Cdj. Holman et al., ASSOCIATION OF THE HEALTH-PROMOTING WORKPLACE WITH TRADE-UNIONISM ANDOTHER INDUSTRIAL FACTORS, American journal of health promotion, 12(5), 1998, pp. 325-334
Purpose. The study examines associations of five healthy workplace att
ributes with trade unionism and nine other industrial and sociodemogra
phic factors. The aims were to illustrate the measurement of workplace
health promotion indicators in Western Australia and to identify asso
ciations leading to a better understanding of determinants of the heal
thy workplace. Design. Personal and telephone cross-sectional surveys
were performed using population-based sampling frames. The overall res
ponse rate was 72%. Setting. Workplaces in Western Australia. Subjects
. Random samples of household respondents aged 16 to 69 years in 1992
(n = 1310) and 1994 (n = 1113). Measures. Measures of association betw
een healthy workplace attributes and trade unionism were adjusted for
workplace location, size, sector; and industrial classification. Resul
ts. Trade unionism was strongly associated with healthy catering pract
ices (adjust ed OR 2.05; 95% CI 1.30 to 3.23), sun protection practice
s (2.66; 1.69 to 4.17), disability access (1.47; 1.10 to 1. 95), and w
orksite health promotion programs (2.56; 2.07 to 3.17). A weak and non
significant association was observed with restrictive smoking policies
(1.21; .95 to 1.55). Generally, healthy workplace attributes were rep
orted less often by respondents working in rural locations, in the pri
vate sector and at small worksites. There was no consistent relationsh
ip with sociodemographic factors, including an index of social disadva
ntage, but members of blue-collar occupations experienced a low preval
ence of restrictive smoking policies. Conclusions. The study raises th
e hypothesis, but cannot confirm, that trade unions could provide a me
ans for employees to pursue the creation of a health-promoting workpla
ce. Small business represents an excellent target for health promotion
activities.