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1

Health promotion – The rationale and the obstacles in workplaces with different employment and financial soundness

100%

Puchalski K. , Korzeniowska E.

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tom 64

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nr 6

743-754

PL

Wprowadzenie: W artykule przedstawiono stopień rozpowszechnienia promocji zdrowia w zakładach pracy w Polsce, scharakteryzowano podejmowaną aktywność, powody jej realizacji oraz wskazywane przeszkody. Pokazano zróżnicowanie tych zjawisk w firmach o różnej kondycji ekonomicznej oraz wielkości zatrudnienia. Materiał i metody: Badanie przeprowadzono w oparciu o wywiad telefoniczny standaryzowany, wspomagany komputerowo (Computer Assisted Telephone Interview - CATI) w 2010 r. w ogólnopolskiej próbie reprezentatywnej 1002 zakładów pracy, w których zatrudniano powyżej 50 pracowników. Dane zostały porównane z wynikami sondażu z 2006 r., przeprowadzonego metodą standaryzowanego wywiadu bezpośredniego (Paper and Pencil Interview - PAPI) wśród 611 podobnych firm. Wyniki: Oba badania pokazały, że 40% firm troszczy się o zdrowie personelu w większym stopniu, niż wymaga tego prawo. Jednocześnie ponad 80% wprowadza zmiany i działania sprzyjające zdrowiu, nie wiążąc ich intencjonalnie ze zdrowiem. Najwięcej firm doskonali fizyczne środowisko pracy, organizuje/sponsoruje usługi medyczne, zajęcia sportowe, próbuje redukować stres oraz palenie tytoniu. Wśród menadżerów wzrosła świadomość biznesowych korzyści z promocji zdrowia, częściej też osobiście angażują się w jej wdrożenie. Najczęściej wskazywane przeszkody w realizacji działań to ograniczone środki finansowe i małe zainteresowanie pracowników zdrowiem. Wnioski: Im większa i bogatsza firma, tym częściej prowadzona jest w niej promocja zdrowia i obecne jest przekonanie, że robi się więcej niż kilka lat temu, wskazywanych jest też więcej powodów tych działań. Nierówny dostęp do promocji zdrowia pracowników firm o innej wielkości zatrudnienia i kondycji ekonomicznej może przyczyniać się do wzrostu różnic w stanie zdrowia w populacji pracujących. Med. Pr. 2013;64(6):743–754

EN

Background: This paper presents the prevalence of health promotion in workplaces in Poland. It characterises the undertaken actions, their rationale and perceived obstacles. It analyses the diversity of these phenomena in the companies of different financial soundness and level of employment. Material and Methods: The study was conducted with the use of Computer Assisted Telephone Interview in 2010 on the representative national sample of 1002 workplaces hiring more than 50 employees. The data was compared with the results of the survey conducted in 2006, with the use of a Paper and Pencil interview on 611 similar companies. Results: Both studies have shown that 40% of the companies are concerned about their employees' health to a greater extent than they are obliged to by the law. At the same time, more than 80% of the companies have been introducing various modifications and health-oriented actions without definite health intentions. Most companies improve their physical working environment, organise/sponsor medical services, sports activities and try to reduce stress and smoking. Managers have increased their awareness of business benefits received from health promotion. They have displayed more personal involvement in health promotion implementation. The most often mentioned obstacles have included limited financial resources and little interest of employees regarding health issues. Conclusions: The larger and wealthier the company is, the more often health promotion in the company is performed. Such a company is more convinced about an increase in its activities and has more reasons to care about health. Unequal access to health promotion of workers in different companies may contribute to an increase in health inequalities in the working population. Med Pr 2013;64(6):743–754

2

Solving the problem of smoking in the Polish enterprises during 2003–2015

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Korzeniowska E. , Puchalski K.

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nr 3

261-280

EN

Objectives Tobacco smoking is a major organizational, economical, and public relations-related (PR-related) problem for the company. Moreover, it is an important health determinant of the working population. The paper reports the results of the research which analyzed the current state and the tobacco control activities’ transformations undertaken by Polish employers between 2003 and 2015. Material and Methods Data comes from the research performed in 2006, 2010 and 2015, involving random- selected representative samples of Polish enterprises, employing no fewer than 50 employees. The sampling pattern covered location and classification of activities (excluding public administration, national defense, social security, education, health care and social assistance sectors). Consecutive interviews were conducted with representatives of 611, 1002 and 1000 companies, respectively. Results The companies improved their compliance with the national regulations on smoking in the workplace. The strategy for limiting smoking in public places resulted in a steady increase in the number of companies (11%, 23%, 38%, respectively) that introduced smoking ban. Approximately in every second company, smoking was allowed only in the smoking room or outdoors. Voluntary activities (e.g., education and support for employees wishing to cease smoking) were very rarely undertaken by medium and large companies (several percent) and since 2010, when the law had become more restrictive, such tendency reinforced. Employers also were seldom interested in the prevalence of tobacco smoking among their personnel, its consequences for the company’s functioning and the effectiveness of the implemented tobacco control measures. Conclusions National anti-smoking policy caused that companies were more focused on smoking-bans at the expense of education and support for those who wanted to cease smoking. Although this contributes to reducing secondary smoking in the workplace, the companies’ potential to become a major agent for tobacco control policies is neglected while the downward trend of smoking in the Polish society has slowed down. Int J Occup Med Environ Health 2018;31(3):261–280

3

Zróżnicowanie stosunku do edukacji zdrowotnej a wykształcenie. Polacy na tle pracowników z Hiszpanii, Łotwy i Słowenii

100%

Puchalski K. , Korzeniowska E.

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2011

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tom 9

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nr 2

85–96

EN

This article presents a problem of diversification of the attitudes towards health education of Polish employees in relation to those who work in Spain, Latvia and Slovenia. The empirical base are the study conducted in 2009 (questionnaire interview) in sample of the employees population (1691 people: 400 respondents per country), ages 25-54. Analysis were conducted by comparison of low (primary, lower secondary, basic vocational) and higher educated (secondary or post secondary, tertiary) employees. There is a lack of basic dichotomy between different educated employees in Poland according to the acquisition of knowledge about health, however at the same time it was diagnosed some detailed differences. There were also observed significant differences between employees from countries under the survey, especially in the group of the low educated employees. The attention was called on the need to take into account cultural differences in the international projects concerning health education.