries

CSST category

15. Transport and Storage

16. Commerce 22. Communication,

Energy and Other Public Services

CSST

category

11. Public Adminis-tration

21. Commercial and Personal Services

28. Education and Connected

29. Finance, Insurance, Real Estate,

30. Medical and Social Services

Âge of worksite

Respondents were asked to indicate the number of years that the work-

place had been in existence. Responses were categorized as less than 20

years, 20-49 years,, or 50 years or more.

Proportion of male employees

In the p r e t e s t , respondents were asked to indicate a numerical

proportion of male employees. Because this approach frequently èlicited a

"Don't know" response, respondents in the main survey were asked to indicate

an approximate proportion of male employees — all or most, about one third

or one half, and- few or none.

l&nployees with more than high school education

Respondents were asked to indicate approximately how many employees had

more than high school education. Responses were categorized as all or most,

about one third or one half, and few or none.

Employees over 50 years of age

Respondents were asked to approximate the number of employees who were

50 years of age or older. Responses included all or most, about one third

or one half, and few or none. Because of the small number of responses, all

or most, and about one third or one half were collapsed for analysis.

Heart health activity

Heart health activity was defined as any activity, program, service, or

policy which enabled or encouraged the individual to better control or

improve his/her heart health. Data were collected on the existence of team

and individual sports, fitness/aerobic/exercise classes, smoking policies

(regardless of whether or not they were implemented to protect employees

from secondhand smoke), smoking cessation programs, employee assistance

programs(2), general health/wellness educatiori(3), alcohol (and drug)

programs(4), health risk appraisal services(5), nutrition counseling,

screening for hypertension, and "other" including physical fitness assess-

ments, programs to reduce absenteeism and a variety of informal activities.

The activity had to be organized by or through the workplace for any or all

employees, but did not necessarily have to take place on location at the

workplace.

The number of heart health activities was the total number of these

activities at each worksite. The score ranged between 0 and 11.

(2) Employee assistance programs offer a wide range of counseling services to assist employees cope with family problems, marriage difficul-ties, susbstance abuse, stress, etc. Services may be provided by in-house staff, or employees may be referred to outside community resources.

(3) General health/wellness education included provision of informa-tion on various health topics through kiosks, displays, pamphlets, posters, and lectures by health professionals.

(4) In a recent review of the relationship between alcohol intake and blood pressure, Johansen (1983) reported that increased blood pressure levels are found with increased alcohol consumption (regular daily intake of three or more alcoholic drinks), that the prevalence of hypertension in alcoholics is estimated to be 2.3 times greater than among non-drinkers, and that 10 to 30% of the hypertension in affluent countriès may be attributable to the use of alcohol. Because of the apparent association between alcohol intake and hypertension, worksite programs to control or reduce alcohol intake were included as a heart health promotion activity. Drug abuse programs were almost always offered conjointly with alcohol abuse programs.

(5) Health risk appraisal is a noninvasive personalized health assessment tool to evaluate the individual's risk for premature morbidity and mortality from common causes. A composite risk score is calculated based on the individual

1 s family history of disease, smoking s ta tus,

obesity, level of physical activity, alcohol use, etc.

Interest

Data were collected on the respondent's perception of interest at the

worksite in having new or more heart health activities. Specifically,

respondents were asked if the administration was planning to organize (more)

sports or fitness activities, (more) health education a c t i v i t i e s , and

whether or not the administration was planning to implement (or modify) a

smoking policy in the next year. In worksites where there were no plans to

organize activities, respondents were asked if they thought there was any

interest at the workplace in having (more) sports or fitness activities,

(more) health education activities, and whether they thought there was

interest in the implementation (or modification*) of a smoking policy or

regulation. Because the objectives of the Heart Health Program were to

detect even low-interest companies, a loose definition of positive interest

was adopted. Interest was recorded "Yes" if the respondent indicated any

of the following:

plans to organize (more) sports or fitness activities, plans to organize (more) health education,

• plans to i m p l e m e n t / m o d i f y a s m o k i n g ( c l e a n - a i r ) p o l i c y in the n e x t

year, . _ • interest in having (more) sports or fitness activities, interest -in having (more) health education, interest (much, some, little) in implementing/modifying a smoking policy or regulation.

Level of interest was the summation of the number of times "Yes" was

recorded to the items listed above. Scores ranged between 0 and 3. Conver-

sely, lack of interest was -narrowly defined. Interest was recorded "No"

(and Level of Interest was recorded Ô) if the respondent indicated all of

the following:

no plans to organize (more) sports or fitness activities, no plans to organize (more) health education,

no plans to implement/modify a smoking (clean-air) policy in the next year, no interest in having (more) sports or fitness activities, no interest in having (more) health education, no in t e r e s t in implementing/modifying a smoking policy or regulation.

Interest and Level of Interest were recorded "Don't know" in all other

worksites•

Data analysis

Data from the questionnaires were edited, coded and keypunched.

Accuracy of keypunched data was verified against the original question-

naires. The data were examined univariately in simple cross-tabulations

produced by SAS prepacked programs for the IBM-PC.

RESULTS

This section presents the survey response, the characteristics of the

worksites studied, and the results on the existence of heart health

activities, the characteristics of existing activities, and the interest in

having (more) heart health activities.

Survey response

One third of the 324 worksites on the CSST list (n=104) were ineligible

for inclusion in the survey. Figure 1 details the reasons for exclusion.

Of the remaining 220 worksites, 90% completed the questionnaire. Most

respondents (85%) were interviewed over the telephone ( F i g u r e 1 ) .

Appendix B provides a list of the worksites surveyed classified by sector of

economic activity and CSST category.

Figure 2 shows that half of the respondents interviewed (51%) worked in

administration or management, 24% were human resources personnel, and 25%

were other (including secretaries, office supervisors, plant foremen,

occupational health or health services personnel, and others).

In smaller worksites with 50-99 employees, most respondents (65%) worked

in administration or management (Figure 3). In larger worksites with 250 or

more e m p l o y e e s , only 27% of respondents worked in administration or

management and 39% were human resources p e r s o n n e l , r e f l e c t i n g the

subdivision of employees into specialty departments in larger worksites,.

FIGURE 1

SURVEY RESPONSE

60

5 0

4 0

3 0

20

10

0

FIGURE 2

OCCUPATION OF RESPONDENT

51

24 25

' ' ' : i:-:;?

llxliilili

Administration, Management

Human Resources Personnel

Other

Occupation of Respondent

r ,

Source: Worksite Health Promotion Survey, DSC-HGM, 1987

FIGURE 3

OCCUPATION OF RESPONDENT BY SIZE OF WORKSITE

7 0

% 6 0

W 5 0 0 R 4 0 K S 3 0 I T E

2 0 S 1 0

0 Administration, Human Resources

Management Personnel

Occupation of Respondent

Other

Number of Employees

5 8 — 9 9

• 1 8 0 - 2 4 9

• >y 2 5 0

Source: Worksite Health Promotion Survey, DSC-MGH, 1987.

Characteristics of worksites

Table 2 describes the characteristics of the worksites surveyed. Two

thirds of enterprises belonged to the Finance and Service sector, 27% were

Industry and Manufacturing enterprises, and only 17 worksites (9%) were

classified as Trade and Commerce e n t e r p r i s e s . Results pertaining to

companies belonging to the Trade and Commerce sector should be interpreted

with caution because of the small number. The 53 Industry and Manufacturing

enterprises had a total of 10,025 employees, the 17 Trade and Commerce

worksites had a total of 2,544 employees, and the 127 Finance and Service

worksites had a total of 48,857 employees.

Most worksites (74%) had fewer than 250 employees, 61% were less than 50

years old, about one third of worksites employed mostly men and 28% employed

mostly women, two thirds had unions, most employees of 38% of enterprises

had more than high school e d u c a t i o n , and three quarters of worksites

reported that few employees were over 50 years.of age.

Figure 4 shows the characteristics of worksites by economic sector.

Compared to enterprises of the other sectors, Industry and Manufacturing

worksites tended to have fewer employees, there were fewer new enterprises

(less than 20 years old), fewer worksites employed women, most worksites

(77%) had u n i o n s , and few employed persons with more than high school

education. Trade and Commerce worksites tended to be older (47% were 50

years of age or over), and many more employed mostly men (59%). Employees

were better educated than those working in Industry and M a n u f a c t u r i n g .

Finance and Services worksites were larger (27% had 250 or more employees),

TABLE 2

CHARACTERISTICS OF WORKSITES

CHARACTERISTIC N ( l ) %

ECONOMIC SECTOR Industry and Manufacturing 53 26.9 Trade and Commerce 17 8.6 Finance and Services 127 64.5 Total 197 100.0

NUMBER OF EMPLOYEES

50 - 99 72 36.6 100 - 249 73 37.1 = 250 52 26.4 Total 197 100.0

AGE OF WORKSITE (years)

^19 57 28.9 2 0 - 4 9 63 32.0 £50 77 39.1 Total 197 100.0

PROPORTION MALE EMPLOYEES All or most 58 29.9 Half or third 82 42.3 Few or none 54 27.8 Total 194 100.0

UNION

Yes 123 63.4 No 71 36.6 Total 194 100.0

EMPLOYEES WITH MORE THAN HIGH SCHOOL All or most 68 37.6 Half or third 55 30.4 Few or none 58 32.0 Total 181 100.0

EMPLOYEES OVER 50 YEARS OF AGE Third or more 49 25.5 Few or none 143 74.5 Total 192 100.0


Note (1): Totals differ because of missing data.

FIGURE 4

CHARACTERISTICS OF WORKSITES BT ECONOMIC SECTOR

90

86

70

60

50

40

30

20

10

8 50-99 è 250

Number of

Employees

Age of Worksite (years)

32

22

Most Few

Proportion Male

Employees

i S&98-

Yes

Union

52

19

10

s; s

i i in

Most Few

Employees with more than high school

B2

Hizfi

6* |: S S ro & p

V P

V ;

i v ;

\ ! N i i i i

V"1

Few

Employees over 50 years

1

Industry and Manufacturing

Trade and Commerce

Finance and Services


Note: See Table C.l in Appendix C for detailed table of data.

more enterprises were newer, one third of worksites employed mostly women,

and employees were much better educated on the average than those working in

the other two sectors of economic activity.

Figure 5 shows the characteristics of worksites by size of worksite.. In

general older enterprises tended to be larger than younger enterprises but

the proportion of male employees, the presence of a union and the general

level of education of employees did not vary much by size of company.

Heart Health Activities

Bomber of activities

Table 3 and Figure 6 show that 20% of worksites did not have any of the

11 heart health activities, 46% had 1-2 activities, and 34% had 3 or more.

The mean number of heart health activities per worksites was 2.2 and the

median was 2. Table 4 shows the mean and median number of heart health

activities per worksite, according to various characteristics of the

worksites. Figure 7 shows the proportion of companies with no activities,

and Figure 8 shows the proportion with 3 or more activities by these same

characteristics.

The data indicate that Industry and Manufacturing worksites had fewer

heart health activities than Trade and Commerce, and Finance and Service

worksites. The number of activities was related to the size of the company,

with larger companies having more activities - over half of companies with

250 or more employees had three or more activities. The proportion of

companies without any activities decreased with increasing age of the

FIGURE 5

9 0

CHARACTERISTICS OF WORKSITES BT NUMBER OF EMPLOYEES

80

70

60

50

40

30

20

10

35

50

Z1 I ii

f § 19

Age of Worksite (years)

;so

32 30-P F

>2

Moat Few

Proportion Hale

Employees

67

! 65

Yes

Union

M

jiLL

Most Few

Employees vith more than high school

Few

Employees over 50 years

Number of Employees

S 50- 99

I I 100-249

G £ 250


Note: See Table C.2 in Appendix C for detailed table of data.

TABLE 3

PERCENT OF WORKSITES BY NUMBER OF HEART HEALTH ACTIVITIES

NUMBER OF HEART WORKSITES HEALTH ACTIVITIES N %

None 40 20.3

1 51 25.9

2 40 20.3

3 25 12.7

4 15 7.6

5 8 4.1

6 7 3.6

7 3 1.5

8 4 2.0

9 4 2.0

Total 197 100.0


FIGURE 6

PERCENT OF WORKSITES BY NUMBER OF HEART HEALTH ACTIVITIES

5 0

4 0

3 0

20

10

0

46

: <s ft '

34

20

, s* , s •* ' " v.-

p i i a

'"Vi* ' ' ' sxr ' v ' ' ' r . * ' s

' ss ~ " i , V» " s 5 * " f S /

+ >f tS l i i i i iiiiiig

None 1-2

NUMBER OF ACTIVITIES

£3


TART.lt 4

MEAN AND MEDIAN NUMBER OF B H A B T HEALTH ACTIVITIES PER WORKSITE BY WORKSITE CHARACTERISTICS

Number ( D Mean Median of number of number of

CHARACTERISTIC worksites activities activities

ECONOMIC SECTOR Industry and Manufacturing 53 1.5 1 Trade and Commerce 17 2.7 2 Finance and Services 127 2.5 2 Total 197 2.2 2

NUMBER OF EMPLOYEES 50 - 99 72 1.6 1 100 - 249 73 2.1 2 £250 52 3.3 3 Total 197 2.2 2

AGE OF WORKSITE (years) =19 57 1.9 1 20 - 49 63 1.9 2 £50 77 2.7 2 Total 197 2.2 2

PROPORTION MALE EMPLOYEES All or most 58 1.9 1 Half or third 82 2.4 2 Few or none 54 2.3 2 Total 194 2.2 2

UNION Yes 123 2.6 2 No 71 1.6 1 Total 194 2.2 2

EMPLOYEES WITH MORE THAN HIGH SCHOOL All or most 68 2.8 2 Half or third 55 2.4 2 Few or none 58 1.5 1 Total 181 2.3 2

EMPLOYEES OVER 50 YEARS OF AGE Third or more 49 2.7 2 Few or none 143 2.1 2 Total 192 2.3 2



FIGURE 923

WORKSITES WITH HO HEART HEALTH ACTIVITIES BY WORKSITE CHARACTERISTICS

26

49-

35 35

28 26

-J4-

24

Average 20X

23

12

16 17 18 18

15 16

11

Ind. Tr. Fin. + + +

Man. Coo. Ser.

Economic Sector

50- 100- * 250 99 249

S 19 20-49 2 50

Number of Employees Age of Worksite (Yeara)

Most Some Few

Proportion Male Employees

Yes No

Onion

Moat Some Few Third Few or or

More None

Employeea with More Employees over than High School 50 Yeara


Note: See Table C.l in Appendix C for detailed table of data.

•x) (a 00 <b W o

FIGURE 8

WORKSITES WITH 3 OR MORE HEART HEALTH ACTIVITIES BT WORKSITE CHARACTERISTICS

60

50

40

30

20

10

4i

17

39

Ind. Tr. Fin, + + +

Man. Com* Ser.

Economic Sector

54

29.

i l

43

JUL XL

50- 100- S 250 99 249

Number of Employees

5 19 20-49 2 50

Age of Worksite (Years)

49

42

37

34

31

20

41

Average 34%

31

21

I F

Most Some Few


Yea No

Union

Most Some Few

Employees with More than High School

Third Few or or

More None

Employees over 50 Years

Source: Worksite Health Promotion Survey, DSC-MGH, 1987. Q) 09

Note: See Table C.3 in Appendix C for detailed table of data. ft u>

company - 43% of worksites over 50 jrears old had 3 or more activities

compared to only 28% of newer companies. Also the proportion of companies

without any activities decreased from 35% to 11% as the proportion of female

employees increased. Companies where some or all employees were unionized

tended to have more heart health activities than those without unionized

employees, and as the general level of education of èmployees increased, the

number of heart health activities also increased. Finally, worksites with

younger employees tended to have fewer activities than worksites with older

employees.

Characteristics of Existing Activities

This section presents data on each specific heart health activity.

Figure 9 shows that the most frequently reported heart health activities

were smoking policy (53%), sports activities (51%), and employee assistance

programs (27%). Table 5 presents the characteristics of companies which

offered each activity, and Table 6 presents data on who organizes and parti-

cipates in each activity, when and where the activity takes place, and the

length of time the activity has been available. With the exception of sports

and smoking policies, there were few programs offered in each of the other

categories, and therefore the results should be interpreted with cautipn..

Smoking Policy

As indicated earlier, over half of companies (53%) reported that there

was a-smoking policy at the worksite. Unlike many of the other heart health

a c t i v i t i e s , there was little difference in the prevalence of smoking

F I G U B E 9

P E R C E N T A G E O F W O R K S I T E S W I T H S P E C I F I C H E A R T H E A L T H A C T I V I T I E S

Smoking Sports Employee General Alcohol Health Smoking Fitness Nutrition Hyper-Policy Assistance Health and Drug Risk Cessation Counsel- tension

Program Educa- Program Apprais- Program ing Screening tion al

Other

Heart Health Promotion Activity

S o u r c e : W o r k s i t e H e a l t h P r o m o t i o n S u r v e y , D S C - M G H , 1 9 8 7 .

TABLE 5

PROPORTION OF WORKSITES WITH SPECIFIC HEART HEALTH ACTIVITIES BY WORKSITE CHARACTERISTICS

CHARACTERISTIC Smoking policy Sports

Employee assistance

program

General health

education

Alcohol and drug program

Health risk

appraisal Smoking

cessation Fitness Nutrition counseling

Hyper-tension

screening

ECONOMIC SECTOR Industry and n 26 20 10 3 5 7 2 0 1 1

Manufacturing Z 49.1 37.7 18.9 5.7 9.4 13.2 3.8 0.0 1.9 1.9 Trade and Commerce n 9 12 7 2 5 2 2 3 1 2 : 52.9 70.6 41.2 11.8 29.4 11.8 11.8 17.7 5.9 ' 11.8 Finance and Services n 70 68 36 27 20 18 22 18 18 12

Z 55.1 53.5 28.4 21.3 15.8 14.2 17.3 14.2 14.2 9.5 Total n 105 100 53 32 30 27 26 21 20 15

Z 53.3 50.8 26.9 16.2 15.2 13.7 13.2 10.7 10.2 7.6

NUMBER OF EMPLOYEES 50 - 99 n 31 30 13 8 7 4 12 2 3 4

Z 43.1 41.7 18.1 11.1 9.7 5.6 16.7 2.8 4.2 5.6 100 - 249 n 42 39 18 10 10 10 ' 4 7 4 * 3

Z 57.5 53.4 24.7 13.7 13.7 13.7 5.5 9.6 5.5 4.1 £250 n ' 32 31 22 14 13 13 10 12 13 8

Z 61.5 59.6 42.3 26.9 25.0 25.0 19.2 23.1 25.0 15.4 Total n 105 100 53 32 30 27 26 21 20 15

Z 53.3 50.8 26.9 16.2 15.2 13.7 13.2 10.7 10.2 7.6

AGE OF WORKSITE (years) £19 n 26 25 9 13 8 10 6 2 5 4

Z 45.6 43.9 15.8 22.8 14.0 17.5 10.5 3.5 8.8 7.0 20 - 49 D 38 30 14 6 7 4 8 4 6 2

X 60.3 47.6 22.2 9.5 11.1 6.4 12.7 6.4 9.5 3.2 250 n 41 45 30 13 15 13 12 15 .9 9

Z 53.3 58;4 39.0 16.9 19.5 16.9 15.6 19.5 11.7 11.7 Total n 105 100 53 32 30 27 26 21 20 15

Z 53.3 50.8 26.9 16.2 15.2 13.7 13.2 10.7 10.2 7.6 PROPORTION MALE EMPLOYEES

All or most n 19 28 16 7 11 9 5 4 4 6 Z 32.8 48.3 27.6 12.1 19.0 15.5 8.6 6.9 6.9 ' 10.3

Half or third n 49 46 24 13 14 11 11 13 7 6 X 59.8 56.1 29.3 15.9 17.1 13.4 13.4 15.9 8.5 7.3

Fev or none n 35 25 13 12 5 7 10 4 9 3 X 64.8 46.3 24.1 22.2 9.3 13.0 18.5 7.4 16.7 5.6

Total n 103 99 53 32 30 27 26 21 20 15 Z 53.1 51.0 27.3 16.5 15.5 13.9 13.4 10.8 10.3 7.7

UNION Yes n 77 59 41 27 25 24 21 15 15 13

X ' 62.6 48.0 33.3 22.0 20.3 19.5 17.1 12.2 12.2 10.6 No n 27 40 12 5 5 2 5 6 5 2

Z 38.0 56.3 16.9 7.0 7.0 2.8 7.0 8.5 7.0 2.8 Total n 104 99 53 32 30 26 26 21 20 15

Z 53.6 51.0 27.3 16.5 15.5 13.4 13.4 10.8 10.3 7.7 EMPLOYEES WITH K0RE THAN Î HIGH SCHOOL

All or most n 43 45 20 16 13 10 11 14 10 8 Z 63.2 66.2 29.4 23.5 19.1 14.7 16.2 20.6 14.7 11.8

Half or third n 29 27 18 7 7 9 10 • 7 7 4 Z 52.7 49.1 32.7 12.7 12.7 16.4 18.2 12.7 12.7 7.3

Fev or none n 26 20 11 5 8 6 5 0 2 3 Z 44.8 34.5 19.0 8.6 13.8 10.3 8.6 0.0 3.5 5.2

Total n 98 92 49 28 28 25 26 21 19 15 Z 54.1 50.8 27.1 15.5 15.5 13.8 14.4 11.6 10.5 8.3

EMPLOYEES OVER 50 YEARS Third or more n 28 25 13 9 10 11 8 9 9 6

Z 57.1 51.0 26.5 18.4 20.4 22.5 16.3 18.4 18.4 12.2 Fev or none n 76 72 39 23 20 16 18 12 11 9

X 53.2 50.4 27.3 16.1 14.0 11.2 12.6 8.4 7.7 6.3 Total n 104 97 52 32 30 27 26 21 20 15

Z 54.2 50.5 27.1 .16.7 15.6 14.1 13.5 10.9 10.4 7.8

Source: Worksite Health Pronotion Survey, DSC-MGH, 1987.

TABLE 5

CHARACTERISTICS OF HEART HEALTH ACTIVITIES

Takes place Activity Available • Organized by

Total All Takes during began in on — — number of employees place working the last continual Head

activities eligible on-site hours 5 years basis Management office

Sports • 267 236 46 41 122 31 61 _(a)

Sports X 100.0 88.4 1*7.2 15.3 45.7 11.6 • 22.9

Employee assistance a 53 51 27 50 31 51 16 12

program Z 100:0 96.2 50.9 94.3 58.5 96.2 30.2 22.6

General health n 32 32 29 30 18 21 6 3

education X 100.0 100.0 90.6- 93.8 56.3 65.6 18.8 9.4

Alcohol and drug a 30 29 13 26 17 26 5 -

program X 100.0 96.7 43.3. 86.7 56.7 86.7 16.7

Health risk a 27 22 20 26 6 - 14 14

appraisal X 100.0 81.5 74.1 96.3 . 22.2 51.9 51.9

Smoking cessation Û 26 25 14 19 22 15 3 5

program X. 100.0 96.2 53.8 73.1 84.6 57.7 11.5 19.2

Fitness O' 21 21 13 7 16 3 4 -

X 100.0 100.0 61.9 33.3 76.2 14.3 . 19.0

Nutrition 0 20 20 18 18 11 14 2 - .

counseling X 100.0 100.0 90.0 90.0 55.0 70.0 10.0

Hypertension n 15 14 12 15 4 - 5 4

screening X 100.0 . 93.3 80.0 100.0 26.7 33.3 26.7

Source: Worksite Health Promotion Survey, DSC-KGH, 1987.

Note (a): Data not available.

policies by sector of economic activity. They were, however, reported more

often in larger companies, in companies where most of the employees were

female, in companies where some or all employees were unionized, and in

companies where most employees had more than high school education

(Table 5).

Eighty-six per cent of smoking policies were written. Only one of the

105 companies with smoking policies had a complete ban on smoking. In the

other companies there was tremendous variety in the extent of restriction of

smoking. Among the more common policies were those which restricted smoking

in specific areas (offices, factories, reception areas, cafeterias,

bathrooms, etc.) and those which permitted smoking in only certain specific

areas (offices, cafeterias, employee common rooms, etc.). Among the less

common were those which restricted smoking at certain times of the day or in

the presence or at the request of non-smokers.

The extent and type of area designated as smoking or non-smoking

appeared to be related to the type of enterprise. Elementary and high

schools generally limited smoking to one or two teacher's lounges or

offices. In the Industry and Manufacturing sector, smoking was prohibited

in the factory, warehouse, during work time, in working areas except

offices, in the garage, and near flammable objects. Restaurants generally

prohibited smoking in the kitchen area, some limited smoking in public

service areas or in non-smoking sections of the restaurant or employee

lounge (if such areas existed). Certain enterprises in the Service sector

(hospitals, universities/Cegeps, restaurants, hotels, centres d'accueil,

museums and libraries) incorporated into their policies both the designation

of areas where clientele (students, patients, customers, residents) were

permitted to smoke, and areas where they were not permitted to smoke* The

most common areas designated as smoking areas were employee lounges, part or

all of the cafeteria or coffee shop and/or some offices. However, the

extent of restriction varied considerably, from one room to one or two

floors, to smoking everywhere except designated non-smoking rooms.

Over 90% of the companies with smoking policies indicated that employees

fully respected the policy. Only 8% indicated that the policy was not

adhered to. The majority of smoking, policies (40%) had been initiated in

the past year, 33% had been initiated 1-5 years ago, and 27% were initiated

6-10 years ago.

Sports

A total of 267 sport activities were available at the 100 worksites

which indicated they had one or more sports activities- (2.7 sports activi-

ties per company). Of the 267 the most popular activities were baseball

(29%) and hockey (21%). Skiing (8%),- golf (5%), and bowling (2%) were also

popular.

Sports activities were very common in the Trade and Commerce sector,

where 71% of companies indicated that such activities existed (Table 5).

Also over half of Finance and Service worksites had some kind of sports

activities. Larger and older companies had more sports activities, and two

thirds of companies with well-educated employees had sports activities

compared to only one third of companies where few employees had more than

high school education*

With exception of events such as golf tournaments for management, most

sports activities were available to all employees (Table 6), and 26% of the

267 were open to employees' families. Most activities took place outside

working hours and off-site (away from the workplace), usually at public or

private facilities. Forty-eight per cent of activities were organized by

employees, 20% by a recreation committee, 15% by management, and 8% were co-

sponsored by employees and management. About 12% of sports activities were

available on a continual basis, 48% took place once a week, 10% once a

m o n t h , and 27% occasionally during the year. Finally, 46% of sports

activities had been initiated in the last five years.

Employee Assistance Program

Overall 27% of companies offered employee assistance programs. They

were most common in the Trade and-Commerce sector of economic, activity, in

larger and older companies, in companies with unionized employees and in

companies with better educated employees (Table 5 ) . In general these

programs were available to all employees upon request and they took place

during working hours (94%) at the worksite (51%) or head office ( 2 1 % ) .

About 60% of employee assistance programs were initiated in the past 5

years. Most programs were organized either, by management or head office

(Table 6).

General Health/Wellness Education

About 16% of companies provided pamphlets or other written materials,

videos, or lectures by health professionals on various health topics. These

activities were more frequent in larger worksites, in all-female companies,

in companies with unionized employees and in companies with better-educated

employees (Table 5).

.Most activities were available to all employees at the worksite during

the workday. Two thirds were available on a continual basis, and about half

had been initiated in the past five years. Most activities were organized

by health professionals who either worked for the company or a local health

agency (Table 6).

Alcohol and Drug Programs

About 15% of worksites surveyed offered alcohol and drug programs to

employees. Finance and Services and Trade and Commerce enterprises were

more likely to offer such programs than Industry and Manufacturing

enterprises. One quarter of large worksites provided alcohol and drug

programs compared to 10% of small worksites. Companies where all or most

employees were male were more likely to offer programs than a 11-female

compagnies. Finally companies with unionized employees and those with

better-educated employees were also more likely to provide alcohol and drug

programs (Table 5).

About half of alcohol and drug programs were initiated in the past 5

years. They were open to all employees during working hours at the worksite

or head office (Table 6).

Health Risk Appraisal

T w e n t y - s e v e n companies (14%) provide health risk appraisal for

employees. Unlike the other heart health activities, health risk appraisal

was equally available in all sectors of economic activity. Also, the

availability of health risk appraisal did not vary with the proportion of

male employees or the proportion of employees with more than high school

education. However, it was more frequently available in larger companies,

in companies with unionized employees and in those with older employees

(Table 5).

Health risk appraisal services have been available for a longer period

of time than other heart health activities - only 22% had been initiated in

the past 5 years (Table 6).

Smoking Cessation Program

Twenty-six. companies (13%) offered smoking cessation programs to their

employees. Only 4% of Industry and Manufacturing worksites had smoking

cessation activities compared to 12% of Trade and Commerce and 17% of

Finance and Services worksites. Companies with more females, those with

unionized employees and those with better-educated employees tended to have

smoking cessation programs (Table 5).

These activities were a relatively new phenomenon - 85% had been

initiated in the past 5 years• They were open to all employees, the

majority were offered upon request (58%), during working hours (73%), at the

worksite (54%) (Table 6).

Fitness

Only 21 companies had fitness activities. None of the 53 Industry and

Manufacturing companies had any fitness activities available for employees•

Larger and older companies, those with better-educated employees and those

with older employees were more likely to have fitness activities (Table 5).

Most fitness activities (76%) had been initiated in the past 5 years

(Table 6). All were open to all employees, about one third took place

during working hours, two thirds took place at the worksite, and three

quarters took place once a week• Most activities were organized by

employees themselves or by a récréation committee.

Nutrition Counseling

Counseling for nutrition or weight control was not a frequent heart

health activity - only 20 companies (10%) offered some kind of -program on

nutrition for employees. Most were in the Finance and Services sector of

economic activity (Table 5).

Counseling was usually undertaken by health professionals. About half

of such services had been initiated in the past 5 years (Table 6).

Screening for Hypertension

Only 15 companies screened employees for high blood pressure* Only one

Industry and Manufacturing enterprise provided screening compared to 12% of

Trade and Commerce and 10% of Finance and Services enterprises (Table 5).

Hypertension screening was not a new phenomenon - only 27% of programs had

been initiated in the past 5 years (Table 6).

Interest in New Heart Health Activities

Overall 66% of worksites expressed interest in having new, or more heart

health activities. In 16% of worksites, the level of interest was high*

Twenty-three per cent of . worksites were not at all, interested in new

activities, and 12% of respondents did not know if activities were planned,

or if there was any interest in new activities (Figure 10). About 37% of

worksites expressed interest in new fitness or sports a c t i v i t i e s , 39%

expressed interest in health e d u c a t i o n , and 42% showed interest in

implementing or modifying a smoking policy.

Figure 11 shows interest and Figure 12 shows high level of interest in

new. activities by various characteristics of the worksites* Figure 13 to 15

show interest in sports- or fitness activities, health education, and smoking

policy implementation/modification respectively, by these same characteris-

tics. In general, the patterns observed for each characteristic were very

similar.

FIGURE 10

INTEREST IN NEW HEART HEALTH ACTIVITIES

Source: Worksite Health Promotion Survey, DSC-HGM, 1987.

FIGURE 11

INTEREST IN NEW HEART HEALTH ACTIVITIES BY WORKSITE CHARACTERISTICS

42

1

2L

67

57

75

70

67

59

78

66

54

68

Mr,

7.9.

Average 66Z

59

55

M.

80

63

ifl.

lad. Tr. Fin. + + +

Mao. Com. Ser.

Economic Sector

50- 100- 2250 99 249

S19 20-49 250

Number of Employees Age of Worksite (Years)

Most Some Few

Proportion Male Eknployeee

Yes No

Union

Most Some Few Third Few or or

More None

None 1-2 2 3

Employees with More Employees over Number of than High School 50 Yeare Heart Health

Activitiea

Source: Worksite Health Promotion Survey, DSC-MGH, 1987. J? 0Q (D

Note: See Table C.6 in Appendix C for detailed table of data. *

FIGURE 12

HIGH LEVEL OF INTEREST IN NEW HEART HEALTH ACTIVITIES BT WORKSITE CHARACTERISTICS

ir w 2 250 Ind. Tj. Fin.

Man. Com. Ser.

Economic Sector Number of Employees

219 20-49 250

Age of Workeite (Years)

Most Some Few


Yes No

Union

Most Sane Few Third Few or or

More None

None 1-2 23

Employees with More Employees over Number of than High School 50 Yeara Heart Health

Activities

Source: Worksite Health Promotion Survey, DSC-MGH, 1987. m w 00

Note: See Table C.4 in Appendix C for detailed table of data. ® "4> in

FIGURE 11

INTEREST IN NEW SPORTS/FITNESS ACTIVITIES BY WORKSITE CHARACTERISTICS

53

23

41

Ind* Tr. + +

Man* Com,

Fin. +

Ser.

44

41

28 33

AZ,., 41

50-99

100- 2 250 249


219 20*49 2 50

Age of Worksite (Years)

Host Some Few

Proportion Hale Bnployees

37

" T s r

Yes No

Union

49

44

Average 371

3X

21

M

Host Some Few

Employees vith More than High School

47

37

20

Third Few or or

Hore None

Employees over 50 Years

None 1-2 2 3

Number of Heart Health Activities

Source: Worksite Health Promotion Survey, DSC-MGH, 1987. 0» 09


ON

FIGURE 11

INTEREST IN NEW HEALTH EDUCATION ACTIVITIES BY WORKSITE CHARACTERISTICS

70

60

50

40

30

20

10

0

46

41

23

60

28

M,

SO- 100- 2250 99 249

46 48'

40 zrrz

30

44

24

219 20-49 250 Ind. Tr. Fin. + + +

Man. Com. Ser.

Economic Sector Number of Employees Age of Worksite (Years)

Most Some Fev


50

44

30

42 c Average 39Z

AA-L39

28

Yes No

Union

Most Some Fev Third Fev or or

More None

Employees vith More Employees over than High School 50 Years

49

40

23

None 1-2 2 3


Source: Worksite Health Promotion Survey, DSC-MGH, 1987. p> oq


-s|

FIGURE 12

INTEREST IN IMPLEMENTING/MODIFYING A SMOKING POLICY BY WORKSITE CHARACTERISTICS

.49.

4L

26

Ind. Tr. Fin. + + +

Han. Com. Ser.

52

47

31

50- 100- 2250 99 249


47 46

33

59

31

519 20-49 250 Host Some Few

Age of Worksite Proportion Hale (Years) Bnployees

49

XL

Yes No

Union

I

" U

65

45 Averase 42 X

Host Some Few Third Few or or

Hore None

Employeee with More Employees over than High School 50 Years

34

23

None 1-2 2 3



oo Note: See Table C.7 in Appendix C for detailed table of data. *

•P» 00

Interest tended to be much higher in the Trade and Commerce and Finance

and Services sectors of economic activity, than in Industry and Manufactur-

ing. It increased from 57% in smaller companies to 75% in companies with

250 or more employees. Worksites between 20 and 49 years old showed less

interest than younger or older companies, and companies with unionized

employees expressed more interest than companies without unionized

employees. Interest increased as the. proportion of female employees

increased and it dropped from 79% in companies where most employees had

post-secondary education to 55% in those where few employees had post-

secondary education. Finally interest increased dramatically from 48% in

companies which currently had no heart health activities to 80% in companies

which had 3 or more activities.

\ Figure 16 compares interest in sports/fitness activities, health educa-

tion and smoking policy implementation/modification in companies with and

without each activity. The pattern is consistent for each. Companies which

already have the activity expressed more interest in having new or more of

the same activities, than companies which did not currently have the

activity,.

Respondents who indicated that there were no plans at the worksite to

develop new heart health activities were asked why not. Tables 7 to 9 show

the reasons for no plans for sports/fitness activities, health education

activities and smoking policy implementation/modification, respectively.

Although the numbers are small (and should be interpreted with caution) the

data suggest that the reasons why companies which already have existing

FIGURE 10

INTEREST IN NEW HEART HEALTH ACTIVITIES IN WORKSITES WITH AND WITHOUT ALREADY EXISTING ACTIVITY

Sports/Fitness Activity

Health Education

INTEREST

Smoking Policy

With existing activity

Without existing activity


Note: See Table C.8 to C.10 in Appendix C for detailed tables of data.

TABLE 7

REASONS FOR NO PLANS TO DEVELOP NEW SPORTS/FITNESS ACTIVITIES IN COMPANIES WITH AND WITHOUT EXISTING SPORTS/FITNESS ACTIVITIES

WORKSITES

With Without sports/fitness sports/fitness

Reasons for activities activities Total no plans (n=72) (n=85) (n=157.)

No interest n 13 31 44 % 18.1 36.5 28.0

No demand, no need n 38 35 73 % 52.8 41.2 46.5

No funds n 22 8 30 % 30.6 9.4 19.1

No time n 6 11 17 % 8.3 12.9 10.8

Too difficult to n 9 17 26 organize % 12.5 20.0 16,6

Other n 7 6 13 % 9.7 7.1 8.3

Source :

Note:

Worksite Health Promotion Survey, DSC-MGH, 1987.

Respondents could give more than one response.

TABLE 8

REASONS FOR NO PLANS FOR NEW HEALTH EDUCATION ACTIVITIES IN COMPANIES WITH AND WITHOUT EXISTING HEALTH EDUCATION

Reasons for no plans

WORKSITES


With health ,

education activities'

(n=49)

Without health

education, activities

(n=84) Total (n=133)

No interest n 3 ' 19 22 % 6.1 22.6 16.5

No demand, no need n 32 , 46 78 X 65.3 54.8 58.7

No funds n 3 13 16 % 6.1 15.5 12.0

No time n 3 8 11 % 6.1 9.5 8.3

Too difficult to n 2 7 9 organize % 4.1 8.3 6.8

Other n 9 2 11 % 18.4 2.4 8.3


Note: Respondents could give more than one response.

TABLE 8

REASONS FOR NO FLANS TO IMPLEMENT/MODIFY A SMOKING POLICY IN COMPANIES WITH AND WITHOUT EXISTING SMOKING POLICIES

WORKSITES


With smoking policy (ri=68)

Without smoking policy (n=65)

Total (n=133)

Infringement on n 5 14 19 rights of employees % 7.4 21.5 14.3

No demand, no need n 56 37 88 % 82.4 56.9 66.2

Too difficult to n 3 -7 10 organize % 4.4 10.8 7.5

Other n 9 8 17 % 13.2 12.3 12.8


Note: Respondents could give more than one response.

activities were not planning more, were different from the reasons cited by

companies which did not currently have activities.

Not surprisingly over half of companies which currently had sports or

fitness activities reported that there was no demand or need for more

(presumably because their employees were satisfied with existing activi-

ties). They also reported lack of funds as a barrier to more activities.

Companies without existing activities cited lack of interest, demand and

need as the main reasons. Similarly companies without existing health

education activities claimed that there was no interest, demand or need to

plan health education activities.

Of the 68 companies with smoking policies and with no plans to modify

their policy, 82% claimed that there was no demand or need to change the

policy. Over half of companies without smoking policies claimed there was

no need or demand to implement a policy and 22% reported that the reason for

no plans was that smoking policies were an infringement on employees'

rights.

DISCUSSION

This section discusses the response to the survey, the validity of the

findings, the implications of the results and further avenues of research.

Response

A large proportion of companies on the CSST list were ineligible for

inclusion in the survey, either because they had fewer than 50 employees, or

because they were located outside the DSC-MGH territory. Also, because the

CSST lists are updated on a voluntary basis by each worksite, our data may

have excluded a number of eligible worksites which were not on the list.

Worksites which may have been excluded include smaller companies in which

the number of employees fluetuates around 50 (for example, hotels or

restaurants which temporarily increase the number of employees during the

summer tourist season) and new companies which have not yet appeared on the

list. Because of the large number of ineligible worksites on the list, and

because of the possible exclusion of eligible worksites, it would have been

useful to verify the accuracy of the CSST list with a second list, such as

one produced by Dun and Bradstreet. Because of the cost of the Dun and

Bradstreet list, we decided not to undertake this verification at this

point.

The response rate of 90% compares favourably with response rates for

surveys using mailed questionnaires (63% in the British Columbia Workplace

Fitness and Health Promotion Survey; 70% in the Ontario Employee Fitness and

Lifestyle Program Study; 60% in the South Carolina Manufacturing Plants

Survey). It was similar to that of other surveys which used the telephone

interviewing strategy (83% in the California Survey and 84% in the Colorado

Survey). Our high response rate ensures good representation of eligible

worksites on the CSST list.

Validity of findings

The validity and reliability of responses, and in particular the measure

of interest, probably varied with the characteristics of the respondent and

the enterprise. In most cases a single respondent was interviewed for each

worksite. That person's occupation, his/her knowledge and degree of

involvement with the company, the length of time he/she had worked for the

company, and his/her personal opinions about health promotion at the

worksite probably influenced the validity of the responses. In smaller

worksites it is conceivable that a single individual could have detailed

knowledge of the existence of all heart health activities at the worksite,

and could accurately reflect the overall level of interest in new

activities. It is less likely that a single respondent could have such

detailed knowledge in a larger company, and could accurately summarize the

overall degree of interest in new heart health activities. However as the

size of the company increased, so did the proportion of respondents who

worked in human resource departments. These respondents may be in close

contact with employees and may provide more accurate responses than

respondents who worked in administration or management.

About one quarter of worksites were head o f f i c e s , one third were

branches or divisions, and 40% were independent worksites. Respondents who

worked in branches or divisions of larger companies may have had more

difficulty providing accurate details on specific activities because, in

some cases, the planning and organization of these activities may have taken

place at the head office.

It would have been useful to verify the accuracy of worksite character-

istics with an external source of information. For example, the number of

employees, the proportion of male employees and the number of employees over

50 years of age could be verified against company personnel or payroll

lists, and the presence of a union could be checked with union head office.

In many cases, the respondent voluntarily verified his/her answers with

company records, but this was by no means a consistent approach. Because of

the potential inaccuracy of the responses for worksite characteristics and

because of the small number of worksites in the survey, broad categories of

worksite characteristics were used in the analysis.

F i n a l l y , it is important to note that although our data provide

information on the existence of heart health activities, there are no data

on the content, quality or effectiveness of each activity.

Implications of results

It is encouraging that most worksites had at least one program,

activity, policy or service related to heart health, and that one third had

three or more such activities. As indicated earlier, comparison between

reports on worksite heàlth promotion is difficult because there is no

commonly accepted definition of, worksite health promotion. In addition,

because of the specific needs of the DSC-MGH Heart Health Program, our focus

was on heart health activities. To our knowledge no other reports to date

have taken this approach. Although Fielding's definition of health

promotion (*) included more categories than our definition of heart health

activity and excluded smoking policy and sports activities, he found that a

similar proportion of California employers (78%) offered one or more health

promotion activitiès.

The most frequently reported heart health activity in our study was

smoking policy - 53% of respondents reported that there was a smoking policy

in existence at the worksite. The data suggest that smoking policies are a

relatively new phenomenon since many had only recently been implemented. In

fact, up until early 1986, only 32% of the companies surveyed had smoking

policies. This proportion is similar to that reported in the 1985 British

Columbia Survey, in which about one quarter of worksites with 20 or more

employees had clean-air policies. The widespread existence of smoking

policies in our survey is probably related to Bill 84 - Quebec's recent

anti-smoking legislation which protects non-smokers in certain public places

including government agencies, municipal bodies, school bodies, and health

and social services establishments. Worksites covered by the law are

obligated to prohibit smoking in certain areas including rooms or counters

where services are provided, libraries, laboratories, conference rooms,

classrooms, meeting rooms, elevators, etc. Although many worksites are not

covered by Bill 84, they may nonetheless be motivated to implement a smoking

(*) Fielding's definition of health promotion activity included hypertension screening, smoking cessation, weight control, mental health counseling, nutrition training, CPR, choke saver, exercise/fitness, drug/alcohol abuse, stress management, accident prevention, cancer risk reduction, other.

policy as the general level of awareness of the harmful effects of

sidestream smoke at the workplace increases, and as non-smoking employees

become more vocal about their rights to clean-air at work.

The data suggest that the number of companies with smoking policies will

continue to increase, since one third of companies currently without

policies expressed interest in implementing one. Also about half of the

companies which already had a policy, expressed interest in increasing the

extent of restriction. This suggests that the process of implementing a

smoking policy is gradual, as employees gradually accept increasing levels

of restriction. About 60 companies surveyed, (30%) did not have smoking

policies and expressed little or no interest in developing one. These

companies present the greatest challenge to the DSC-MGH Heart Health

Program.

Sports activities were very popular and are undoubtedly encouraged by

management to promote company spirit and cohesiveness. Many sports

activities were organized at the initiative and expense of the employees,

indicating the general level of enthusiasm for such activities. Employee

assistance programs also appeared to be quite popular and many companies

expressed interest in developing such programs or other similar programs for

stress management.

Less than 20% of companies had each of the other heart health activities

studied. Many of these activities require organization or participation by

health or other professionals with specialized training, and in consequence,

may be costly to operate. Their lack of popularity may reflect lack of

accessibility to professionals trained to deliver these programs and lack of

funds to pay for them. It may be that because of their expense and

complexity, these kinds of programs must be company-sponsored, managed, and r financed if there are to operate successfully.

The data indicate that most fitness classes and smoking cessation

programs had been initiated in the past five years, suggesting that these

are relatively new activities at the worksite,, and that they may continue to

increase in popularity. On the other hand health risk appraisal and hyper-

tension screening appeared to be relatively well-established activities,

with very few having been initiated in the recent past.

In general, the level of interest in the development of new heart health

activities was high, and interest tended to be very high in companies which

already had heart health activities. These companies may have recognized

the beneficial effects of worksites health promotion and are therefore very

positive about having more of the same. Also, since they have already

(successfully) organized such activities, they may be less likely to

perceive difficulties or problems with implementation. The level of

interest in developing new heart health activities was lowest in the

Industry and Manufacturing sector, in smaller companies, in all-male

companies, in companies with poorly educated employees, and in companies

where there were no existing heart health activities. Health promotion

specialists will have to develop innovative techniques to approach these

companies and to foster interest and initiative for heart health programs.

As with other preventive health programs, it seems likely that those who

appear least interested in health interventions are also those most likely

to need them.

Future research

Research reports on worksite health promotion are scanty and there are

many areas which need development and further exploration. Research on the

validity and reliability of mail and telephone worksite surveys is badly

needed, since many worksite health promotion efforts will be based on data

collected using these approaches. Efforts should be made to define worksite

health promotion (and more specifically heart health promotion) so that

researchers study similar phenomena, and comparison between reports is

possible. More data should be collected on the content, quality, frequency,

and participation rates of individual activities, and concerted efforts

should be directed towards evaluating the impact of worksite .health

promotion on e m p l o y e e s1 k n o w l e d g e , attitudes and b e h a v i o r s . Cost-

effectiveness of such activities must become a major issue, since profit-

oriented businesses will find the possibility of increased employee

productivity an attractive incentive for implementing health promotion.

Finally, more research is needed to determine the reasons for interest or

lack of interest in worksite health promotion. These data will provide

health promotion specialists with guidelines on possible strategies to

approach low interest worksites and to encourage their involvement in health

promotion.

REFERENCES

Chovil, A.C., Alexander, 6.R., Gibson, J.J., Altekruse, J.M. Occupational health services in South Carolina manufacturing plants: Results of a survey. Public Health Rep, 1983;98(6):597-603.

Community and industry ready for health promotion. Hospitals, 1980;54(9): 35-38.

Davis, M.F., Rosenberg, K., Iverson, D.C., Vernon T.M., Bauer, J . Worksite health promotion in Colorado. Public Health Rep, 1984;89(6):538-543.

Felix, M.R., Stunkard, A.J., Cohen, R.Y., Cooley, N.B. Health promotion at the worksite. Prev Med, 1985;14:99-108.

Fielding, J.E. Health promotion and disease prevention at the worksite. Ann Rev Public Health, 1984;5:237-265.

F i e l d i n g , J . E . , B r e s l o w , L . Health promotion programs sponsored by California employers. Am J Public Health, 1983;73(5):538^542.

Fielding, J.E. Effectiveness of employee health improvement programs. J Occup Med 1982;24(11):907-916.

Health and Welfare Canada. The Active Health Report - Perspectives on Canada's Health Promotion Survey 1985. Health and Welfare Canada, 1987.

Iverson, D.C., Fielding, J.E., Crow, R.S., Christenson*, G.M. The promotion of physical activity in the United States population: The status of programs in medical, worksite, community and school settings. Public Health Rep, 1985;100(2):212-223.

Johansen, H.L. Hypertension in Canada: Risk factor review and recommenda-tions for further work. Can J Public Health, 1983;74:123-131.

Kierans, W., Chamberlayne, R. British Columbia workplace fitness and health promotion survey. B.C. Ministry of Health, 1985.

Ontario Ministry of Tourism and Recreation. A planner's guide to fitness in the workplace. 1984.

Pelletier, K . Healthy People in Unhealthy Places. New York: Delacorte Press/Seymour Lawrence, 1984.

Ross, C.K., Sherman, S.L., Berg, K.L., Radbill, L., Lee E., Giloth, B., Jones, L., Longe, M . Health promotion programs flourishing: Survey. Hospitals, 1985;59(August 16):128, July-Sept:135.

Sallis, J.F., Hill, R.D., Fortmann, S.D., Flora, J.A. Health behavior change at the worksite: Cardiovascular risk reduction. Pro Behav Modif, 1986;20(2):161-197.

Summary report on the British Columbia workplace fitness and health promotion survey. B.C. Ministry of Health, 1986.

Weinstein, M.S. Health promotion and lifestyle change in the workplace. Technical paper prepared for Regional office for Europe of World Health Organization, Copenhagen, February, 1983.

Wilkins, R. Personnes des deux sexes âgées de 15 ans et plus (sauf pension-naires d'institution) participation dans la main-d'oeuvre active, emploi et chômage, par CLSC et DSC, Région 6A. Ile de Montréal et Laval, 1981. Compiled from selected social and economic characteristics of Montreal in 1981, profile series B , v o l . 3. Catalogue 95-959. Ottawa, Statistics Canada, 1983.

World Health Organization. European collaborative study. Eur Heart J, 1982;3:184-190.

APPENDIX A

QUESTIOHRAIBES

. 7 \

I

a

i

s DOSSIER NUMBER:

THE 90RKPIACE HEALTH PBOMDTIOB SURVEY

A - ADMTTTT-STRATIOW

THIS SECTION IS TO BE COMPLETED BY DSC-HGM PERSONNEL

1. Name of establishment:

2 . Telephone numbers: e x t .

ext,

3a Mailing address: No

City

3b Location :

Street

No Street

Apt

Postal Code

Apt,

I

4 . CLSC l O St-Henri

2 O St-Louis du Parc

3 Q " é t ™

4 0 Westmount

5 Q Notre-Dame-de-Grâce

5 . Sector (specify type of enterprise)

Code

6 . Record of calls:

Somber Date Duration of interview

Coaraents Somber Day Month Start Finish Minutes Coaraents

1

2

3

4

5

—

Start Finish Minutes

1

2

3

4

5

—

1

2

3

4

5

Interview result:

1 Q Interview completed by telephone

2 Q Interview completed by mail

3 Q Interview incomplete

4 Q Refusal to participate (specify why)

5 Q Hot included (specify) - =

Interviewer:

1 O Pa t ty Drfly

2 Q Martine Le Comte

3 Q Claude Valiqûette

- 3 -

B - D U B O D O C T I O a

H e l l o , m y name ifl I am calling from the

Department of Conmunity Health of the Montreal General Hospital. As part of our

community program for the prevention of cardiovascular disease, we want to know

the kinds of health promotion activities that are available at the workplace. I

would like to speak with someone who would know about health promotion activities

(for example: the director or manager, h u m a n r e s o u r c e s p e r s o n n e l , h e a l t h

services! personnel). I would like to ask him/her several short questions about

health promotion activities at this workplace. Are you able to answer these

questions? Is there someone else who is?

NOTE TO INTERVIEWER: If the appropriate person for the interview states that the present time is inconvenient, make an appointment to

call back.

C - BAODG800HD IHFORMATIOB

To begin I will ask a few background questions.

9 . First» «hat ia your o n e ?

10. Vbat is your job title (specify)?

1 Q Director/Other administrators/managers _ _

2 ^ ^ Human resources personnel _________««_______

3 O Occupational health personnel

4 Q Health services personnel

5 Q Several respondents "

6 O 0 c h e r ;

8 Q Do not know

11. Is this workplace a branch, division or head office?

1 Q Branch/Division Please note that the questions I will ask in this interview pertain only to this branch, division

2 Q Head office or head office (specify name and address):

3 Q No

8 Q DK

4 -

12» Bow long has this enterprise or division been in existence?

000 Q Leas Chan one year

years

998 Q D K

13. Hov many persons are employed foil time? Please include executives and

management»

full time employees

9998 Q D K

14. H o v many persons are employed part-tine? (Note to interviewer: if the respondent mentions occasional employees, include them with part-time)

part-time (and occasional) employees

9998 Q D K

15. Hov many employees are male?

1 Q All or most

2 Q About one half or one third

3 Q F e w

4 O N o n e

8 O DK

16. Hov many employees are 50 years, of age or older?

1 Q All or most


3 O F e w

4 O N o n e

8 O DK

17. Hov many employees have more than a high school education?

1 o A U ° r most


3 Q Few

4 Q None

8 Q DK

- 5 -

18. How many of the o p l o y e e a do not work at the workplace (that is, they are "on the road" or work at worksites ootaide of the workplace)?

1 O All or moat


3 Q F e w

4 Q N o n e

8 Q DK

I will now ask about various health promotion activities at this workplace. Please note that I am interested in all health promotion activities for your employees, whether or not they occur at this workplace.

- 6 -

P - SPOHTS AHD FIPDtgg ACTIVITIES

19* Does this workplace have any of the following sports or fitness activities? (Note to interviewer; read list).

0 O No »Go to Q.30

1 O Hockey

2 O Baseball

3 O Ski (cross-country or alpine)

4 O Bowling

5 O Golf

6 O Fitness ;

7 O Other (specify)

8 O DK— >Go to Q.30

NOTE TO INTERVIEWER: Ask Q.20 - 29 for each sports or fitness activity.

ACTIVITY ACTIVITY ACTIVITY

20. Is (activity) open to all employees?

l O Yes

2 ON 0

"" specify to whom

l O Yes

2 O No " specify to whom

l O Yes

2 O No - specify to whom

8'OOK sOdk 8 O DK

21. Is (activity) open to employee'8 families?

l O Yes

2 0 No

8 0 DK

l O Yes

2 0 No

8 O DK

1 0 Yes

2ON0

8 O DK

22. How long has (activity) been available?

00 O Le s s than one year

years

98 O DK

00 O l e a s Chan one year

years

98 O d k

00 O Less than one year

98 O DK

years

23.

employees participate in (activity)? employees

998 O DK

employees.

998 O DK

employees

998 O DK

ACTIVITY

24. Is (activity) 1 O Yes a seasonal activity? 2 O No

25.

8 0 DR

often does 1 0 At any time (activity) take place? 2 0 A t least once

per week

3 O A t least once per month

4 0 Occasionally during the year

5 O Once per year

6 O O t h e r (specify)

l O Yes 2 O No

8 O DK

1 0 At any time

2 C ) A t least once per week

3 O At least once per month

4 O O c c a s i o n a l l y

during the year

5 O Once per year

6 O Other (specify)

l O Yes

2 O No

8 O DK

1 0 At any time

2 0 A t least once per week

3(Z)At least once per month

4 O O c c a s i o n a l l y

during the year

5 O O n c e per year

ô O Other (specify)

SOdk 8 O DK 8 O DK

26. At what tine of day does (activity) take place?

27. Vhat group or person organises (activity)?

1 O During working hours

2 0 Other than working hours

8 O DK


2 O Other than working hours

8 O DK

l O Employee(s) l O Employee(s)

2 O Administration 2 0 Administration

3 O Employees/Adm. 3 O Employees/Adm.

4 O Recreation or 4 Q C r e a t i o n or other committee other committee

1 O During working h our s

2 O Other than working hours

8 O DK

1 0 Employee(s)

2 0 Administration

3 O Employees/Adm

4 Q Recreation or other committee

5 O Other (specify) 5 O Other (specify) 5 O Other (specify)

28. Hov is

(activity) financed?

8 0 DK 8 0 DK 8 O DK

1 O Employees pay 1 0 Employees pay 1 O Employees pay

2 0 A d m i n i s t . pays 2 0 A d m i n i s t . pays . 2 0 A d m i n i s t . pays

S O ^ p l * * adm. pay 3 0 & m p l . & adm. pay 3 0 E m p l . & adm. pay

4 0 No cost 4 0 No cost 4 0No cost


8 0 DK S O DK 8 O DK

- 8 -


29. Vhere does (activity) take place?

l O Private facili- 1 O Private facili- l O Private facili-ties (ex:Nautilus ties (ex:Nautilus ties (ex:Nautilus ski resort)

2 O Public facili-ties (ex:arena, park, school)

ski resort)

2 O Public facili-ties (ex:arena, park, school)

ski resort)

2 O Public facili-ties (ex:aretia, park, school)

3 O O t h e r (specify) 3 O Other (specify) 3 O Other (specify)

8 O DK 8Qdk 8 O DK

30* Is the administration planning to organise any (more) sports or fitness

activities?

1 Q Yes >What activities are : y O o to Section E

being, organized?

8 Q DK

2 Q No ^ Why not?

O No interest

O No demand/No need

O No funds/No resources

O Too difficult to organize

O No time ,

O Other (specify)

31* Do yon think there is any interest at this workplace in having (more) sports

or fitness activities?

1 Q Yes In what kinds of sports or fitness activities is there

interest?^

2 O No

8 Q DK

- 9 -

< K — WEALTH SKHVI Ht?

3 2 . Does this workplace have any of the following health services? (Note to Interviewer: Read list).

0 0 No •Go to Q.43

1 Pre-employment medical exam

2 Q Periodic health exam

3 0 Health risk appraisal

4 (3) Screening for hypertension

5 O Other (specify)

8 Q DK >Go t 0 Q*43

NOTE TO INTERVIEWER: Ask Q.33 - 39 for each health service.

SERVICE SERVICE

33. Is (service) available to all employees? 2 0?es voluntary

l O Y e s obligatory

3 0 N o - specify to whom

l O Tea obligatory

2 0 Yes voluntary


1 O Yes obligatory

2 0 Y e s voluntary


8 0 DK 8 O DK 8 O DK

34. How long has (service)

available?

000 o L e s s than one year

998 O DK

000 O Less than one year

998 O DK

000 O L e s s than one year

years years

998 O DK

years

35. How many estployees ose (service)?

employees

9998 O d k

employees

9998 O DK

employees

9998 O D K

36.

At what time of day is (service) available?

l O During working hours

2 O Other than

working hours

3 O Any time

8 O D K


2 O Other than

working hours

3 O Any time

8 O D K


2 O Other than

working hours

3 O A n y time

8 O D K

- 10 -

3 7 . H o v is (service) financed?

38. What group or person provides (service)?

3 9 . Where is (service) provided?

SERVICE SERVICE SERVICE

1 0 Administ. pays 1 0 Administ. pays l O Administ. pays

2 O Head Office pays 2 O H e a d Office pays 2 O Head Office pays

3 O Medicare pays 3 O M e d i c a r e pays 3 O Medicare pays

4 0 Medicare and

administ. pay

4 O Medicare and administ. pay

4 O Medicare and administ. pay

5 O O t h e r (specify) 5 O Other (specify) 5 O Other (specify)

8 O DK 8 O DK s O D K

L O ' Administration 1 O Administration 1 O Administration

2 0 Head office 2 O Head office 2 O Head office

3 O O t h e r (specify) 3 0 Other (specify) 3 O Other (specify)

8 O DK 8 . 0 DK 8 O D K

1 O Workplace l O Workplace 1 O Workplace

2 0 Head office 2 O Head office 2 O Head office

3 O Private clinic 3 0 P r i v a t e clinic 3 0 Private clinic

4 O Personal doctor 4 O Personal doctor 4 0 ^ " o n a l doctor


8QDK SQdk 8 O DK

4 0 . Does this workplace employ .any health service personnel specifically for

employee health services?

1 O Yes

2 O No >Go t 0 Q'43

8 Q DK

- u -

41* How many of these personnel are doctors, nurses, or other health profes-

sionals enployed on a full-time basis? (specify number)

• • • full-time doctors

full-time nurses

Other (specify)

8 Q DK

42* Hov many of these personnel are doctors, nurses, or other health profes-

sionals employed on a part-tine basis? (specify number)

• part-time doctors

| 1 part-time nurses

[- 1 Other (specify) __ 8 Q DK

4 3 . Is the administration planning to organise (taore)'health services?

1 ( 3 Yes >What services are being > Go to Section F

organized?

2 Q No > W h y not?

O No interest

. 0 No demand/No need


O T o

° difficult to organize

O No time

O Other (specify) 8 Q DK

4 4 . Do you think there is any interest at this workplace in having (more) health

services?

1 0 Yes } In what kinds of health services is- there interest?

2 O N o

8 Q D K

- 12 -

•9 - HRAT.TR EDUCATION

4 5 . Does this workplace have any of the following health education activities? (Note to interviewer: read list).

0 O Ho ^ ^ t o Q*54

1 ( 3 Cardiopulmonary resuscitation courses (CPR)

2 Q First aid courses

3 O Employee assistance program

4 ( 3 Alcohol and drug abuse program

5 O Smoking cessation program

6 O General health/wellness education

7 O Hutrition counselling

8 O Other (specify) •

9 0 DK > G o to Q.54

NOTE TO INTERVIEWER: Aak Q.46 - 53 for each health education activity.


4 6 . Is (activity) 1 0 Yes 1 O Yes 1 0 Yes available to all employees? 2 O N 0 - specify 2 O N 0 - specify 2 O N 0 - specify

to whom to whom Co whom

8 O DR 8 Q D K 8 0 D K

4 7 . How long has (activity) been available?

00 O L e s s than one year

9 8 Û D K

years

00 O'Less Chan one year

98 Q D K

years

00 O Le a 8 Chan one year

98 O DR

years

4 8 .

How many o p l o y e e s participate in (activity)? employees

998 O DK

employees

998 O DK

employees

998 O DK

- 13 -


(L

4 9 . H o v often does 1 O As required (activity) take place? 2 0 Occasionnally

during year

1 O A s required

2 O Occasionnally during year

1 O As required

2 0 Occasionnally during year

3' O Once per year 3 O Once per year 3 O Once per year

4 O Less than once per year

4 0L e s s

than once per year

4 O Less than once per year

5 O Other (specify) î O o t h e r (specify) 5 O Other (specify)

8 Odk 8 O D K 8 0 dk

5 0 . A t what tine of day is (activity) provided?


2 O Other than

working hours

3 O Anytime

8 O D K


2 O Other than

working hours

3 O Anytime

8 O D K


2 O Other than

working hours

3 O Anyt îme

8 O DK

5 1 . Hov is

(activity) financed?

1 O Administ. pays

2 O CSST

1 0 Administ. pays

2 O CSST

l O Administ. pays

2 O CSST

3 O Gov't agency & 3 0 Gov't agency & 3 O Gov't agency & administ. pay administ. pay administ. pay

:ify) 4 O Other ( specify) 4 0 Other (specify) 4 0 Other (spec:

8 0 DK 8 O D K 8 Odk

52. Hhat group or person provides (activity)?

1 O Administration

2 0 Head office

3 O External orga-

nization

4 0 Health profes-

sional

5 O CSST

6 O Other (specify)

1 0 Administration

2 0 Head office .

3 O External orga-

nization

4 0 Health profes-

sional

5 O CSST

6 0 Other (specify)

1 O Administration

2 O Head office

3 O External orga-nization

4 O Health profes-

sional

5 O CSST

6 . 0 Other (specify)

8 O D K 8 O D K 8 O D K

- 14 -


53. Where does (activity) take placet

l O Workplace 1 O Workplace

2 O Another division 2 O Another division or head office or head office

3 0 Health.,service 3 O Health service organization (es: Red Cross)

organization (ex:' Red Cross)

4 0 CSST 4 O CSST

5 O Other (specify) 5 O Other (specify)

8 O DK S O - D K

1 O Workplace

2 O Another division or head office

3 O Health service organization (ex: Red Cross)

4 O CSST

5 O 0 t h e r (specify)

8 O DK

5 4 . Is the a d m i n i s t r a t i o n p l a n n i n g to provide ' any (more) health education

activities?

i o Yea •fWhat activities are

being organized?

Go to Section G

2 Q No ->Why not?

O No interest

O No demand/No need


O Too difficult to organize

o No time -,

Q Other (specify)

8 Q DK

5 5 . Do yoo there is any interest at this workplace in having (more) health

education?

1 Q Yes In what kinds of health education is there interest?

2 O No

8 Q DK

- 15 -

c - a c m policy

5 6 . Approximately hov aany eoployeea saoke?

1 Q Most or all

2 0 Many

3 O Some

4 O Few

5 O None

8 O DK

5 7 . Does your workplace have a smoking or "clean-air" policy or regulation (such

as non-smoking areas)? 4

1 O Yes

2 0 No » Go to Q.62

8 O DK > G o to Q.62

5 8 . Is the policy or regulation written?

1 O Yes

2 O No

8 O DK

5 9 . Hov long has the policy or regulation been in existence?

00 0 L e s s than one year

years

98 O DK

6 0 . What is the smoking policy?

6 1 . Do employees refrain from smoking in designated areas?

1 0 Completely

2 0 To a large extent

3 0 To a small extent

4 0 No

8 O DK

- 16 -

y 62* Is the administration planning to implement a (modify the) smoking or clean-

air policy in the next year?

1 O Y e s

>NOTE TO INTERVIEWER: If "modify" ask: ^ Go to Section H Hov vill th i policy be changed?

2 Q Ho « *Why not?

O No demand/No need

O T o

° difficult to organize

Q Infringement on rights

O Policy just implemented

O other (specify)

8 O DK

63* Is there any interest at this workplace in the implementation (modification) of a ffmftking policy or regulation?

1 O H"0*1

2 Q Some

3 O ^ t t l e

4 O N o

8 Q DK

- 17 -

H - DAY

6 4 . Does this workplace have daycare facilities for children of employees?

1 O Yes

2 Q No > Go to Q.69

8 O DK > Go to Q.69

6 5 . Where is the daycare located?

1 0 At the workplace

2 0 Other than workplace

8 O DK

6 6 . What is the age of children accepted into the daycare?

1 | | months

98 O DK

6 7 . What is the number of children the daycare can accomodate?

1 | I children

998 O DK

6 8 . Bow is the daycare supported financially?

1 0 Employees pay

2 0 Other (specify)

8 O DK

6 9 . Is the administration planning to organise (more) day care facilities?

1 0 Yes > Go to Section I

2 O No } Why not?

O No interest

O No demand/No need


O Too difficult to organize .

O No space

O Other (specify) •

8 O DK

70* D o you think there is any interest at this workplace in having (more)

daycare facilities?

1 O Yes

2 O No

8 O DK

- 18 -

X — wçgpnRffBS

71. Does this workplace have any of the following facilities? (Note to inter-viewer: read list).

O None

O Showers

Q Saunas

Q Gymnasium

O Other (specify) .

72. Are any of the following food services available at this workplace? (Note

to interviewer: read list).

O None

Q Workplace is a restaurant

O Cafeteria

O Food truck

Vending machine

Q Kitchen appliances (example: microwave, refrigerator)

Q Eating area or lounge

Q Nutritious food a l t e r n a t i v e s (example: low sodium meals, fruit

instead of candy)

O Hot meals

O Other (specify)

O d k

73. Does tikis workplace employ nntritionist/dietitian services to review its

mentis?

1 O Yes

2 Q No

8 Q DK

9 O Not applicable

- 19 -

74. Does Che administration (or head office) provide incentives for employees to participate in health promotion activities? (Note to interviewer: read list).

0 O None

1 ( 3 Provide information about activities

2 0 Actively promote participation

3 0 Provide financial incentives

4 O Other (specify) i

8 Q DK

75. Do yon think someone from this workplace would be interested in attending a colloquium on health promotion at the workplace?

1 O Y e s

> Who?

2 Q No

8 O DK

76* Finally, one last question, how many employees belong to a onion or employee organisation?

1 1 1 1 employees

9998 Q D K

I would like to inform you that a small number of the enterprises who have participated in this survey will be contacted in order to discuss the feasibility of a smoking policy or regulation for the workplace.

Thank you very much for your time. The information which you have provided will help us in planning our health promotion activities at the workplace.

NUMERO DE DOSSIER:

SONDAGE SUR LA PROMOTION DB LA SA1RB

EH MILIEU DB TRAVAIL

A - ADMINISTRATION

A REMPLIR PAR LE PERSONNEL DU DSC-HGM

1. Nom de l'établissement: ,

2 . Numéros de téléphone: local

local

3.a Adresse postale: No Rue App,

Ville Code Postal

3b Localisation: No Rue App

4 . CLSC

5. Secteur

6 . Registre des appels:

Numéro

Date Dorée de l'entrevue Conaentaires Numéro Jour Mois Début Fin Minutes Conaentaires

1

Conaentaires

2

3

Conaentaires

4

5

1 Q s t - H e n r i

? Q s t - L o u i s du Parc

3 Q Métro

4 Q w e s t m o u n t

5 Q N o t r e - D a m e - d e - G r â c e

| | (préciser genre d'entreprise)

Code

- 2 -

7. Résultat de 1'entrevue:

1 O Entrevue complétée par téléphone

2 O Entrevue complétée par la poste

3 O Entrevue incomplète i

4 Q tel"8 de participer (préciser pourquoi)

5 Q Non inclus (préciser pourquoi)

/

8 . Interviewer: (

1 O p

* t t y Dray

2 O Martine Le Comte

3 ( 3 Claude Valiquette

- 3 -

B - DTTBOPPCTIOH

Bonjour! Je m'appelle . Je vous téléphone au nom du

Département de santé communautaire de l'Hôpital général de Montréal. Dans le

cadre de notre programme communautaire pour la prévention des maladies cardio-

vasculaires, nous aimerions savoir quelles sortes d'activités de promotion de la

santé sont offertes • J1 aimerais parler à la personne qui serait le mieux

informée au sujet des activités de promotion de la santé (par exemple le direc-

teur général, le gérant du personnel ou lé responsable des services de santé).

J'aimerais poser à cette personne plusieurs questions brèves sur ces activités de

promotion de la santé en milieu de travail. Est-ce que vous pouvez répondre è.

ces questions? Sinon, est-ce qu'il y a quelqu'un qui pourrait répondre?

NOTE A L'INTERVIEWER: Si la personne qui peut le mieux répondre aux questions

vous dit que le moment n'est pas opportun, prenez rendez-vous pour un appel ultérieur.

C - INFORMATION DK BASK

Pour débuter, je vous poserai quelques questions de base.

9 . Quel est votre nom? j

10. Quel est votre fonction (préciser)?

1 Q Directeur, autre administrateur ou gérant

2 Personnel du service des ressources humaines

3 Q Personnel de la santé au travail

4 Personnel des services de santé

5 Q Plusieurs répondants

6 O A u t r e

8 Q Ne sait pas

11. Ce lieu de travail est-il une succursale, une division ou le siège social?

1 Q Succursale ou Division Je ne désire recevoir de vous que les ren-

* seignements relatifs è la succursale,

2 Q Siège' social division ou siège social (préciser le nom

et l'adresse):

3 O Non

8 Q NSP

I

- 4 -

12* Cette entreprise oo division existe depuis combien d'années environ?

000 Q Moins d'un an

1 1 1 an(: )

998 O N S P

13. Coobien y a-t-il d'employés qui travaillent à temps plein en comptant la

direction?

employés à temps plein

9998 O N S P

14. C o m b i e n y a - t - i l d'employés qui travaillent & temps partiel? (Note à l'interviewer: si le répondant mentionne "employés occasionnels", veuillez les inclure comme employés à temps partiel).

employés _ _ _ & temps partiel (et occasionnels)

9998 O N S P

15. Coobien d'employés sont des hommes?

1 O Tous ou la plupart

2 Q A peu près la moitié ou un tiers

3 Q Peu

4 Q Aucun

8 O NSP

16. Combien d'employés ont 50 ans et plus?

1 o T o u s ° u p i « p a r t

2 O A peu près la moitié ou un tiers

3 O p e u

4 Q Aucun

8 O NSP

17. Combien d'employés ont fait des études post-secondaires?

1 O T o u 8 o u

plupart

2 Q A Pe u P

rè* la moitié ou un tiers

3 O P e u

4 O Aucun

8 O NSP

- 5 -

18. Combien d'employés travaillent à l'extérieur de ee lien de travail (i.e. qui travaillent sur la route)?

1 O Tous ou la plupart

2 O A peu près la moitié

3 O Peu

4 o Aucun

8 o NSP

sur Je désire connaître les activités qui sont offertes à tous les employés soit

place ou en dehors du lieu de travail.

- 6 -

D - ACTIVITES SPORTIVES ET COHDITIOHHKMEHT PHYSIQUE

19* T a-t-il l'âne on l'antre des activités sportives on de conditionnement physique suivantes? (Note & l'inteiviewer: lire la liste).

0 O A u c u n e — • A l l e r à la Q.30

1 O Hockey

2 0 Baseball

3 0 Ski (de randonnée ou alpin)

4 0 Quille

5 0 Golf

6 0 Conditionnement physique

7 0 Autre (préciser)

8 0 NSP *Aller à la Q.30

NOTE A L'INTERVIEWER: Les questions 20 à 29 inclusivement doivent être posées pour chaque activité sportive et de condi-tionnement physique.

ACTIVITE ACTIVITE ACTIVITE

20. Est-ce que 1 0 Oui (activité) est offerte & tous 2 0 ^ o n - préciser les employés? à qui

8 O NSP

lO Oui

2 O Non - préciser à qui

8 O NSP

l O Oui

2 0 N o n - préciser à qui

8 O NSP

21. Est-ce que l . O Oui. (activité) est offerte aux 2 O Non familles des employés? 8 O NSP

l ô Oui

2 O Non

8 O NSP

l O Oui

2 O Non

8 O NSP

22. Depuis combien 00 O Moins d'un an de temps _ _ _

(activité) est-1 I I elle offerte? I 1 1 an(s)

98 O NSP

23. Combien d'employés par-ticipent ft

(l'activité)? employés

998 O NSP

00 O Moins d'un an 00 O Moins d'un an

98 O NSP

an(s)

employés

998 O NSP

98 Ô NSP

an(s)

employés

998 O NSP

- 7 -


24. (L'activité) est-elle saisonnière?

25. A quelle

fréquence (l'activité) est-elle offerte?

26. A quel (activité) elle lieu?

27. Qui a mis sur pied cette (activité)?

1 O Oui

2 O Non

8 O NSP

1 0 Oui

2 0 Non

8 0 NSP

lO Oui

2 0 Non

8 O NSP

1 0 En tout temps 1 0 En tout temps 1 0 En tout temps

2 0 A u moins 1 fois par semaine

3 0 A u moins 1 fois par mois

4 O O c c a s i o n n e l l e -

ment durant 1'année

5 O Une fois par année

2 0 Au moins 1 fois par semaine

3 O Au moins 1 fois par mois

4 0 Occasionnelle-ment durant 1'année


2 0 A u moins 1 fois par semaine

3 O Au moins 1 fois par mois

4 Q Occationnelle-

ment durant 1'année


6 O Autre (préciser) 6 0 Autre (préciser) 6 O Autre (préciser)

8 0 NSP

1 O Pendant les heures de travail

2 O En dehors des heures de travail

8 0 NSP

1 O Employé (s)

2 O Direction

3 O E m p l o y é s et direction

4 0 Comité récréatif ou autre comité

8 O NSP


8 O NSP


2 O En dehors des 2 O En dehors des heures de travail heures de travail

8 0 NSP

1 0 Employé(s)

2 O Direction

3 O Employés et direction

8 O NSP

1 O Employé(s)

2 O Direction

3 0 Employés et direction

4 0 Comité récréatif 4 O Comité récréatif ou autre comité ou autre comité

5 O Autre (préciser) 5 O Autre (préciser) 5 O Autre (préciser)

28. Consent (l'activité) est-elle financée? par:

8 O NSP

1 O Les employé(s)

2 O La direction

3 O Les employés et

la direction

8 ONSP

1 O Les employé(8)

2 O La direction

3 0 L e 8 employés et

la direction

8 O NSP

1 O Les employé(s)

2 0 La direction

3 0 L e 8 employés et la direction

4 O C'est gratuit 4 0 C'est gratuit 4 O C'est gratuit

5 0 A u t r e (préciser) S O Autre (préciser) 5 0 A u t r e (préciser)

« /"S

29. OA (l'acti-vité) o-t-elle lien?

1 O Ressources privées (comme Nautilus, centre de ski)

2 O Ressources publiques (parc, aréna, école)

•1 O Ressources privées (comme Nautilus, centre de ski)

2 0 Ressources publiques (parc, arénà, école)

1 O Ressources privées (comme Nautilus, centre de ski)

2 O Ressources publiques. (parc, aréna, école)

3 O Autre (préciser) 3 O A u t r e (préciser) 3 O Autre (préciser)

8'OMSP 8 O NSP 8 O NSP

30., Est-ce que la direction prévoit, la mise sur pied d'activités sportives ou de conditionnement physique (supplémentaires)?

1 Q Oui > Quelles activités • y Aller à la Section E seront mises sur pied?

2 O Non > Pourquoi? (Note à l'interviewer: si nécessaire cocher plus

d'un choix).

Manque d'intérêt

Pas de demande/Pas de besoin

Manque de fonds/Manque de ressources

Trop compliqué à organiser

Manque de temps

Autre (préciser) .

8 Q HSP .

31. Pensex-voas qu'il y a un intérêt, dans ce lieu de travail, à la mise sur

pied d'activités sportives ou de conditionnement physique (supplémentaires)?

1 O Oui Pour quel genre d'activités sportives ou de conditionne-ment physique y a-t-il un intérêt?

2 O N o n

8 Q N S P

- 9 -

g - T-ra mnrrrsa nq SAWT*

3 2 . Maintenant, 7 a-t-il l'on 00 l'antre des services de santé suivants? (Note à l'interviewer: lire la liste).

0 Q Aucun ^ Aller à la Q.43

1 O Examen médical avant l'embauche

2 O Examen médical périodique

3 O Evaluation générale des risques de santé

4 Q Détection de l'hypertension

5 Q Autre (préciser)

8 Q NSP > A l l e r à l a Q-43

NOTE A L'INTERVIEWER: Les questions 33 à 39 inclusivement doivent être posées pour chaque service de santé.


33* Est-ce que service) est accessible à tons les employés?

l O Oui obligatoire 1 O Oui obligatoire 1 O Oui obligatoire

2 0 Oui volontaire . 2 O 0 u i volontaire 2 O 0 u i volontaire

3 O Non - préciser 3 0 N o n - préciser 3 Q N o n - préciser à qui à qui à qui

8 O NSP 8 Û N S P 8 O NSP

3 4 . Depuis combien 000 O Moins d'un an 000 O Moins d'un an 000 O Moins d'un an de (service) est-il offert & ces employés?

3 5 . Combien d'esployés utilisent (service)?

an(s) an(s)

998 O NSP 9 9 8 0 NSP

employés

9998 O NSP

36. A quel a o œ n t l O Pendant les les employés heures de peuvent-ils travail utiliser (service)? 2 O En dehors des

heures de travail

an(s)

998 O NSP

employés

9998.0 NSP



employés

9998 O NSP

l O Pendant les heures de travail


3 O En tout temps 3 O En tout temps 3 O En tout temps

8 O NSP 8 O NSP 8 O NSP

10 -


37. C e m e n t (ser-vice) est-il financé? par:

1 O La, direction 1 O La direction

2 0 Le siège social 2 O Le siège social

3 O L'ass.-maladie 3 O.L ' ass .-maladie

4 O L'ass.-maladie 4 O L'ass.-maladie et la direction et la direction

1 O La direction

2 O Le siège social

3 O L ' a s s . - m a l a d i e

4 Q L ' a s s . - m a l a d i e et la direction

5 O Autre (préciser) 5 O Autre (préciser) 5 0 Autre (préciser)

8 ONSP 8 0 NSP 8 0 NSP

38. Qui a mis sur pied (service)?

l O Direction

2 0 Siège social

1 O Direction

2 O Siège social'

1 O Direction

2 O Siège social

3 0 Autre (préciser) 3 0 Autre (préciser) 3 O Autre (préciser)

8 0 NSP 8 O NSP 8 O NSP

3 9 . Oft (servi-ce) est-il donné?

lOLieu de travail lO Lieu de travail

2 O Siège social 2 O Siège social

3 O Clinique privée 3 O Clinique privée

4 0 Médecin personnel

4 O .Médecin personnel

1 O Lieu de travail

2 O Siège social

3 O C l i n i q u e privée

4 O Médecin personnel

S O Autre (préciser) 5 O Autre (préciser) 5 0 Autre (préciser)

8 O NSP 8 O NSP 8 0 NSP

4 0 . T a-t-il on 00 des professionnels de la santé qui dispense des services de

santé a n employés dans ce lieu de travail?

1 O 0 u i

2 Q Non > Aller à la Q.43

8 Q NSP

- u -

4 1 . Parmi ces professionnels de la santé, combien y a-t-il de médecins, d'in-firmières et d'antres professionnels de la- santé qui travaillent à temps plein?

médecins à temps plein

infirmières & temps plein

n I | autres (préciser) _ _ _ _ — _ _

8 Q NSP

4 2 . P a r m i c e s p r o f e s s i o n n e l s de la s a n t é , c o m b i e n y a-t-il de médecins, d

1 infirmières et d'antres professionnels de la santé qui travaillent à temps

partiel?

médecins à temp8 partiel

infirmières à temps partiel

autres (préciser)

8 Q "SP

4 3 . E s t - c e que la direction prévoit la mise sur pied de services de santé ( supplémentaires ) ?

1 O Oui > Quels services seront mis y Aller à la Section F sur pied?

^ Pourquoi? (Note à l'interviewer: si nécessaire, cocher - plus d'un choix).

O Manque d'intérêt

O Pas de demande/Pas de besoin

O Manque de fonds/Manque de ressources

O Trop compliqué à organiser

O Manque de temps

O Autre (préciser)

4 4 . Pense*—vooa qu'il y a un intérêt, dans ce lieu de travail, à la mise sur pied de services de santé (supplémentaires)?

1 Q Oui Pour quel genre de services de santé y a-t-il intérêt?

•

2 Q Non

8 Q NSP

2 O N o n

987 Q NSP

- 12 -

F - mpfiATTffli 8ABTTATWI

4 5 . Y a-t-il l'une ou l'autre des activités d'éducation sanitaire suivantes?

(Note à l'interviewer: Lire la liste).

0 Aucune » Aller à la Q.54

1 Cours de réanimation cardio-respiratoire

2 Cours de secourisme/premiers soins

3 Programme d'aide aux employés

4 Programme contre l'abus d'alcool et de drogues'

5 Programme anti-tabagisme

6 Information générale sur la santé et le mieux-être

7 Conseils professionnels en nutrition

8 Autre (préciser) ; -

9 NSP i > Aller à la Q.54

NOTE A L'INTERVIEWER: Les questions 46 à 53 inclusivement doivent être posées pour chaque activité d'éducation sanitaire.


4 6 . Est-ce que 1 O Oui (activité) est offerte à tous 2 O Non - préciser les employés? à qui

8 O NSP

l O Oui

2 0 Non - préciser à qui

8 O NSP

l O Oui 2 O Non - préciser

à qui

8 O NSP

4 7 . Depuis combien 00 O Moins d'un an 00 O Moins d'un an 00 O Moins d'un an de temps ^ . | _ _ i _ _ i

(activité) est- ( I elle offerte? an(s) an(s) ' an(s)

98 O NSP 98 O NSP 98 O NSP

4 8 . Combien d'employés par-ticipent à (l'activité)? employés

998 O NSP

employés

998 O NSP

employés

998 O NSP

- 13 -


4 9 . A quelle fréquence (l'activité) est-elle offerte?

1 O Selon les besoins

2 O Occasionnelle-ment durant 1

1année


4 0 Moins d'une fois par année

1 O Selon les besoins

2 O Occasionnelle-ment durant 1'année


4 Q Moins d'une fois par année

1 O Selon les

besoins

2 O Occationnelle-ment durant 1'année


4 O Moins d'une fois par année

S O Autre (préciser) 5 O Autre (préciser) 5 O Autre (préciser)

8 0 NSP 8 O NSP 8 O NSP

5 0 . A quel moment les employés peuvent-ils se prévaloir de (l'activité)?

l O Pendant les heurés de travail

l O Pendant les heures de travail


2 Q E n dehors des 2 O En dehors des 2 O En dehors des heures de travail heures de travail heures de travail

8 O NSP 8 0 NSP 8 O NSP

51. Cornent cette l O La direction (activité) est-elle financée? 2 O La CSST par:

3 0 L e gouvernement 3 0 u gouvernement 3 O Le gouvernement et la direction et la direction et la direction

l O La direction

2 O La CSST

1 O La direction

2 O La CSST

4 O Autre (préciser) 4 0 A u t r e (préciser) 4 Q A u t r e (préciser)

8 O NSP 8 O NSP 8 0 NSP

52. Qui dirige (l'activité)?

1 O Direction

2 O Siège social

3 O Organisme externe

4 O Professionnel de la santé

5 O CSST

1 O Direction

2 O Siège social

3 O Organisme

externe


5 O CSST

1 0 Direction

2 0 Siège social

3 O Organisme externe


5 O CSST

6 0 Autre (préciser) 6 O Autre (préciser) 6 O Autre (préciser)

8 0 NSP 8 O NSP 8 O N S P

- 14 -


5 3 . Où (l'activité) l C H i e u de travail a-t-elle lieo?

2 ' O U n e autre divi-sion ou le siège social

3 O Organisme de services de santé (ex: La Croix-Rouge)

4 Q CSST

1 O Lieu de travail l O Lieu de travail

2 O One autre divi-1

sion ou le siège social


4 Q CSST

5 O Autre (préciser) 5 O Autre (préciser)

2 0 Une autre divi-sion ou le siège social


4 O CSST

5 O Autre (préciser)

8 O NSP 8 OnSP 8 O NSP

5 4 . Est-ce que la direction prévoit là mise sur pied d'activités d'éducation

sanitaire (supplémentaires)?

1 Q Oui >Quelles activités seront > Aller à la Section G mises sur pied?

2 O Non y Pourquoi? (Note à l'interviewer: si nécessaire, cocher plus d'un choix).


o Pas de demande/Pas de besoin



O • Manque de temps

O Autre (préciser)

8 Q NSP

55. Penses—vous qu'il y a un intérêt, dans ce lieu de travail, ft la mise sur pied d'activités d'éducation sanitaire (supplémentaires)?

1 Q Oui Pour quel genre d'activités d'éducation sanitaire y a-t-il un intérêt?

2 O N o n

8 Q NSP

- 15 -

G - POLITIQUE D'AIR PUR ABTI-TABAÇ

56. Environ combien d'ciployés f a s & t ?

1 Q La plupa t ou tous

2 O Beaucoup

3 O Quelques-uns

4 Q P e u

5 O Aucun

8 Q NSP

5 7 . • ce sujet y a-t-il, an travail, one politique d'"air pur" anti-tabac on une réglementation?

1 O 0 a i '

2 O N o n

>Aller à la Q.62

8 Q NSP »Al-ler à la Q.62

5 8 . Est-ce qu'elle est écrite?

1 O Oui

2 O Non

8 O NSP

5 9 . Depuis combien de temps cette politique ou réglementation existe-t-eîle?

00 Q Moins d'un an

1 I [ an(s)

98 O NSP

60. En quoi consiste la politique ou la r é g l œ n t a t i o n ? (préciser)

6 1 . Est-ce que les employés s'abstiennent de fumer dans les endroits défendus?

1 O Complètement

2 Q En grande partie

3 O "a Peu

4* Q Non

8 O NSP

- 16

6 2 . Bat—ce que la direction prévoit implanter une (modifier cette) politique d"*air pur" anti-tabac dans l'année qui vient?

1 O > N O T E A L'INTERVIEWER: : : > Aller à la Section H Si "modifier" demander: Comment cette politique aera-t-elle modifiée?

2 Q Non >Pourquoi? (Note & l'interviewer: si nécessaire, cocher plus d'un choix).

O Pas d® demande/Pas de besoin

O Trop compliqué à:organiser

Q Atteinte aux droits de la personne

O Politique trop récente .

O Autre (préciser)

8 O NSP

6 3 . T a-t-il un intérêt pour l'implantation d'une (la modification, de cette) telle politique ou réglementation?

1 O Beaucoup

2 O Moyennement

3 O U n

Pe u

4 Q Pas du tout

8 Q NSP

- 17 -

H - GABDKRIK D ' K H P A H H

64; Dans ce lien de travail y a-t-il one garderie & la disposition des employés poor leurs enfants?

1 ' O

2 Q N o n

* Aller à la Q.69

8 O N S P

» Aller & la Q.69

65. Oè est située la garderie?

1 Q Au lieu de travail

2 O A l'extérieur du lieu de travail

8 O NSP

66. Quel est l'âge minimum des enfants admis & la garderie?

mois

98 O N S P

6 7 . Q u e l est le 'nombre m a x i m u m d ' e n f a n t s que peut accueillir la garderie

actuellement?

enfants

998 O N S P

6 8 . Camnent ce service est-il financé?

1 Q Payé par les employés

2 Q Autre (préciser) .

8 O N S P

6 9 . Est-ce que la direction prévoit la mise sur pied (modification) des services de garderie?

1 O 0 u i

> Aller à la Section I

'2 Q Non y Pourquoi? (Note à 1'interviewer: si nécessaire, cocher plus d'un choix)•


O P a

® de demande/Pas de besoin



O Manque d'espace

O Autre (préciser) -

8 Q N S P

70. Penses~vou8 qu'il y a un intérêt, dans ce lieu de travail, & offrir (modi-fier) des services de garderie (supplémentaires)?

1 O Oui 2 O Non 8 Q NSP

- 1 8 -

I - RESSOURCES

71. Sur les lieux du travail, y a-t-il des facilités c o n e : (Note à l'inter-

viewer: lire la liste).

O «on

O Douches

Q Saunas

O Gymnases

O Autre (préciser)

- O NSP

72. Sur les lieux du travail, disposex-vous de l'un ou l'autre des services

alimentaires que je vais vous namner? (Note à l'interviewer: lire la

liste).

O Aucun

Q Ce lieu de travail est un restaurant

O Cafétéria

O Camionnette casse-croûte

O Machinés distributrices

O Appareils ménagers (four micro-onde, réfrigérateur)

O Local pour les repas ou salon

O Aliments de santé (comme ceux à faible teneur en sodium)

O Mets chauds

Q Autre (préciser)

Q NSP

73. V o t r e m i l i e u de travail utilise-t-il les services d'une nutritionniste/ diététicienne pour la planification des menus alimentaires?

l O ^

2 O Non

8 O NSP

9 O P ®8 applicable

- 1 9 -

74. La direction (ou le siège social) fournit-elle des éléments d'incitation poor encourager les employés ft participer aux activités de promotion de la santé? (Note è l'interviewer: lire la liste).

0 Q Aucun

1 Q Diffuse l'information sur les activités

2 O Promouvoie activement la participation

3 ( 3 Encourage financièrement la participation

4 Q Autre (préciser) ^ _ — _ _ _

8 O N S P

75. Est-ce qu'il y a quelqu'un dans ce lieu de travail qui serait intéressé ft assister ft un colloque sur la promotion de la santé en milieu de travail?

1 O Oui *Qui?

2 Q Non

8 O N S P

76. Pour terminer, combien d'employés appartiennent ft un syndicat ou ft une organisation d'employés?

employés

9998 Q N S P

Je voudrais vous informer que certaines des entreprises ayant participé à ce sondage seront contactées pour discuter des modalités d'application d'une politique ou d'un règlement interdisant de fumer sur les lieux de travail.

Je vous remercie beaucoup d'avoir pris le temps de participer à ce sondage. Ces renseignements nous aideront ft planifier des activités de promotion de la santé en milieu de travail.

APPENDIX B

LIST OF WORKSITES CLASSIFIED

BY SECTOR OF ECONOMIC ACTIVITY AND CSST CATEGORY

A - IHDOSTRY AND MANPFACTPRING

CSST

Category

1. Construction and Public Works

Bertrand Durand Inc. Electritek Inc. McCuaig-Jarmac Inc. Otis Canada Inc. Sako Electric 1976 Ltd. Thomas O'Connell 1981 Inc.

5 . Fabrication of Metal Products

Henderson, Barwick Inc. J . and R . Weir Ltd. Signode Canada Inc.

7 . Rubber and Plastics

Produits de plastique Copak Inc.

10» Fabrication of Mineral Non-Metallic Products

Lorenzo Industries Inc.

12. Food and Beverage Industry

Coca Cola Ltée Montréal La brasserie O'Keefe Ltée Laiteries Ault (division) Melrose Packers Corporation Robin Hood Multifoods Inc. Stuart (division)

14. Paper (and Associated) Industries

Kruger Inc. Papiers Belkin (Division de)

17* Leather Industry

Chaussures Romani Montréal Inc.

18* Fabrication of Machines

Darling Duro Ltée

19. Tobacco Industry

Imperial Tobacco (division)

20. Textile Industry

Bonavista Industries Ltd. Fabrique de tricots Knit-Craft Ltée Fibres textiles Liberty Ltée Les moulins de tricots San Remo Inc. Manufactures les tricots Dores Inc. Paris Star Knitting Mills Inc. Sheftex 1978 Inc. Toiles Johnson (division)

23. Printing, Publishing and Connected

Entreprises HJM Inc. Les imprimeries Cook Canada Ltée Périodique Reader's Digest Ltée Ross Ellis Ltd. The Reader's Digest Association Canada Ltd. (Melcalfe) The Reader's Digest Association Canada Ltd. (Redfern)

25. Fabrication of Electrical Products

Cie générale électrique du Canada Ltée

27. Clothing

A . Gordon Ltée Charles Carroll Inc. Fairmount Pants Co. Ltd. Les frères Leboff (1963) Inc. Les tricots Lilian Ltée Lingerie Patricia 1981 Inc. Louben Sportswear Inc. Majestic Industries Canada Ltd. Manufacture de lingerie Château Inc. Shaw Manufacturing Tamco Fashions Ltd. Vêtements Hampton Ltée White Sister Apparel Inc. (division)

32. Diverse Manufacturing Industries

Coleco Canada Ltée Goodman and Georges Canada Ltée Robco Inc.

B - TRADE AND COMMERCE

CSST Category

15. Transport and Storage

ACL Canada Inc. Cast Amérique du Nord (camionnage) Ltée Eastern Airlines Inc. King Transfer Van Lines Inc. Services, Travaux publics région ouest,' Ville de Montréal Société de transport - Communauté urbaine de .Montréal

(division St-Henri) Ville de Westmount Voyageur Inc.

16. Conmerce

Garage St-Henri Chaussures Yellow Ltée Electrolux Canada

. Imperial Tobacco Ltée Jack Hoffman Management Co. Ltd. La corporation des boutons standards Steinberg no. 115 Williams and Wilson Ltd.

2 2 . Conmunication, Energy and Other Public Services

CKGM/CHOM division CHUM Ltée

C - FÏHAHCE AHD SERVICES

CSST

Category

11, Public Administration

Commission des valeurs mobilières Curatelle publique du Québec L'Inspecteur général des institutions financières Ministère du tourisme Office de la langue française du Québec Service de la prévention des incendies, caserne 23 j Ville de

Montréal Service de la prévention des incendies, caserne 3, Ville de

Montréal Service de la prévention des incendies, caserne 34, Ville de

Montréal Service de la prévention des incendies, Ville de Montréal Service de police, poste 15 Service de police, poste 23 Service de police, poste 24 Service de police, poste 25

21. Conmercial and Personal Services

Alcan International Ltée Bar chez Swann B a m e s services de sécurité Ltée Bellevue Pathé Québec Inc. Café Laurier Chalet BBQ 1958 Inc.

Congrégation Shaar Hashomayim Synagogue Corporation archiépiscopale catholique romaine de Montréal Corps Canadian commissionnaires Montréal DeGrandpré, Godin, Paquette, Lasnier, Alary Garda du Québec Ltée Garda Retail Security Services Ltd. Gestion SBA Groupement technique des assureurs du Canada Hôtel Le Grand Infirmerie Notre-Dame-de-Bon-Secours KLM Royal Dutch Airlines Klockner Stadler Hurter Ltd.

La Cie assurance funéraire Urgel Bourgie Ltée La Cie Robertson Ltée La Poisonnerie Enr. Le centre Sheraton Montréal Le festin du gouverneur Les investigations RK Inc. Les rôtisseries St-Hubert Ltée Manoir Lemoyne Developments Inc. Martineau Walker Moishes Inc.

Monenco Ltd. Ordre des infirmières et infirmiers Québec Pinkerton du Québec Ltée Québécor Inc. Restaurant McDonald Resto-Dema Inc. Richter Usher and Vineberg Rôtisserie Laurier Inc. Samson, Bélair Service d'entretien Victoria Services de limousine Murray Hill Ltée Variétés Lux VFG Consultants Inc. Wallma8ter Cleaning Services Ltd. Zittrer Siblin Stein Levine

28. Education and Connected

Dawson College (Selby Campus and Pavillon Richelieu) Int. Correspondance Schools Canadian Ltd. Marianopolis College McGill University

Bibliothèque nationale du Québec (Ministère des affaires culturelles)

Musée des beaux arts de Montréal Westhill High School Westmount High School Mackay Center

Protestant School Board of Greater Montreal Université du Québec à Montréal (St-Alexandre) Université du Québec à Montréal (pavillon Hubert Aquin) Ecole Villa Maria Académie Michèle Provost Centennial Academy Inc. Collège de Montréal Commission des écoles catholiques de Montréal, Région

administrative ouest Polyvalente St-Henri Ecole St-Enfant-Jésus Ecole St-Luc Ecole James Lyng Concordia University

29. Finance, Insurance, Seal Estate

Air Liquide Canada Ltée Banque de Montréal: succursale principale Banque de Montréal: bureau chef (Montréal) Banque Royale du Canada: Centre informatique Banque Royale du Canada: Centre VISA Banque Toronto Dominion: Centre VISA Bourse de Montréal

Caisse de dépôt et placement du Québec Cie d'assurance Standard Life

Cie de fiducie Guardian (International) Confédération Life Insurance Montreal Trust (St-Jacques ouest) Dominion Textile Inc. (siège social) Johnson and Higgins Willis, Faber Ltée La Great-West Cie d'assurance-vie Morris and Mackenzie Ltd. Place Bonaventure Inc. Number 153138 Canada Inc. (Hôtel du Parc)

Medical and Social Services

Centre de services sociaux Ville-Marie (centre-ville) Centre de services sociaux Ville-Marie (Division du développement

des ressources régionales) Centre hospitalier thoracique de Montréal Clinique médicale de l'Est Inc. Eventide Home, The Salvation Army Hôpital convalescent Julius Richardson Inc. SPB Canada Inc. Catherine Booth Hospital

Centre de réadaptation Constance-Lethbridge Centre de santé St-Henri Centre de services sociaux Ville-Marie Hôpital général de Montréal Hôpital Reddy Memorial Hôpital Reine Elizabeth Hôtel-Dieu de Montréal Institut diagnostic et de recherche clinique Montréal Institut de recherche, Hôpital général de Montréal Lawrence Service Enr. Maison mère Les Soeurs grises de Montréal Montreal Children's Hospital Montreal Neurological Hospital Royal Victoria Hospital Services para-médicaux Guilbert Shriner's Hospital for Crippled Children, Quebec Inc. The Montreal Association for the Blind The Salvation Army Tonlit Holdings Inc. Villa Medica Inc. Villa Notre-Dame-de-Grâce CLSC - St-Henri CLSC - St-Louis du Parc

APPENDIX C

DETAILED TABLES OF DATA

f j

1

TABLE C.l CHARACTERISTICS OF WORKSITES BY ECONOMIC SECTOR

ECONOMIC SECTOR

Industry Trade Finance and and and

CHARACTERISTIC Manufacturing Commerce Services

NUMBER OF EMPLOYEES 50 - 99 n 23 7 42

Z 43.4 41.2 33.1

100 - 249 n 19 7 47

Z 35.9 41.2 37.0

£250 n 11 3 38

Z 20.8 17.7 • 29.9

Total n 53 17 127

X 100.0 100.0 100. Ô AGE OF WORKSITE (years)

£19 n 11 4 42

Z 20.8 23.5 33.1

20 - 49 n 23 5 35

Z" 43.4 29.4 27.6

350 n 19 8 50

Z 35.9 47.1 39.4

Total n 53 17 127

Z 100.0 100.0 100.0

PROPORTION MALE EMPLOYEES All or most n 21 10 27

Z 40.4 58.8 21.6

Half or third n 20 4 58

Z 38.5 23.5 46.4

Fev or none n 11 3 40

Z 21.2 17.7 32.0

Total n 52 17 • 125

Z 100.0 100.0 100.0

UNION Yes n 40 10 73

Z 76.9 58.8 58.4

No n 12 7 52

Z 23.1 41.2 .41.6

Total n 52 17 125 Z 100.0 100.0 100.0

EMPLOYEES WITH MORE THAN HIGH SCHOOL

All or most n 5 3 60 Z 10.2 18.8 51.7

Half or third a 11 7 37 Z 22.5 43.8 31.9

Few or none a 33 6 19 Z ' 67.4 37.5 16.4

Total n 49 16 116

Z 100.0 100.0 100.0

EMPLOYEES OVER 50 YEARS Third or more n 17 3 29

Z 32.1 17.7 23.8

Fev or none n 36 14 93

Z 67.9 82.4 76.2

Total n 53 17 122

Z 100.0 100.0 100.0


Note: Totals differ because of missing data.

TABLE G.2

CHARACTERISTICS OF WORKSITES BY NUMBER OF EMPLOYEES

NUMBER OF EMPLOYEES

CHARACTERISTIC 50-99 100-249 >250

AGE OF WORKSITE (years) = 19 n 25 20 12

% 34.7 27.4 23.1 20 - 49 n 26 23 14

% 36.1 31.5 26.9 £50 n 21 30 26

% 29.2 41.1 50.0 Total n 72 73 52

% 100.0 100.0 100.0 PROPORTION MALE EMPLOYEES

All or most n 21 23 14 % 29.6 31.9 27.5

Half or third n 31 25 26 % .43.7 34.7 51.0

Few or none n 19 24' 11 % 26.8 33.3 21.6

Total n 71 , 72 51 % 100.0 100.0 100.0

UNION Yes n 41 48 34

% 58.6 66.7 65.4 No n 29 24 18

% 41.4 33.3 34.6 Total n 70 72 52

% 100.0 100.0 100.0 EMPLOYEES WITH MORE THAN HIGH SCHOOL -

All or most n 26 23 19 % 39.4 33.8 40.4

Half or third n 16 22 17 % 24.2 32.4 36.2

Few or none n 24 23 11 % 36.4 33.8 23.4

Total n 66 68 47 % 100.0 100.0 100.0

EMPLOYEES OVER 50 YEARS Third or more n 13 15 21

% 18.1 21.4 42.0 Few or none n 59 55 29

% 81.9 78.6 58.0 Total n 72 70 50

% 100.0 100.0 100.0


Note: Totals differ because of missing data.

TABLE C.3 HUMBER OF WRAPT HEALTH ACTIVITIES BY

WORKSITE CHARACTERISTICS

NUMBER OF HEART HEALTH ACTIVITIES

CHARACTERISTIC None 1-2 S3 Total*1 5

ECONOMIC SECTOR 53 Industry and n 14 30 9 53

Manufacturing Z 26.4 56.6 17.0 100.0

Trade and Commerce n 2 8 7 17

Z 11.8 47.1 41.2 100.0

Finance and Services n •24 53 50 127

Z 18.9 41.7 39.4 100.0

Total n 40 91 66 197

X 20.3 46.2 • 33.5 100.0

NUMBER OF EMPLOYEES 50 - 99 n 19 36 17 72 50 - 99

Z 26.4 50.0 23.6 100.0

100 - 249 a 12 40 21 73

Z 16.4 54.8 28.8 100.0

S250 n 9 • 15 28 52

Z 17.3 28.9 53.9 100.0

Total n 40 91 66 197

Z 20.3 46.2 33.5 100.0

AGE OF WORKSITE (years) S19 n 16 25 16 57

Z 28.1 43.9 28.1 100.0

20 - 49 n 12 34 .17 63

Z 19.1 54.0 27.0 100.0

-50 n 12 32 33 77

Z 15.6 41.6 42.9 100.0

Total n 40 91 66 197

Z 20.3 46.2 33.5 100.0

PROPORTION MALE EMPLOYEES All or most a 20 20 18 58

Z 34.5 34.5 31.0 100.0

Half or third n 13 41 28 82

Z 15.9 50.0 34.2 100.0

Few or none n 6 28 20 54

Z 11.1 51.9 37.0 100.0

Total n 39 89 66 194

Z 20.1 45.9 34.0 100.0

UNION Yes a 22 49 52 123

Z 17.9 39.8 42.3 100.0

No n 17 40 14 71

Z 23.9 56.3 19.7 100.0

Total a 39 89 66 194

Z 20.1 45.9 34.0 100.0


All or most a 6 29 33 68 Z 8.8 42.7 48.5 100.0

Half or third a 10 28 17 55 Z 18.2 50.9 30.9 100.0

Few or none a 20 26 12. 58

Z 34.5 44.8 20.7 100.0

Total n 36 83 62 181

Z 19.9 45.9 34.3 100.0

EMPLOYEES OVER 50 YEARS Third or more n 11 18 20 49

Z 22.5 36.7 40.8 100.0

Few or none Q 27 70. 46 143

z 18.9 49.0 32.2 100.0

Total n 38 88 66 192 Z 19.8 45.8 34.4 100.0



TABLE C.4 ijtvm. OF IHIKKKST IB HKV wtiw HKAl.nl ACTIVITIES BT WORKSITE CHARACTERISTICS

INTEREST

TES

CHARACTERISTIC Low Mode-rate High' Total NO DON'T KNOW TOTALED

ECONOMIC SECTOR Industry and n 12 4 6 22 20 11 53

Manufacturing Z 22.6 7.6 11.3 41.5 37.7 20.8 100.0 Trade and Comnerce a 3 4 4 11 2 4' 17

X 17.7 23.5 23.5 64.7 • 11.8 23.5 100.0 Finance and Services n 41 34 21 96 23 8 127 : 32.3 26.8 16.5 75.6 18.1 6.3 100.0 Total n 56 42 31 129 45 23 197

X 28.4 21.3 15.7 65.5 22.8 11.7 100.0 NUMBER OF EMPLOYEES

SO - 99 n 25 11 5 41 23 8 69 X 34.7 15.3 6.9 56.9 31.9 11.1 100.0

100 - 249 n 19 19 11 49 15 9 72 Z 26.0 26.0 15.1 67.1 20.6 12.3 100.0

S 250 n 12 12 15 39 7 6 43 Z 23.1 23.1 28.9 75.0 13.5 11.5 100.0

Total n 56 42 31 129 45 23 184 Z 28.4 21.3 15.7 65.5 22.8 11.7 100.0

AGE OF WORKSITE (years) S19 n 16 12 10 38 13 6 57

Z 28.1 21.1 17.5 66.7 22.8 10.5 100.0 20 - 49 n 19 12 6 37 15 11 63

Z 30.2 19.1 9.5 58.7 23.8 17.5 100.0 250 n 21 18 15 54 17 6 77

Z 27.3 23.4 19.5 70.1 22.1 7.8 100.0 Total n 56 42 31 129 45 23 197

X 28.4 21.3 15.7 65.5 22.8 11.7 100.0 PROPORTION MALE EMPLOYEES

All or most n 16 9 6 31 19 8 58 • Z 27.6 15.5 10.3 53.5 32.8 13.8 100.0

Half or* third n 26 12 16 54 17 11 82 Z 31.7 14.6 19.5 65.9 20.7 13.4 100.0

Few or - none n 13 20 9 42 8 4 54 X 24.1 37.0 16.7 77.8 14.8 7.4 100.0

Total 0 55 41 31 127 44 23 194 Z 28.4 21.1 16.0 65.5 22.7 11.9 100.0

UNION Yes n 31 27 25 83 27 13 123

Z 25.2 22.0 20.3 67.5 22.0 10.6 100.0 No n 23 14 6 43 18 10 71

Z 32.4 19.7 8.5 60.6 25.4 14.1 100.0 Total n 54 41 31 126 45 23 194

Z 27.8 21.1 16.0 65.0 23.2 11.9 100.0 EMPLOYEES WITH MORE THAN HIGH SCHOOL

All or most n 21 20 13 S4 8 6 68 Z 30.9 29.4 19.1 79.4 11.8 8.8 100.0

Half or third n 9 11 13 33 13 9 55 Z 16.4 20.0 23.6 60.0 23.6 16.4 100.0

Few or none n 19 9 4 32 20 6 58 Z 32.8 15.5 6.9 55.2 34.5 10.3 100.0

Total n 49 40 29 118 41 21 181 Z 27.1 22.1 16.6 65.2 22.7 11.6 100.0

EMPLOYEES OVER 50 YEARS Third or more n 12 5 12 29 13 7 49

Z 24.5 10.2 24.5 59.2 26.5 14.3 100.0 Few or none n 42 36 19 97 30 16 143

Z 29.4 25.2 13.3 67.8 21.0 11.2 100.0 Total n 54 41 31 126 43 23 192

Z 28.1 21.4 16.2 65.6 22.4 12.0 100.0


0 n 13 5 1 19 18 3 40 Z 32.5 12.5 2.5 47.5 45.0 7.5 100.0

1-2 n 25 20 12 57 18 16 91 Z 27.5 22.0 13.2 62.6 19.8 17.6 100.0

33 n 18 .17 18 53 9 4 66 Z 27.3 25.8 27.3 80.3 13.6 6.1 100.0

Total n 56 42 31 129 45 23 197 Z 28.4 21.3 15.7 65.5 22.8 11.7 100.0



TABLE C . 5

IB REV SPOBTS/FITHRSS ACTIVITIES BY WORKSITE CHARACTERISTICS

INTEREST

CHARACTERISTIC Yes No Don't know Total

n 12 34 7 53

X 22.6 64.2 13.2 100.0

a 9 5 3 17

X 52.9 29.4 17.7 100.0

n 52 59 16 127

Z 40.9 46.5 12.6 100.0

n 73 98 26 197

Z 37.1 49.8 13.2 100.0

Q 20 44 8 72

z 27.8 6i ;i 11.1 100.0

n 30 32 11 73

z 41.1 43:8 15.1 100.0

n 23 22 7 52

z 44.2 42.3 13.5 100.0

n 73 98 26 197

Z 37.1 49.8 13.2 100.0

n 20 29 8 57

Z 35.1 50.9 14.0 100.0

n 21 31 11 63

Z 33.3 49.2 17.5 100.0

n 32 38 7 77

Z 41.6 49.4 9.1 100.0

n 73 98 26 197

Z 37.1 49.8 13.2 100.0

n 20 ,31 7 58

Z 34.5 53.5 12.1 100.0

n 31 39 12 82

Z 37.8 47.6 14.6 100.0

n 22 26 6 54

Z 40.7 48.2 11.1 100.0

n 73 96 25 194

Z 37.6 49.5 12.9 100.0

n 46 60 17 123

Z 37.4 48.8 13.8 100.0

n 25 38 8 71

z 35.2 53.5 11.3 100.0

n 71 98 25 194

Z 36.6 50.5 12.9 . 100.0

n 33 27 8 68

z' 48.5 39.7 11.8 100.0

n 24 19 12 55

X 43.6 34.6 21.8 100.0

n . 12 43 3 S8

Z 20.7 74.1 5.2 100.0

n 69 89 23 181

Z 38.1 49.2 12.7 ' 100.0

n 16 25 8 49

Z 32.7 51.0 16.3 100.0

n 57 69 17 143

Z 39.9 48.3 11.9 100.0

n 73 94 25 192

Z 38.0 49.0 13.0 100.0

n 8 29 3 40

Z 20.0 72.5 7.5 100.0

n 34 39 18 91

Z 37.4 42.9 19.8 100.0

n 31 30 5 66

Z 47.0 45.5 7.6 100.0

n 73 98 26 197

Z 37.1 49.8 13.2 100.0

ECONOMIC SECTOR Industry and Manufacturing

Trade and Commerce


Total

NUMBER OP' EMPLOYEES 50 - 99

100 - 249

i 250

Total

AGE OP WORKSITE (years) £19

20 - 49

£50 Total

PROPORTION MALE EMPLOYEES All or most

Half or third

Few or none

Total

UNION Yes

No

Total


All or most

Half or third

Fev or none

Total

EMPLOYEES OVER 50 YEARS Third or more

Fev or none

Total


0

1 -2

23

Total

Source :

Nota (1):

Worksite Health Promotion Survey, DSC-MCH, 1987.

Totals differ because of missing data.

TABLE C.6

IHTKRSST IB HEW HEART HEALTH KDCCATira ACTIVITIES BT WORKSITE CHARACTERISTICS

INTEREST

CHARACTERISTIC Yea Ho Don't know Total

ECONOMIC SECTOR Industry and

Manufacturing Trade and Commerce


Total

NUMBER OF EMPLOYEES 50 - 99

100 - 249

>250

Total

ACE OF WORKSITE (years) *19

20 - 49

s50

Total

PROPORTION MALE EMPLOYEES

All or most

Half or third

Pew or none

Total

UNION Yea

No

Total


All or most

Half or third

Few or none

Total

EMPLOYEES OVER 50 YEARS Third or sore

Fev or none

Total'


0 1 - 2

>3

.Total •

n 12 32 9 53 Z 2 2 . 6 6 0 . 4 1 7 . 0 1 0 0 . 0 n 7 6 4 17

Z 4 1 . 2 3 5 . 3 2 3 . 5 1 0 0 . 0 n 5 8 54 15 127

Z 4 5 . 7 4 2 . 5 1 1 . 8 1 0 0 . 0 n 77 92 2 8 197

Z 3 9 . 1 4 6 . 7 1 4 . 2 1 0 0 . 0

n 20 4 5 7 72

Z 2 7 . 8 6 2 . 5 9 . 7 1 0 0 . 0

n 26 32 15 73

Z 3 5 . 6 4 3 . 8 2 0 . 6 1 0 0 . 0

n 31 15 ' 6 52

Z S 9 . 6 2 8 . 9 1 1 . 5 1 0 0 . 0 n 77 92 28 197 I 3 9 . 1 4 6 . 7 1 4 . 2 1 0 0 . 0

n 23 29 5 57 Z 4 0 . 4 5 0 . 9 8 . 8 1 0 0 . 0

n 19 30 14 63 Z 3 0 . 2 4 7 . 6 2 2 . 2 1 0 0 . 0 n 35 33 9 77

Z 4 5 . 5 4 2 . 9 1 1 . 7 1 0 0 . 0 n 77 92 28 197 Z 3 9 . 1 4 6 . 7 1 4 . 2 1 0 0 . 0

n 14 32 12 58

Z 2 4 . 1 5 5 . 2 2 0 . 7 1 0 0 . 0

n 36 35 11 82

Z 4 3 . 9 4 2 . 7 1 3 . 4 1 0 0 . 0

n 26 24 4 54

Z 4 8 . 2 4 4 . 4 7 . 4 1 0 0 . 0

n 76 91 27 194

Z 3 9 . 2 4 6 . 9 ' 1 3 . 9 1 0 0 . 0

n 54 52 17 123 Z 4 3 . 9 4 2 . 3 1 3 . 8 1 0 0 . 0

0 21 40 10 71

Z 2 9 . 6 5 6 . 3 1 4 . 1 1 0 0 . 0 n 75 92 27 194

Z 3 8 . 7 4 7 . 4 1 3 . 9 1 0 0 . 0

n 34 21 13 6 8 Z 5 0 . 0 30 ; 9 1 9 . 1 1 0 0 . 0 n 23 23 9 55 Z 4 1 . 8 4 1 . 8 1 6 . 4 1 0 0 . 0 n 16 38 4 58 Z 2 7 . 6 6 5 . 5 6 . 9 1 0 0 . 0

n 73 82 26 181 Z 4 0 . 3 4 5 . 3 1 4 . 4 1 0 0 . 0

n 20 22 7 4 9 Z 4 0 . 8 4 4 . 9 1 4 . 3 1 0 0 . 0

n 55 68 20 143 Z 3 8 . 5 4 7 . 6 1 4 . 0 1 0 0 . 0

n 75 90 27 192 Z 3 9 . 1 4 6 . 9 1 4 . 1 1 0 0 . 0

n 9 27 4 4 0 Z 2 2 . 5 6 7 . 5 1 0 . 0 1 0 0 . 0 n 36 39 16 91 Z 3 9 . 6 4 2 . 9 1 7 . 6 1 0 0 . 0 n 32 26 8 66 Z 4 8 . 5 3 9 . 4 1 2 . 1 1 0 0 . 0

n 77 92 2 8 197

. Z 3 9 . 1 4 6 . 7 1 4 . 2 1 0 0 . 0



TARU C.7

IBXEBKST IB mPLEMSmBG/M0DIF7IB6 A SMDDBC POLICY BY OOHKSIXB CHARACTERISTICS

INTEREST

CHARACTERISTICS

ECONOMIC : SECTOR Industry and

Manufacturing Trade and Comnerce


Total

NUMBER OF EMPLOYEES 50 - 99

100 - 249

5 250

Total

AGE OF WORKSITE (years) S19

20 - 49

2 50

Total

PROPORTION MALE EMPLOYEES All or most

Half or third

Fev or none'

Total

UNION Yes

No

Total


All or most

Half or third

Fev or none

Total

EMPLOYEES OVER 50 YEARS Third or more

Fev or none

Total .


0 1 -2

23 Total

Yes No D o n ' t know T o t a l

n 14 30 9 53

Z 2 6 . 4 5 6 . 6 - 1 7 . 0 1 0 0 . 0

n 7 9 1 17

Z 4 1 . 2 5 2 . 9 5 . 9 1 0 0 . 0

n 62 53 12 127

Z 4 8 . 8 ' 4 1 . 7 9 . 5 1 0 0 . 0

n 83 92 22 197

Z 4 2 . 1 4 6 . 7 1 1 . 2 1 0 0 . 0

n 22 4 1 9 72

Z 3 0 . 6 5 6 . 9 1 2 . 5 1 0 0 . 0

n 34 34 5 7 3

Z 4 6 . 6 4 6 . 6 6 . 9 1 0 0 . 0

a 27 17 8 52

Z 5 1 . 9 3 2 . 7 1 5 . 4 1 0 0 . 0

a 8 3 92 22 197

Z 4 2 . 1 4 6 . 7 1 1 . 2 1 0 0 . 0

n 27 25 5 57

Z 4 7 . 4 4 3 . 9 8 . 8 1 0 0 . 0

n 21 31 11 63

Z 3 3 . 3 4 9 . 2 1 7 . 5 1 0 0 . 0

n 35 36 6 77

z 4 5 . 5 4 6 . 8 7 . 8 1 0 0 . 0

n 8 3 92 22 197

Z 4 2 . 1 4 6 . 7 1 1 . 2 1 0 0 . 0

n 18 34 6 58

Z 3 1 . 0 5 8 . 6 1 0 . 3 1 0 0 . 0

n 31 38 13 82

Z 3 7 . 8 4 6 . 3 1 5 . 9 1 0 0 . 0

n 32 19 • 3 54

Z 5 9 . 3 3 5 . 2 5 . 6 1 0 0 . 0

n 81 91 22 194

Z 4 1 . 8 4 6 . 9 1 1 . 3 1 0 0 . 0

n 60 55 8 123

Z 4 8 . 8 4 4 . 7 6 . 5 1 0 0 . 0 n 23 36 12 71

Z 3 2 . 4 5 0 . 7 1 6 . 9 1 0 0 . 0

n 8 3 91 20 194

Z 4 2 . 8 4 6 . 9 1 0 . 3 1 0 0 . 0

n 33 26 9 6 8 Z 4 8 . 5 3 8 . 2 1 3 . 2 1 0 0 . 0 n 23 25 7 55 Z 4 1 . 8 4 5 . 5 1 2 . 7 1 0 0 . 0 n 21 34 3 58

Z 3 6 . 2 5 8 . 6 5 . 2 1 0 0 . 0 n 77 85 19 181 Z 4 2 . 5 4 7 . 0 1 0 . 5 1 0 0 . 0

n 22 20 7 49 Z 4 4 . 9 4 0 . 8 1 4 . 3 1 0 0 . 0 n 59 70 14 143 Z 4 1 . 3 4 9 . 0 9 . 8 1 0 0 . 0 n 81 90 2 1 192

X 4 2 . 2 4 6 . 9 1 0 . 9 1 0 0 . 0

n 9 28 3 4 0 Z 2 2 . 5 7 0 . 0 7 . 5 1 0 0 . 0 n 31 44 16 91 Z 3 4 . 1 4 8 . 4 1 7 . 6 1 0 0 . 0 n 4 3 20 3 66 Z 6 5 . 2 3 0 . 3 4 . 6 1 0 0 . 0

n 83 92 22 197 Z 4 2 . 1 4 6 . 7 1 1 . 2 - 1 0 0 . 0



TABLÉ C.8

INTEREST IH HEW SPORTS/FITNESS ACTIVITIES IN «OBESITES WITH AND WITHOUT EXISTING SPORTS/FITNESS ACTIVITIES

INTEREST

YES

Plans Expressed interest Total NO

DON'T KNOW TOTAL

With n 23 30 53 43 r 8 104 sports/fitness % 22.1 28.9 51.0 41.4 7.7 100.0 activities

Without n 4 17 21 59 13 93 sports/fitness % 4.3 18.3 22.6 63.4 14.0 100.0 activities

Total n .27 47 74 102 • 21 197 % 13.7 23.9 37.6 51.8 10.7 100.0


TABLE G.9

INTEREST IN NEW HEALTH EDUCATION ACTIVITIES IN WORKSITES WITH AND WITHOUT EXISTING HEALTH EDUCATION

INTEREST

YES

Plans

Expressed

interest Total NO DON'T KNOW TOTAL

With n 23 19 42 28 13 83 health % 27.7 22.9 50.6 33.7 15.7 100.0 education

Without n 22 13 35 64 15 114 health % 19.3 11.4 30.7 56.1 13.2 100.0 education

Total n 45 32 77 92 28 197 % 22.8 16.2 39.1 46.7 14.2 100.0

Source: Worksite Health Promotion Survey, DSC-MGH; 1987.

TABLE G.10

INTEREST IN IMPLEMENTING/MODIFYING A SMOKING POLICY IN WORKSITES WITH AND WITHOUT EXISTING SMOKING POLICIES

INTEREST

YES

Expressed DON'T

• Plans interest Total NO KNOW TOTAL

With n 25 26 51 48 6 105 a smoking % 23.8 24.8 48.6 45.7 5.7 100.0 policy

Without n 15 17 32 47. 13 92 a smoking % 16.3 18.5 34.8 51.1 14.1 100.0 policy

Total n 40 43 83 95 19 197 % 20.3 21.8 42.1 48.2 9,6 100.0


hopital genera hle montreal the mont hahl general … · paradis, martin comeae anu louisd...

Documents