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研究生: 包孝渝
Pao, Hsiao-Yu
論文名稱: 小型職場健康促進推動現況及其影響因素之探討
Discussions on the current development of health promotion in small workplaces and factors contributing to such development
指導教授: 董貞吟
Tung, Chen-Yin
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系健康促進與衛生教育碩士在職專班
Department of Health Promotion and Health Education_Continuing Education Master's Program of Health Promotion and Health Education
論文出版年: 2021
畢業學年度: 109
語文別: 中文
論文頁數: 138
中文關鍵詞: 小型職場承辦人職場健康促進
英文關鍵詞: small workplace, staff in charge, workplace health promotion
DOI URL: http://doi.org/10.6345/NTNU202100100
論文種類: 學術論文
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  • 本研究旨在探討小型職場健康促進推動現況,瞭解小型職場特性及職場健康促進推動承辦人背景,並探討影響職場健康促進推動的重要因素。本研究對象為臺北市員工人數界於50至99人之小型職場,排除受特定法規限制的公家機關及學校後,共2,489家為母群體,全部以郵寄問卷、線上問卷、電話訪問方式進行調查,經排除條件不符職場(設廠位置異動而不在於臺北市、人數不符)591家,實際母群體為1898家,回收有效樣本350份(18.4%)。研究工具主要參考國健署「職場健康促進表現計分表」並研擬職場承辦人相關背景變項之題項做為調查問卷,以SAS 9.4版套裝軟體進行統計分析,主要研究結果發現:
    (一) 小型職場人數以介於50-59人居多(35.1%)平均員工數69人,服務業占多數37.1%,以純白班制為主 62%,只有9.4%曾通過健康職場認證,6.9%曾接受過健康職場輔導 ; 對象承辦人以大學學歷、主管職、女性、服務於人力資源部門、無職業衛生相關證照為主。
    (二) 98.3%承辦人認為職場健康促進推動有障礙,原因依序前三項為員工參與度低、缺乏人力、經費不足。
    (三) 職場健康促進現況表現最佳的是「健康工作環境」,表現最差則是「企業社區參與」。
    (四)影響小型職場健康促進推動的因素分別為年齡、職業安全衛生人員、健康促進認知及態度、有健康職場認證及曾接受健康職場輔導者。

    The aims of this research are to explore the current development of health promotion in small workplaces, to identify the characteristics of small workplaces and the backgrounds of the staff in charge of workplace health promotion, and to analyze important factors contributing to the de-velopment of workplace health promotion. To reach these aims, small business entities employing 50 to 99 employees in Taipei City with a total number of 2,489 were selected as the subjects of this research, excluding government agencies and schools which are subject to specific laws and regulations. Mail questionnaires, online questionnaires, and telephone in-terviews were administered to the selected companies to conduct the sur-vey. After the survey, companies that had moved out from Taipei or em-ployed below 50 employees or over 99 employees were excluded from the research subjects. Eventually, 1,898 companies were selected as the research population and 350 effective samples were collected with a re-sponse rate of 18.4%. The survey questionnaire, which was adopted as the research tool, was mainly referenced to the “Workplace Health Pro-motion Performance Scoreboard” developed by Health Promotion Ad-ministration. Background variables of the staff in charge of health promo-tion in workplaces were incorporated in the questionnaire and the SAS 9.4 software package was used for statistical analysis. The main results of this research are as follows:

    1.The majority of small workplaces, which accounts for 35.1% of the re-sponding companies, have 50 to 59 employees and the average number of employees in these companies is 69. 37.1% of the responding compa-nies are from the service industry and 62% of them only have day shift. Only 9.4% of the responding companies are certified as the Accredited Healthy Workplace and only 6.9% of them have been given guidance on the promotion of healthy workplace. The staff in charge of health promo-tion in these companies are mostly females, have bachelor’s degrees, work as managers, work in human resources departments, and have no occupational health related certificates.
    2.Among the staff in charge of health promotion in responding compa-nies, 98.3% of them believe that there are hindrances in the development of health promotion. Low participation from employees topped the list of reasons behind the hindrances, followed by lack of manpower and insuf-ficient funding.
    3.As for the current development of workplace health promotion, “healthy working environment” performs the best while “corporate community participation” performs the worst.
    4.Factors that affect the development of health promotion in small work-places include age, occupational safety and health personnel, health pro-motion awareness and attitudes, being certified as the Accredited Healthy Workplace, and having received guidance on the promotion of healthy workplace.

    第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 7 第三節 研究問題 8 第四節 研究假設 9 第五節 名詞界定 10 第六節 研究限制 11 第二章 文獻探討 12 第一節 職場健康促進概念與發展 12 第二節 職場健康促進推動效益及其影響因素 18 第三節 各國小型職場健康促進推動現況與障礙 22 第三章 研究方法 34 第一節 研究架構 34 第二節 研究對象 36 第三節 研究工具 37 第四節 研究步驟 43 第五節 資料處理及分析方法 45 第四章 結果與討論 48 第一節 小型職場背景特性分析 48 第二節 小型職場健康促進推動現況 60 第三節 小型職場健康促進推動現況與職場特性、承辦人背景變項、及健康促進認知與態度關係之探討 72 第四節 承辦人健康促進認知、態度與職場特性及其背景因素關係之探討 80 第五節 健康促進推動障礙與承辦人背景變項之關係探討 88 第六節 影響小型職場健康促進推動現況之重要因素探討 96 第五章 結論與建議 113 第一節 結論 113 第二節 建議 115 參考文獻 117 附錄一 研究問卷 126 附錄二 問卷內容效度值 134

    江東亮、余玉眉(1994)。健康促進:國民健康的新方向。中華公共衛生雜誌,,13(5),381-387。
    吳淑芬、許嘉玲、呂麗貞、劉洪香水、李來涼 (2013)。職場健康促進改善員工健康成效。源遠護理,7(2),39-52。
    周儀萍(2016)。職場健康促進自主認證制度之成效探討-以臺北市職場員工為例(碩士論文)。
    邱惠萍、蔡佩姍、馬先芝(2018)。某醫學中心肌肉骨骼不適員工介入方案之成效。醫療品質雜誌,12(2),66-74。
    范國棟、李蘭(2008)。職場健康促進 : 國際與臺灣經驗之比較。臺灣公共衛生雜誌,27(4),271-281。
    莊淑如(2019)。工作場所運動介入對於勞工健康體能與過勞狀況的影響(博士論文)。
    陳芬苓(2005)。企業規模與實施職場健康促進之調查研究。臺灣管理學刊,5(1),149-168。
    陳秋蓉(2003)。淺談職場健康促進推動與效益。工安環保報導,18(12),11-12。
    張蓓貞(2014)。臺灣職業衛生護理現況政策與趨勢。護理雜誌,61(3),29-35。
    經濟部中小企業處(2018)。107 年度主要國家中小企業發展政策與輔導措施。臺灣:經濟部。
    經濟部中小企業處(2019)。2019年中小企業白皮書。於2020年6月21日檢索 https://www.moeasmea.gov.tw/list-tw-2345。
    董貞吟、張家榕、陳美嬿(2009)。臺北市職場健康促進計畫: 現況與需求調查。北市醫學雜誌, 6(1),11-22。
    董貞吟、張家榕、陳美嬿、王雅玲(2009)。臺北市不同規模職場健康促進執行成效評估。工業安全衛生,19-34。
    健康職場資訊網(2020)。歷年通過認證職場查詢。於2020年6月15日檢索 https://health.hpa.gov.tw/hpa/info/select.aspx。
    劉佳蕓(2018)。從主管及推動者觀點探討臺北市健康職場認證與職場健康促進品質之相關研究(碩士論文)。
    賴美淑、李淑芳(1993)。臺灣地區職場健康促進需求之探討。衛生報導, 11(3),24-35。
    盧思汎(2014)。針對某大型公司員工其工作職場上健康介入之研究(碩士論文)。
    謝孟蓁、張維真、陳莉莉、黃奕孝、闕妙如、黃德琪、湯豐誠(2017)。健康職場認證辦理成果分析。工業安全衛生,(335),46-53。
    Black, C. (2008). Working for a Healthier Tomorrow: Review of the health of Britain1s working age population London. Retrieved form http://www.workingforhealth.gov.uk
    Baxter, S., Campbell, S., Sanderson, K., Cazaly, C., Venn, A., Owen, C., & Palmer, A. J. (2015). Development of the Workplace Health Sav-ings Calculator: a practical tool to measure economic impact from reduced absenteeism and staff turnover in workplace health promotion. BMC research notes, 8(1), 457.
    Cancelliere, C., Cassidy, J. D., Ammendolia, C., & Côté, P. (2011). Are workplace health promotion programs effective at improving presen teeism in workers? A systematic review and best evidence synthe-sis of the literature. BMC public health, 11(1), 395.
    Christensen, J. R., Faber, A., Ekner, D., Overgaard, K., Holtermann, A., & Søgaard, K. J. B. P. H. (2011). Diet, physical exercise and cognitive behavioral training as a combined workplace based intervention to reduce body weight and increase physical capacity in health care
    workers-a randomized controlled trial. BMC public health, 11(1), 671.
    Conn V. S., Hafdahl A. R., Cooper P. S., Brown L. M. & Lusk S. L. (2009) .Meta-analysis of workplace physical activity interven-tions. American Journal of Preventive Medicine,37(4), 330-339.
    Dale, A. M., Enke, C., Buckner-Petty, S., Hipp, J. A., Marx, C., Strick-land, J., & Evanoff, B. (2019). Availability and use of workplace sup-ports for health promotion among employees of small and large busi nesses. American Journal of Health Promotion, 33(1), 30-38.
    European Network for Workplace Health Promotion. (2020). Workplace Health Promotion in Small and Medium-Sized Enterprises. Re-trieved form https://www.enwhp.org/?i=portal.en.2nd-initiative-small-healthy- and-competitive
    Fukuda H, Kitajima F, Sakamoto Y, Suwa K, Fujiwara A, Morita R.(2018). 1444 Health literacy in japanese workplace (2nd report): impact of workplace health promotion, lessons learned from the practice.Occupational and Environmental Medicine ;75,A172.
    Greaves, L. J., & Bialystok, L. R. (2011). Health in All Policies—all talk and little action?. Canadian Journal of Public Health, 102(6), 407-409.
    Hamlin, C. (2002). The history and development of public health in developed countries. Oxford textbook of public health, 1, 21-37.
    Heaney, C. A., & Goldenhar, L. M. (1996). Worksite health programs: working together to advance employee health. Health Education Quarterly, 23(6),133-136.
    Herman, P. M., Szczurko, O., Cooley, K., & Seely, D. (2014). A naturePathic approach to the prevention of cardiovascular disease: cost-efFective ness analysis of a pragmatic multi-worksite randomized clinical trial. Journal of occupational and environmental medicine, 56(2), 171.
    Hino, Y., Kan, H., Minami, M., Takada, M., Shimokubo, N., Nagata, T., & Mori, K. (2006). The challenges of occupational health service centers in Japan. Industrial health, 44(1), 140-143.
    Hämäläinen, R. M., Dijkman, A., Guobjörg Asgeirsdóttir, A., Broek, K., Haratau, T., Kuhn, K., ... & Ylikoski, M. (2007). Value of partnership for workplace health promotion: guideline for partnership building. Finn ish Institute of Occupational Health, 1-61.
    International Labour Organization(2020). Convention. Retrieved form https://www.ilo.org/global/standards/lang--en/index.htm
    Irvine, L., Elliott, L., Wallace, H., & Crombie, I. K. (2006). A review of major influences on current public health policy in developed countries in the second half of the 20th century. The journal of the Royal Society for the Promotion of Health, 126(2), 73-78.
    Jørgensen, M. B., Villadsen, E., Burr, H., Punnett, L., & Holtermann, A. J. B. o. (2016).Does employee participation in workplace health promotion depend on the working environment? A cross-sectional study of Danish workers. BMJ open, 6(6).
    Jessiman-Perreault, G., Alberga, A., Jorge, F., Makwarimba, E., & Allen Scott, L. (2020). Size Matters: A Latent Class Analysis of Workplace Health Promotion Knowledge, Attitudes, Prac-tices and Likelihood of Action in Small Workplaces. International Journal of Environmen-tal Re-search and Public Health, 17(4), 1251.
    Lalonde, M. (1974). A new perspective on the health of Canadians: a working document: Ottawa.
    Larsson, R., Stier, J., Åkerlind, I., & Sandmark, H. (2015). Implementing health-promoting leadership in municipal organiza-tions: managers' experiences with a leadership program. Nordic Journal of Working Life Studies, 5(1), 93-114.
    Linnan, L. A., Cluff, L., Lang, J. E., Penne, M., & Leff, M.S. (2019). Results of the workplace health in America survey. American Journal of Health Promotion, 33(5), 652-665.
    Lutz, N., Taeymans, J., Ballmer, C., Verhaeghe, N., Clarys, P., & Deliens, T. (2019). Cost-effectiveness and cost-benefit of worksite health promotion programs in Europe: a systematic review. European journal of public health, 29(3), 540-546.
    Muto, T., Hsieh, S. D., & Sakurai, Y. (1999). Status of health promotion programme implementation in small-scale enterprises in Japan. Occupational medicine, 49(2), 65-70.
    Muto, T., Takata, T., Aizawa, Y., & Mizoue, T. (2000). Analysis of Japa-nese occupational health services for small-scale enterprises, in compareson with the recommendations of the Joint WHO/ILO Task Group. International archives of occupational and environmental
    health, 73(5), 352-360.
    National Center for Chronic Disease Prevention and Health Promotion(2020). Workplace Health Promotion. Retrieved form https://www.cdc.gov/chronicdisease/resources/publications/factsheets/workplace-health.htm
    Newman, L. S., Stinson, K. E., Metcalf, D., & Fang, H. (2015). Implementation of a worksite wellness program targeting small businesses: the Pinnacol assurance health risk management study. Journal of occupational and environmental medicine, 57(1), 14.
    Nguyen, P. T., Ton-That K. (2014). An evaluation of the Participatory Actionoriented Training (PAOT) program in small enterprises in Vietnam. Journal of Occupational Health, 56(4), 309-316.
    Osilla, K. C., Van, K. B., Schnyer, C., Larkin, J. W., Eibner, C., & Mattke, S. (2012). Systematic review of the impact of worksite wellness programs. The American journal of managed care, 18(2), 68-81.
    Quintiliani, L., Poulsen, S., Sorensen, G. (2010).Healthy eating strategies in the workplace. International journal of workplace health management, 3(3), 182-196.
    Renaud, L., Kishchuk, N., Juneau, M., Nigam, A., Tetreault, K., & Le-blanc, M. C. (2008). Implementation and outcomes of a comprehensive worksite health promotion program. Canadian Journal of Public Health, 99(1), 73-77.
    Ridic, G., Gleason, S., & Ridic, O. (2012). Comparisons of health care systems in the United States, Germany and Canada. Materia sociomedica, 24(2), 112.
    Rojatz, D., Merchant, A., & Nitsch, M. (2017). Factors influencing workplace health promotion intervention: a qualitative systematic review. Health promotion international, 32(5), 831-839.
    Roemer, E. C., Kent, K. B., Mummert, A., McCleary, K., Palmer, J. B., Lang, J. E., . . . Goetzel, R.Z. (2019). Validity and reliability of the up-dated CDC Worksite Health ScoreCard. Journal of occupational and environmental medicine, 61(9), 767.
    Taylor, A. W., Pilkington, R., Montgomerie, A., & Feist, H. (2016). The role of business size in assessing the uptake of health promoting workplace initiatives in Australia. BMC Public Health, 16(1), 353.
    Teufer, B., Sommer, I., & Affengruber, L. (2018). Why small-sized companies implement workplace health promotion and what they expect. European Journal of Public Health,28(4),346.
    U.S. Centers for Medicare & Medicaid Services(2020). How the Afforda-ble Care Act Affects Small Businesses. Retrieved form https://www.healthcare.gov/small businesses/learn–more/how–aca–affects–businesses/
    Western Pacific Regional Office. (2001). Evaluation of a 1-year Implementation of the Regional Guidelines for Healthy Workplaces in Small and Medium-scale Enterprises in Ngo Quyen District, Haiphong City and Hue City. WHO Regional Office for the Western Pacific, Ma-nila.
    World Health Organization. (1995). Global Strategy on occupational health for all. The way to health at work. Retrieved form http://www. who.
    int/occupational_health/globstrategy/en/
    World Health Organization.(1999). Regional guidelines for the development of healthy workplaces, Regional Office for the Western Pacif-ic.
    World Health Organization. (2002). The Health Worl Report 2002:Reducing risks, promoting healthy life. Retrieved form http://www.who.int/whr/2002/en/World health Organization (2010). Healthy workplaces: a model for ac-tion:for employers, workers, policy-makers and practitioners.
    Yassi, A. (2005). Health promotion in the workplace–The merging of the paradigms. Methods of Information in Medicine, 44(02), 278-284.
    Zavanela, P. M., Crewther, B. T., Lodo, L., Florindo, A. A., Miyabara, E. H., Aoki, M. S. (2012). Health and fitness benefits of a resistance training intervention performed in the workplace. Journal of Strength and Conditioning Research, 26(3), 811-817.

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